Abstract：
BACKGROUND: Frozen shoulder, a debilitating condition causing pain and restricted joint mobility, often challenges conventional physical therapy methods. This study investigates the efficacy of combined acupuncture and physical therapy regimen, as opposed to physical therapy alone, for pain reduction and improvement of the clinical effective rate and the range of motion in patients with frozen shoulder.
METHODS: A systematic search of PubMed, Scopus, Cochrane Trial, and Web of Science databases was done for randomized controlled trials, quasi-experimental, and nonrandomized studies, reporting data of adult (>18 years) patients with frozen shoulder who received physical therapy with or without acupuncture. Outcomes of interest were pain, clinical effective rate, active and passive range of motion. Data were analyzed using STATA software, employing a random-effects model and standardized mean differences (SMD) and odds ratios (OR) for outcome measures.
RESULTS: A total of 13 studies were included. The combined approach significantly reduced pain (SMD = -0.891) with considerable heterogeneity (I² = 85.3%) and improved clinical effective rates (OR = 3.693, I² = 0%). Significant improvements were also observed in active and passive range of motion, with varying degrees of heterogeneity.
CONCLUSIONS: The combination of acupuncture and physical therapy is more effective than physical therapy alone in managing pain, improving clinical effective rates, and enhancing range of motion in patients with frozen shoulder. These findings suggest that incorporating acupuncture into standard rehabilitation protocols could enhance patient outcomes.
METHODS: A systematic search of PubMed, Scopus, Cochrane Trial, and Web of Science databases was done for randomized controlled trials, quasi-experimental, and nonrandomized studies, reporting data of adult (>18 years) patients with frozen shoulder who received physical therapy with or without acupuncture. Outcomes of interest were pain, clinical effective rate, active and passive range of motion. Data were analyzed using STATA software, employing a random-effects model and standardized mean differences (SMD) and odds ratios (OR) for outcome measures.
RESULTS: A total of 13 studies were included. The combined approach significantly reduced pain (SMD = -0.891) with considerable heterogeneity (I² = 85.3%) and improved clinical effective rates (OR = 3.693, I² = 0%). Significant improvements were also observed in active and passive range of motion, with varying degrees of heterogeneity.
CONCLUSIONS: The combination of acupuncture and physical therapy is more effective than physical therapy alone in managing pain, improving clinical effective rates, and enhancing range of motion in patients with frozen shoulder. These findings suggest that incorporating acupuncture into standard rehabilitation protocols could enhance patient outcomes.
摘要：
背景：冻结的肩膀，导致疼痛和关节活动受限的衰弱状况，经常挑战传统的物理治疗方法。本研究探讨针灸联合物理治疗方案的疗效。而不是单纯的物理治疗,用于减轻肩周炎患者的疼痛，提高临床有效率和活动范围。
方法：对PubMed的系统搜索，Scopus,Cochrane审判,和WebofScience数据库是用于随机对照试验的，准实验,和非随机研究，报告接受或不接受针灸物理治疗的成年（>18岁）肩周炎患者的数据。感兴趣的结果是痛苦，临床有效率,主动和被动的运动范围。数据采用STATA软件进行分析,采用随机效应模型和标准化平均差(SMD)和比值比(OR)进行结果测量。
结果：共纳入13项研究。联合方法可显着减轻疼痛（SMD=-0.891），具有相当大的异质性（I²=85.3％），并提高了临床有效率（OR=3.693，I²=0％）。在主动和被动运动范围方面也观察到了显着的改善，具有不同程度的异质性。
结论：在控制疼痛方面，针灸和物理疗法的结合比单独的物理疗法更有效。提高临床有效率，增强冻结肩患者的活动范围。这些发现表明，将针灸纳入标准康复方案可以提高患者的预后。
方法：对PubMed的系统搜索，Scopus,Cochrane审判,和WebofScience数据库是用于随机对照试验的，准实验,和非随机研究，报告接受或不接受针灸物理治疗的成年（>18岁）肩周炎患者的数据。感兴趣的结果是痛苦，临床有效率,主动和被动的运动范围。数据采用STATA软件进行分析,采用随机效应模型和标准化平均差(SMD)和比值比(OR)进行结果测量。
结果：共纳入13项研究。联合方法可显着减轻疼痛（SMD=-0.891），具有相当大的异质性（I²=85.3％），并提高了临床有效率（OR=3.693，I²=0％）。在主动和被动运动范围方面也观察到了显着的改善，具有不同程度的异质性。
结论：在控制疼痛方面，针灸和物理疗法的结合比单独的物理疗法更有效。提高临床有效率，增强冻结肩患者的活动范围。这些发现表明，将针灸纳入标准康复方案可以提高患者的预后。
