Comparative Observation Of Early Stage Scapuloh-Umeral Periarthritis Treated With Kinetic Acupuncture On Distal Points Of The Affected Meridians

Objective:To compare the clinical therapeutic effects on scapulohumeral periarthritis between kinetic acupuncture on distal points of the affected meridians and shoulder three-needle therapy.Methods:Fifty cases of scapulohumeral periarthriris from the acupuncture clinic of the second affiliated hospital of Heilongjiang University of Chinese Medicine were randomly divided into an observation group and a control group,25 cases for each. The cases in observation group were treated with kinetic acupuncture on the distal points of the affected meridians. For example, the case of Hand-Taiyin type was treated with Yuji(LU 10) and the case of Hand-Yangming type was treated with Hegu(LI4),etc. The cases in control group were treated with shoulder three-needle therapy, in which, Jianqian(Extral), Jianyu(LI5),Jianliao(TE14) were selected; 7 days of treatment made one session, totally 2 sessions were required. Results before and after treatment was evaluated with Short Form McGill Pain Questionnaire score (SF-MPQ). Statistics and analysis was done using SPSS statistical software.Results:1. Comparison the two groups shoulder joint efficacy scores. In observation group, the curative rate based on shoulder joint was 72.0% (18/25). which was superior to that of 40.0% (10/25) in control group.The observation group showed tendency to be more effective than the control group.2. Comparing the two groups subjective feeling of pain rating index (PRI-S) showed statistically significant decreasing intervention curve among the two groups (F=127.196 P<0.001). The observation group expressed after treatment a larger decline than the control group.3. Comparing the total score of pain sensation according to emotional items (PRI-A) between the two groups. Results showed that there was a statistical difference (F=9.776 P=0.003) between the two groups, comparing the decline of their respective curve on this issue. The observation group decline more than the control group.4. Comparison between the two groups of the total assessed pain rating index score (PRI-T, subjective pain feeling item + emotion item). Results after comparing the two groups, showed that there was a statistical difference (F=116.812 P＜0.001) between the two groups, comparing the decline of their respective curves on this issue. The observation group decline more than the control group.5. Comparison between the two groups according to the rated Visual Analog Scale (VAS) assessed data. Results showed that there was a statistical difference (F=416.263 P<0.001) between the two groups, comparing the decline of their respective curve on this issue. The observation group decline more than the control group.6. A comparison of the"Present Pain Index (PPI) between the two groups. Results showed that in the two groups, the decreased curve of PPI-score after the intervention expressed statistical significance (F=5.119 P=0.028). The observation group showed a better decline curve than the control group.Conclusion;From the results of the clinical research, we consider that both the kinetic acupuncture on distal points of the affected meridians and the shoulder three-needle therapy have. improved the symptom of scapulohumeral periarthritis, but the kinetic acupuncture on distal points of the affected meridians is superior than the shoulder three-needle therapy group. The treatment that giving kinetic acupuncture on distal points of the affected meridians can relieve the pain, improve the function of the shoulder. It has the advantage of low complications, economic and convenience, so the treatment is easily accepted by the patients.