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Original Article | Open Access

Immediate analgesia effect of contralateral needling at Tiaokou (ST38) in patients with chronic shoulder pain: A randomized controlled exploratory trial

Shangqing Hua, Shuai Zhanga, Guangxia Shib, Zhongyan Wangc, Tianqi Wanga, Chaoqun Yana, Ping Zhoua, Cunzhi Liua( )
School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China
Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated with Capital Medical University, Beijing 100010, China
Department of Medical Imaging, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing 100010, China

Peer review under responsibility of Beijing University of Chinese Medicine.

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Abstract

Objective

To compare the immediate effect of acupuncture at the contralateral versus ipsilateral Tiaokou (ST38) in patients with Chronic shoulder pain (CSP).

Method

Altogether, 38 patients with unilateral CSP were randomly assigned to a contralateral ST38 group (Contra group) or ipsilateral ST38 group (Ipsi group). Each underwent 20 min of manual acupuncture: Contra group at the contralateral ST38, Ipsi group at the ipsilateral ST38. Primary outcome measure was the visual analog scale (VAS) score. Secondary outcome measure for assessing shoulder mobility was the Constant-Murley (CM) score, which included pain level, activities of daily living (ADL), and shoulder range of motion (ROM). These factors were assessed before and immediately after acupuncture. A value of P < .05 indicated significance.

Results

VAS scores decreased immediately after treatment in both groups, but the effect was significantly greater in the Contra group (P = .043). CM scores also improved in both groups, but the Contra group improved significantly more (P = .002). The CM's pain and ADL scores were similar in the two groups (P = .055 and P = .193, respectively), but ROM and strength scores were better in the Contra group than in the Ipsi group (P = .003 and P = .037, respectively). No adverse effects were reported.

Conclusion

The immediate effect of acupuncture at the contralateral ST38 may be superior to that at the ipsilateral ST38 in CSP patients.

Keywords

AcupunctureChronic shoulder painContralateralTiaokou (ST38)

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Journal of Traditional Chinese Medical Sciences
Volume 6 Issue 1,
January 2019
Pages 95-100
DOI: 10.1016/j.jtcms.2019.01.007
Cite this article:
Hu S, Zhang S, Shi G, et al. Immediate analgesia effect of contralateral needling at Tiaokou (ST38) in patients with chronic shoulder pain: A randomized controlled exploratory trial. Journal of Traditional Chinese Medical Sciences, 2019, 6(1): 95-100. https://doi.org/10.1016/j.jtcms.2019.01.007

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Received: 17 December 2018
Revised: 03 January 2019
Accepted: 21 January 2019
Published: 19 February 2019
© 2019 Beijing University of Chinese Medicine.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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