Clinical observation of contralateral needling plus tendon-bone balancing Tuina for scapulohumeral periarthritis
10.1007/s11726-023-1395-z
- VernacularTitle:巨刺法联合筋骨平衡推拿治疗肩关节周围炎临床观察
- Author:
Yangyang AN
;
Xu ZHOU
;
Zhen LI
;
Hongmin MA
;
Guochuan YE
;
Jue HONG
- Keywords:
Acupuncture Therapy;
Contralateral Needling;
Point-toward-point Needle Insertion;
Tuina;
Massage;
Frozen Shoulder;
Shoulder Pain;
Periarthritis
- From:
Journal of Acupuncture and Tuina Science
2023;21(5):375-382
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy of combining contralateral needling and tendon-bone balancing Tuina(Chinese therapeutic massage)in treating scapulohumeral periarthritis(SP). Methods:Sixty-eight eligible participants were chosen and randomized into an acupuncture group and an acupuncture plus Tuina group,with 34 cases in each group.The acupuncture group received treatment with contralateral needling,and the acupuncture plus Tuina group was treated with contralateral needling combined with tendon-bone balancing Tuina.The post-treatment changes in the Constant-Murley score for comprehensive shoulder function,visual analog scale(VAS)score for pain,and shoulder range of motion(ROM)score were compared after 2 treatment courses to estimate the clinical efficacy in the two groups. Results:After treatment,the total effective rate was 96.7%in the acupuncture plus Tuina group versus 83.9%in the acupuncture group,showing a significant difference between the two groups(P<0.05).The Constant-Murley shoulder function score increased in the acupuncture plus Tuina group after the intervention;a decreased VAS pain score and an increased shoulder ROM score were found in both groups.After 1 and 2 treatment courses,the between-group comparisons of the Constant-Murley and shoulder ROM scores showed statistical significance(P<0.05).Regarding the VAS score,the acupuncture plus Tuina group was lower than the acupuncture group after the first treatment course(P<0.05),but there was no significant difference between the two groups after 2 treatment courses(P>0.05). Conclusion:Contralateral needling plus tendon-bone balancing Tuina can produce more significant clinical efficacy and relieve pain faster than contralateral needling alone in treating SP.