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...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.展开更多
OBJECTIVE: Chinese massage(Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis(OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA thr...OBJECTIVE: Chinese massage(Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis(OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA through self-assessment questionnaires; however, very few studies have objectively assessed the effect by measuring knee muscle strength. The purpose of this study was to assess the efficacy of Chinese massage in improving knee extensor and flexor muscle strength in patients with knee OA.METHODS: Thirty patients with knee OA received Chinese massage therapy three times per week for 2 weeks. Patients completed pre- and post-treatment Visual Analogue Scale(VAS) pain questionnaires, and pre- and post-treatment knee muscle strength was evaluated using the Biodex Multi-Joint System 3. Isokinetic muscle strength measurements were performed at 60 degrees/s and 180 degrees/s. The peak torque(PT), peak torque/body weight(PT/BW), total work(TW), average power(AP), hamstring/quadriceps(H/Q), and range of motion(ROM) values were recorded separately for flexors and extensors.RESULTS: Chinese massage therapy significantly improved knee pain as assessed by the VAS in patients with knee OA(P < 0.05). Post-treatment values were significantly greater than pre-treatment values in the extensor muscles for PT(right P =0.013, left P = 0.001), PT/BW(right P = 0.008, left P =0.001) and TW(right P = 0.036, left P = 0.004) at 60 degrees/s. The AP increased significantly after treatment in the flexor muscles in the right knee(P =0.009) and the extensor muscles in the left knee(P = 0.001). There were no significant differences in pre- and post-treatment ROM and H/Q at 60 degrees/s and 180 degrees/s.CONCLUSION: Chinese massage therapy decreased pain and may improve extensor muscle strength in patients with knee OA, but does not appear to improve ROM.展开更多
To evaluate operative effects of a new method to reconstruct anterior crucial ligament （ ACL ） and posterior crucial ligament （PCL） simultaneously by using patellar tendon under arthroscopy. Methods： From Novemb...To evaluate operative effects of a new method to reconstruct anterior crucial ligament （ ACL ） and posterior crucial ligament （PCL） simultaneously by using patellar tendon under arthroscopy. Methods： From November 1999 to November 2003, the injured ACL and PCL of 11 patients were fixated with compressed screws and reconstructed under arthroscopy with the bone-patellar tendon-bone treated with deep hypothermia and γ radiation. At the same time, 2 patients were treated with medial collateral ligament （MCL） reconstruction, 3 with lateral collateral ligament （LCL） reconstruction. 1 with meniscus suture and 4 with whole or partial resection. Results： All patients were followed up for 12-26 months （average 16.5 months ）. The Lysholm score method was employed to evaluate the knee function. The average preoperative score was 45.3 and the postoperative score was 86.4. Anterior drawer test （ADT） was positive in 11 knees preoperatively and feeble positive in one knee postoperatively. Lachman test was positive in 11 knees preoperatively and in one postoperatively, and feebly positive in two postoperatively. Posterior drawer test was positive in 11 knees preoperatively and feebly positive in 2 postoperatively. There were 2 knees with tolerable pain and 2 with knee flexion of 5°-20°. Conclusions： As for simultaneous reconstruction of ACL and PCL under arthroscopy, allogeneic bone-patellar tendon-bone can not only avoid injury and complication caused by autografting, but also help rehabilitation of the knee function.展开更多
Objective:To observe the clinical efficacy of warm needling moxibustion plus isokinetic muscle strength training for knee osteoarthritis(KOA).Methods:A total of 135 patients with KOA due to Yang deficiency and coagula...Objective:To observe the clinical efficacy of warm needling moxibustion plus isokinetic muscle strength training for knee osteoarthritis(KOA).Methods:A total of 135 patients with KOA due to Yang deficiency and coagulated cold were randomized into a warm needling moxibustion group,an isokinetic muscle strength training group,and a combined group by the random number table method,with 45 cases in each group.The warm needling moxibustion group was treated with warm needling moxibustion.The isokinetic muscle strength training group was treated with isokinetic muscle strength training.The combined group was treated with warm needling moxibustion plus isokinetic muscle strength training.The Western Ontario and McMaster Universities osteoarthritis index(WOMAC)and visual analog scale(VAS)were scored before and after treatment,and isokinetic indicators of peak torque(PT),total work(TW)and average power(AP)were evaluated.Results:The total effective rate of the combined group was 92.5%,which