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KMID : 0615720100270040067
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Jouranl of Korean Acupuncture and Moxibustion society
2010 Volume.27 No. 4 p.67 ~ p.84
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A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Shoulder Pain
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Kim Hyun-Wook
Lee Geon-Hui
Lee Geon-Mok
Kim Eon-Kuk
Kim Seung-Soo
Park Se-Woon
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Abstract
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Objectives : To review RCTs on acupuncture treatment for shoulder pain in order to establish a standard acupuncture treatment model in treating shoulder pain.
Methods : RCT articles on traditional acupuncture treatment for shoulder pain were searched through online database. Quality of studies were assessed using the FEAS and the modified Jadad score.
Results : Eighteen trials of acupuncture for shoulder pain were analyzed. Based on the results of these reviews the following factors might contribute to optimal results from acupuncture treatment. 1) Usage of LI, SI, TE meridians, usage of LI15, TE14, GB21, LI11, LI4, SI14, LI14, TE15 acupuncture points. 2) More than four acupuncture points should be used. 3) More than 15 minutes of needle retention time. 4) Needle length-40mm and diameter-0.30mm. 5) More than 9 times treatment 6) More than 5 weeks treatment duration.
Conclusions : There was no relation between quality of article and effectiveness of acupuncture. To improve the remedial value, it is necessary to mention De-qi, stimulation of acupuncture and correct variation in diagnosis with the above-mentioned. It is better that clinical trials of acupuncture treatment is designed that type of RCT and double blind. Also when it is set that sham nonpenetrating acupuncture, no treatment group as a control group, and participants don’t distinguish wheather acupuncture treatment or not, it will be more meaningful.
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KEYWORD
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shoulder pain, acupuncture, RCT, FEAS, modified Jadad score
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