Clinical effects of digital acupoint pressure combined with hot ironing for scapulohumeral periarthritis in Zhuang medicine

Objective:To observe the clinical effect of digital acupoint pressure combined with hot ironing of Zhuang medicine in the therapy of scapulohumeral periarthritis.Methods:160 patients with scapulohumeral periarthritis were randomly divided into the treatment group and control group with 80 patients in each group.The treatment group was treated with digital acupoint pressure combined with hot ironing of Zhuang medicine.The control group was treated with intermediate frequency therapy apparatus.All the treatments were given once a day for 4 weeks,Then the effective rate as well as the scores of shoulder pain and joint inflammation,were calculated.Results:The shoulder pain score of the treatment group was 3.49±0.98,while that of control group was 5.33±1.26(P<0.05).The shoulder joint inflammation score in the treatment group was higher than that of the control group(73.24±7.20 vs 60.71±10.46,P<0.05).these results suggested that 4 weeks of treatments improved the shoulder function.Moreover,the effective rate of the treatment group was higher than that of the control group(86.25%vs 63.75%).Conclusion:Digital acupoint pressure combined with hot ironing in Zhuang medicine could relieve joint pain of patients with scapulohumeral periarthritis and improve their shoulder mobility.

Systematic evaluation and trial sequential analysis of warming acupuncture combined with joint mobilization in the treatment of scapulohumeral periarthritis

Objective:To evaluate the clinical efficacy of warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis.Methods:A search for published randomized controlled trials(RCT)investigating warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis was performed using the Cochrane Library,PubMed,Embase,and Web of Science databases.According to requirements of the Cochrane systematic review,all evaluations of RCT investigating warming acupuncture with joint mobilization in the treatment of scapulohumeral periarthritis were performed via method quality assessment,data extraction,and data analysis.Revman 5.3 and Stata 12.0 statistical software were used for the meta-analysis,and the trial sequential analysis(TSA)software estimated the required information size for each outcome.Results:A total of 14 articles were retrieved for meta-analysis,which included 551 cases in the treatment group and 539 cases in the control group.Meta-analysis showed that:(1)warming acupuncture combined with joint mobilization improved total efficiency[OR=6.16,95%CI(3.79,10.00),Z=7.34;P<0.001),TSA results confirmed the results of the meta-analysis;(2)warming acupuncture combined with joint mobilization improved the cure rate[OR=2.84,95%CI(2.19,3.70),P<0.001],TSA results revealed that no further tests were needed to verify;(3)warming acupuncture combined with joint mobilization reduced the number of treatments required for healing[MD=-7.49,95%CI(-9.75,-5.23),P<0.001],TSA results confirmed the results of the meta-analysis;(4)in comparing visual analog scale scores before and after treatment,meta-analysis result showed that:SMD=-2.01,95%CI(-2.37,-1.65),P<0.001,the difference was statistically significant,TSA results confirmed the results of the meta-analysis.Conclusion:Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT OF 123 CASES OF SCAPULOHUMERAL PERIARTHRITIS

Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthritis patients were randomized into treatment group (n=123) and control group (n=108). In treatment and control groups, Jianyu (LI 15), Jianqian and Jianhou were used as the main acupoints and stimulated with Green Dragon Shaking Tail Needling and conventional needling separately. Additionally, in control group, Waiguan (TE 5) and Binao (LI 14) were supplemented. The treatment was given once daily, with 10 days being a therapeutic course, 2 courses altogether. Results: After the first course of treatment, in treatment and control groups, the cured, the markedly improved, the effective and ineffective cases were 49 and 12, 61 and 33, 11 and 40, 2 and 23, with the total effective rates being 98.4% and 78.7% respectively. There was a marked difference between two groups in the therapeutic effect (P<0.05). Following 2 courses of treatment, the cured, the markedly improved, the effective and ineffective cases were 66 and 21, 47 and 41, 10 and 39, 0 and 7, with the total effective rates being 100% and 93.5% separately. No significant difference between two groups in the total effective rates, but the cure rate of treatment group was strikingly higher than that of control group. Conclusion: Green Dragon Shaking Tail Needling is significantly superior to that of conventional needling in the treatment of scapulohumeral periarthritis.

