Acupuntura para Tratamento do Ombro Doloroso: Metanálise

M. Ramos, Yonder Archanjo Ching San Junior, Guilherme de Almeida Sellos Correa, Orlando José Gonçalves Filho
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Abstract

Background: The painful shoulder is a very prevalent entity. Several treatment options are currently recommended, including acupuncture. Acupuncture is part of the arsenal of Traditional ChineseMedicine (TCM) and dates back to the 6th century BC, and consists of the application of needles in specific points of the body, in order to harmonize and allow the free flow of vital energy (Qi). Objective: To evaluate the effectiveness of acupuncture for the treatment of painful shoulder, as well as to compare the techniques and points used. Methods: Meta-analysis of 28 randomized, controlled clinical trials, comparing the effect of acupuncture and placebo intervention (Sham). Results: In all these studies, acupuncture proved to be superior to control group in the treatment of shoulder pain. Most articles were of good quality, with clear randomization criteria and few publication biases. Conclusion: The needling of local points and distance, described by TCM, is able to reduce shoulder pain safely and effectively. Level of Evidence I: Systematic Review of Level I Studies.
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针灸治疗肩部疼痛:荟萃分析
背景:肩部疼痛是一种非常普遍的疾病。目前推荐几种治疗方案,包括针灸。针灸是中国传统医学的一部分,可以追溯到公元前6世纪,它包括将针应用在身体的特定部位,以协调和允许生命能量(气)自由流动。目的:评价针刺治疗肩痛的疗效,并比较其手法和穴位。方法:对28项随机对照临床试验进行meta分析,比较针刺与安慰剂干预(Sham)的疗效。结果:针刺治疗肩痛的疗效均优于对照组。大多数文章质量良好,随机化标准明确,发表偏倚少。结论:中医描述的局部穴位和距离针刺能安全有效地减轻肩部疼痛。证据等级I:一级研究的系统评价。
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