title: [Double-center randomized controlled trial on post-stroke shoulder pain treated by electroacupuncture combined with Tuina].
abstract: OBJECTIVE
  To evaluate clinical therapeutic effect of post-stroke shoulder pain treated by acupuncture combined with Tuina.
  
  
  METHODS
  Three hundred cases of post-stroke shoulder pain were randomly divided into an acupuncture and Tuina group and a rehabilitation group by double-center randomized controlled clinical trial method. In acupuncture and Tuina group, normalized electroacupuncture and Tuina therapy were applied, that was electroacupuncture at main points, such as Chize (LU 5), Quze (PC 3), Shaohai (HT 3), Jianyu (LI 15), Jianliao (TE 14) and Jianjing (GB 21),etc., combined with traditional Tuina manipulations; in rehabilitation group, the rehabilitation methods such as the electrostimulation through nervus cutaneus and the squeezing and stabilizing manipulations of Proprioceptive Neuromuscular Facilitation (PNF), etc. were applied. The treatment courses of both groups were 6 weeks. The main therapeutic effect indices were the Assessment Face Scale (AFS) for pain when shoulder was in passive motion and the Fugl-Meyer Motor Assessment for upper limbs active function; the secondary indices were the moditied Rankin Scale (mRS) and the clinical incidences of shoulder-hand syndrome of hemiplegia and shoulder joint subluxation of hemiplegia.
  
  
  RESULTS
  After 6 weeks treatment and 12 weeks follow-up, AFS score, Fugl-Meyer motor assessment of upper limbs active function and mRS evaluation in acupuncture and Tuina group were more obviously improved than those in rehabilitation group (P < 0.05, P < 0.01). Although the clinical incidences of shoulder-hand syndrome of hemiplegia and shoulder joint subluxation of hemiplegia in acupuncture and Tuina group was equal to those in rehabilitation group [3.55% (5/141) vs 8.45% (12/142), 1.42% (2/141) vs 5.63% (8/142), both P > 0.05], the data indicated that there was a superiority tendency in acupuncture and Tuina group.
  
  
  CONCLUSIONS
  The combined therapy of electroacupuncture and Tuina is a normative manipulation, and the therapeutic effect is satisfying for post-stroke shoulder pain, superior to that of comprehensive rehabilitation treatment.
authors.affiliation: Huaxi Hospital of Sichuan University, Integrated TCM and Western Medicine Department, Chengdu 610041, China. zhenjiuhuaxi@163.com
authors.forename: Ning
authors.initials: N
authors.lastname: Li
authors.forename: Feng-Wei
authors.initials: FW
authors.lastname: Tian
authors.forename: Cheng-Wei
authors.initials: CW
authors.lastname: Wang
authors.forename: Peng-Ming
authors.initials: PM
authors.lastname: Yu
authors.forename: Xi
authors.initials: X
authors.lastname: Zhou
authors.forename: Qian
authors.initials: Q
authors.lastname: Wen
authors.forename: Xiu-Lan
authors.initials: XL
authors.lastname: Qiao
authors.forename: Lu
authors.initials: L
authors.lastname: Huang
mesh_terms: D000368:Aged; D000654:Amobarbital; D003131:Combined Modality Therapy; D004338:Drug Combinations; D015671:Electroacupuncture; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D012631:Secobarbital; D020069:Shoulder Pain / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D020521:Stroke / Q000150:complications*
chemical_list: D004338:Drug Combinations; C027629:amobarbital, secobarital drug combination; D012631:Secobarbital; D000654:Amobarbital