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肩疼≠肩周炎
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作者 唐康来 曹洪辉 陶旭 《保健医苑》 2009年第8期12-13,共2页
今年刚过50岁的陶老师喜欢运动,特别喜欢打羽毛球,平时工作也很繁忙,偶尔运动时常常过度。去年年底反复出现右肩关节活动时疼痛.开始他还认为是运动过度所致,曾到多家医院就诊,被诊断为“肩周炎”,经过休息、按摩、理疗及药物治... 今年刚过50岁的陶老师喜欢运动,特别喜欢打羽毛球,平时工作也很繁忙,偶尔运动时常常过度。去年年底反复出现右肩关节活动时疼痛.开始他还认为是运动过度所致,曾到多家医院就诊,被诊断为“肩周炎”,经过休息、按摩、理疗及药物治疗,效果均不明显,症状总是不能缓解,时好时坏。虽然活动范围基本正常,但抬肩总是无力,严重影响到生活和工作。 展开更多
关键词 周炎 肩疼 运动过度 关节活动 打羽毛球 医院就诊 药物治疗 活动范围
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以肩疼为首发症状的肺癌1例
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作者 许立勤 吴隆奇 《中国社区医师(医学专业)》 2009年第17期184-184,共1页
病历资料 患者,男,68岁。因“右肩痛半年,加重1个月”来诊。既往健康。病初右肩隐痛,逐渐转为钝痛。近1个月疼痛加剧,夜间尤甚,咳嗽呼吸无影响。仰卧位痛重且胸闷压气。局部无红肿,活动不受限。先后按风湿性关节炎、肩周炎、颈... 病历资料 患者,男,68岁。因“右肩痛半年,加重1个月”来诊。既往健康。病初右肩隐痛,逐渐转为钝痛。近1个月疼痛加剧,夜间尤甚,咳嗽呼吸无影响。仰卧位痛重且胸闷压气。局部无红肿,活动不受限。先后按风湿性关节炎、肩周炎、颈椎病等诊断,口服药物,局部敷药,针灸, 展开更多
关键词 首发症状 肺癌 肩疼 风湿性关节炎 病历资料 既往健康 口服药物 局部敷药
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不是所有的肩疼都叫肩周炎
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作者 程波 《家庭医药(快乐养生)》 2014年第4期52-53,共2页
一谈到肩部疼痛,可能很多的人都会首先想到肩周炎,但其实很多疾病都可能会导致肩部疼痛,不能混为一谈,延误治疗。
关键词 周炎 肩疼 延误治疗
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不是所有的肩疼都叫“肩周炎”
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作者 程波 《家庭用药》 2018年第6期55-55,共1页
一谈到肩部疼痛可能很多人都会首先想到肩周炎,但其实很多疾病都可能会导致肩部疼痛,切不能混为一谈,延误治疗。
关键词 周炎 肩疼 延误治疗
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由肩疼发现肺上沟瘤1例
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作者 陈坤 王海燕 《医用放射技术杂志》 2002年第10期72-73,共2页
关键词 肩疼 肺上沟瘤 X线诊断 CT 诊断
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脑卒中后疼肩的综合治疗
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作者 毕家香 刘彩球 《中国保健营养(临床医学学刊)》 2008年第3期131-132,共2页
目的观察脑卒中后疼肩的发生及综合治疗的临床效果。方法32例肩痛的患者采用消炎镇痛的药物,理疗,肩关节松解术及功能锻炼等综合治疗。结果治疗后经统计方法处理显示,肩关节各轴向活动均明显好转,疼痛绝大部分消失,生活质量提高。
关键词 脑卒中
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腹腔镜胆囊手术后颈肩痛的护理干预 被引量:5
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作者 顾金凤 《中国卫生产业》 2013年第25期36-36,38,共2页
目的研究观察腹腔镜胆囊手术后引发患者颈肩痛的致病因素并为其找出护理方法。方法选取2005年5月—2008年8月在该院住院治疗的行腹腔镜胆囊手术的患者142例作为对照组,再选取2009年5月—2012年8月在该院住院治疗的行腹腔镜胆囊手术的患... 目的研究观察腹腔镜胆囊手术后引发患者颈肩痛的致病因素并为其找出护理方法。方法选取2005年5月—2008年8月在该院住院治疗的行腹腔镜胆囊手术的患者142例作为对照组,再选取2009年5月—2012年8月在该院住院治疗的行腹腔镜胆囊手术的患者128例作为观察组。给予观察组的128例患者护理干预,如改变患者手术的体位、适当对气腹压力进行调节、术后给予持续吸氧以及尽量将患者术后体内的残余气体排出等护理措施。结果观察组患者发生颈肩疼的有26例,总发生率为20.31%,对照组患者发生颈肩疼的有104例,总发生率为73.24%,两组比较,差异具有显著意义(P<0.05)。并且观察组患者的疼痛持续时间也远短于对照组患者。结论对腹腔镜胆囊手术后的患者给予正确、合理的护理干预措施,对降低以及预防手术后颈肩痛的发生有着重要作用。 展开更多
关键词 腹腔镜胆囊手术 肩疼 护理干预
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心理干预在内热针治疗颈肩痛患者中的应用
