Efficacy Observation of Filiform-Heated Needle Stimulation on Myofascial Trigger Points Based on the"Pivot Mechanism"Theory for Treating Neck-Shoulder Myofascial Pain Syndrome
10.13359/j.cnki.gzxbtcm.2025.07.020
- VernacularTitle:基于"枢机"理论运用毫火针激痛点治疗颈肩肌筋膜疼痛综合征的疗效观察
- Author:
Xuanling CHEN
1
;
Xiaolin YE
;
Qian XIE
;
Shuxiong LUO
;
Aiguo XUE
;
Qing SONG
Author Information
1. 广州中医药大学东莞医院,广东 东莞 523127
- Keywords:
pivot mechanism theory;
filiform-heated needle;
myofascial trigger points;
neck-shoulder myofascial pain syndrome;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(7):1693-1699
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of filiform-heated needle stimulation on myofascial trigger points(MTrPs)based on the"pivot mechanism"theory in treating neck-shoulder myofascial pain syndrome(MPS).Methods Sixty-four patients diagnosed with neck-shoulder MPS from the Acupuncture Department(inpatient and outpatient)of Guangzhou University of Chinese Medicine Dongguan Hospital between January 2023 and September 2023 were selected and randomly divided into a control group and an observation group using a random number table,with 32 cases per group.The control group received oral administration of Celecoxib Capsules,while the observation group received additional filiform-heated needle therapy.The treatment duration was 2 weeks and 1 course per week.Clinical efficacy was evaluated after 2 weeks,with observing the changes in the Short-Form McGill Pain Questionnaire(SF-MPQ)scores,Neck Disability Index(NDI)scores.The cervical range of motion(ROM)was compared between the two groups.Results(1)After treatment,the SF-MPQ scores of the two groups of patients were significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the SF-MPQ scores,and the difference was statistically significant(P＜0.05).(2)After treatment,the NDI scores of patients in the two groups were significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the NDI scores,and the difference was statistically significant(P＜0.05).(3)After treatment,the cervical joint mobility of patients in the two groups was significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving cervical joint mobility,with a statistically significant difference(P＜0.05).(4)The total effective rate was 96.88%(31/32)in the observation group and 84.38%(27/32)in the control group.The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).Conclusion Filiform-heated needle stimulation on MTrPs based on the"pivot mechanism"theory significantly alleviates pain,improves soft tissue injury,and enhances neck-shoulder mobility in patients with neck-shoulder MPS,demonstrating remarkable clinical efficacy.