TREATMENT OF 36 CASES OF SCAPULOHUMERAL PERIARTHRITIS MAINLY BY CONTRALATERAL NEEDLING

Objective: To analyze the therapeutic effect of contralateral needling in the treatment of scapulohumeral periarthritis. Methods: A total of 68 cases of scapulohumeral periarthritis were outpatients and were randomized into treatment group (n=36) and control group (n=32). In treatment group, Zhiyin (BL 67), Jinmen (BL 63) and Yanglao (SI 6) on the contralateral side of the affected shoulder and local tenderpoints (Ashi-points) were punctured once every other day, with 7 days being a therapeutic course; while in control group, local Ashi-points were used for injection of Procaine and Prednisolone Acetate, once every 7 days and with 3～4 sessions being a therapeutic course. Results: Following 2 courses of treatment, of the 32 cases in control group, 8 (25.0%) were cured, 17 (53.1%) experienced improvement and 7 failed in the treatment, with a total of effective rate of 78.1%; of the 36 cases in treatment group, 18 (50.0%) were cured, 16 (44.4%) experienced improvement and 2 (5.6%) failed in the treatment, with a total effective rate of 94.4%. The therapeutic effect of contralateral needling is significantly higher than that of Ashi-point blocking method (P<0.05). Conclusion: Contralateral needling is superior to Ashi-point in the treatment of scapulohumeral periarthritis.

Clinical Study on the Effects of Electroacupuncture Combined with Extracorporeal Shock Wave in the Treatment of Periarthritis of Shoulder

Objective:To investigate the clinical effects of electroacupuncture combined with extracorporeal shock wave in the treatment of periarthritis of shoulder.Methods:136 patients with periarthritis of shoulder admitted to our hospital from September 2018 to September 2019 were randomly divided into two groups by double-blind method.68 patients in the control group were treated with extracorporeal shock wave;68 patients in the observation group were treated with electroacupuncture combined with extracorporeal shock wave.The shoulder joint pain,joint function and activities of daily living were compared between the two groups.Results:The VAS score of shoulder joint pain in the observation group after treatment(1.92±0.24)was lower than that in the control group(3.51±0.32),and the UCLA score of shoulder joint function(31.28±1.96)was higher than that of the control group(27.42±2.36),the differences were statistically significant(P<0.05).After treatment,the active degree of forward flexion and extension of shoulder joint in the observation group was higher than those of the control group,and the activities of daily living was higher than that of the control group,with statistically significant differences(P<0.05)Conclusion:Electroacupuncture combined with extracorporeal shock wave treatment for periarthritis of shoulder has achieved ideal effects,safety and non-invasiveness,and can quickly restore the functions of shoulder joints.

Acupuncture Combined with Massage for Treatment of 200 cases of Scapulohumeral Periarthritis

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Observation on the Effect of 32 Patients with Scapulohumeral Periarthritis Treated by Opposing Needle

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Clinical Observation of 32 Cases of Scapulohumeral Periarthritis Treated by Manipulations and Acupuncture

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Two-hundred and Ten Cases of Shoulder Periarthritis Treated by Needling Lingxia and Sanjian

From January of 1996 to June of 2001, the author treated 210 cases of shoulder periarthritis by needling Lingxia and Sanjian (LI 3), and achieved satisfactory therapeutic results. This is reported as follows.

CLINICAL OBSERVATION ON THE TREATMENT OF CERVICAL SPONDYLOSIS, SCAPULOHUMERAL PERIARTHRITIS AND LUMBAR MUSCLE STRAIN BY A MODEL FZ-1 SIMULATED TUINA (MASSAGE) APPARATUS

We have treated 30 cases of cervical spondylosis, 30 cases of scapulohumeral periarthritis and 30 cases of lumbar muscle strain with a Model FZ - 1 Simulated Massage Apparatus, and gained satisfactory therapeutic effect for all cases treated. Moreover, this apparatus is applied conveniently,and has no adverse reaction.

SCAPULOHUMERAL PERIARTHRITIS TREATED WITH WATER-ACUPUNCTURE PRINCIPALLY

The authors have treated 178 cases of scapulohumeral periarthritis adopting water-acuppuncture combined with other therapies. The effective rate and the cure plus markedly effective rate of the treatment group are 100% and 91. 8 % respectively while those of the control group 96. 3 % and 81. 4% respectively. Statistical analysis shows a significant difference (P < 0. 1 ) between the two groups in the cure plus markedly effecive rate.

