研究
Sinew Acupuncture for de Quervain's Tenosynovitis: a randomized waitlist controlled trial

Authors:

Name Organisation
  • Kinking Leung,
  • Oliver Chunho MA,
  • Ho Ting,
  • Andrew Hokay Lau,
  • Kevin Kaifung Lun,
  • Hanna Yufaye Chan,
  • Grace Yagun Wen,
  • Jetson Tszkit Ng,
  • Lingfung Chow,
  • Cody Yuenting Chu,
  • Tracy Siuting Ho,
  • Katherine Tsang

The Hong Kong

Tuberculosis Association--

The University of Hong Kong

Chinese Medicine Clinic cum

Training and Research Centre

(Southern District),

Hong Kong

  • Zongshi Qin,
  • Haiyong Chen

School of Chinese Medicine,

The University of Hong Kong

  • Bacon Fung-Leung Ng

The Chinese Medicine Department,

Hospital Authority, Hong Kong

  • Margaret Woon Man Fok,
  • Christian Xin Shou Fang

Dpeartment of Orthopaedics and Traumatology,

The University of Hong Kong, Hong Kong

  • Lixing Lao

School of Chinese Medicine, The University of Hong Kong, Hong Kong

Virginia University of Integrative Medicine, Fairfax, VA22031, USA

 

 

Background

The increasing users of smartphones and computers positively contribute to the incidence of De Quervain's tenosynovitis (DQt).  The clinical evidence of acupuncure for DQt is insufficient.

 

Methods

In this radomised controlled trial, sixty-eight patients with DQt were randomly allocated into the acupuncture group (n=34) and the waitlist group (n=34).  Subjects in the acupuncture group received five sesions of acupuncture for two weeks, followed by a 10-week follow-up.  Subjects in the waitlist group had the same assessments in the first 6 weeks of waiting period and received the same acupuncture treamtnet and follow-up as the treatment group in the next 12 weeks.  The primary outcome was the general pain intensity measure using the Visual Analogue Scale (VAS) at the end of the treatment.  Mean reduction 2-week VAS scores were compared by study group using mixed-effect model adjusted for baseline data.

 

Results

Among 68 patients, 58 (85.3%) completed the trial.  From baseline to 2 weeks, the mean VAS score decreased by 19.5 points in the acupuncture group and by 3.4 patinets in the waitlist group.  The difference for acupuncutre vs waitlist control was -16.2 points (95% CI, -26.7to -5.6, p=0.003).  Acupuncture effects sustained for 10 weeks (mean difference compared with baseline = -30.6, 95% CI, -39.6 to -21.7).  No serious adverse occurred during the study period.

 

Conclusion

Our findings support that 2-week of acupuncture is safe and effective in the reduction of pain intensity, and improvement of strengths and disabilities of hand in DQt patients.  Acupuncture also has long-term effect for DQt.

日期: 2017-03-01
作者: Please refer to content