Naturopathic treatment of rotator cuff tendinitis among Canadian postal workers: A randomized controlled trial
| العنوان: | Naturopathic treatment of rotator cuff tendinitis among Canadian postal workers: A randomized controlled trial |
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| المؤلفون: | Edward J Mills, Qi Zhou, Orest Szczurko, Dan Perri, Kieran Cooley, Dugald Seely |
| المصدر: | Arthritis & Rheumatism. 61:1037-1045 |
| بيانات النشر: | Wiley, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Employment, Male, medicine.medical_specialty, Visual analogue scale, Rutin, Immunology, Acupuncture Therapy, Directive Counseling, Placebo, law.invention, Disability Evaluation, Rotator Cuff, Rheumatology, Randomized controlled trial, Tendinitis, Shoulder Pain, law, Outcome Assessment, Health Care, Acupuncture, medicine, Humans, Immunology and Allergy, Trypsin, Pharmacology (medical), Rotator cuff, Postal Service, Prospective Studies, Range of Motion, Articular, Prospective cohort study, Pain Measurement, business.industry, Middle Aged, medicine.disease, Bromelains, Combined Modality Therapy, Diet, Exercise Therapy, Occupational Diseases, Drug Combinations, medicine.anatomical_structure, Naturopathy, Tendinopathy, Physical therapy, Female, Range of motion, business |
| الوصف: | 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. |
| تدمد: | 1529-0131 0004-3591 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fb3ce5a5493c5df28baa7fa20f6c6abcTest https://doi.org/10.1002/art.24675Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fb3ce5a5493c5df28baa7fa20f6c6abc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15290131 00043591 |
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