발표논문

제목 [오십견] 오십견에 대한 봉침 및 물리치료의 임상적 효과 : 무작위 대조군 연구
오십견에 대한 봉침 및 물리치료의 임상적 효과 : 무작위 대조군 연구
Clinical effectiveness of bee venom acupuncture and physiotherapy in the treatment of adhesive capsulitis: a randomized controlled trial
저자 강동경희대병원 의료진 : 백용현(교신저자), 서병관(공동), 조남수(공동), 박형순(공동)
타기관 의료진 : 고필성, 박동석
저널명 Journal of Shoulder and Elbow Surgery
게재일 2013.08
논문소개 Background : Bee venom acupuncture (BVA) has been used in the treatment of adhesive capsulitis (AC) in the clinical field. This study aimed to investigate whether the addition of BVA to physiotherapy (PT) would be more effective in the management of AC, and whether BVA would have a dose-dependent effect.

Materials and methods : Sixty-eight patients diagnosed with AC were recruited into 3 groups; BV 1 (1:10,000 BVA plus PT), BV 2 (1:30,000 BVA plus PT), and group 3 (normal saline (NS) injection, as a control, plus PT). PT was composed of 15 minutes of transcutaneus electrical nerve stimulation (TENS), transcutaneus infrared thermotherapy (TDP), and manual PT. Treatments were given in 16 sessions within 2 months. Shoulder pain and disability index (SPADI), pain visual analogue scale (VAS), and 3) active/passive range of motion (ROM) were measured before treatment and at 2, 4, 8, and 12 weeks after the treatment.

Results : All 3 groups showed statistically significant improvements in SPADI, pain VAS scores, and active/passive ROM. The BV 1 group showed significantly better outcomes in SPADI at 8 and 12 weeks, in pain VAS (at rest) at 8 weeks, and in pain VAS (during exercise) at 12 weeks than the NS group. No significant differences were found in active/passive ROM among all the groups.

Conclusion : BVA in combination with PT can be more effective in improving pain and function than PT alone in AC. However, the effectiveness of BVA was not shown in a dose-dependent manner.
페이지 URL http://www.sciencedirect.com/science/article/pii/S1058274612005204

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