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[RC] Acupuncture - Ridecamp Guest

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Authors M Razavi, GB Jansen
Title   Effects of acupuncture and placebo TENS in addition to exercise in 
treatment of rotator cuff tendinitis
Full source     Clinical Rehabilitation, 2004, Vol 18, Iss 8, pp 872-878

Objective: To compare the effect of acupuncture with placebo transcutaneous 
electrical nerve stimulation (TENS) when added to the exercise treatment of 
rotator cuff tendinitis with respect to pain, shoulder movements and function. 
Design: Prospective alternate allocation controlled trial. Setting: Outpatient 
department. Patients: Thirty-three patients (12 women and 21 men) were included 
in the study. All had clinically diagnosed rotator cuff tendinitis. 
Intervention: Both groups underwent a standardized training programme. Each 
patient received in addition either 10 treatments with acupuncture or placebo 
TENS, 1-2 times per week. Main outcome measures: The parameters investigated 
were intensity of pain (measured with visual analogue scale), active, passive 
as well as functional movements in the shoulder (hand in neck (HIN) and pour 
out of a pot (POP)). Patients were tested before treatment, after treatment and 
at a six-month follow-up. Medicine intake, ability to lie on the affected side 
and sleep disturbances were evaluated. A subjective assessment was made after 
the treatment and at follow-up. Results: Sixteen patients had acupuncture, 17 
placebo TENS. Eight patients endured pain at rest in the placebo TENS group, 
and 10 in the acupuncture group. After treatment both groups improved, the 
improvement persisted at the six-month follow-up. Both groups increased range 
of movement. Except for the functional test HIN in the acupuncture group, there 
were no differences between the groups regarding other parameters investigated 
directly after treatment or at six-month follow-up. Conclusion: There is no 
difference between the effect of additional acupuncture treatment and placebo 
TENS in the treatment of rotator cuff tendinitis.


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