针灸临床杂志2024,Vol.40Issue(4) :21-25.DOI:10.19917/j.cnki.1005-0779.024068

丘墟透照海运动针法联合循经按摩对肩袖损伤患者肩关节活动度及自理能力的影响

Impacts of GB40-to-KI6 Motion Acupuncture Combined with Meridian Massage on Shoulder ROM and Self-Care Ability in Patients with Rotator Cuff Injury

张杰超 梁永瑛 何勇 刘晓燕
针灸临床杂志2024,Vol.40Issue(4) :21-25.DOI:10.19917/j.cnki.1005-0779.024068

丘墟透照海运动针法联合循经按摩对肩袖损伤患者肩关节活动度及自理能力的影响

Impacts of GB40-to-KI6 Motion Acupuncture Combined with Meridian Massage on Shoulder ROM and Self-Care Ability in Patients with Rotator Cuff Injury

张杰超 1梁永瑛 1何勇 1刘晓燕2
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作者信息

  • 1. 上海中医药大学附属光华医院,上海 200052
  • 2. 上海市普陀区人民医院,上海 200052
  • 折叠

摘要

目的:探究丘墟透照海运动针法联合循经按摩对肩袖损伤患者肩关节活动度及自理能力的影响.方法:将2022年3月-2023年2月来本院治疗肩袖损伤的患者88例随机分为观察组44例与对照组44例,对照组患者使用循经按摩的方式进行治疗,在对照组的基础上观察组加用丘墟透照海运动针法治疗,比较两组患者治疗前后的临床疗效、肩关节功能、关节活动度和生活自理能力变化.结果:对照组的总有效率为77.27%(34/44),明显不及观察组的95.45%(42/44),两组比较差异具有统计学意义(P<0.05);与治疗前比较,两组患者日常活动能力、肩关节疼痛程度、关节活动范围及肩关节肌力强弱分值均有不同幅度的提升,差异具有统计学意义(P<0.05),且观察组优于对照组,差异具有统计学意义(P<0.01);两组患者关节外旋、内旋、外展、前屈和后伸均较治疗前有较大提升,差异具有统计学意义(P<0.05),且观察组优于对照组,差异具有统计学意义(P<0.05);两组患者治疗后FIM,差异具有统计学意义(P<0.05),评分与治疗前比较均有所增加,差异具有统计学意义(P<0.05),且观察组优于对照组,差异具有统计学意义(P<0.01).结论:丘墟透照海运动针法联合循经按摩能够对肩袖损伤患者的关节活动度有明显提升作用,改善了患者的自理能力.

Abstract

Objective:To explore the impacts of Qiuxu(GB40)-to-Zhaohai(KI6)motion acupuncture combined with meridian massage on shoulder range of motion(ROM)and self-care ability in patients with rotator cuff injury.Methods:A total of 88 patients with rotator cuff injury were randomly divided into the observation group(n=44)and the control group(n=44)according to the envelope drawing method.The control group was treated with meridian massage;on which basis,the observation group was also treated with GB40-to-KI6 motion acupuncture.Clinical efficacy,and the changes in shoulder function,joint activity,and self-care ability were compared between the two groups.Results:The clinical efficacy of the observation group was 95.45%(42/44),which was significantly higher than 77.27%(34/44)of the control group(P<0.05).Both groups showed varying degrees of improvements in daily activity,shoulder pain,joint mobility,and shoulder muscle strength scores after the treatment(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.01).The external rotation,internal rotation,abduction,forward flexion,and backward extension of the shoulder joints showed obvious improvements after the treatment compared with those before the treatment in both groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.01).The FID score was increased after the treatment compared with that before the treatment in the two groups(P<0.05),and the increase was more significant in the observation group than that in the control group(P<0.01).Conclusion:The combination of GB40-to-KI6 motion acupuncture and meridian massage can obviously improve the shoulder joint mobility in patients with rotator cuff injury,and enhance their self-care ability.

关键词

肩袖损伤/丘墟透照海运动针法/循经按摩/肩关节活动度/自理能力

Key words

Rotator cuff injury/GB40-to-KI6 motion acupuncture/Meridian massage/Shoulder range of motion/Self-care ability

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基金项目

上海市卫生和计生委中医药科研课题(2018LQ002)

上海市长宁区卫生健康委青年中医培养项目(2021CNQNZY001)

出版年

2024
针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
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