ANALYSIS ON THERAPEUTIC EFFECTS OF 46 CASES OF PERIARTHRITIS OF SHOULDER TREATED BY NEEDLING JIANSANZHEN WITH MAGNETIC POLE NEEDLE AND MASSAGE

In the present paper,46 cases of periarthritis of shoulder were treated by needlingthe Jiansanzhen with magnetic pole needle and massage. Among them,43 cases were cured, ac-counting for 93. 48% and 46 were effective. The total effective rate was 100%. In control groupI there were 23 cases, who received treatment of acupuncture with traditional stainless-steel fili-form needle and massage, the total effective rate was 91. 3%. Comparison of the therapeutic ef-fects between the two groups showed X^2=4. 12, P【0.05. In control group II there were 23 cas-es, who received needling Tiaokou point (ST 38)-through-Chengshan (BL 57) with the abovementioned stainless-steel filiform, one of ancient and modern experimental methods, the total ef-fecive rate was 82. 6%, which was compared with that in the treatment group, indicating X^2=8.492, P【0. 01. It is suggested that the therapeutic effect in the treatment group was superior tothat in the control group I and significantly superior to that in the control group II.

Efficacy of blood-letting puncture and cupping in the treatment of periarthritis of shoulder:a systematic review

Objective:To systematically evaluate the clinical efficacy and safety of blood-letting puncture and cupping in the treatment of periarthritis of shoulder.Methods:We electronically searched databases including CNKI,VIP,PubMed,WanFang Data,EMbase Cochrane Library and to collect randomized controlled trials(RCTs)and quasi-randomized controlled trials about blood-letting puncture and cupping for periarthritis of shoulder and evaluated the quality of the documents collected by the Cochrane collaboration,provided by Review Manager 5 software for statistical analysis.Then the quality of the included trials was assessed using the Jadad scale and GRADE system was used to score the quality and grade recommendation.Results:Thirty RCTs involving 2556 patients were included.The results of meta-analysis showed that:Total effective rate OR=6.21[OR=6.21,95%CI(4.69,8.21),P<0.001].The results of GRADE system evaluation showed that the level of evidence was B,and the recommendation level was weak recommendation.Conclusion:Blood-letting puncture and cupping shows better effects than other treatments and preferably security in the treatment of periarthritis of shoulder.We do not find any serious adverse reaction reports.Due to limited quality of the included studies,more high quality studies are needed to verify the above conclusion.

CLINICAL OBSERVATION ON 36 CASES OF SCAPULOHUMERAL PERIARTHRITIS TREATED BY ABDOMINAL ACUPUNCTURE AND BODY ACUPUNCTURE

Objective: To compare the therapeutic effect of abdominal acupuncture plus body acupuncture and simple body acupuncture in treatment of scapulohumeral periarthritis. Methods: 68 cases of scapulohumeral periarthritis patients were randomly divided into abdominal acupuncture plus body acupuncture (AABA) group (n=36) and simple body acupuncture (BA) group (n=32). In AABA group, abdominal acupuncture points used were Zhongwan(CV 12),Shangqu (KI 17) (on the healthy side) and Huaroumen sanjiao (on the affected side); and body acupoints employed were Jianyu (LI 15), Jianliao(TE 14), Binao (LI 14), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) on the affected side. In BA group, the body acupoints used were the same to those mentioned above. The acupuncture needles were retained for 20 min. Acupuncture treatment was given once daily, with 10 sessions being a therapeutic course and the interval between two courses being one week. 2 courses of treatment were conducted altogether. Results: Following 2 courses of treatment, in AABA and BA groups, 6 (16.7%) and 1 (3.1%) cases were cured, 19 (52.8%) and 12 (37.5%) had remarkable improvement, 11 (30.6%) and 17 (53.1%) had improvement, 0 and 2(6.25%) had no effect respectively. There was a significant difference between two groups in the therapeutic effect (P<0.05). Conclusion: The therapeutic effect of abdominal acupuncture plus body acupuncture is superior to that of simple body acupuncture in treatment of scapulohumeral periarthritis.

