Characteristics of Shoulder Periarthritis Patients Developing Articular Contracture during Acupuncture Therapy

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  • MIZUIDE Yasushi
    Department of Acupuncture and Moxibustion, Tokyo Ariake University of Medical and Health Science Graduate School of Technology and Science Division of Health Science, Tsukuba University of Technology
  • SAKAI Tomomi
    Department of Acupuncture and Moxibustion, Tokyo Ariake University of Medical and Health Science
  • YASUNO Fumiko
    Department of Acupuncture and Moxibustion, Tokyo Ariake University of Medical and Health Science
  • KOGA Yoshihisa
    Department of Acupuncture and Moxibustion, Tokyo Ariake University of Medical and Health Science
  • KASUYA Daichi
    Acupuncture and Moxibustion Section, Central Rehabilitation Service, the University of Tokyo Hospital
  • NOGUCHI Eitaro
    Graduate School of Technology and Science Division of Health Science, Tsukuba University of Technology

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Other Title
  • 鍼治療継続中に関節拘縮が明確になった肩関節周囲炎症例の特徴
  • シンチリョウ ケイゾク チュウ ニ カンセツコウシュク ガ メイカク ニ ナッタ カタカンセツ シュウイ エンショウレイ ノ トクチョウ

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 Forty-one patients with periarthritis with no evident articular contracture at the start of acupuncture (at the first presentation) were divided into 13 subjects who developed articular contracture during acupuncture (transition group) and 28 subjects who did not (non-transition group), and the clinical characteristics of the two groups were compared.<br> The following results were obtained. (1) The mean age of the subjects was significantly higher in the transition group than in the non-transition group (58.5±6.8 years vs. 52.1±9.6 years). (2) The percentage of subjects in the transition group was significantly higher in the subjects not clearly diagnosed as having no contracture at the first presentation than clearly diagnosed as no contracture (57% vs. 19%). (3) The percentage of subjects in the transition group was significantly higher in the subjects in whom the lesion site was enlarged or could not be identified than independent (50% vs. 17%). (4) The percentage of subjects in the transition group was significantly higher in the subjects with nocturnal pain than without (64% vs. 15%). (5) The transition group was unlikely to show improvement of pain or restriction of the range of motion with acupuncture as compared to the non-transition group.<br> The possibility of developing articular contracture should be considered while providing treatment by acupuncture and guidance to patients showing the above tendencies.

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