PDF(Pubmed)
Abstract：
OBJECTIVE: To evaluate whether trigger point acupuncture (TrPA) is beneficial for office workers who have reduced job performance (presenteeism) due to chronic neck and shoulder pain (katakori).
METHODS: A 4-week single-center randomized controlled trial was conducted on 20 eligible female office workers with chronic neck and shoulder pain of at least 3-month duration. The control group implemented only workplace-recommended presenteeism measures, whereas the intervention group received TrPA up to 4 times per month in addition to the presenteeism measures recommended by each workplace. The major outcome measure was the relative presenteeism score on the World Health Organization Health and Work Performance (WHO-HPQ). The secondary outcome measures were pain intensity (numerical rating scale), absolute presenteeism (WHO-HPQ), anxiety and depression (Hospital Anxiety and Depression Scale; HADS), catastrophic thoughts related to pain (Pain Catastrophizing Scale; PCS), and sleep (Athens Insomnia Scale; AIS).
RESULTS: All 9 cases in the intervention group and 11 cases in the control group were analyzed. TrPA up to 4 times per month reduced the intensity of neck and shoulder pain by 20% (P < .01, d = 1.65) and improved labor productivity (relative presenteeism value) by 0.25 (P < .01, d = 1.33) compared with the control group over 1 month. No significant differences were observed between the 2 groups in terms of absolute presenteeism score, HADS, PCS, or AIS.
CONCLUSIONS: These results suggest that regular intervention with TrPA may be effective in the relative presenteeism score before and after the intervention and the degree of neck and shoulder pain over 28 days compared with the control group.
METHODS: A 4-week single-center randomized controlled trial was conducted on 20 eligible female office workers with chronic neck and shoulder pain of at least 3-month duration. The control group implemented only workplace-recommended presenteeism measures, whereas the intervention group received TrPA up to 4 times per month in addition to the presenteeism measures recommended by each workplace. The major outcome measure was the relative presenteeism score on the World Health Organization Health and Work Performance (WHO-HPQ). The secondary outcome measures were pain intensity (numerical rating scale), absolute presenteeism (WHO-HPQ), anxiety and depression (Hospital Anxiety and Depression Scale; HADS), catastrophic thoughts related to pain (Pain Catastrophizing Scale; PCS), and sleep (Athens Insomnia Scale; AIS).
RESULTS: All 9 cases in the intervention group and 11 cases in the control group were analyzed. TrPA up to 4 times per month reduced the intensity of neck and shoulder pain by 20% (P < .01, d = 1.65) and improved labor productivity (relative presenteeism value) by 0.25 (P < .01, d = 1.33) compared with the control group over 1 month. No significant differences were observed between the 2 groups in terms of absolute presenteeism score, HADS, PCS, or AIS.
CONCLUSIONS: These results suggest that regular intervention with TrPA may be effective in the relative presenteeism score before and after the intervention and the degree of neck and shoulder pain over 28 days compared with the control group.
摘要：
目的：评估触发点针刺（TrPA）是否对因慢性颈肩痛（katakori）而降低工作绩效（出现）的上班族有益。
方法：一项为期4周的单中心随机对照试验对20名符合条件的女性办公室工作人员进行了为期3个月的慢性颈肩痛。对照组仅实施工作场所推荐的出勤措施，而干预组除了每个工作场所建议的离职前措施外,每月接受TrPA治疗4次.主要结果指标是世界卫生组织卫生和工作绩效（WHO-HPQ）的相对出勤评分。次要结果指标是疼痛强度（数字评定量表），绝对出勤（WHO-HPQ），焦虑和抑郁（医院焦虑和抑郁量表；HADS），与疼痛相关的灾难性思维(疼痛灾难性量表；PCS)，和睡眠（雅典失眠量表；AIS）。
结果：干预组9例，对照组11例。与1个月以上的对照组相比，TrPA高达4次/月降低颈肩痛强度20%(P<.01，d=1.65)，提高劳动生产率(相对出力值)0.25(P<.01，d=1.33)。两组之间在绝对出勤评分方面没有观察到显着差异。HADS,PCS,或AIS。
结论：这些结果表明，与对照组相比，常规的TrPA干预可能在干预前后的相对出息评分以及28天内的颈肩疼痛程度方面有效。
方法：一项为期4周的单中心随机对照试验对20名符合条件的女性办公室工作人员进行了为期3个月的慢性颈肩痛。对照组仅实施工作场所推荐的出勤措施，而干预组除了每个工作场所建议的离职前措施外,每月接受TrPA治疗4次.主要结果指标是世界卫生组织卫生和工作绩效（WHO-HPQ）的相对出勤评分。次要结果指标是疼痛强度（数字评定量表），绝对出勤（WHO-HPQ），焦虑和抑郁（医院焦虑和抑郁量表；HADS），与疼痛相关的灾难性思维(疼痛灾难性量表；PCS)，和睡眠（雅典失眠量表；AIS）。
结果：干预组9例，对照组11例。与1个月以上的对照组相比，TrPA高达4次/月降低颈肩痛强度20%(P<.01，d=1.65)，提高劳动生产率(相对出力值)0.25(P<.01，d=1.33)。两组之间在绝对出勤评分方面没有观察到显着差异。HADS,PCS,或AIS。
结论：这些结果表明，与对照组相比，常规的TrPA干预可能在干预前后的相对出息评分以及28天内的颈肩疼痛程度方面有效。
