Abstract
BackgroundThere are evidence for the efficacy of acupuncture treatment for chronic shoulder pain, however, it remains unclear the best acupuncture modes for effective treatment. We compared the effect of the myofascial trigger point (MTrp) stuck-moving needle acupuncture with that of common acupuncture treatments. Further, we evaluated the efficacy and safety of stuck-moving needle acupuncture for the MTrp in improving pain and range of motions in patients with idiopathic frozen shoulder. The aim of present study is to select an effective therapy for patients with idiopathic frozen shoulder.MethodsRandomized controlled trial will be conducted in the three clinical centers of Qingyang Traditional Chinese Medicine Hospital, Qingyang Xifeng district People’s Hospital, and Qingyang Second People’s Hospital in China from February 2020 to January 2021. One hundred and eight frozen shoulder patients will be recruited and randomized into one of three groups in a 1:1:1 ratio of the stuck-moving needle acupuncture group, common acupuncture control group, and physical exercise control group. This trial will include a 1-week baseline period, a 3-week treatment period, and a 12-week follow-up period. During the 3 weeks of the treatment period, patients will receive nine sessions of acupuncture. The primary outcome will be related to change in the Visual Analogue Scale (VAS) and measurement of range of joint motion (ROM) from the baseline period to the 12-week follow-up period. Secondary outcome measures will include measurement of pressure pain threshold (PPT), pressure pain tolerance (PTT), Oxford Shoulder Score (OSS), 36-item short form survey, and patient satisfaction evaluation. Adverse events also will be recorded for safety assessment.DiscussionThe results of this trial will allow us to compare the difference in efficacy between stuck-moving needle acupuncture MTrP with that of common acupuncture treatments. The findings from this trial will be published in the peer-reviewed journals.Trial registrationAcupuncture-Moxibustion Clinical Trial Registry (ChiMCTR1900002862) and Chinese Clinical Trial Registry (ChiCTR1900028452). Registered on 22 December 2019. http://www.chictr.org.cn/showproj.aspx?proj=47354
Highlights
There are evidence for the efficacy of acupuncture treatment for chronic shoulder pain, it remains unclear the best acupuncture modes for effective treatment
The disease has a certain tendency of self-healing, it lasts for prolonged time
According to the results of previous systematic reviews and clinical studies [28, 29], acupuncture as a main treatment for frozen shoulders has a good therapeutic effect, and the key factors affecting the effect of acupuncture are acupuncture techniques and acupuncture sites
Summary
There are evidence for the efficacy of acupuncture treatment for chronic shoulder pain, it remains unclear the best acupuncture modes for effective treatment. We evaluated the efficacy and safety of stuck-moving needle acupuncture for the MTrp in improving pain and range of motions in patients with idiopathic frozen shoulder. Shoulder pain and limited mobility in some people may take years and some carry it for life-long [9]. The long-term pain and limited mobility of most patients seriously affected their normal daily life [11]. It requires a management plan differing from other shoulder conditions [12]. Efforts to find out effective therapies to relieve pain and increase the range of motion are essential to improve the quality life of patients suffering from frozen shoulder
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