In this study, the proposed subjects came from the Traditional Diagnosisand Treatment Center of Zhongshan Hospital of Zhejiang Province.78 patients with neck and shoulder pain who met the criteria were randomly divided into the control group (39 cases) and the experimental group (39 cases) in a ratio of 1:1.The control group used ordinary acupuncture methods,and the experimental group adopted intensive mtlti-acupuncture method for intervention.The treatment was carried out twice a week,with 4 times as a course of treatment,for a total of one couse of treatment. The data of VAS NDI,Cervical Range of Motion Assessment,and Constant-Murley Score of the two grous were recorded at the baseline period,after the 2nd treatment,after the 4th treatment,and 2 weeks after the end of the treatment for follow-up.All data were statistically analyzed using SPSS27.0 software,and relevant differences were compared after treatment. In order to evaluate the effectiveness of intensive multi-acupuncture method in the treatment of neck and shoulder pain,and to promote the development and clinical application of"pain as adupoint" meridian stabbing method.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
78
The needles are inserted into the subject body to treat the disease.
The needles are inserted into the subject body to treat the disease.
clinical efficacy evaluation criteria
It was evaluated according to the efficacy standard of neck and shoulder pain in the Guidelines for Clinical Research of New Chinese Medicines, and the NDI index was used as the benchmark: Efficacy index (N) = \[(pre-treatment score - post-treatment score) ÷ pre-treatment score\] × 100% * cure: the patient does not feel obvious back pain and other discomforts, N ≥ 90% * Effective: Effective: low back pain is significantly relieved, 60% ≤ N \< 90% ③ Effective: lower back pain is relieved, 30%≤N\<60%. ④ Ineffective: the patient's low back pain is not relieved, N\<30%. Total effective rate (%) = \[(number of cured + number of effective + number of effective) ÷ number of cases in each group\] × 100%.
Time frame: Through study completion, an average of 1 year
Pain visual analog scale score(VAS)
The visual analogue scale (VAS) is used for pain assessment.The basic method is to use a traveling scale of about 10 cm in length,with"0" and"10" scores at each end, with 0 indicating no pain and 10 representing the most severe pain that is intolerable.
Time frame: Through study completion, an average of 1 year
Neck Disability Index (NDI) score
The Neck Disability Index (NDI) is a commonly used scale for assessing the degree of cervical pain and associated functional impairment, reflecting the improvement in neck function before and after treatment. It consists of 10 items, each scored from 0 to 5, with a total score ranging from 0 to 50.
Time frame: Through study completion, an average of 1 year
Cervical Range of Motion (CROM) scale
CROM refers to a method for measuring cervical range of motion using the arc of motion. A medical goniometer is used for measurement, and the degrees of motion are recorded in six directions: flexion, extension, left and right lateral flexion, and left and right rotation.
Time frame: Through study completion, an average of 1 year
Constant-Murley Score (CMS) scale
The CMS is a multidimensional scale widely used to assess shoulder joint function, covering four aspects: pain, activities of daily living, range of motion, and muscle strength. The total score is 100, with a higher score indicating better shoulder joint function.
Time frame: Through study completion, an average of 1 year
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