Comparison of the Rehabilitation Effects of Taichi Exercise and Functional Exercise on Scapulohumeral Periarthritis

Purpose:To investigate and compare the rehabilitation effects of Taichi exercise and functional exercise on scapulohumeral periarthritis.Method:Eighty patients with scapulohumeral periarthritis from a community in Jingzhou,Hubei,China,were randomly selected from January to June 2016.They were randomly divided into the experimental group and the control group.On the basis of routine treatment and nursing,the experimental group(40 patients)adopted the Taichi exercise treatment while the control group(40 patients)adopted the functional exercise treatment.In the end,the shoulder joint pain degree changes,and the improvement of shoulder joint movements and the myoelectricity and myodynamia on the surfaces of the shoulder muscle group of the two groups were tested and measured.Result:The scoring difference of shoulder joint pain between the experimental group and the control group is significant,which is of statistical significance(P<0.05).Before the treatment,the difference of shoulder joint movement between the two groups isn't significant,with no statistical significance,but after the treatment,the difference is significant,which is of statistical significance(P<0.05).The myodynamia difference between the two groups after the treatment is significant,which is of statistical significance(P<0.05).The therapy efficiency of the experimental group is higher than that of the control group and the difference is significant,which is of statistical significance(P<0.05).Conclusion:On the basis of routine physical treatment,adopting Taichi exercise can increase the therapy efficiency on the patients with scapulohumeral periarthritis,can improve the blood supply and inflammation on the shoulder and improve patient's life quality.

OBSERVATIONS ON THE THERAPEUTIC EFFECT OF THE TREATMENT OF 100 SCAPULOHUMERAL PERIARTHRITIS CASES BY "HEGUCI" (MUSCLE NEEDLING) COMBINED WITH MASSAGE

Objective： To explore an effective method for managing middle and late stages of scapulohumeral periarthritis. Methods： A total of 182 cases of scapulohumeral periarthritis were randomized into treatment group （100 cases） and control group （ 82 cases）; those in treatment group were managed by “Heguci” （合谷刺 muscle needling） at the reactionary spot of focus （found out via palpation around the shoulder region） in combination with reinforcing needling manipulation of “Setting the Mountain on Fire” and topical massage; whereas, those in control group treated by conventional method of “selecting aoupoints E Jianqian （肩前 extra point）, Jianyu （肩髃 LI 15）, Jianliao （肩髎 TE 14）, etc] along the course of the affected meridians in combination with massage”. The treatment was given once daily, with 10 sessions being a therapeutic course, 20 sessions altogether. Results： Of the 100 cases and 82 cases in control and treatment groups, 36 （43.90%） and 69 （69.00%） were cured, 42 （51.21% ） and 26 （26.00%） improved, 4 （4.87%） and 5 （5.00%） failed, with the total effective rates being 95.13% and 95.00% respectively. The average treatment sessions of control and treatment groups were 16.32±4.24 and 9.66±8.44 separately. The curative rate of treatment group was significantly higher than that of control group and the rumber of the therapeutic sessions required of the former group was evidently fewer than that of the later group （ P 〈 0.01 ）. Conclusion： The therapeutic effect of “Heguci” combined with massage is significantly superior to that of conventional acupuncture plus massage in the treatment of middle and late stages of scapulohumeral periarthritis.

"Scapular heat penetration"technique of acupuncture in treatment of scapulohumeral periarthritis:An exploratory research

Objective:To observe the clinical effect of"scapular heat penetration"technique of acupuncture in treatment of scapulohumeral periarthritis.Design:It was a single-central randomized controlled trial,the participants,outcome assessors and statisticians were blinded.Setting:The trial was undertaken in Department of Acupuncture and Moxibustion,Yueyang Hospital of Integrated Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,from June 2021 to January 2022.Participants:Sixty-seven patients with scalpulohumeral periarthritis were participated.Interventions:In the control group,the routine acupuncture was given,while in the trial group,the"scapular heat penetration"technique of acupuncture was adopted.The intervention was delivered once every two days,3 treatments a week;and one course included 9 treatments.Before the 1st treatment and after the 9th treatment,the symptoms and physical signs were observed and recorded in each group.Outcomes:Primary outcome:the score of visual analogy scale(VAS)before treatment and after treatment completion.Secondary outcomes:the range of movement(ROM)of shoulder joint,the score of Japanese Orthopaedic Association(JOA)of shoulder joint and the infrared thermal imaging temperature around the shoulder.Results:A total of 102 cases were collected,72 cases of them were eligible and 5 cases were withdrawn.Sixty-seven cases were included in analysis.In the within-group comparison,VAS score,ROM and JOA score as well as the shoulder temperature were all ameliorated after 9 treatments in either the trial group or the control group,compared with those before treatment(P<0.05).In the comparison between two groups,after 9 treatments,VAS score in the trial group was lower than that of the control group(P<0.05);and the improvements in ROM and shoulder temperature in the trial group were better than those of the control group(P<0.05).No adverse reactions were found in the two groups.Conclusion:Both the"scapular heat penetration"technique of acupuncture and the conventional acupuncture are effective on scapulohumeral periarthritis.But,regarding the improvements in pain,ROM of shoulder joint,the activity of daily life and shoulder temperature,the"scapular heat penetration"technique of acupuncture is superior to the conventional acupuncture.

