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Author (up) Szczurko, O.; Cooley, K.; Mills, E. J.; Zhou, Q.; Perri, D.; Seely, D. url  openurl
  Title Naturopathic treatment of rotator cuff tendinitis among canadian postal workers: A randomized controlled trial Type of Study RCT
  Year 2009 Publication Abbreviated Journal Arthritis Rheum  
  Volume 61 Issue 8 Pages 1037-1045  
  Keywords Acupuncture; Shoulder Pain; Shoulder Impingement Syndrome; Rotator Cuff Tendonitis; RCT; Acu Versus Usual Care; Semi-Individualized Acupuncture Protocol; Symptom Based Point Selection; Restricted Modalities, Acupuncture + Other; Usual Care Control, Physical; AcuTrials; Soft Tissue Injuries; TCM Acupuncture Style; Pain; Sprains and Strains  
  Abstract OBJECTIVE: To explore the effectiveness of naturopathic care (NC) on rotator cuff tendinitis using a prospective randomized clinical trial design. METHODS: Canadian postal workers with rotator cuff tendinitis for a duration of >6 weeks were randomized to receive NC (n = 43) or standardized physical exercises (PEs; n = 42) over 12 weeks. Participants in the NC group received dietary counseling, acupuncture, and Phlogenzym (2 tablets 3 times/day). The PE intervention group received passive, active-assisted, and active range of motion exercises and matched placebo. The primary outcome measure was the Shoulder Pain and Disability Index (SPADI), and secondary outcomes were the pain visual analog scale (VAS), Short Form 36 (SF-36), Measure Yourself Medical Outcomes Profile (MYMOP), and shoulder maximal range of motion. Participants and assessors were blinded to group and placebo allocation. RESULTS: Seventy-seven participants (87%) completed >/=8 weeks of the trial. Final total SPADI scores decreased by 54.5% (P < 0.0001) in the NC group and by 18% (P = 0.0241) in the PE group. Between-group differences in changes to SPADI scores showed statistically significant decreases in shoulder pain and disability in the NC group compared with the PE group (P < 0.0001). Significant differences between groups were also observed in the pain VAS, MYMOP, SF-36, and shoulder extension, flexion, and abduction, with the NC group showing superiority in each outcome. No serious adverse reactions were observed. CONCLUSION: NC and PE provided significant improvements, with greater improvement in shoulder function in the NC group compared with the PE group. Statistically significant improvements in quality of life measures were observed in the NC group as compared with the PE group  
  Address Canadian College of Naturopathic Medicine, Toronto, Ontario, Canada  
  Language Number of Treatments 12  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 85  
  Time in Treatment 12 Weeks Condition Shoulder Impingement Syndrome
  Disease Category Shoulder Pain OCSI Score  
  Notes Approved no  
  Call Number Serial 1139  
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