COREA DEL SUR- EFICACIA CLÍNICA DEL VENENO DE ABEJAS, ACUPUNTURA Y FISIOTERAPIA EN EL TRATAMIENTO DE CAPSULITIS ADHESIVA: UN ENSAYO ALEATORIO CONTROLADO
Documento elaborado por Pil Seong Koh, Byung Kwan Seo, Nam Su Cho, Hyung Soon Park, PT, Dong Suk Park y Yong Hyeon Baek
Abstract
Background
Bee venom acupuncture (BVA) has been used in the treatment of adhesive capsulitis (AC) in the clinical field. This study aimed to investigate whether the addition of BVA to physiotherapy (PT) would be more effective in the management of AC, and whether BVA would have a dose-dependent effect.
Materials and methods
Sixty-eight patients diagnosed with AC were recruited into 3 groups; BV 1 (1:10,000 BVA plus PT), BV 2 (1:30,000 BVA plus PT), and group 3 (normal saline (NS) injection, as a control, plus PT). PT was composed of 15 minutes of transcutaneus electrical nerve stimulation (TENS), transcutaneus infrared thermotherapy (TDP), and manual PT. Treatments were given in 16 sessions within 2 months. Shoulder pain and disability index (SPADI), pain visual analogue scale (VAS), and 3) active/passive range of motion (ROM) were measured before treatment and at 2, 4, 8, and 12 weeks after the treatment.
Results
All 3 groups showed statistically significant improvements in SPADI, pain VAS scores, and active/passive ROM. The BV 1 group showed significantly better outcomes in SPADI at 8 and 12 weeks, in pain VAS (at rest) at 8 weeks, and in pain VAS (during exercise) at 12 weeks than the NS group. No significant differences were found in active/passive ROM among all the groups.
Conclusion
BVA in combination with PT can be more effective in improving pain and function than PT alone in AC. However, the effectiveness of BVA was not shown in a dose-dependent manner