{"title":"触发点针刺对慢性非特异性腰痛患者疼痛和功能活动的影响:一项随机对照试验。","authors":"Hong Liu, Ya-Ping Li, Mei-Jin Hou, Wu-Jie Huang, Xiao-Lin Chen, Zhen Gao, Zheng Jiang","doi":"10.1177/09645284221107685","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Trigger point (TrP) acupuncture is commonly used to treat chronic non-specific low back pain (CNLBP). Evidence for the efficacy of most TrP acupuncture modalities is weak or lacking.</p><p><strong>Objective: </strong>To assess the effect of TrP acupuncture on pain, disability, gait and muscle activation in patients with CNLBP.</p><p><strong>Methods: </strong>From May 2019 to February 2020, a randomised, single-blind clinical trial was carried out involving 33 participants with CNLBP, divided into one of two intervention groups or a control group (<i>n</i> = 11 per group). The intervention groups received TrP acupuncture or traditional acupuncture treatment three times a week for 4 weeks, and the control group remained on a waiting list and received no treatment. Pain, disability, gait and muscle activation were assessed at baseline and at 4 and 8 weeks of follow-up.</p><p><strong>Results: </strong>At baseline, the three groups showed no significant differences in age, gender, height, weight, body mass index (BMI) or disease course (<i>p</i> ⩾ 0.05). At 4 weeks, pain was relieved (measured by visual analogue scores, <i>p</i> = 0.036) and disability was improved (reflected by lower Oswestry disability index scores, <i>p</i> = 0.029) in TrP acupuncture versus waiting list groups. Moreover, lumbar extension range of motion was increased in TrP acupuncture versus both traditional acupuncture and waiting list groups (<i>p</i> = 0.029 and <i>p</i> = 0.027, respectively). At 8 weeks, there were no significant differences in any parameter between the three groups (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>TrP acupuncture had a significant short-term effect on pain relief and disability in patients with CNLBP, but there was no evidence of a long-term influence (at 8 weeks following the intervention). Further high-quality randomised controlled trials are needed for verification in the future.<b>Trial registration number:</b> ChiCTR1900022838 (Chinese Clinical Trial Registry).</p>","PeriodicalId":7257,"journal":{"name":"Acupuncture in Medicine","volume":"41 3","pages":"130-141"},"PeriodicalIF":2.4000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of trigger point acupuncture on pain and functional activity in patients with chronic non-specific low back pain: a randomised controlled trial.\",\"authors\":\"Hong Liu, Ya-Ping Li, Mei-Jin Hou, Wu-Jie Huang, Xiao-Lin Chen, Zhen Gao, Zheng Jiang\",\"doi\":\"10.1177/09645284221107685\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Trigger point (TrP) acupuncture is commonly used to treat chronic non-specific low back pain (CNLBP). Evidence for the efficacy of most TrP acupuncture modalities is weak or lacking.</p><p><strong>Objective: </strong>To assess the effect of TrP acupuncture on pain, disability, gait and muscle activation in patients with CNLBP.</p><p><strong>Methods: </strong>From May 2019 to February 2020, a randomised, single-blind clinical trial was carried out involving 33 participants with CNLBP, divided into one of two intervention groups or a control group (<i>n</i> = 11 per group). The intervention groups received TrP acupuncture or traditional acupuncture treatment three times a week for 4 weeks, and the control group remained on a waiting list and received no treatment. Pain, disability, gait and muscle activation were assessed at baseline and at 4 and 8 weeks of follow-up.</p><p><strong>Results: </strong>At baseline, the three groups showed no significant differences in age, gender, height, weight, body mass index (BMI) or disease course (<i>p</i> ⩾ 0.05). At 4 weeks, pain was relieved (measured by visual analogue scores, <i>p</i> = 0.036) and disability was improved (reflected by lower Oswestry disability index scores, <i>p</i> = 0.029) in TrP acupuncture versus waiting list groups. Moreover, lumbar extension range of motion was increased in TrP acupuncture versus both traditional acupuncture and waiting list groups (<i>p</i> = 0.029 and <i>p</i> = 0.027, respectively). At 8 weeks, there were no significant differences in any parameter between the three groups (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>TrP acupuncture had a significant short-term effect on pain relief and disability in patients with CNLBP, but there was no evidence of a long-term influence (at 8 weeks following the intervention). Further high-quality randomised controlled trials are needed for verification in the future.<b>Trial registration number:</b> ChiCTR1900022838 (Chinese Clinical Trial Registry).</p>\",\"PeriodicalId\":7257,\"journal\":{\"name\":\"Acupuncture in Medicine\",\"volume\":\"41 3\",\"pages\":\"130-141\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acupuncture in Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/09645284221107685\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acupuncture in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/09645284221107685","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Effect of trigger point acupuncture on pain and functional activity in patients with chronic non-specific low back pain: a randomised controlled trial.
Background: Trigger point (TrP) acupuncture is commonly used to treat chronic non-specific low back pain (CNLBP). Evidence for the efficacy of most TrP acupuncture modalities is weak or lacking.
Objective: To assess the effect of TrP acupuncture on pain, disability, gait and muscle activation in patients with CNLBP.
Methods: From May 2019 to February 2020, a randomised, single-blind clinical trial was carried out involving 33 participants with CNLBP, divided into one of two intervention groups or a control group (n = 11 per group). The intervention groups received TrP acupuncture or traditional acupuncture treatment three times a week for 4 weeks, and the control group remained on a waiting list and received no treatment. Pain, disability, gait and muscle activation were assessed at baseline and at 4 and 8 weeks of follow-up.
Results: At baseline, the three groups showed no significant differences in age, gender, height, weight, body mass index (BMI) or disease course (p ⩾ 0.05). At 4 weeks, pain was relieved (measured by visual analogue scores, p = 0.036) and disability was improved (reflected by lower Oswestry disability index scores, p = 0.029) in TrP acupuncture versus waiting list groups. Moreover, lumbar extension range of motion was increased in TrP acupuncture versus both traditional acupuncture and waiting list groups (p = 0.029 and p = 0.027, respectively). At 8 weeks, there were no significant differences in any parameter between the three groups (p > 0.05).
Conclusion: TrP acupuncture had a significant short-term effect on pain relief and disability in patients with CNLBP, but there was no evidence of a long-term influence (at 8 weeks following the intervention). Further high-quality randomised controlled trials are needed for verification in the future.Trial registration number: ChiCTR1900022838 (Chinese Clinical Trial Registry).
期刊介绍:
Acupuncture in Medicine aims to promote the scientific understanding of acupuncture and related treatments by publishing scientific investigations of their effectiveness and modes of action as well as articles on their use in health services and clinical practice. Acupuncture in Medicine uses the Western understanding of neurophysiology and anatomy to interpret the effects of acupuncture.