Stick-point Sinew-soothing and Bone-setting Manipulation for Scapulohumeral Periarthritis： a Randomised Controlled Trial
10.13288/j.11-2166/r.2024.03.012
- VernacularTitle:棍点理筋正骨手法治疗肩周炎患者30例的随机对照试验
- Author:
Haijun JIANG
1
;
Xianzhong BU
2
;
Yuanming ZHONG
3
;
Jianfeng HUANG
1
;
Baohe YIN
1
;
Dingshan CEN
1
Author Information
1. Hezhou Hospital of Traditional Chinese Medicine Affiliated to Guangxi University of Chinese Medicine， Hezhou， 542899
2. The First Affiliated Hospital of Henan University of Chinese Medicine
3. The First Affiliated Hospital of Guangxi University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
scapulohumeral periarthritis;
massage;
pain;
inflammatory factors;
stick-point sinew-soothing and bone-setting manipulation
- From:
Journal of Traditional Chinese Medicine
2024;65(3):292-298
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the clinical effectiveness and safety of stick-point sinew-soothing and bone-setting manipulation for scapulohumeral periarthritis. MethodsUsing prospective randomised controlled trial method， 60 cases of patients with scapulohumeral periarthritis were collected and randomly divided into 30 cases each in control group and trial group. Both groups of patients were orally treated with celecoxib， on the basis of which the control group was treated with traditional bonesetting manipulation once every other day for 14 days， while the trial group was treated with stick-point sinew-soothing and bone-setting manipulation once every 3~5 days for 14 days. Both groups were treated for 2 courses. The main observation indexes were pain visual analogue scale （VAS） score and shoulder pain and dysfunction index （SPADI）， which were evaluated once before treatment and after 2 and 4 weeks of treatment. The secondary effectiveness indicators included the university of California at Los Angeles shoulder rating scale （UCLA）， traditional Chinese medicine syndrome score （including symptom scores as joint pain， pain in a fixed place， activity limitation， local stiffness）， and serum interleukin （IL-6） and tumour necrosis factor α （TNF-α） levels before and after the treatment， in order to evaluate the clinical effectiveness， and to record the adverse reactions that occurred in the process of diagnosis and treatment. ResultsCompared with the groups before treatment， the pain VAS score， SPADI and scores of joint pain， pain with a fixed place， activity limitation and local stiffness were lower， UCLA score was higher， and serum IL-6 and TNF-α levels were lower at 4 weeks of treatment in the two groups （P＜0.05）. When comparing the two groups between the groups at 2 and 4 weeks of treatment， the pain VAS score， SPADI and TCM scores of each symptom in the study group were lower than those in the control group， the UCLA score was higher than those in the control group （P＜0.01）， and the serum IL-6 and TNF-α levels were lower than those in the control group at 4 weeks of treatment （P＜0.01）. The clinical effectiveness rate of the study group was 66.67%， which was significantly higher than that of the control group， which was 40.00% （P = 0.038）. No adverse reactions were seen in both groups during the study. ConclusionCompared with the traditional massage manipulation， the treatment of scapulohumeral periarthritis with stick-point sinew-soothing and bone-setting manipulation has more advantages in relieving pain symptoms， reducing inflammatory reaction， and promoting the recovery of shoulder joint function.
