UNASSIGNED: The aim of this randomized clinical trial was to compare the efficacy between acupuncture and joint mobilization on pain and disability in patients with CNP.
UNASSIGNED: The study involved 45 men and women with CNP, divided into three groups of 15 each. The first group followed a manual therapy protocol with joint mobilization for eight weeks three times per week. The second group followed an acupuncture protocol of equal duration and frequency, while the third group did not follow any treatment. Pain with the Visual Analog Scale (VAS) for pain and functional limitations with the Neck Disability Index (NDI) questionnaire were assessed before and after an 8-week intervention. Analysis of variance was applied while post-hoc comparisons were made to determine the differences among the groups at each time of measurement.
UNASSIGNED: Both intervention groups showed statistically significant differences compared to the control group after the end of the intervention in both the VAS and the NDI scores (p< .001). Furthermore, the acupuncture group showed a statistically significant improvement compared to the joint mobilization team after the end of the intervention in the VAS score (p< .001) and the NDI score (p< .05).
UNASSIGNED: Both joint mobilization and acupuncture appear to be effective interventions in reducing pain and improving functional ability in people with CNP. However, acupuncture appears to have a greater analgesic effect than joint mobilization.
■这项随机临床试验的目的是比较针灸和关节动员对CNP患者疼痛和残疾的疗效。
■这项研究涉及45名患有CNP的男性和女性,分为三组,每组15人。第一组遵循手动治疗方案,每周三次进行关节动员,共八周。第二组遵循相同持续时间和频率的针灸方案,而第三组没有进行任何治疗。在进行为期8周的干预之前和之后,通过颈部残疾指数(NDI)问卷对疼痛和功能局限性的视觉模拟量表(VAS)进行疼痛评估。应用方差分析,同时进行事后比较,以确定每次测量时各组之间的差异。
■干预结束后,与对照组相比,两个干预组在VAS和NDI评分方面均显示出统计学上的显着差异(p<.001)。此外,干预结束后,与联合动员组相比,针刺组的VAS评分(p<.001)和NDI评分(p<.05)有统计学意义的改善。
■关节动员和针灸似乎都是减轻CNP患者疼痛和改善功能的有效干预措施。然而,针灸似乎比关节动员具有更大的镇痛作用。