Acupuncture for shoulder pain after stroke: A randomized controlled clinical trial

Lee, Go Eun; Son, Chihyoung; Lee, Jungsup; Lee, Sook Hyun; Lee, Hye Jin; Lee, Kuem Ju; Lim, Sung Min; Choi, Hee Sun; Kim, Dong A; Kim, Wan Ho

doi:10.1016/j.eujim.2016.06.020

Cited by 12 publications

(15 citation statements)

References 26 publications

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“…7 Approximately 30% to 82% of patients experience shoulder pain after stroke. 8,9 Currently, antihypertensive drugs, 10 hypoglycemic and antiplatelet aggregation drugs, 11,12 and constraint-induced movement therapy 13 are the main treatment methods to ensure recovery after stroke. However, new treatment methods are required to enhance patient recovery and improve their symptoms after stroke.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Tiaoqiheying decoction in the treatment of spasmodic pain and lipid metabolism after acute ischemic stroke

Cai

Chen

2020

J Int Med Res

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Objective To investigate the efficacy and safety of Tiaoqiheying decoction in treating acute ischemic stroke. Methods This prospective randomized study enrolled 102 patients with ischemic stroke who were randomly assigned to the control (placebo), external (external Tiaoqiheying decoction), and external/internal groups (oral and external Tiaoqiheying decoction) groups. Cholesterol (CHO), triglyceride (TG), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) levels and the National Institute of Health Stroke Scale (NIHSS), modified Ashworth scale (AMS), visual analog scale (VAS), Barthel Index (BI), and Fugl–Meyer score (FMS) were determined before and after treatment. Results NIHSS scores were lower in the external/internal group than in the external and placebo groups. MAS and VAS scores for all patients were also lower after 4 weeks than before treatment, and they were significantly lower in the external/internal group versus the control group. CHO, TG, and LDL levels were significantly lower after 2 and 4 weeks, and their levels were lower in the external/internal group than in the other two groups. BI and FMS were higher in the external/internal group than in the other groups after 2 and 4 weeks of treatment. Conclusion Tiaoqiheying decoction may improve spasmodic pain and lipid metabolism after stroke.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Tiaoqiheying decoction in the treatment of spasmodic pain and lipid metabolism after acute ischemic stroke

Cai

Chen

2020

J Int Med Res

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“…For pain level (measured with Visual Analog Scale), the acupuncture group demonstrated a significant change compared with the sham acupuncture group at the third week of treatment. However, there were no significant differences between the two groups on the Beck Depression Inventory ( Lee et al, 2016 ).…”

Section: Clinical Evidence For Acupuncturementioning

confidence: 76%

Acupuncture for Psychological Disorders Caused by Chronic Pain: A Review and Future Directions

Lin

Yang

et al. 2021

Front. Neurosci.

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Accumulating evidence supports an association between chronic pain and psychological disorders, a connection that seems to be bidirectional. Treating both the pain and psychological conditions together is essential for effective treatment outcomes. Acupuncture is a somatosensory-guided mind–body therapy that can tackle the multidimensional nature of pain with fewer or no serious adverse effects. In this review, we discuss the use of acupuncture in some conditions with a high incidence of psychological disorders caused by chronic pain: headache, musculoskeletal pain, low back pain, and cancer pain, focusing on the effect and potential mechanisms of acupuncture. Overall clinical studies indicated that acupuncture might effectively contribute to management of psychological disorders caused by chronic pain. Mechanistic studies showed that acupuncture significantly alleviated such psychological disorders by regulating the activity of amygdala and insula, and regulating functional connectivity of insular and limbic regions/medial prefrontal cortex in humans and the corresponding animal models. In addition, 5-HT in the dorsal raphe nucleus, opioid receptors in the cingulate cortex, and plasma met-enkephalin are involved in acupuncture relief of pain and psychological symptoms. Substantial evidences from animal and human research support a beneficial effect of acupuncture in psychological disorders caused by chronic pain.

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“…The null hypothesis is that μ v = μ s , while the alternative hypothesis is μ v ≠ μ s , where μ is the mean difference and v and s denotes the verum or sham EA group, respectively. A previous study to compare the effectiveness of acupuncture therapy using non-acupoint sham acupuncture on poststroke shoulder pain [ 29 ] showed the reductions of VAS scores with means ± standard deviations of 3.52 ± 2.67 in the intervention group and 1.38 ± 2.43 in control group, respectively. Using a two-sided test, under the assumptions of an of 0.05 and (1-β) of 0.8, a sample size of 24 per group has been calculated.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness and safety of electroacupuncture for poststroke patients with shoulder pain: study protocol for a double-center, randomized, patient- and assessor-blinded, sham-controlled, parallel, clinical trial

Shin

Yang

et al. 2019

BMC Complement Altern Med

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BackgroundPractitioners of complementary and alternative medicine have suggested that acupuncture could alleviate poststroke shoulder pain, based on the clinical evidence. This study protocol is aimed at showing the effectiveness and safety of electroacupuncture therapy for stroke survivors with shoulder pain.MethodsAfter assessing their eligibility, 60 stroke survivors with shoulder pain will be enrolled from two traditional Korean medicine hospitals and randomly divided into either the verum or the sham electroacupuncture (EA) group with a 1:1 ratio. The participants will receive 9 sessions of EA procedures for 3 weeks. The verum EA consists of needling on 6 unilateral acupoints (LI4, LI15, TE14, SI9, SI11, and GB21) with electronic stimulation. A non-penetrating Park sham device and fake electronic stimulation will be used in the sham group on the same acupoints. Patients and outcome assessors will be blinded throughout the entire study. A visual analog scale will be used primarily for the evaluation, and pain rating scale, Fugl-Meyer assessment for upper extremity, modified Ashworth scale, manual muscle test, passive range of motion test, Korean version of a modified Barthel index, and Korean version of the Beck depression inventory will be also be measured. A blinding index will be assessed. For safety, adverse events will be recorded. Data will be statistically analyzed by two-sample t-test or Wilcoxon rank sum test for efficacy and a chi-squared test or Fisher’s exact test for safety, at 5% of significance level.DiscussionWe expect this double-center, randomized, sham-controlled, patient- and assessor-blinded parallel trial to explore the effectiveness and safety of EA therapy, compared with sham EA, for poststroke shoulder pain.Trial registration https://clinicaltrials.gov/ct2/show/NCT03086863

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Acupuncture for shoulder pain after stroke: A randomized controlled clinical trial

Cited by 12 publications

References 26 publications

Efficacy of Tiaoqiheying decoction in the treatment of spasmodic pain and lipid metabolism after acute ischemic stroke

Efficacy of Tiaoqiheying decoction in the treatment of spasmodic pain and lipid metabolism after acute ischemic stroke

Acupuncture for Psychological Disorders Caused by Chronic Pain: A Review and Future Directions

Effectiveness and safety of electroacupuncture for poststroke patients with shoulder pain: study protocol for a double-center, randomized, patient- and assessor-blinded, sham-controlled, parallel, clinical trial

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