title: Randomised trial of long term effect of acupuncture for shoulder pain.
abstract: The objective of the study is to compare the efficacy of electro-acupuncture with placebo-acupuncture for the treatment of shoulder pain. This study comprised of a prospective, randomized, placebo controlled trial, with independent evaluator set in a Public primary care clinic in Spain. The participants are patients aged from 25 to 83 years with shoulder pain. Patients were randomly allocated to two treatments over eight weeks, with electro-acupuncture or skin non-penetrating placebo-acupuncture, both able to take diclofenac if needed for intense pain. Primary outcome measure was the difference between groups in pain intensity (visual analogue scale-VAS). Secondary outcomes were differences between groups in pain intensity measured by Lattinen index, in range of motion (goniometer), functional ability (SPADI), quality of life (COOP-WONCA charts), NSAIDS intake, credibility (Borkoveck and Nau scale) and global satisfaction (10 points analogue scale). Assessments were performed before, during and three and six months after treatment. At six month follow-up after treatment the acupuncture group showed a significantly greater improvement in pain intensity compared with the control group [VAS mean difference 2.0 (95% CI 1.2-2.9)]. The acupuncture group had consistently better results in every secondary outcome measure than the control group. Acupuncture is an effective long-term treatment for patients with shoulder pain (from soft tissues lesions) in a primary care setting.
authors.affiliation: Andalusia Public Health Service, C/La Maria 26, DP 41008 Sevilla, Spain C/Avda Eduardo Dato no. 54 3° B DP 41005, Sevilla, Spain Analysis Department, Riotinto Hospital, Andalucia Public Health Service, Huelva, Spain C/Pastor y Landero 23-25, 2° A. DP 41001 Sevilla, Spain Andalusia Public Health Service, Distrito Sanitario Este-Sur, Calle Greco s\n, Sevilla, Spain Andalusia Public Health Service, Sevilla Primary Health Care Pharmacist, C/Greco s\n, Sevilla, Spain C/Cardenal Rodrigo de Castro n°5, 1° Puerta 5, DP 41005, Seville, Spain Nursing and Physiotherapy Department, Health Sciences School, Sevilla University, Avda Sanchez Pizjuan s/n 41009 Sevilla, Spain.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Guerra de Hoyos
authors.forename: Maria Del Carmen Andrés
authors.initials: MDCA
authors.lastname: Martín
authors.forename: Elena Bassas Y Baena de
authors.initials: EBYB
authors.lastname: Leon
authors.forename: Miguel Vigára
authors.initials: MV
authors.lastname: Lopez
authors.forename: Teresa Molina
authors.initials: TM
authors.lastname: López
authors.forename: Francisco Antonio Verdugo
authors.initials: FAV
authors.lastname: Morilla
authors.forename: Maria José González
authors.initials: MJG
authors.lastname: Moreno
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D003710:Demography; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D020069:Shoulder Pain / Q000628:therapy*; D013995:Time; D013997:Time Factors; D016896:Treatment Outcome