Effectiveness of bee venom acupuncture for patients suffering from periarthritis humeroscapularis

OBJECTIVE:To evaluate the efficacy of bee venom acupuncture in humeroscapularis(PHS)patients.METHODS:One hundred and twenty patients diagnosed with PHS were assigned into four groups:BV1(0.01 mg/kg),BV2(0.005 mg/kg),BV3(0.0025 mg/kg),and control group(vitamin B1 plus novocain 3%injection)with 15 d of treatment.The outcomes of the study including visual analogue scale(VAS)score andβ-endorphin,inflammatory cytokines including interleukin-10(IL-10),IL-1βand tumor necrosis factorα(TNF-α)and shoulder function score were assessed at baseline,after 10 and 15 d of treatment.RESULTS:All four groups reported statistically significant improvement in VAS score,motion range,and shoulder function score(P<0.01),only the BV3 group showed significant increase of anti-inflammatory(IL-10)and decrease of pro-inflammatory(IL-1β,TNF-α)cytokines after treatment(P<0.05).The BV3 group presented a significant difference between all outcomes compared to the control and other groups.CONCLUSION:BV3 groups showed better recovery including reduced pain,improved motor function and normalized inflammatory cytokines than current therapy used in Vietnam and other groups.

Treatment of 90 patients with scapulohumeral periarthritis in different phases by combining therapy centering on Fu's subcutaneous needling

Objective To observe the efficacy of combining therapy in treatment of 90 patients with scapulohumeral periarthritis in different phases. Method Ninety patients with scapulohumeral periarthritis were treated with Fu＇s subcutaneous needling（FSN） combined with physiotherapy in painful phase, acupotomology and massage in adhesion phase, and appropriate functional exercise in rehabilitation phase. Seven days were considered as one course of treatment, and efficacy evaluation was performed after three courses. Function evaluation of shoulder joint was made. Result The total effective rate was 100%（38/38） in acute phase, 93.5%（29/31） in adhesion phase, and 100%（21/21） in rehabilitation phase. After treatment, the range of motion（ROM） of shoulder joint, pain, muscle force, activities of daily living（ADL） and joint local morphology of the patient have been improved obviously. Conclusion Better clinical efficacy is achieved in treatment of scapulohumeral periarthritis in different phases by combining therapy centering on FSN.

Comparative observation of scapulohumeral periarthritis treated with kinetic acupuncture on the distal points of the affected meridians

Objective To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on the distal points of the affected meridians and shoulder three-needle therapy.Methods Fifty cases of scapulohumeral periarthritis were randomly divided into an observation group and a control group,25 cases for each.The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians.For example,the case of Hand-Taiyin type was treated with Yújì （鱼际 LU 10） and the case of Hand-Yangming type was treated with Hégǔ （合谷 LI 4）,etc.The cases in control group were treated with shoulder three-needle therapy,in which,Jiānqián （肩前 Extral）,Jiānyú （肩髃 LI 15） and Jiānliáo （肩髎 TE 14） were selected;7 days of treatment made one session,totally 2 sessions were required.Results In observation group,the curative rate based on ROM of shoulder joint was 72.0% （18/25）,which was superior to that of 40.0% （10/25） in control group （P0.05）.After treatment,the improvements of McGill SF-MPQ score,VAS and PPI in observation group were all superior to those in control group （all P0.05）.Conclusion The kinetic acupuncture on the distal points of the affected meridians is advantageous at analgesia and motor improvements of shoulder joint in treatment of scapulohumeral periarthritis as compared with shoulder three-needle therapy.