RT Journal Article
T1 Acupuncture and rehabilitation of the painful shoulder: study protocol of an ongoing multicentre randomised controlled clinical trial [ISRCTN28687220]
A1 Vas, Jorge
A1 Perea-Milla, Emilio
A1 Mendez, Camila
A1 Galante, Antonia Herrera
A1 Madrazo, Fernando
A1 Medina, Ivan
A1 Ortega, Caridad
A1 Olmo, Victoria
A1 Perez Fernandez, Francisco
A1 Hernandez, Luz
A1 Seminario, Jose Maria
A1 Brioso, Mauricio
A1 Luna, Francisco
A1 Gordo, Isabel
A1 Godoy, Ana Maria
A1 Jimenez, Carmen
A1 Ruiz, Manuel Anselmo
A1 Montes, Joaquin
A1 Hidalgo, Alonso
A1 Gonzalez-Quevedo, Rosa
A1 Bosch, Pablo
A1 Vazquez, Antonio
A1 Lozano, Juan Vicente
K1 Artralgia
K1 Enfermedad crónica
K1 Estudios de seguimiento
K1 Estudios multicéntricos como asunto
K1 Dimensión del dolor
K1 Síndrome de Abducción Dolorosa del Hombro
K1 Analgesia por Acupuntura
AB BACKGROUNDAlthough the painful shoulder is one of the most common dysfunctions of the locomotor apparatus, and is frequently treated both at primary healthcare centres and by specialists, little evidence has been reported to support or refute the effectiveness of the treatments most commonly applied. According to the bibliography reviewed, physiotherapy, which is the most common action taken to alleviate this problem, has not yet been proven to be effective, because of the small size of sample groups and the lack of methodological rigor in the papers published on the subject. No reviews have been made to assess the effectiveness of acupuncture in treating this complaint, but in recent years controlled randomised studies have been made and these demonstrate an increasing use of acupuncture to treat pathologies of the soft tissues of the shoulder. In this study, we seek to evaluate the effectiveness of physiotherapy applied jointly with acupuncture, compared with physiotherapy applied with a TENS-placebo, in the treatment of painful shoulder caused by subacromial syndrome (rotator cuff tendinitis and subacromial bursitis).METHODS/DESIGNRandomised controlled multicentre study with blind evaluation by an independent observer and blind, independent analysis. A study will be made of 465 patients referred to the rehabilitation services at participating healthcare centres, belonging to the regional public health systems of Andalusia and Murcia, these patients presenting symptoms of painful shoulder and a diagnosis of subacromial syndrome (rotator cuff tendinitis and subacromial bursitis). The patients will be randomised into two groups: 1) experimental (acupuncture + physiotherapy); 2) control (TENS-placebo + physiotherapy); the administration of rescue medication will also be allowed. The treatment period will have a duration of three weeks. The main result variable will be the change produced on Constant's Shoulder Function Assessment (SFA) Scale; as secondary variables, we will record the changes in diurnal pain intensity on a visual analogue scale (VAS), nocturnal pain intensity on the VAS, doses of non-steroid anti-inflammatory drugs (NSAIDs) taken during the study period, credibility scale for the treatment, degree of improvement perceived by the patient and degree of improvement perceived by the evaluator. A follow up examination will be made at 3, 6 and 12 months after the study period has ended. Two types of population will be considered for analysis: per protocol and per intention to treat.DISCUSSIONThe discussion will take into account the limitations of the study, together with considerations such as the choice of a simple, safe method to treat this shoulder complaint, the choice of the control group, and the blinding of the patients, evaluators and those responsible for carrying out the final analysis.
PB BioMed Central
SN 1472-6882
YR 2005
FD 2005-10-14
LK http://hdl.handle.net/10668/1925
UL http://hdl.handle.net/10668/1925
LA en
NO Vas J, Perea-Milla E, Mendez C, Herrera Galante G, Madrazo F, Medina I, et al. Acupuncture and rehabilitation of the painful shoulder: study protocol of an ongoing multicentre randomised controlled clinical trial [ISRCTN28687220]. BMC Complementary and Alternative Medicine 2005, 5:19
NO Journal Article; Study Protocol
DS RISalud
RD Apr 7, 2025