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Journal of Chinese Integrative Medicine ›› 2004, Vol. 2 ›› Issue (3): 185-188.doi: 10.3736/jcim20040310

• Original Clinical Research • Previous Articles     Next Articles

Evaluation of clinical reports in treating periarthritis of shoulder by manipulation with the theory of evidence-based medicine

Jun Hu, Jun-tao Yan   

  1. Tuina Department, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Online:2004-06-20 Published:2018-10-25

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Objective: To explore the effect of treating periarthritis of shoulder with manipulation through evaluating clinical reports with the theory of evidence-based medicine (EMB). Methods: By retrieval of some main medical literature databases in the past 5 years, 242 articles on treating periarthritis of shoulder with manipulation were available. Selected by admission standard, 10 of them were evaluated with EBM theory. Results: Both single-application and union-application of manipulation were effective to periarthritis of shoulder, but the evaluated articles were all low-quality articles. Conclusion: Because of low-quality clinic test and larvaceous publication bias, the extant evidence is not enough to recommend replacing other therapeutic methods by manipulation. The low quality of evaluated articles suggests that there exist some methodology problems in the clinic test on treating periarthritis of shoulder with manipulation.

Key words: periarthritis of shoulder, manipulation, evaluation studies

CLC Number: 

  • R274.943

Tab 1

Design characteristics of random contrast test on treating periarthritis of shoulder by manipulation"

Reports n age Male/Female Jadad score Treatment methods period(d) follow-up(d)
Test group Control group
Reference 4 100 34~66 33/67 1 Manipulation and
anaesthesia		 Local blockage 28 90
Reference 5 64 30~70 28/36 1 Manipulation and
anaesthesia		 Local blockage 15 –
Reference 6 40 36~68 24/16 1 Manipulation and
needle-knife		 Electric acupuncture
and local blockage		 30 –
Reference 7 40 – – 1 Manipulation Function exercises 20 –
Reference 8 190 40~60 61/129 2 Manipulation Per os medicine 30 –
Reference 9 70 23~52 27/43 1 Manipulation and
point injection		 Per os medicine 20 –
Reference 10 30 41~67 11/19 1 Manipulation and
acupuncture		 Acupuncture 20 –
Reference 11 60 41~76 28/32 2 Manipulation and
acupuncture		 Acupuncture 30 –
Reference 12 80 40~65 58/22 2 Manipulation and
acupuncture		 Acupuncture 20 –
Reference 13 112 39~78 40/72 2 Manipulation and
physical therapy		 Physical therapy 7~28 –

Tab 2

Effects of treating periarthritis of shoulder by manipulation"

Effect Methods Effective cases/Non-effective cases RR (95% CI)
Test group Control group
Comprehensive effect
Manipulation vs function exercises 19/20 14/20 1.357 (1.001, 1.839)
Manipulation and anaesthesia vs local blockage 45/50 40/50 1.125 (1.050, 1.329)
Manipulation and anaesthesia vs local blockage 31/32 28/32 1.107 (1.044, 1.280)
Manipulation and needle-knife vs electric acupuncture and local blockage 40/40 34/38 1.118 (1.002, 1.246)
Manipulation and acupuncture vs acupuncture 29/30 22/30 1.318 (1.052, 1.652)
Manipulation and acupuncture vs acupuncture 38/40 30/40 1.267 (1.045, 1.536)
Manipulation and acupuncture vs acupuncture 59/60 26/30 1.135 (0.982, 1.310)
Manipulation and physical therapy vs physical therapy 37/38 65/74 1.109 (1.003, 1.225)
Manipulation and point injection vs per os medicine 63/70 37/50 1.216 (1.014, 1.459)
Pain relieving Manipulation vs per os medicine 74/100 47/90 1.470 (1.127, 1.782)
Improving of shoulder movement Manipulation vs per os medicine 86/100 60/90 1.290 (1.090, 1.523)
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