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Medical Forum / General / Alternative / June 2008Acupuncture for Shoulder Pain
Acupuncture is a very well established part of mainstream healthcare in the UK. Note that this technique involves just a single acupuncture needle per treatment. In other words, there is room for improvement. http://rheumatology.oxfordjournals.org/cgi/content/short/47/6/887 Abstract Objective. Evaluate the efficacy of acupuncture associated with physiotherapy for patients with painful shoulder. Methods. In a multicentre controlled randomized study, participants were recruited with a clinical diagnosis of unilateral subacromial syndrome from six rehabilitation medicine departments belonging to the Public Health System in two Spanish regions. All participants received 15 sessions of physiotherapy during the 3 weeks that the treatment lasted and were randomized to additionally receive, once a week, acupuncture or mock TENS (transcutaneous electrical nerve stimulation). The primary outcome measure was the change in the Constant–Murley Score (CMS) for functional assessment of the shoulder, at 4 weeks after randomization. This study is registered as an International Standard Randomized Controlled Trial, number ISRCTN28687220 [controlled-trials.com] . Results. A total of 425 patients were recruited. The mean score (S.D.) on the CMS had increased by 16.6 (15.6) points among the acupuncture group, compared with 10.6 (13.5) points in the control group, and the mean difference between the two groups was statistically significant (6.0 points; 95% CI 3.2, 8.8 points; P < 0.001). By the end of the treatment, 53% of the patients in the acupuncture group had decreased their consumption of analgesics, compared with a corresponding 30% among the control group (P < 0.001). Conclusions. Single-point acupuncture in association with physiotherapy improves shoulder function and alleviates pain, compared with physiotherapy as the sole treatment. This improvement is accompanied by a reduction in the consumption of analgesic medicaments. : Acupuncture is a very well established part of mainstream healthcare : in the UK. So is homeopathy: http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=911 ----- Richard Schultz schultr@mail.biu.ac.il Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel Opinions expressed are mine alone, and not those of Bar-Ilan University ----- "Logic is a wreath of pretty flowers which smell bad." > In article <0b90a830-0d91-44ba-b9a4-a5fd8cbb4...@e39g2000hsf.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote: > > : Acupuncture is a very well established part of mainstream healthcare > : in the UK. > > So is homeopathy:http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=911 Homeopath acceptance has been trending downward and is on its way out. http://www.guardian.co.uk/science/2007/may/23/health.medicineandhealth Doctors renew drive to ban NHS homeopathy· Letter urges health trusts to stop funding therapies ----------------- It would be hard to compare its acceptance to a method which is THE most common treatment for chronic pain and nausea in the UK. And, don't you remember that over half of the GP's in the UK want to learn acupuncture in order to practice it on patients. There is no symmetry between acupuncture and homeopathy in that regard, either. Acupuncture, it is everywhere you want to be! > ----- > Richard Schultz schu...@mail.biu.ac.il > Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel > Opinions expressed are mine alone, and not those of Bar-Ilan University > ----- > "Logic is a wreath of pretty flowers which smell bad." :> In article <0b90a830-0d91-44ba-b9a4-a5fd8cbb4...@e39g2000hsf.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote: :> : Acupuncture is a very well established part of mainstream healthcare :> : in the UK. ? :> :> So is homeopathy: :> http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=911 : Homeopath acceptance has been trending downward and is on its way out. : : http://www.guardian.co.uk/science/2007/may/23/health.medicineandhealth Your ability to not get it is truly breathtaking. ----- Richard Schultz schultr@mail.biu.ac.il Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel Opinions expressed are mine alone, and not those of Bar-Ilan University ----- "You don't even have a clue about which clue you're missing." > In article <5ec49553-565f-42c7-8f57-37754ee52...@k30g2000hse.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote: > :> In article <0b90a830-0d91-44ba-b9a4-a5fd8cbb4...@e39g2000hsf.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote: [quoted text clipped - 10 lines] > > Your ability to not get it is truly breathtaking. The ability of UK citizens to get acupuncture through the National Health Trust is truly breathtaking. The ability of UK citizens to get homeopathy through the NHT is waning. The reason is all about the efficacy. > ----- > Richard Schultz schu...@mail.biu.ac.il > Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel > Opinions expressed are mine alone, and not those of Bar-Ilan University > ----- > "You don't even have a clue about which clue you're missing." > In article > <5ec49553-565f-42c7-8f57-37754ee52ec7@k30g2000hse.googlegroups.com>, The [quoted text clipped - 14 lines] > > Your ability to not get it is truly breathtaking. Get a grip Richard. The only reason homeopathy would be "on its way out" is because modern science doesn't acknowledge the suppressed ether theory. It is a national security risk for anybody to know about such things. Anybody can test for themselves if homeopathy works by taking homeopathic silicon dioxide tablets available from the health shop. They get rid of underarm odour amongst other things -- but you wouldn't know about that because you think that BO is normal and probably even desirable ...all the better to bring out the animal in you. As a matter of fact Richard won't even date a person who hasn't got some sort of BO because he thinks they are strange. Carole www.cellsalts.net > ----- > Richard Schultz schultr@mail.biu.ac.il > Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel > Opinions expressed are mine alone, and not those of Bar-Ilan University > ----- > "You don't even have a clue about which clue you're missing." : Get a grip Richard. : The only reason homeopathy would be "on its way out" is because modern : science doesn't acknowledge the suppressed ether theory. It is a national : security risk for anybody to know about such things. I eagerly anticipate Mr. Kingoff's explanation of why the "suppressed ether theory" is less likely to be true than the "chi/meridians" theory. ----- Richard Schultz schultr@mail.biu.ac.il Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel Opinions expressed are mine alone, and not those of Bar-Ilan University ----- "French bread makes very good skis" <Andrew_Kingoff@yahoo.com> wrote in message news:0b90a830-0d91-44ba-b9a4-a5fd8cbb47de@e39g2000hsf.googlegroups.com... Acupuncture is a very well established part of mainstream healthcare in the UK. Note that this technique involves just a single acupuncture needle per treatment. In other words, there is room for improvement. http://rheumatology.oxfordjournals.org/cgi/content/short/47/6/887 Abstract Objective. Evaluate the efficacy of acupuncture associated with physiotherapy for patients with painful shoulder. Methods. In a multicentre controlled randomized study, participants were recruited with a clinical diagnosis of unilateral subacromial syndrome from six rehabilitation medicine departments belonging to the Public Health System in two Spanish regions. All participants received 15 sessions of physiotherapy during the 3 weeks that the treatment lasted and were randomized to additionally receive, once a week, acupuncture or mock TENS (transcutaneous electrical nerve stimulation). The primary outcome measure was the change in the Constant-Murley Score (CMS) for functional assessment of the shoulder, at 4 weeks after randomization. This study is registered as an International Standard Randomized Controlled Trial, number ISRCTN28687220 [controlled-trials.com] . Results. A total of 425 patients were recruited. The mean score (S.D.) on the CMS had increased by 16.6 (15.6) points among the acupuncture group, compared with 10.6 (13.5) points in the control group, and the mean difference between the two groups was statistically significant (6.0 points; 95% CI 3.2, 8.8 points; P < 0.001). By the end of the treatment, 53% of the patients in the acupuncture group had decreased their consumption of analgesics, compared with a corresponding 30% among the control group (P < 0.001). Conclusions. Single-point acupuncture in association with physiotherapy improves shoulder function and alleviates pain, compared with physiotherapy as the sole treatment. This improvement is accompanied by a reduction in the consumption of analgesic medicaments. |
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