Effect of acupuncture treatment on chronic neck and... : PAIN (original) (raw)

Articles

Effect of acupuncture treatment on chronic neck and shoulder pain in sedentary female workers: a 6-month and 3-year follow-up study

He, Donga,b,∗; Bo Veiersted, Kajc; Høstmark, Arne Ta; Ingulf Medbø, Jonc

a_Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway_

b_Acupuncture Institute He Dong, Oslo, Norway_

c_National Institute of Occupational Health, Oslo, Norway_

∗Corresponding author. Address: Department of General Practice and Community Medicine, Section of Preventive Medicine and Epidemiology, University of Oslo, P. O. Box 1130 Blindern, N-0318 Oslo, Norway. Tel.: +47-22-85-06-24; fax: +47-22-85-06-20

E-mail: [email protected]

Submitted September 23, 2003; revised and accepted January 21, 2004.

Abstract

The study was carried out to examine whether acupuncture treatment can reduce chronic pain in the neck and shoulders and related headache, and also to examine whether possible effects are long-lasting. Therefore, 24 female office workers (47±9 years old, mean±SD) who had had neck and shoulder pain for 12±9 years were randomly assigned to a test group (TG) or a control group (CG). Acupuncture was applied 10 times during 3–4 weeks either at presumed anti-pain acupoints (TG) or at placebo-points (CG). A physician measured the pain threshold (PPT) in the neck and shoulder regions with algometry before the first treatment, and after the last one and six months after the treatments. Questionnaires on muscle pain and headache were answered at the same occasions and again 3 years after the last treatment. The intensity and frequency of pain fell more for TG than for CG (_P_b≤0.04) during the treatment period. Three years after the treatments TG still reported less pain than before the treatments (_P_w<0.001), contrary to what CG did (_P_b<0.04). The degree of headache fell during the treatment period for both groups, but more for TG than for CG (_P_b=0.02). Three years after the treatments the effect still lasted for TG (_P_w<0.001) while the degree of headache for CG was back to the pre-treatment level (_P_b<0.001). PPT of some muscles rose during the treatments for TG and remained higher 6 months after the treatments (_P_w<0.05), which contrasts the situation for CG. Adequate acupuncture treatment may reduce chronic pain in the neck and shoulders and related headache. The effect lasted for 3 years.