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作者 邱玉芸 洪青 《现代诊断与治疗》 CAS 2017年第19期3717-3718,共2页
探讨心理干预在内热针治疗颈肩痛患者中的应用。随机选取我院2014年9月颈肩疼痛患者160例,分为观察组和对照组各80例,对照组给予内热针治疗,观察组在内热针治疗的同时介入心理干预,采用症状自评量表(SCL-90)对患者进行心理状况进行测评... 探讨心理干预在内热针治疗颈肩痛患者中的应用。随机选取我院2014年9月颈肩疼痛患者160例,分为观察组和对照组各80例,对照组给予内热针治疗,观察组在内热针治疗的同时介入心理干预,采用症状自评量表(SCL-90)对患者进行心理状况进行测评,采用疼痛视觉模拟评分法(VAS)对两组患者的疼痛程度进行测评,并记录和统计患者疗效及需要二次治疗的例数。两组治疗后的SCL-90中躯体化、焦虑、抑郁3项因子评分与治疗前相比均明显降低(P<0.01);且治疗后观察组3项因子评分均低于对照组治疗后的评分(P<0.01);两组治疗后VAS评分与治疗前相比均明显降低(P<0.01),且观察组治疗后VAS评分明显低于同期对照组(P<0.01);治疗后观察组疼痛程度缓解的有效率是88.75%明显优于对照组的有效率58.75%(P<0.01);且观察组二次内热针率为11.25%明显低于对照组的41.25%(P<0.01)。心理干预介入内热针治疗颈肩疼患者中能有效的缓解患者躯体不适感以及焦虑和抑郁的情绪,减轻患者的疼痛程度,改善心理健康状况,并能提高治疗效果。 展开更多
关键词 心理干预 内热针 肩疼症状自评量表 痛视觉模拟评分法
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肌骨超声多个声学征象诊断部分性肩袖损伤的Logistic回归分析 被引量:7
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作者 张景锋 李奇 +4 位作者 张天 王芮花 万艳萍 王婷 刘强 《临床医学研究与实践》 2021年第14期113-117,共5页
目的构建肌骨超声多个声学征象诊断部分性肩袖损伤的Logistic回归模型,应用ROC曲线评价各声学征象及其联合应用诊断部分型性肩袖损伤的工作效能。方法回顾性分析我院159例肩部疼痛患者(175个肩关节)的肌骨超声检查资料,其中89例肩痛患者... 目的构建肌骨超声多个声学征象诊断部分性肩袖损伤的Logistic回归模型,应用ROC曲线评价各声学征象及其联合应用诊断部分型性肩袖损伤的工作效能。方法回顾性分析我院159例肩部疼痛患者(175个肩关节)的肌骨超声检查资料,其中89例肩痛患者(92个肩关节)经关节镜确诊为部分性肩袖损伤,设为研究组,余70例患者(83个肩关节)设为对照组。观察两组的肩峰下滑囊积液、肱二头肌长头肌腱鞘积液、盂肱关节积液、腱体内低回声、腱体滑囊面凹陷、腱体内钙化、腱体弹性成像,对其行单因素及多因素Logistic回归分析,建立回归方程,并绘制ROC曲线,观察各征象及联合应用的诊断工作效能。结果单因素分析结果显示,两组的肩峰下滑囊积液深度及腱体内低回声、腱体滑囊面凹陷、腱体内钙化检出数比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析筛选出肩峰下滑囊积液、腱体内低回声、腱体滑囊面凹陷为诊断部分性肩袖损伤的重要指标,OR值分别为47.912、32.633、42.388,ROC曲线下面积分别为0.780、0.742、0.607,联合应用诊断部分性肩袖损伤的ROC曲线下面积为0.915,灵敏度为78.3%,特异度为95.2%。结论基于肌骨超声多个声学征象建立的Logistic回归模型对部分性肩袖损伤的诊断有一定的价值,而联合应用有更高的诊断价值。 展开更多
关键词 肌骨超声 部分性袖损伤 峰下滑囊积液 腱体内低回声
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恶性骨肿瘤误诊为肩周炎二例报告
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作者 胡文正 《中国航天工业医药》 1999年第1期67-67,共1页
近年来恶性骨肿瘤病例日益增多。该病起病隐匿.病程短,予后差,后期病人剧痛难忍。因此早期诊断特别重要。虽然骨肿瘤的诊断必需依据临床,X线和病理综合判断。但仔细询问病史,了解病程经过仍然十分必要。恶性骨肿瘤发生在肩部者,... 近年来恶性骨肿瘤病例日益增多。该病起病隐匿.病程短,予后差,后期病人剧痛难忍。因此早期诊断特别重要。虽然骨肿瘤的诊断必需依据临床,X线和病理综合判断。但仔细询问病史,了解病程经过仍然十分必要。恶性骨肿瘤发生在肩部者,易与肩周炎相混淆。近十年来,我所先后有两例恶性骨肿瘤.长期误诊为肩周炎。为吸取教训特介绍以下两个病例。 展开更多
关键词 恶性骨肿瘤 误诊 周炎 活动障碍
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风湿液治疗颈,肩,腰疼症98例
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作者 蔡月新 《中外医用放射技术》 1996年第10期91-92,共2页
关键词 风湿液 肩疼 治疗
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临床推拿医案六则
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作者 聂怀利 《按摩与导引》 2009年第8期54-55,共2页
临床诊疗过程中,或有症状与病因不符者,或有诊断不明或治疗不当者,而留下许多经验和教训。现将在临症中所遇六个典型病例介绍给大家。
关键词 肩疼 肺癌性 糖尿病性 腰痛 肺癌性 腰痛 骨癌性腰 腿痛 股骨头坏死性 案例
