新功能、新界面、新体验,扫描即可下载生物谷APP!
首页 » 生物研究 » 中医针灸治颈痛 靠谱!

中医针灸治颈痛 靠谱!

来源:生物谷 2015-11-11 10:48

2015年11月11日讯 /生物谷BIOON/ --最近,来自约克大学的研究人员进行了一项大规模调查研究,他们发现使用亚历山大健身法或中医针灸能够显着缓解慢性颈部疼痛。

慢性颈部疼痛非常难于治疗,之前研究已经证明单次治疗并不会带来长期获益。在对亚历山大健身法以及中医针灸的效果进行评估之后,研究人员认为这两种方法都能够减少病人疼痛以及行动不便,并且获益可长达12个月。

相关研究发表在国际学术期刊Annals of Internal Medicine上。

在这项研究中,研究人员共招募了517名志愿者,并将他们随机分为三组:第一组志愿者要进行最多20次亚历山大健身法课程,外加常规治疗方法,每次课程历时30分钟;第二组志愿者要接受最多12个疗程的中医针灸治疗,外加常规治疗,每次针灸50分钟;第三组志愿者只接受常规治疗。这些治疗只进行四到五个月。常规治疗包括服用处方药,接受理疗师或其他健康专家的治疗。

研究结果表明,在12个月之后接受中医针灸治疗的志愿者疼痛降低了32%,接受亚历山大健身法课程的志愿者疼痛降低了31%(在临床上疼痛下降25%就具有实质性意义)。而在将这两种治疗方法与常规治疗对比之后,研究人员发现使用这两种治疗方法的病人疼痛下降更显著,并且这两组志愿者不需使用药物治疗就能够更好地应对或降低疼痛水平。

研究人员表示,这项研究的关键在于发现使用亚历山大健身法或中医针灸治疗慢性颈部疼痛可以取得长期获益,这对于患有慢性颈部疼痛的人来说是个不错的消息。(生物谷Bioon.com)

本文系生物谷原创编译整理。欢迎转载!转载请注明来源并附原文链接。更多资讯请下载生物谷资讯APP

doi: 10.7326/M15-0667. 

Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial.

MacPherson H, Tilbrook H, Richmond S, Woodman J, Ballard K, Atkin K, Bland M, Eldred J, Essex H, Hewitt C, Hopton A, Keding A, Lansdown H, Parrott S, Torgerson D, Wenham A, Watt I.

BACKGROUND: 

Management of chronic neck pain may benefit from additional active self-care-oriented approaches.

OBJECTIVE: 

To evaluate clinical effectiveness of Alexander Technique lessons or acupuncture versus usual care for persons with chronic, nonspecific neck pain.

DESIGN: 

Three-group randomized, controlled trial. (Current Controlled Trials: ISRCTN15186354).

SETTING: 

U.K. primary care.

PARTICIPANTS: 

Persons with neck pain lasting at least 3 months, a score of at least 28% on the Northwick Park Questionnaire (NPQ) for neck painand associated disability, and no serious underlying pathology.

INTERVENTION: 

12 acupuncture sessions or 20 one-to-one Alexander lessons (both 600 minutes total) plus usual care versus usual care alone.

MEASUREMENTS: 

NPQ score (primary outcome) at 0, 3, 6, and 12 months (primary end point) and Chronic Pain Self-Efficacy Scale score, quality of life, and adverse events (secondary outcomes).

RESULTS: 

517 patients were recruited, and the median duration of neck pain was 6 years. Mean attendance was 10 acupuncture sessions and 14 Alexander lessons. Between-group reductions in NPQ score at 12 months versus usual care were 3.92 percentage points for acupuncture (95% CI, 0.97 to 6.87 percentage points) (P = 0.009) and 3.79 percentage points for Alexander lessons (CI, 0.91 to 6.66 percentage points) (P = 0.010). The 12-month reductions in NPQ score from baseline were 32% for acupuncture and 31% for Alexander lessons. Participant self-efficacy improved for both interventions versus usual care at 6 months (P < 0.001) and was significantly associated (P < 0.001) with 12-month NPQ score reductions (acupuncture, 3.34 percentage points [CI, 2.31 to 4.38 percentage points]; Alexander lessons, 3.33 percentage points [CI, 2.22 to 4.44 percentage points]). No reported serious adverse events were considered probably or definitely related to either intervention.

LIMITATION: 

Practitioners belonged to the 2 main U.K.-based professional associations, which may limit generalizability of the findings.

CONCLUSION: 

Acupuncture sessions and Alexander Technique lessons both led to significant reductions in neck pain and associated disability compared with usual care at 12 months. Enhanced self-efficacy may partially explain why longer-term benefits were sustained.

 

 

温馨提示:87%用户都在生物谷APP上阅读,扫描立刻下载! 天天精彩!


相关标签

最新会议 培训班 期刊库