Clinical Study of Multi-Point Injection Combined with Tension Position Acupotomy Release in Treatment of Scapulohumeral Periarthritis
Objective:To observe the clinical effect of multi-point injection combined with tension position acupotomy release in treatment of adhesive scapulohumeral periarthritis.Methods:70 patients,who met the inclusion criteria for scapulohumeral periarthritis,were randomly divided into the control group and the observation group,with 35 patients in each group.The observation group was treated with multi-point injection combined with tension position acupotomy release therapy;whereas the control group was treated with routine injection combined with acupotomy therapy.The scores of visual analogue scale(VAS)and Constant-murley shoulder joint function,shoulder joint range of motion(ROM)were evaluated before the treatment,1 month,3 months and 6 months after the treatment in the two groups.Clinical efficacy was compared between the two groups.Results:At the 6-month follow-up,the clinical efficacy of the observation group was better than that of the control group(P＜0.05).The VAS score of the observation group was lower than that of the control group 3 months after the treatment(P＜0.05);there was no statistical difference in VAS score between the two groups 6 months after the treatment(P＞0.05).The Constant-murley shoulder function score of the observation group was higher than that of the control group at each time point after the treatment(P＜0.05).The ROM of shoulder was significantly improved after the treatment than that before the treatment in the two groups(P＜0.05);the flexion,abduction and external rotation of shoulder joint was better in the observation group than that in the control group 3 months after the treatment(P＜0.05);there was no statistical difference in flexion,abduction and external rotation between the two groups 6 months after the treatment(P＞0.05);however,the internal rotation activity of the shoulder joint in the observation group was still better than that in the control group(P＜0.05).Conclusion:Multi-point injection combined with tension point acupotomy has a significant short-term and long-term effect in treatment of scapulohumeral periarthritis.It can effectively relieve pain,improve shoulder joint function and ROM in patients.The therapy is safe and feasible,and is worthy of clinical promotion.
Scapulohumeral periarthritisMulti-point injectionTension position acupotomy release
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维普
