針灸對頸部疼痛之療效

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Title:	針灸對頸部疼痛之療效 Therapeutic Effects of Acupuncture on Neck Pain
Authors:	陳昭勳;Chao-Hsun Chen
Contributors:	中醫學院針灸研究所碩士班
Keywords:	頸部疼痛;針灸;頸部活動角度;疼痛量測計;neck pain;acupuncture;cervical range of motion;algometer
Date:	2010
Issue Date:	2010-09-29 12:02:05 (UTC+8)
Abstract:	研究目的：觀察針灸緩解頸部疼痛之立即效果。重要性：利用三維頸椎活動測量儀觀察患者針灸後活動角度的改變，及疼痛量測計客觀評估針灸止痛情形。材料與方法：本研究採單盲隨機分配設計，受試者為介於20~65歲、頸部疼痛期間小於6個月患者，計32人分為兩組。選用穴位包括：曲池、肩井、肩中兪、肩外兪、陽陵泉及完骨。針具採用Park偽針器。針刺穴位最少2個，最多6個，留針20分鐘，右(左)側痛針右(左)側，若雙側痛，則僅針刺較痛一側，針灸治療共1次。評估的工具為視覺疼痛量表、疼痛量測計、三維頸椎活動測量儀。評估時間為治療前、治療後及治療後1小時。結果：組內比較，以Repeated measurement ANOVA，視覺疼痛量表：兩組都有顯著差異(p<0.05)。疼痛量測計：針灸組在最大疼痛忍受度，治療前與治療後1小時有顯著差異；偽針組在起始感覺及最大疼痛忍受度幾乎都有顯著差異。頸部活動角度：針灸組除前彎角度外，都有顯著差異；偽針組僅在患側旋轉角度有顯著差異。組間比較，則用Independent t test，治療後1小時在患側旋轉角度有顯著差異。以上結果顯示，針灸治療可以降低患者疼痛的感覺，有止痛效果，並且可以改善患者頸部活動的角度。 Background: Apply Cervical Range of Motion Instrument & Algometer to measure effects of neck pain after acupuncture therapy. Purpose: Our aim is observation on therapeutic therapeutic effects of acupuncture on neck pain. Methodology: The study was a single-blind randomized controlled trial. All the participants were neck pain of less than 6 months and ages between 20 to 65 years old. Thirty two outpatients were divided into 2 groups. Park Sham Device was adopted in the research. Participants were inserted needles unilateral acupoints between 2 to 6 acupoints on lesion side and retained 20 minutes. Participants received 1 times treatment totally. The measurement tools were contained VAS, Algometer and Cervical Range of Motion Instrument and measured at baseline, after treatment and 1 hour follow up. Outcomes: Compared with the therapeutic effects of internal group by repeated measurement ANOVA. VAS: Two groups had significant difference(p<0.05). Algometer: Before treatment and 1 hour follow up had significant difference on intolerance pain of real acupuncture; Initial feeling and intolerance pain of sham acupuncture hardly had significant difference. CROM: Range of motion had significant difference of real acupuncture except flexion; On sham acupuncture lesion side rotation had significant difference only. The therapeutic effects of two groups compared with independent t test. It showed significant difference only on 1 hour follow up. Conclusion: It display pain feeling was decreasing, pain threshold and cervical range of motion was increasing after acupuncture.
Appears in Collections:	[Graduate Institute of Acupuncture Science] Theses & dissertations

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