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.

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.

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.

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.

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.

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 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.

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.

The effects of comprehensive rehabilitation therapy on scapulohumeral periarthritis

Objective To discuss the effects of comprehensive rehabilitation therapy on scapulohumeral periarthritis.Method All the patients were randomly divided into two groups.Patients in group A were treated by ultrashort wave,medium frequency electric therapy and medical gymnastics.Patients in group B were treated by joint mobilization combined with treatments in group A.Meanwhile,the functional rating scale was used to measuerd scale of shoulder joint during pre and post treatment.Results In group A,6 were cured,11 were significant effect and 18 were improved.The effective rate was 81.40%.In group B,14 were cured,18 were significant effect and 8 were improved.The effective rate was 93.02%.The score of group B after treatment was increased significantly compared with group A(P< 0.01).Conclusions The effects of the joint mobilization combined with physiotherapy and medical gymnastics were significant on scapulohumeral periarthritis.

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.

基于知识图谱的肩周炎治疗研究可视化分析

为分析国内肩周炎治疗领域的研究现状,以“肩周炎”相关关键词为主题,搜索中国知网数据库(CNKI)中2001—2022年文献,共检索到文献7 735篇,利用CiteSpace软件对文献的研究者、研究机构和关键词进行可视化图谱分析。分析结果显示:肩周炎治疗领域发文数量呈平稳上升趋势,形成了以郭长青、方剑乔和程少丹核心研究者为代表的团体,机构间合作呈现地域性;研究热点主要集中于肩周炎的病因、治疗方法、临床观察和疗效评估等方面,国内以中医治疗方法为主,并以结合中西医多种治疗方法的综合疗法居多。肩周炎治疗领域的研究整体呈上升态势,建议加强作者和机构间的合作,发挥中医优势,创新中医理论,结合西医方法,助力该领域的发展。

铜砭刮痧法治疗风寒湿型肩周炎的临床观察

目的观察在国医大师孙申田教授痛证选穴规律指导下铜砭刮痧疗法对风寒湿型肩周炎的效果。方法将70例风寒湿型肩周炎患者用随机数字表法分为对照组与观察组各35例。两组均采用常规护理,在此基础上,对照组采取常规铜砭刮痧法,观察组采用孙申田痛证选穴规律的铜砭刮痧法,均治疗4周。观察两组患者治疗前后临床疗效、视觉模拟疼痛量表(VAS)评分、肩关节功能(Constant-Murley肩关节功能评分)和中医症状评分。结果观察组总有效率为91.43%,显著高于对照组的82.86%(P<0.05);治疗后两组的VAS评分和中医症状积分均较治疗前低,且观察组低于对照组(P<0.05);两组Constant-Murley肩关节功能评分显著高于治疗前,且观察组高于对照组(P<0.05)。结论运用孙申田教授痛证选穴规律制定的铜砭刮痧法治疗风寒湿型肩周炎患者临床疗效好,能有效缓解患者肩部疼痛,改善肩关节活动,提高患者的生活质量。

红炉拔筋罐疗法对风寒湿型肩周炎的临床护理研究

目的:探讨红炉拔筋罐疗法在风寒湿型肩周炎患者中的临床护理效果。方法:将2023年9月—2024年1月于江门市新会区中医院骨科住院治疗的70例风寒湿型肩周炎患者纳入本研究,采用随机数表法将患者分为观察组与对照组,各35例。两组均给予常规护理,观察组采用红炉拔筋罐疗法护理,对组照采用雷火灸护理。比较两组中医症候积分、肩关节功能障碍、肩部疼痛程度、生活质量及不良反应。结果:护理后,两组中医症候积分、视觉模拟评分法(VAS)评分低于护理前,且观察组低于对照组,两组Constant-Murley评分、世界卫生组织生活质量简明问卷(WHOQOL-BREF)评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.01);两组均未出现严重不良反应。结论:红炉拔筋罐疗法能降低风寒湿型肩周炎患者中医症候积分,改善肩关节功能障碍、肩部疼痛程度,提高生活质量。