was significantly higher than 83.3%in the warm needling moxibustion group(P<0.05)and 72.5%in the isokinetic muscle strength training group(P<0.05).After treatment,the scores of WOMAC(total,pain,stiffness,and function)and VAS,and isokinetic indicators(PT,TW,and AP)were all improved compared with those before treatment(P<0.05)in all three groups.The differences among the three groups were statistically significant(P<0.05).The WOMAC total score and score of stiffness in the combined group were lower than those in the warm needling moxibustion group and the isokinetic muscle strength training group(P<0.05),and the scores in the warm needling moxibustion group were lower than those in the isokinetic muscle strength training group(P<0.05).The WOMAC score of pain and VAS score in the warm needling moxibustion group and the combined group were lower than those in the isokinetic muscle strength training group(P<0.05).The differences between the warm needling moxibustion group and the combined group were not statistically significant(P>0.05).The WOMAC function score in the combined group was lower than that in the warm needling moxibustion group and the isokinetic muscle strength training group(P<0.05),while there was no statistical difference between the warm needling moxibustion group and the isokinetic muscle strength training group(P>0.05).PT,TW,and AP in the combined group were higher than those in the warm needling moxibustion group and the isokinetic muscle strength training group(P<0.05),and they were higher in the isokinetic muscle strength training group than in the warm needling moxibustion group(P<0.05).Conclusion:Warm needling moxibustion plus isokinetic muscle strength training has a better effect in the treatment of KOA due to Yang deficiency and coagulated cold than either warm needling moxibustion or isokinetic muscle strength training alone.展开更多
Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle.Traumatic injury to serratus anterior muscle itself is very rare.We reported a case of traumatic winging ...Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle.Traumatic injury to serratus anterior muscle itself is very rare.We reported a case of traumatic winging of scapula due to tear of serratus anterior muscle in a 19-year-old male.Winging was present in neutral position and in extension of right shoulder joint but not on ＂push on wall＂ test.Patient was managed conservatively and achieved satisfactory result.展开更多
文摘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.
基金the National Science Foundation for Distinguished Young Scholars of China,Tuina Subject(No.81025022)the National Natural Science Foundation of China(Biomechanics and Clinical Efficacy of Tuina Treatment on Knee Osteoarthritis,No.81373763)+2 种基金Science and Technology Commission of Shanghai Municipality(Kinematics and Kinetics Analysis of Patients With Knee Osteoarthritis before and after Chinese Massage Treatment,No.11DZ1973501)Epidemiological Study on Risk Factors And Chinese Medical Syndrome of Knee Osteoarthritis in Shanghai City(No.12401904300)the Shanghai Municipal Health Bureau(Gait Analysis before and after Chinese Massage Treatment on Patients With Knee Osteoarthritis,No.20114039)
文摘OBJECTIVE: Chinese massage(Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis(OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA through self-assessment questionnaires; however, very few studies have objectively assessed the effect by measuring knee muscle strength. The purpose of this study was to assess the efficacy of Chinese massage in improving knee extensor and flexor muscle strength in patients with knee OA.METHODS: Thirty patients with knee OA received Chinese massage therapy three times per week for 2 weeks. Patients completed pre- and post-treatment Visual Analogue Scale(VAS) pain questionnaires, and pre- and post-treatment knee muscle strength was evaluated using the Biodex Multi-Joint System 3. Isokinetic muscle strength measurements were performed at 60 degrees/s and 180 degrees/s. The peak torque(PT), peak torque/body weight(PT/BW), total work(TW), average power(AP), hamstring/quadriceps(H/Q), and range of motion(ROM) values were recorded separately for flexors and extensors.RESULTS: Chinese massage therapy significantly improved knee pain as assessed by the VAS in patients with knee OA(P < 0.05). Post-treatment values were significantly greater than pre-treatment values in the extensor muscles for PT(right P =0.013, left P = 0.001), PT/BW(right P = 0.008, left P =0.001) and TW(right P = 0.036, left P = 0.004) at 60 degrees/s. The AP increased significantly after treatment in the flexor muscles in the right knee(P =0.009) and the extensor muscles in the left knee(P = 0.001). There were no significant differences in pre- and post-treatment ROM and H/Q at 60 degrees/s and 180 degrees/s.CONCLUSION: Chinese massage therapy decreased pain and may improve extensor muscle strength in patients with knee OA, but does not appear to improve ROM.
