手法治疗肩周炎临床报告的循证医学评价

doi:10.3736/jcim20040310

Abstract

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

Jun Hu, Jun-tao Yan. Evaluation of clinical reports in treating periarthritis of shoulder by manipulation with the theory of evidence-based medicine. Journal of Chinese Integrative Medicine, 2004, 2(3): 185-188.

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URL: http://www.jcimjournal.com/EN/10.3736/jcim20040310

http://www.jcimjournal.com/EN/Y2004/V2/I3/185

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Reports	n	age	Male/Female	Jadad score	Treatment methods		period(d)	follow-up(d)
Reports	n	age	Male/Female	Jadad score	Test group	Control group	period(d)	follow-up(d)
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	–

Effect	Methods	Effective cases/Non-effective cases		RR (95% CI)
Effect	Methods	Test group	Control group	RR (95% CI)
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)

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

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