Improvement effects of shoulder-three-needle therapy plus joint mobilization and shock wave on clinical symptoms and pain mediators in scapulohumeral periarthritis
10.1007/s11726-025-1523-z
- VernacularTitle:肩三针配合关节松动术和冲击波对肩周炎临床症状和疼痛介质的改善效应
- Author:
Lei JIANG
;
Wudong SUN
;
Liping HU
;
Yue YU
- Publication Type:Journal Article
- Keywords:
Acupuncture Therapy;
Shoulder-three-needle Therapy;
Joint Mobilization;
Shock Wave;
Shoulder Pain;
Periarthritis;
Pain Mediator;
Randomized Controlled Trial
- From:
Journal of Acupuncture and Tuina Science
2025;23(5):437-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of shoulder-three-needle therapy plus joint mobilization and extracorporeal shock wave therapy(ESWT)in improving symptoms and pain mediators in patients with scapulohumeral periarthritis.Methods:A total of 82 patients with scapulohumeral periarthritis were randomized into a control group and an observation group by the random number table method,with 41 cases in each group.The control group was treated with ESWT.The observation group was treated with additional shoulder-three-needle therapy plus joint mobilization based on the treatment in the control group.After 4 weeks of treatment,shoulder joint function,pain mediators,inflammatory factor levels,and clinical efficacy were compared between the two groups.Results:The total effective rate and the score of shoulder joint function in the observation group were higher than those in the control group(P<0.05).After treatment,the levels of serum pain mediators substance P(SP),5-hydroxytryptamine(5-HT),and prostaglandin E2(PGE2),as well as inflammatory factors interleukin(IL)-6,tumor necrosis factor(TNF)-α,and C-reactive protein(CRP)decreased significantly in both groups(P<0.05).And,the serum pain mediators SP,5-HT,and PGE2,and the levels of inflammatory factors IL-6,TNF-α,and CRP in the observation group were all lower than those in the control group(P<0.05).Conclusion:Shoulder-three-needle therapy plus joint mobilization and ESWT has a better curative effect than ESWT alone in treating scapulohumeral periarthritis.It can effectively improve the clinical symptoms,reduce the levels of pain mediators and inflammatory factors,and increase shoulder joint function.
