ABSTRACT
[Objective] This study examined the effect of press tack needle (PTN) treatment onshoulder stiffness.<BR>[Method] A total of 53 volunteers with shoulder stiffness were randomly divided into 2 groups, the press tack needlegroup and placebo (P) group. The points stimulated by PTN or P were a maximum of 4 tender points around the shoulder treated for 3 days. Evaluation of the effect was based on the consciousness of shoulder stiffness and visual analog scale (VAS) estimating the grade of the shoulder stiffness. The evaluations were done in prior to treatment (Pr), immediately after treatment (Post 1), and 3 days after treatment (Post 2).<BR>[Result] As a result, the number of the volunteers reporting awareness of stiff shoulder after 3 days decreased to 12 of28 persons in the PTN group, 23 of 25 in the P group. There was a significant difference between the 2 groups (p<0.01). The VAS value decreased in the PTN group from 52.5±20.7 (Pr) to 40.5±22.4 (Post1), to 342±19.7 (Post2), while in the P group from 55.2±17.5 (Pr) to 46.5±19.7 (Post1) to 45.9±21.7 (Post2). There were significant differences between Pr and Post1 (p<0.05), and between Pr and Post2 (p<0.01) in PTN group.<BR>[Conclusion] It was suggested that PTN stimulation on the tender points improved shoulder stiffness.
ABSTRACT
Objective : To develop a sham needle, which is applicable to clinical trials on acupuncture and test its credibility.<BR>Methods : The Park Sham Needle' unit was developed. The apparatus consists of a blunt needle, the shaft of which telescopes into the handle when tapped, so that while the needle appears to have been inserted, it does not actually pierce the skin, and a Park Tube' that is composed of a standard guide tube and an oversize guide tube with a plastic flange at one end which adheres to the skin with double-sided sticky tape. The needle is held in place by the Park Tube. In a credibility test, 56 subjects received our new sham needle on the left LI-4 acupoint and were asked whether or not they felt the needle being inserted into the skin.<BR>Results : Forty-six subjects (82%) were convinced that they received real needle insertion.<BR>Conclusion : Park Sham Needle seems to be applicable to randomised, subject-blinded, and controlled trials on acupuncture.