{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:13:50Z","timestamp":1790363630091,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T00:00:00Z","timestamp":1484870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000773","name":"Chelsea and Westminster Hospital NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000773","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Musculoskeletal disorders have been identified globally as the second most common healthcare problem for \u2018years lived with disability\u2019, and of these shoulder conditions are amongst the most common, frequently associated with substantial pain and morbidity. Exercise and acupuncture are often provided as initial treatments for musculoskeletal shoulder conditions but their clinical effectiveness is uncertain. This study compared group exercise with group exercise plus either acupuncture or electro\u2010acupuncture in patients with subacromial pain syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred and twenty\u2010seven participants were recruited to a three\u2010arm parallel\u2010group randomized clinical trial. The primary outcome measure was the Oxford Shoulder Score. Follow\u2010up was post treatment, and at 6 and 12\u00a0months. Between\u2010group differences (two comparisons: the exercise group versus each of the acupuncture groups) were analysed at 6\u00a0months. A similar comparison across all follow\u2010up time points was also conducted. Data were analysed on intention\u2010to\u2010treat principles with imputation of missing values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Treatment groups were similar at baseline, and all treatment groups demonstrated an improvement over time. Between\u2010group estimates at 6\u00a0months were, however, small and non\u2010significant, for both of the comparisons. The analyses across all follow\u2010up time points yielded similar conclusions. There was a high rate of missing values (22% for the Oxford Shoulder Score). A sensitivity analysis using complete data gave similar conclusions to the analysis with missing values imputed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the current investigation, neither acupuncture nor electro\u2010acupuncture were found to be more beneficial than exercise alone in the treatment of subacromial pain syndrome. These findings may support clinicians with treatment planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Shoulder pain is common and associated with substantial morbidity. Acupuncture is a popular treatment for shoulder pain. The findings suggest that acupuncture and electro\u2010acupuncture offer no additional benefit over exercise in the treatment of shoulder pain of musculoskeletal origin.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1001","type":"journal-article","created":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T18:12:06Z","timestamp":1484935926000},"page":"1007-1019","source":"Crossref","is-referenced-by-count":30,"title":["Acupuncture and electro\u2010acupuncture for people diagnosed with subacromial pain syndrome: A multicentre randomized trial"],"prefix":"10.1002","volume":"21","author":[{"given":"J.","family":"Lewis","sequence":"first","affiliation":[{"name":"Department of Clinical Therapies University of Limerick Ireland"},{"name":"School of Health and Social Work University of Hertfordshire Hatfield United Kingdom"},{"name":"Central London Community Healthcare NHS Trust London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Sim","sequence":"additional","affiliation":[{"name":"Institute for Primary Care and Health Sciences Keele University Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Barlas","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Keele University Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.85"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1185\/03007998009112038"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10543406.2011.550096"},{"key":"e_1_2_8_5_1","first-page":"392","article-title":"Chronic musculoskeletal problems managed in general practice","volume":"36","author":"Charles J.","year":"2007","journal-title":"Aust Fam Physician"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0549-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005319"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.08.030"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009740600556167"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.021188"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093233"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091066"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e787"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203852279"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1093\/ptj\/85.6.490","article-title":"Effects of acupuncture versus ultrasound in patients with impingement syndrome: Randomized clinical trial","volume":"85","author":"Johansson K.M.","year":"2005","journal-title":"Phys Ther"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmq119"},{"key":"e_1_2_8_17_1","volume-title":"Design and Analysis: A Researcher's Handbook","author":"Keppel G.","year":"2004"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.27.2000163"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00107-4"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.01.026"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B1.32168"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2014.0186"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2008.0272"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.052183"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1179\/1743288X11Y.0000000027"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094367"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2016.03.009"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2015.5941"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kei139"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000261"},{"key":"e_1_2_8_31_1","volume-title":"Orthopedic Physical Assessment","author":"Magee D.","year":"2014"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.06.036"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-348"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790040403"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24396"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b1805"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2393"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.03.017"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2006.05.008"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61729-2"},{"key":"e_1_2_8_41_1","volume-title":"The Back Pain Revolution","author":"Waddell G.","year":"2004"},{"key":"e_1_2_8_42_1","unstructured":"White A.(2008).Acupuncture in medicine. In this issue. Acupunct Med 26 first page."},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kel413"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1136\/aim.26.2.111"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.54.12.959"}],"container-title":["European Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fejp.1001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ejp.1001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:05:57Z","timestamp":1695571557000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ejp.1001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,20]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1002\/ejp.1001"],"URL":"https:\/\/doi.org\/10.1002\/ejp.1001","archive":["Portico"],"relation":{},"ISSN":["1090-3801","1532-2149"],"issn-type":[{"value":"1090-3801","type":"print"},{"value":"1532-2149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,20]]}}}