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Can Ashi Points Stimulation Have Specific Effects on shoulder pain? A Systematic Review of Randomized Controlled Trials

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Chinese Journal of Integrative Medicine 2016年第6期22卷 467-472页

作者：王康锋张立娟陆峰陆永辉杨传华 Department of Neurology Affiliated Hospital of Shandong University of Traditional Chinese Medicine Institute of Acupuncture and Moxibustion Shandong Academy of Traditional Chinese Medicine National Clinical Research Base of Hypertension Affiliated Hospital of Shandong University of Traditional Chinese Medicine Scientific Research Section Shandong Academy of Traditional Chinese Medicine

Objective： To provide an evidence-based overview regarding the efficacy of Ashi points stimulation for the treatment of shoulder pain. Methods： A comprehensive search [PubMed, Chinese Biomedical Literature Database, China National Knowledge Infrastructure （CNKI）, Chongqing Weipu Database for Chinese Technical Periodicals （VIP） and Wanfang Database] was conducted to identify randomized or quasi-randomized controlled trials that evaluated the effectiveness of Ashi points stimulation for shoulder pain compared with conventional treatment. The methodological quality of the included studies was assessed using the Cochrane risk of bias tool. RevMan 5.0 was used for data synthesis. Results： Nine trials were included. Seven studies assessed the effectiveness of Ashi points stimulation on response rate compared with conventional acupuncture. Their results suggested significant effect in favour of Ashi points stimulation [odds ratio （OR）： 5.89, 95% confidence interval （CI）： 2.97 to 11.67, P〈0.01, heterogeneity： x 2=3.81, P=0.70, 12=0% ]. One trial compared Ashi points stimulation with drug therapy. The result showed there was a significantly greater recovery rate in group of Ashi points stimulation （OR： 9.58, 95% CI： 2.69 to 34.12）. One trial compared comprehensive treatment on the myofascial trigger points （MTrPs） with no treatment and the result was in favor of MTrPs. Conclusions： Ashi points stimulation might be superior to conventional acupuncture, drug therapy and no treatment for shoulder pain. However, due to the low methodological quality of included studies, a firm conclusion could not be reached until further studies of high quality are available.

关键词： Ashi point shoulder pain acupuncture systematic review

pain management of hemiplegic shoulder pain post stroke in patients from Nanjing,China

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Neural Regeneration Research 2013年第25期8卷 2389-2398页

作者： Yi Zhu Bin Su Ning Li Hongzhu Jin Teaching and Research Department of Rehabilitation Treatment Second Clinical MedicineNanjing University of Traditional Chinese Medicine Wuxi Tongren International Rehabilitation Hospital Department of Rehabilitation Second Xiangya Hospital of Central South University Second Clinical Medicine Nanjing University of Traditional Chinese Medicine

We selected 106 hemiplegic patients with shoulder pain hospitalized after stroke from three hospi- tals in Nanjing, China between February 2007 and January 2012. All patients had complete clinical data sets and accounted for 45.5% of the inpatients because of stroke. Results showed that the number of patients with hemiplegic shoulder pain post stroke increased yearly, attacking mainly males 50-69 years of age. Of 106 patients, there were 60 cases （56.6%） of adhesive capsulitis, 19 （17.9%） of shoulder subluxation, 14 （13.2%） of complex regional pain syndrome, and 13 （12.6%） of central pain. The main symptoms were shoulder pain （100%）, limit of shoulder mobility （98.1%）, and adhesion of the scapula （56.6%）. MRI of the shoulder showed tendon and ligament lesions （57.1%） and rotator cuff tear （38.1%）. 53.8% of central pain was related to the thalamus, in addition to the basal ganglia, brain stem, and cerebellopontine angle. shoulder pain, upper limb motor function, and function independence were significantly improved after comprehensive rehabilitation. In par- ticular, electroacupuncture based on basic physical therapy exhibited efficacy on shoulder subluxa- tion and complex regional pain syndrome. Multiple linear regression results showed a negative re- lationship of efficacy of pain management with the attack period of shoulder pain, involvement of the posterior limb of the internal capsule, and duration between onset and rehabilitation treatment, but a positive correlation with pain-related education, pain regression period, and pain diagnosis.

关键词： neural regeneration brain injury hemiplegia post stroke shoulder pain adhesive capsulitis shoulder subluxation complex regional pain syndrome grants-supported paper neuroregeneration

Type A aortic dissection developed after type B dissection with the presentation of shoulder pain: A case report

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World Journal of Clinical Cases 2021年第1期9卷 232-235页

作者： Xin-Bo Yin Xiao-Kai Wang Su Xu Cai-Yun He Clinical Nursing Teaching and Research Section Xiangya HospitalCentral South UniversityChangsha 410011Hunan ProvinceChina Department of Emergency Xiangya HospitalCentral South UniversityChangsha 410011Hunan ProvinceChina Melbourne Dental School University of MelbourneMelbourne 3000Australia Faculty of Nursing School of MedicineHunan Normal UniversityChangsha 410013Hunan ProvinceChina