文摘To evaluate operative effects of a new method to reconstruct anterior crucial ligament （ ACL ） and posterior crucial ligament （PCL） simultaneously by using patellar tendon under arthroscopy. Methods： From November 1999 to November 2003, the injured ACL and PCL of 11 patients were fixated with compressed screws and reconstructed under arthroscopy with the bone-patellar tendon-bone treated with deep hypothermia and γ radiation. At the same time, 2 patients were treated with medial collateral ligament （MCL） reconstruction, 3 with lateral collateral ligament （LCL） reconstruction. 1 with meniscus suture and 4 with whole or partial resection. Results： All patients were followed up for 12-26 months （average 16.5 months ）. The Lysholm score method was employed to evaluate the knee function. The average preoperative score was 45.3 and the postoperative score was 86.4. Anterior drawer test （ADT） was positive in 11 knees preoperatively and feeble positive in one knee postoperatively. Lachman test was positive in 11 knees preoperatively and in one postoperatively, and feebly positive in two postoperatively. Posterior drawer test was positive in 11 knees preoperatively and feebly positive in 2 postoperatively. There were 2 knees with tolerable pain and 2 with knee flexion of 5°-20°. Conclusions： As for simultaneous reconstruction of ACL and PCL under arthroscopy, allogeneic bone-patellar tendon-bone can not only avoid injury and complication caused by autografting, but also help rehabilitation of the knee function.
文摘Objective:To observe the clinical efficacy of warm needling moxibustion plus isokinetic muscle strength training for knee osteoarthritis(KOA).Methods:A total of 135 patients with KOA due to Yang deficiency and coagulated cold were randomized into a warm needling moxibustion group,an isokinetic muscle strength training group,and a combined group by the random number table method,with 45 cases in each group.The warm needling moxibustion group was treated with warm needling moxibustion.The isokinetic muscle strength training group was treated with isokinetic muscle strength training.The combined group was treated with warm needling moxibustion plus isokinetic muscle strength training.The Western Ontario and McMaster Universities osteoarthritis index(WOMAC)and visual analog scale(VAS)were scored before and after treatment,and isokinetic indicators of peak torque(PT),total work(TW)and average power(AP)were evaluated.Results:The total effective rate of the combined group was 92.5%,which was significantly higher than 83.3%in the warm needling moxibustion group(P<0.05)and 72.5%in the isokinetic muscle strength training group(P<0.05).After treatment,the scores of WOMAC(total,pain,stiffness,and function)and VAS,and isokinetic indicators(PT,TW,and AP)were all improved compared with those before treatment(P<0.05)in all three groups.The differences among the three groups were statistically significant(P<0.05).The WOMAC total score and score of stiffness in the combined group were lower than those in the warm needling moxibustion group and the isokinetic muscle strength training group(P<0.05),and the scores in the warm needling moxibustion group were lower than those in the isokinetic muscle strength training group(P<0.05).The WOMAC score of pain and VAS score in the warm needling moxibustion group and the combined group were lower than those in the isokinetic muscle strength training group(P<0.05).The differences between the warm needling moxibustion group and the combined group were not statistically significant(P>0.05).The WOMAC function score in the combined group was lower than that in the warm needling moxibustion group and the isokinetic muscle strength training group(P<0.05),while there was no statistical difference between the warm needling moxibustion group and the isokinetic muscle strength training group(P>0.05).PT,TW,and AP in the combined group were higher than those in the warm needling moxibustion group and the isokinetic muscle strength training group(P<0.05),and they were higher in the isokinetic muscle strength training group than in the warm needling moxibustion group(P<0.05).Conclusion:Warm needling moxibustion plus isokinetic muscle strength training has a better effect in the treatment of KOA due to Yang deficiency and coagulated cold than either warm needling moxibustion or isokinetic muscle strength training alone.
文摘Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle.Traumatic injury to serratus anterior muscle itself is very rare.We reported a case of traumatic winging of scapula due to tear of serratus anterior muscle in a 19-year-old male.Winging was present in neutral position and in extension of right shoulder joint but not on ＂push on wall＂ test.Patient was managed conservatively and achieved satisfactory result.
