带气针刺导引术施治痹症的研究

带气针刺导引术施治痹症的研究华东船舶学院医疗卫生中心罗文虎杨敏华镇江医学院核医学教研室李龙江苏理工大学陈介忠痹、即闭阻不通之意，凡外邪侵入肢体经络、肌肉、关节导致气血不和，从而发生疼痛、肿胀、酸、麻、木等感觉，并伴有肢体运动失常等，总称为痹。临床上西...

Effect of Shaolin internal qigong exercise on the surface electromyography signals of shoulder muscle groups in patients with capsulitis of the shoulder

Objective:To unveil the efficacy of Shaolin internal qigong exercise in treating capsulitis of the shoulder(CS)and explore objective outcome measures by observing the changes in the surface electromyography(sEMG)signals of shoulder muscle groups after regular practice of Shaolin internal qigong exercise in CS patients.Methods:Sixty CS patients were randomized into two groups by the random number table method,with 30 cases in each group.Patients in the qigong group practiced Shaolin internal qigong exercise on a regular basis,while patients in the electroacupuncture(EA)group received EA treatment.Before and after treatment,the sEMG signals of six muscles,i.e.biceps brachii,triceps brachii,deltoid,pectoralis major,latissimus dorsi and trapezius muscles,of the affected side were recorded at 45°abduction of the shoulder,60°forward flexion and 90°internal rotation with the elbow flexed during maximal isometric contraction,and the integrated electromyography(iEMG)of each muscle was calculated.Results:The total effective rate was 93.3%in the qigong group,higher than 83.3%in the EA group(P<0.05).Intra-group comparison showed that the iEMG of biceps brachii,triceps brachii,pectoralis major and deltoid muscles in the qigong group increased significantly after intervention at 45°abduction of the shoulder,60°forward flexion and 90°internal rotation with the elbow flexed(all P<0.05),and the iEMG of trapezius and latissimus dorsi muscles decreased(both P<0.05);in the EA group,the iEMG of biceps brachii,pectoralis major and deltoid muscles increased significantly during contraction(all P<0.05),while the iEMG of triceps brachii,trapezius and latissimus dorsi muscles had no significant changes(all P>0.05).After intervention,there were significant differences in the iEMG of most of muscles between the two groups(all P<0.05),except for the iEMG of deltoid muscle at 45°of abduction of the shoulder joint during isometric contraction(P>0.05).Conclusion:Shaolin internal qigong exercise can effectively increase the motion intensity of the biceps brachii,triceps brachii,pectoralis major and deltoid muscles and reduce the compensation of the latissimus dorsi and trapezius muscles in CS patients;compared with EA,it produces a better result in improving the coordination and stability in shoulder joint movements.

Clinical observation on electroacupuncture plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis

Objective:To observe the efficacy of electroacupuncture(EA)plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis(KOA).Methods:A total of 60 patients with KOA were divided into an observation group and a control group according to the random number table method,with 30 cases in each group.Patients in the observation group received the treatment of EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises),while patients in the control group only received EA treatment.Both groups were treated for 5 weeks.The changes of Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and visual analog scale(VAS)scores in the two groups were observed after treatment.Results:After treatment,the total effective rate in the observation group(92.3%)was significantly higher than that in the control group(70.0%),(P<0.05);the WOMAC and VAS scores in both groups were significantly lower than those before treatment,showing statistical significance(all P<0.01);there were significant differences in the post-treatment changes in the WOMAC and VAS scores between the two groups(P<0.05,P<0.01).Conclusion:EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises)is clinically effective for KOA.This combined treatment can alleviate clinical symptoms.

Clinical observation of acupuncture and traction plus Ba Duan Jin(Eight-brocade Exercise)for improving discogenic low back pain

Objective:To observe the short-term and long-term efficacy of acupuncture and traction plus Ba Duan Jin(Eight-brocade Exercise)in treating discogenic low back pain(DLBP).Methods:Sixty patients were divided into an observation group and a control group using the random number table method,with 30 cases in each group.The control group was intervened by acupuncture and traction,while the observation group was given additional Ba Duan Jin(Eight-brocade Exercise)practice.The intervention lasted for a total of 1 month,with a follow-up study conducted 6 months later.The visual analog scale(VAS)and Oswestry disability index(ODI)scores in the two groups were compared before and after treatment,and the efficacy was compared at the end of the treatment between the two groups;the relapse rate was compared at the 6-month follow-up between the two groups.Results:The pain VAS and ODI scores decreased after treatment in both groups,and the intra-group differences were statistically significant(all P<0.05);the pain VAS and ODI scores in the observation group were lower than those in the control group after treatment with statistical significance(both P<0.05).At the 6-month follow-up,the relapse rate was 10.3%in the observation group versus 48.0%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion:The combination of acupuncture,traction and Ba Duan Jin(Eight-brocade Exercise)is an effective method for DLBP and patients who received this method are less likely to relapse.