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Clinical Experience in Application of the Acupoint Futu 被引量:1
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作者 孙国胜 陈正秋 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第2期132-133,共2页
  Futu (LI 18) is an acupoint of the Large Intestinal Meridian of Hand-Yangming. Based on the TCM theories of Zang-fu organs and meridians together with the clinical practice for many years, the author has gained ne...   Futu (LI 18) is an acupoint of the Large Intestinal Meridian of Hand-Yangming. Based on the TCM theories of Zang-fu organs and meridians together with the clinical practice for many years, the author has gained new experience in clinical use of the point. This is briefly introduced as follows.…… 展开更多
关键词 Acupuncture Points Acupuncture Therapy ADULT Back Pain FEMALE Humans MALE Middle Aged PHARYNGITIS Shoulder Pain
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CLINICAL OBSERVATION ON TREATMENT OF 83 CASES OF POSTHEMIPLEGIC OMALGIA
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作者 陈立典 吴强 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1998年第3期215-217,共3页
An analysis on 83 cases of posthemiplegic omalgia (shoulder pain) shows that the pathogenesis of the pain is closely related to the improper passive movement at the early stage of hemiplegia (62.7%). The large range o... An analysis on 83 cases of posthemiplegic omalgia (shoulder pain) shows that the pathogenesis of the pain is closely related to the improper passive movement at the early stage of hemiplegia (62.7%). The large range of passive movement is a dangerous factor leading to omalgia. In the study of upper extremity complications, the incidence of shoulder-hand syndrome is relatively high (42.2%), and it is often accompanied by hand swelling (83.1%). The authors suggest that painless movement of the shoulder joint should be limited in a range of 90-120 degrees, massage be carried out immediately after acupuncture, and the affected upper extremity be moved passively during the needle retention. This therapeutic method is definitely effective for pasthemiplegic omalgia. 展开更多
关键词 Acupuncture Therapy Cerebral Hemorrhage Cerebral Infarction Female Humans Male MASSAGE Middle Aged Reflex Sympathetic Dystrophy Shoulder Pain
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颈椎病与肩周炎别弄混
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作者 小魏 《医食参考》 2011年第9期9-9,共1页
目前,人们对肩关节疼痛存在着认识上的误区:只要一出现肩疼.就认为是肩周炎。其实肩疼有非常多的原因,除了肩周炎,还有可能是颈椎病引起的肩关节疼痛。要知道.肩周炎与颈椎病关系非常密切,一些颈椎病主要临床症状也表现为肩部疼... 目前,人们对肩关节疼痛存在着认识上的误区:只要一出现肩疼.就认为是肩周炎。其实肩疼有非常多的原因,除了肩周炎,还有可能是颈椎病引起的肩关节疼痛。要知道.肩周炎与颈椎病关系非常密切,一些颈椎病主要临床症状也表现为肩部疼痛,同时颈椎病又可合并肩周炎。 展开更多
