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Optimized acupuncture treatment (acupuncture and intradermal needling) for cervical spondylosis-related neck pain: a multicenter randomized controlled trial.

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机构: [1]Department of Acupuncture and Moxibustion, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. [2]Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China. [3]Department of Traditional Therapy Center, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. [4]Department of Acupuncture and Moxibustion, The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, China. [5]York University, Toronto, Canada. [6]Department of Acupuncture and Moxibustion, Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine, Urumqi, China. [7]Department of Acupuncture and Massage, Guizhou University of Traditional Chinese Medicine, Guiyang, China. [8]Department of Acupuncture and Moxibustion, Hainan General Hospital, Haikou, China. [9]Chinese Medicine Centre for Training and Research, Yan Chai Hospital cum Hong Kong Baptist University (Yan Chai), Hongkong, China. [10]Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, China. [11]Department of Big Data Research of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. [12]Shenzhen Bao'an Research Center for Acupuncture and Moxibustion, Shenzhen, Guangdong Province, China.
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Cervical spondylosis (CS)-related neck pain is difficult to treat due to its degenerative nature. The aim of this nine-center, single-blinded, randomized controlled trial was to evaluate the efficacy of optimized acupuncture for CS-related neck pain. Participants who met the inclusion criteria were randomized to optimized, shallow, and sham acupuncture groups (1:1:1). The primary outcome was the change from baseline in the Northwick Park Neck Pain Questionnaire (NPQ) score at week 4. Participants were followed up until week 16. Of the 896 randomized participants, 857 received ≥1 intervention session; 280, 286, and 291 received optimized, shallow, and sham acupuncture, respectively. A total of 835 (93.2%) participants completed the study. At week 4, significant differences (P<0.001) were observed in the changes in NPQ scores between the optimized acupuncture group and both the shallow (7.72 [95% confidence interval {CI}, 5.57-9.86]) and sham acupuncture groups (10.38 [95%CI, 8.25-12.52]). The difference in the scores at week 16 between the optimized acupuncture group and the shallow (8.84 [95%CI, 6.34-11.34]) and sham acupuncture (10.81 [95%CI, 8.32-13.30]) groups were significant. The center effect indicated wide variability in the treatment effects (Cohen's d=0.01-2.19). Most SF-36 scores were higher in the optimized acupuncture group than in the other groups. These results suggest that 4-week optimized acupuncture treatment alleviates CS-related neck pain and improves the quality of life, with the effects persisting for minimum 3 months. Therefore, acupuncture can have positive effects on CS-related neck pain, although the effect size may vary widely.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 麻醉学 2 区 临床神经病学 2 区 神经科学
最新[2025]版:
大类 | 1 区 医学
小类 | 2 区 麻醉学 2 区 临床神经病学 2 区 神经科学
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出版当年[2019]版:
Q1 NEUROSCIENCES Q1 CLINICAL NEUROLOGY Q1 ANESTHESIOLOGY
最新[2023]版:
Q1 ANESTHESIOLOGY Q1 CLINICAL NEUROLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Acupuncture and Moxibustion, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. [2]Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
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