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Case Report: Acupuncture Treatment for Frozen Shoulder Resulting from Traumatic Injury

机译:病例报告:针刺治疗外伤致肩周炎

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In our literature review we find the evidence in both conventional and complementary therapies does not reliably inform us of the effectiveness of treatments for frozen shoulder (FS). Physiotherapy, non-steroidal anti-inflammatory drugs, glucocorticosteroid injections, capsular stretching, exercises and surgery demonstrated limited evidence of efficacy. Similarly, studies varied greatly regarding the effectiveness of acupuncture treatment for shoulder injury. In the following case study we discuss acupuncture treatment of a FS resulting from traumatic injury. However in this case, traditional acupuncture intervention markedly improved the patient's symptoms. After eight treatments the pain level was significantly reduced and stabilised. Furthermore, full range of motion was regained. MRI findings two months post-injury and two months post-acupuncture treatment also provide evidence of anatomical improvement during the course of treatment. We suggest future acupuncture research trials would be more clinically relevant, and likely show more clinically significant results, if subjects were treated according to their presenting TCM diagnosis and neuro-anatomical presentations.
机译:在我们的文献综述中,我们发现传统疗法和补充疗法中的证据均不能可靠地告知我们冷冻肩周炎(FS)治疗的有效性。物理疗法,非甾体类抗炎药,糖皮质激素注射,荚膜拉伸,运动和手术证明疗效有限。同样,针灸治疗肩部损伤的有效性研究也大相径庭。在下面的案例研究中,我们讨论了针刺治疗外伤造成的FS。但是,在这种情况下,传统的针灸干预可以明显改善患者的症状。八次治疗后,疼痛水平明显减轻并稳定下来。此外,重新获得了全部运动范围。损伤后两个月和针灸治疗后两个月的MRI发现也提供了治疗过程中解剖学改善的证据。我们建议,如果根据受试者的中医诊断和神经解剖学表现对受试者进行治疗,那么未来的针灸研究试验将在临床上更具相关性,并可能显示出更大的临床意义。

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