肩痛穴微创埋线治疗肩周炎120例

肩关节周围炎是肩关节、关节囊和关节周围软组织慢性退行性变化的疾病,以肩关节周围疼痛、活动障碍和肌肉萎缩为主要症状的症候群。一般认为,本病多与体虚、劳损或外感风寒有关。好发于50岁左右,女性发病率高于男性,右肩多于左肩,体力劳动者多见,尤以上举、外展及内、外旋受限,肩前、后、外侧均有压痛,特别是肱二头肌长头腱沟明显。笔者选用平衡针法肩痛穴微创埋线治疗肩周炎患者120例,现报道如下。

Effect of Yi Jin Jing(Sinew-transforming Qigong Exercises) plus tuina on scapulohumeral periarthritis

Objective： To investigate the effect of Yi Jin Jing（Sinew-transforming Qigong Exercises） plus tuina on scapulohumeral periarthritis（SP）.Methods： A total of 30 cases with SP were randomized into an observation group and a control group. Those in the observation group practiced Yi Jin Jing（Sinew-transforming Qigong Exercises） plus tuina therapy; whereas those in the control group received only tuina therapy. Tuina therapy was conducted every other day, 20 min every time for 1 month and Yi Jin Jing（Sinew-transforming Qigong Exercises） was conducted once a day for 1 month. The therapeutic effects were assessed by visual analogue scale（VAS） and Constant-Murley scale.Results： After treatment, the VAS score and Constant-Murley scale were substantially improved, showing statistical significances（P〈0.01）; the Constant-Murley scale in the observation group was better than that in the control group,showing a statistical significance（P〈0.01）; the effective rate in the observation group was higher than that in the control group, between-group comparison showed a statistical significance（P〈0.01）.Conclusion： Yi Jin Jing（Sinew-transforming Qigong Exercises） plus tuina and tuina alone have a verified effect in treating SP,and the former can achieve a better effect than the later.

Clinical study on tuina plus functional training for scapulohumeral periarthritis

Objective： To observe the clinical effects of tuina manipulations plus the functional training on scapulohumeral periarthritis （SP）, and provide the better therapeutic plan for SP patients. Methods： A total of 76 cases with SP in conformity with the inclusion criteria were randomly divided into a tuina group and an acupuncture group, 38 patients in each group. All the patients were instructed to do functional training under the guidance of the professional medical practitioners. The patients in the tuina group were treated additionally with tuina manipulations, while the patients in the acupuncture group were added with acupuncture treatment. The two groups were treated once every day. After ten sessions, the changes in the scores of visual analog scale （VAS） and Melle were observed, and the clinical effect was compared. Results： After the treatment, VAS and Melle scores were all lower in the tuina group than those in the acupuncture group, with statistical significances between the two groups （P^0.05）. The remarkable effective rate was 5.3% in the acupuncture group and 22.1% in the tuina group. The remarkable effective rate was higher in the tuina group than that in the acupuncture group, with a statistical significance （P〈0.05）. Conclusion： Tuina manipulations plus functional training for SP can effectively alleviate pain and restore the functions of the shoulder joint, with a better effect than acupuncture plus functional training.

Therapeutic observation of Fu's subcutaneous needling for scapulohumeral periarthritis

Objective： To observe the therapeutic efficacy of Fu＇s subcutaneous needling（FSN） in treating scapulohumeral periarthritis（SP）.Methods： Eighty patients with SP were randomly divided into an observation group and a control group, 40 cases in each group. Patients in the observation group received FSN treatment while those in the control group received conventional acupuncture treatment. Visual analogue scale（VAS） and range of motion（ROM） were observed before and after the treatment, and the therapeutic efficacy was also evaluated.Results： After the treatment, the VAS scores decreased significantly in the two groups, and the VAS score in the observation group was significantly lower than that in the control group（P〈0.01）. After the treatment, the ROM increased significantly in both groups（both P〈0.01）, and the ROM in the observation group was significantly higher than that in the control group（P〈0.01）. The recovery rate and the total effective rate in the observation group were respectively 40.0% and 95.0%,significantly higher than 12.5% and 77.5% in the control group（P〈0.01, P〈0.05）.Conclusion： FSN can effectively relieve pain and improve the joint motion in treating SP, thus offering a novel option to the treatment of this kind of musculoskeletal disorder.

Clinical observation of three-step modified shoulder joint mobilization for scapulohumeral periarthritis

Objective： To observe the clinical efficacy of the three-step modified shoulder joint mobilization in treating scapulohumeral periarthritis（SP）. Methods： Totally 80 subjects were recruited and divided into a treatment group and a control group by using the random number table, 40 in each group. The treatment group was intervened by the three-step modified shoulder joint mobilization; the control group was by oral administration of Celebrex. After successive 4-week treatment, the improvement of shoulder pain and motor function was observed. Results： The total effective rate was 87.5% in the treatment group versus 80.0% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion： The three-step modified shoulder joint mobilization is easy-to-operate and effective in treating SP.