关键词 周炎 颈椎病 关节 临床症状 肩疼
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肩痛穴微创埋线治疗肩周炎120例 被引量:7
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作者 郭国英 《中国针灸》 CAS CSCD 北大核心 2015年第S1期21-22,共2页
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... 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。 展开更多
关键词 埋线治疗 关节周围 关节囊 退行性变化 外感风寒 肱二头肌长头腱 关节周围炎 外旋 关节
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Effect of Yi Jin Jing(Sinew-transforming Qigong Exercises) plus tuina on scapulohumeral periarthritis 被引量:11
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作者 沈志方 朱高峰 +3 位作者 沈清河 吴银君 许佳 贾一凡(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第4期285-289,共5页
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 gr... 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. 展开更多
关键词 TUINA Massage Yi Jin Jing Frozen Shoulder PERIARTHRITIS Shoulder Pain Pain Measurement Visual Analogue Scale
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Clinical study on tuina plus functional training for scapulohumeral periarthritis 被引量:6
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作者 张海玲 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第2期135-140,共6页
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 ... 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. 展开更多
关键词 Acupuncture Therapy TUINA MASSAGE Frozen Shoulder PERIARTHRITIS Shoulder Pain REHABILITATION PainMeasurement
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Clinical observation of three-step modified shoulder joint mobilization for scapulohumeral periarthritis 被引量:1
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作者 吕志刚 朱俊 +2 位作者 胡为成 宁淳睿 洪珏(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2016年第1期36-40,共5页
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 treat... 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. 展开更多
关键词 TUINA MASSAGE Frozen Shoulder PERIARTHRITIS Shoulder Pain REHABILITATION Pain Measurement Visual Analogue Scale
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Therapeutic observation of Fu's subcutaneous needling for scapulohumeral periarthritis 被引量:21
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作者 李新伟 谭克平 +1 位作者 杜嘉 沈亚芳 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第4期281-284,共4页
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 an... 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. 展开更多
关键词 Acupuncture Therapy Fu's Subcutaneous Needling Frozen Shoulder Shoulder Pain PERIARTHRITIS Pain Measurement Range of Motion ARTICULAR Visual Analogue Scale
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