BACKGROUND Aortic dissection(AD)is a life-threatening condition with a high mortality rate without immediate medical *** diagnosis and appropriate treatment are critical in treating patients with *** the emergency department,patients with AD commonly present with classic symptoms of unanticipated severe chest or back ***,it is worth noting that atypical symptoms of AD are easily *** SUMMARY A 51-year-old woman was first diagnosed with scapulohumeral periarthritis due to left shoulder *** careful examination of her previous medical history and contrast-enhanced computed tomography angiography,the patient was diagnosed with a new type A AD after chronic type B dissection in the ascending *** patient was successfully treated with surgical replacement of the dissected aortic arch and remains in good *** New retrograde type A AD after chronic type B dissection is relatively *** is worth noting that a physician who has a patient with suspected AD should be *** patient medical history and imaging tests are crucial for a more precise diagnosis.

关键词： New type A aortic dissection Chronic type B aortic dissection Atypical symptoms shoulder pain Misdiagnosis Emergency setting Case report

Effect of ear acupuncture plus injection at Zusanli(ST 36) on shoulder pain and cytokines after gynecologic laparoscopic surgery

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Journal of Acupuncture and Tuina Science 2017年第4期15卷 290-295页

作者：王宝君吴家满刘艳嫦卓缘圆陈小砖李金华洪珏(译) Shenzhen Maternal and Child Health Hospital Guangdong 518028 China Shenzhen Hospital of Chinese Medicine Guangdong 518033 China 不详

Objective： To explore the clinical efficacy of ear acupuncture plus injection at Zusanli（ST 36） in treating shoulder pain after laparoscopic gynecological surgery, and to observe its effect on ***： Two hundred patients with shoulder pain after laparoscopic gynecological surgery were randomized into two groups based on their visiting sequence, 100 cases each. The observation group was intervened by ear acupuncture plus injection at Zusanli（ST 36）, and the control group was intervened by oral administration of Ibuprofen, 10 d as a treatment course. The clinical efficacies of the two groups were compared after 2 treatment courses; the visual analogue scale（VAS）,present pain intensity（PPI） and 36-item short-form health survey（SF-36） were measured before and after the treatment;the changes of interleukin（IL）-6 and IL-10 after the treatment were also ***： The VAS and PPI scores were significantly changed after the treatment in both groups（both P〈0.01）. After the treatment, the VAS score in the observation group was significantly different from that in the control group（P〈0.05）. The component scores of SF-36 were significantly changed after the treatment in both groups（P〈0.01）; after the treatment, the scores of physical functioning（PF）, bodily pain（BP）, social functioning（SF）, and mental health（MH） in the observation group were significantly different from those in the control group（all P〈0.05）. The contents of IL-6 and IL-10 dropped significantly after the intervention in both groups（both P〈0.01）, and the between-group differences were also statistically significant（both P〈0.01）. The total effective rate of the observation group was higher than that of the control group（P〈0.05）.Conclusion： Ear acupuncture plus injection at Zusanli（ST 36） can significantly improve the shoulder pain after laparoscopic gynecological surgery, down-regulate the expressions of IL-6 and IL-10, and boost the recovery.

关键词： Acupuncture Ear Hydro-acupuncture Point Zusanli(ST 36) shoulder pain Laparoscopy Postoperative Complications Women

Clinical Observation on the Post-stroke shoulder pain and Blood Viscosity Treated by Acupuncture-moxibustion Therapy

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Journal of Acupuncture and Tuina Science 2010年第6期8卷 360-363页

作者：粟胜勇邓柏颖李扬帆周恩华 Guangxi Traditional Chinese Medical University Nanning 530001 P. R. China

Objective： To reveal the therapeutic effect of acupuncmre-moxibustion therapy for the treatment of post-stroke shoulder pain. Methods： Ninety patients with post-stroke shoulder pain were randomized into three groups at ratio of 1：1：1, to receive acupuncture-moxibustion therapy （AM）, acupuncture-moxibustion plus Chinese herbal decoction （AMCH）, and Chinese herbal decoction （CH） respectively. Results： In the comparison of the therapeutic effects and blood viscosity, there was significant difference between the AM and CH group, as well as between the AMCH and CH group （P〈0.01）; the difference was not significant between the AM and AMCH group. Conclusion： Acupuncture-moxibustion is an effective therapy in the treatment of the post-stroke shoulder pain, and it can also reduce the blood viscosity in short-term.

