| Objective:Lateral epicondylitis(LE),also known as tennis elbow,is a common musculoskeletal disease that is prone to recurrent attacks.Floating needle can relieve pain by acting on fascia.Mulligan manipulation can relieve pain by acting on bone position and correcting local joint disorders.The two treatment methods have better immediate effect.On the basis of rehabilitation training for patients with external humeral epicondylitis,this study combined with floating needle therapy and Mulligan dynamic joint mobilization respectively.By comparing the overall curative effect and immediate curative effect of the two methods,we analyzed and discussed the respective advantages of the two methods,so as to provide some reference for future clinical work and find a better treatment for patients with external humeral epicondylitis.It also provides experimental basis for the clinical application of floating needle and Mulligan dynamic joint mobilization.Methods: 24 patients with Lateral epicondylitis in Xi’an were randomly divided into two groups: Fu’s Subcutaneous Needle group(Fu’s Subcutaneous Needling therapy combined with rehabilitation training)and Mulligan group(Mulligan’s Mobilisation with Movement combined with rehabilitation training).The patients in the Fu’s Subcutaneous Needle group were treated with Fu’s Subcutaneous Needling therapy 3 times a week for a total of 2 weeks,and 5 times a week for a total of 4weeks of rehabilitation training(including eccentric exercise training and stretching training of wrist extensor groups).(2)Mulligan group was given Mulligan’s Mobilisation with Movement 3 times a week for 2 weeks,and 5 times a week for 4weeks of Mulligan family treatment and rehabilitation training(including eccentric exercise training and stretch training of wrist extensor group).Before intervention,2weeks after treatment and 4 weeks after treatment,all subjects were evaluated by visual analog score(VAS),JOA elbow function score,painless grip strength test and wrist extensor muscle strength test.SPSS26.0 was used for statistical analysis,paired sample t-test was used for intra-group comparison,and independent sample t-test was used for inter-group comparison.Results:(1)VAS score and cure rate: after 2 weeks of treatment,the VAS scores of the two groups were significantly lower than those before treatment,but there was no significant difference between the two groups(P<0.05).After 4 weeks of treatment,the VAS scores of the subjects in the two groups were significantly lower than those before treatment,and the VAS scores of the Fu’s Subcutaneous Needle group were significantly lower than those of the 2 weeks after treatment.There was no significant difference in the VAS score of the Mulligan group.The VAS score of the Fu’s Subcutaneous Needle group was significantly lower than that of the Mulligan group,and the total effective rate of the f Fu’s Subcutaneous Needle group was better than that of the Mulligan group.(2)JOA score: after 2 weeks of treatment,the JOA scores of the two groups were significantly lower than those before treatment,but there was no significant difference between the two groups(P<0.05).After 4 weeks of treatment,compared with the results before treatment and 2 weeks after treatment,the JOA scores of the two groups decreased significantly,and there was no significant difference between the two groups(P<0.05).(3)Pain-free grip strength and wrist extensor muscle strength: after 2 weeks of treatment,compared with those before treatment,the pain-free grip strength and wrist extensor muscle strength of the two groups decreased significantly(P < 0.05),but there was no significant difference between the two groups(P<0.05).After 4 weeks treatment,compared with the results before treatment and 2 weeks after treatment,the pain-free grip strength and wrist extensor muscle strength of the two groups decreased significantly(P < 0.05),but there was no significant difference between the two groups(P<0.05).(4)Immediate effect: the VAS score of the floating acupuncture group after each treatment was significantly lower than that before treatment in the floating acupuncture group,and the VAS score of the Mulligan group after each treatment was significantly lower than that before treatment.In the floating acupuncture group,the painless grip strength decreased significantly after the first,second,fourth and fifth treatment(P <0.05),but there was no significant difference in other periods(P >0.05).In the Mulligan group,the painless grip strength decreased significantly before and after the first treatment,but there was no significant difference in the rest of the time.In the floating acupuncture group,the muscle strength of wrist extensor muscle decreased significantly after the first,third,fifth and sixth treatment(P <0.05),but there was no significant difference in other periods(P >0.05).In Mulligan group,the muscle strength of wrist extensor muscle decreased significantly after the first and fourth treatment,but there was no significant difference in other periods(P >0.05).There was no significant difference in VAS score,painless grip strength and wrist extensor muscle strength between the floating acupuncture group and the Mulligan group every 6 times after treatment,but the curative effect duration of the floating acupuncture group was significantly longer than that of the Mulligan group.Conclusion:(1)Floating acupuncture therapy combined with rehabilitation training and Mulligan dynamic joint mobilization combined with rehabilitation training can significantly reduce the pain symptoms of patients with external humeral epicondylitis and improve elbow joint function,painless grip strength and wrist extensor muscle strength after 2 and 4 weeks of treatment.(2)After 4 weeks of treatment,the improvement of pain symptoms by floating acupuncture combined with rehabilitation training was better than that of Mulligan dynamic joint mobilization combined with rehabilitation training,and the effective rate was also higher than that of Mulligan dynamic joint mobilization combined with rehabilitation training.(3)Floating needle therapy combined with rehabilitation training and Mulligan dynamic joint mobilization combined with rehabilitation training has a better immediate effect,but the effect of floating needle therapy is better than that of Mulligan dynamic joint mobilization. |
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