Effectiveness, safety, and cost-effectiveness of thread-embedding acupuncture treatment for chronic rotator cuff disease: A randomized, patient-assessor-blinded, controlled, clinical trial.
OrthoEvidence Journal (OE Journal) - ACE Report
Epub Ahead of Print
Medicine (Baltimore). 2026 01-Jan;():. 10.1097/MD.0000000000046638What this means for my practice?
TEA may improve shoulder mobility but does not significantly outperform sham treatment for pain or overall function in chronic rotator cuff disease. Clinically, this suggests use as an additional treatment rather than a primary therapy. Key limitations are the lack of significant between-group differences and potential needle effects in the control group.
Study Summary
Sixty-four patients with chronic rotator cuff disease were randomized to receive thread-embedding acupuncture (TEA) or sham thread-embedding acupuncture (STEA). The primary outcome of interest was change in 100-mm visual analog scale (VAS) pain scores at 8 weeks. Secondary outcomes included shoulder pain and disability index, range of motion (ROM), and rotator cuff quality of life score. Outcomes were assessed at baseline, 4, 8, and 16 weeks. Overall, the results of the study revealed that both groups experienced improvements in pain and function, but no statistically significant differences were observed between groups, except for improved external rotation ROM. These findings suggest that TEA may provide some clinical benefit, particularly in shoulder mobility, but does not significantly outperform sham treatment for overall pain reduction.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!