关键词： Stroke Complications shoulder pain Acupuncture-moxibustion Therapy Blood Viscosity

Risk Factors for shoulder pain in Japanese Badminton Players： A Quantitative-Research Survey

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Journal of Sports Science 2018年第2期6卷 84-93页

作者： Yuki Warashina Ryo Ogaki Akemi Sawai Hitoshi Shiraki Shumpei Miyakawa Department of Sports Medicine Graduate School of Comprehensive Human Sciences University of Tsukuba Ibaraki 305-8577 Japan Sports Research and Development Core University of Tsukuba Ibaraki 305-8574 Japan Faculty of Health and Sport Sciences University of Tsukuba Ibaraki 305-8574 Japan

This study aimed to elucidate the key risk factors for shoulder pain in Japanese middle school-, high school-, and university-level badminton players and use a regression formula to predict the probability of shoulder pain onset based on risk factor combinations. Based on a self-report questionnaire survey, we included 461 individuals （102 middle school students, 134 high school students, and 225 university students） with a history of shoulder pain in the previous year and 541 individuals with no shoulder pain in the previous year. Then, we performed logistic regression analysis of individual characteristics and history of shoulder pain to analyze the factors associated with shoulder pain onset. Analysis of patients excluding those currently experiencing shoulder pain indicated that a history of shoulder pain （〉 1 year previously） predicted shoulder pain onset. Analysis of patients excluding those with a history of shoulder pain indicated that undergoing care, being of university age, having a long history of competing, and short cool-down times were associated with recurrent pain. However, results were different for each age group. The fact that half the Japanese middle school, high school, and university badminton players had a history of shoulder pain suggests that they will experience recurrent shoulder pain. The results also suggest that different factors are important in each age group. Thus, it is critical to establish evidence-based countermeasures to prevent shoulder pain that interferes with play.

关键词： shoulder pain badminton questionnaire epidemiology logistic regression analysis.

TEACHING ROUND——shoulder pain

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Journal of Traditional Chinese Medicine 1988年第4期 310-312页

作者： Ji Xiaoping Institute of Acupuncture,China Academy of TCM.

On February 13,1986,a woman,aged 52,first sought treatment for shoulder pain she’d hadfor more than one *** in December 1984,apparently aftera cold,she had begun to experience pain aroundher right *** pain worsened at *** in shoulder movement,local stiffnessand local intolerance to cold were also ***.1985,she had begun to have difficulty rais-ing her right arm;with great effort she couldbarely manage to touch her head with *** pain became more and more severeand extended to the lateral side of her upper armand the anterior aspect of the proximal end ofher lower arm.A certain hospital diagnosed heras having *** medication,moderndrugs or Chinese herbs,produced any effects.

关键词： TEACHING ROUND shoulder pain Wind

Clinical observation of Shu-acupuncture method in Nei Jing (Classic of Internal Medicine) for shoulder and arm pain

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Journal of Acupuncture and Tuina Science 2018年第1期16卷 48-52页

作者：宋忠阳秦晓光方晓丽陈玉禅黄国琪 School of Acupuncture and Tuina Gansu University of Chinese Medicine Cooperation of Chinese and Western Medicine Department Gansu University of Chinese Medicine

To observe the clinical effects of Shu-acupuncture method in Nei Jing （Classic of Internal Medicine） in the treatment of shoulder and arm pain. Methods： A total of 90 patients with shoulder and arm pain were randomly divided into an observation group and a control group, 45 cases in each group. The treatment of Shu-acupuncture method in Nei Jing （Classic of Internal Medicine） was adopted in the observation group, routine acupuncture was used in the control group. The two groups were treated once every day, with 5 treatments as one course, and a 2-day rest between two courses. After 3 courses, pain was assessed by visual analog scale （VAS）, and the clinical effects were compared between the two groups. Results： After the treatment, VAS scores were significantly changed in both groups （both P〈O.01）. The VAS score was lower in the observation group than that in the control group, with a statistical difference between the two groups （P〈0.05）. The total effective rate was 100% in the observation group, versus 91.1% in the control group, the difference was statistically significant （P〈O.05）. Conclusion： The therapeutic effect of Shu-acupuncture method in Nei Jing （Classic of Internal Medicine） is better than that of routine acupuncture in treatinR shoulder and arm pain.

关键词： Acupuncture Therapy Shu-acupuncture Method Nei Jing (Classic of Internal Medicine) shoulder pain VisualAnalog Scale pain Measurement

Spa therapy relieves knee and shoulder pain:a randomized controlled trial

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TMR Integrative Medicine 2023年第2期7卷 1-6页

作者： Ying Huang Qi-Zhong Qin Lin-Li Han Jia-Qi Long Ting Wang Ji-Shan Jiang Qiu-Yi-Di Gao Yu Chen School of Public Health Chongqing Medical UniversityChongqingChina School of Public Health Experimental Teaching CenterChongqing Medical UniversityChongqingChina Rausser College of Natural Resources University of CaliforniaBerkeleyUnited States

Objective:To study the effect of spa therapy on relieving knee and shoulder ***:Participants were randomized to an intervention group(n=26)or a control group(n=23).The intervention group received the hot spring intervention program(1-2 times a day for two weeks),while the control group didn’t receive any *** outcomes were assessed by the Western Ontario and McMaster University Osteoarthritis Index(WOMAC)and shoulder pain and Disability Index(SPADI).Secondary outcomes were assessed by general physical symptoms and Short Form-36(SF-36)health ***:All parameters before intervention were homogenous between the *** baseline,there was no significant difference in WOMAC and SPADI index between the two groups,but there was a statistically significant difference in blurred vision,which was worse in the intervention group than in the control group(Pshoulder pain and improve general physical symptoms and quality of life.

关键词： spa therapy knee pain shoulder pain general physical symptoms quality of life