The Literature Research Of Tui-na Treatment Of Periarthrit Is Of Shoulder

Inflammation around the shoulder joint is a kind of chronic aseptic inflammation caused by many factors influence to the performance of shoulder joint disease, its characteristic is that local pain and shoulder joint function of shoulder joint activities is limited, can appear near JianBei local muscle atrophy. According to the world health organization’ s survey, in recent years the incidence of periarthritis of shoulder rises year by year, has become influential in daily life a kind of disease; Traditional Chinese medicine called periarthritis of shoulder "leakage shoulder wind", "over the shoulder", "frozen shoulder" and "freezing shoulder", etc. Think three pathogenic wind, cold, wet and attack the body, the body’s blood loss so that qi and blood deficiency, or when the work activity flash down strain that qi and blood could not prevail, all can induce periarthritis of shoulder. In contemporary medical point of view, in the shoulder joint synovial pathological changes is the fundamental cause of the disease, its performance is near the shoulder joint soft tissue fibrosis caused by joint slippery bursa, joint and adhesion, periarthritis of shoulder. Massage therapy is an effective way of treatment of periarthritis of shoulder, massage in the treatment of periarthritis of shoulder many clinical efficacy research literature, but is now used in the process of massage in the treatment of periarthritis of shoulder methods lack of systemic research. The study in the literature for nearly 20 years of massage treatment of periarthritis of shoulder were studied, in order to find the commonness of massage treatment of periarthritis of shoulder, and guide the clinical treatment of periarthritis of shoulder for the future.Objective:To consult and extract the literature of Tui-na In Treatment of Periarthritis of Shoulder In recent 20 years from the domestic electronic database, and system classify them, In accordance with the literature of general information, rela-ted document information, and tui-na for treatment of periarthritis of should-erprocess, auxiliary intervention measures, curative effect in the treatment etc, establish them and quantitative or qualitative analysis, To summarize and sum up to the problems of clinical research at present, Summary on the similarities and differences between the various aspects of contemporary clinical tui-na for treatment of periarthritis of shoulder in the liter-ature, put forward the treatment research prospect, provide development ideas for the future direction of research on massage in treating periarthritis of shoulder.Method:By searching electronic databases and hand searching with related literatures of domestic electronic databases, consult, extract;combining with literature and literature linking the traced methods such as supple ment, for nearly 20 years(1995-2014)published in CNKI, VIP and other electronic databases on the tui-na treatment of scapulohumeral periarthritis literature were retrieved electronically, in strict accordance with the inclusion criteria, exclusion criteria for screening; using Revman5.2 for statistical analysis, interpretation of results using graph, table, in the form of.Results:The analysis results of metrology:1.From 1995 to 2014 on massage in treatment of periarthritis of shoulderarticle published number increased year by year, but also a number of individual year compared with a year ago a slight reduction in literature. Number of published before ten years of relevant literature less, about 35.2% of the total. After ten years of published literature quantityincreased significantly, accounting for about 64.8% of the nearly twenty years, especially in 2013 as the most, a total of 86.2.In this study, all of the selected documents, cases from the outpatients of 622, accounting for 54% of the total;from hospitalized patients are 23,accounting for about 2% of all hospitalized patients and outpatients;literature is 46, accounting for about 4%; not to indicate case sourcedocuments that there are 460, accounting for about 40% of.3. Diagnostic criteria of mainly by the following components:the national standard, medical books, higher education textbooks, self-made standard etc. About 39% of the national standards for selection,449 articles,8% for the self-made standard, a total of 92; medical books or manuals for the standard of 58, accounting for about 5%; higher education textbooks standard only 3%, a total of 34; the other standard 46, accounting for 4%; diagnosis standard is not represented a total of 472 article, accounted for 41%.4. This study selected the literature of all, a total of 138 articles or about 12%literatures only on its research has made a detailed description of the inclusion criteria, and 127 articles or about 11% literatures only on theexclusion criteria described, but only 107 articles, two were also described, only accounted for 9.3%.5. This study,495 papers in the literature of all, using self-made standard, accounting for about 43% of total literature; about 38% of the437 articles altogether by national standard; standard of curative effect of 69 papers selected medical books, accounting for about 6%; 58 articles by higher education textbooks in the standard,5%; 23 articles by other criteria are not clear; the efficacy of standard a total of 69, accounting for 6%.6. This study contains a follow-up record all the selected 69 papers in the literature, accounted for 6%, but were not on the follow-up processdescribed in detail; the data shows 40% a total of 460 literaturesdescribed cases of termination; no massage adverse event reporting.7. In the all of the selected documents, a detailed description of the method of massage methods a total of 520, accounting for 45.2%; make the description on the body massage after the reaction of 343, accounting for 29.8%; the description of the manipulation time is 836,about 72.6%;points out the treatment frequency 993, accounting for 86.3%; describe the treatment a total of 1070, accounting for 93%.8.The 1151 articles,1058 articles describing the use section, accounting for 91.9%; 1029 papers describing the use rolling method, accounting for 89.4%; 865 records the press kneading method,783 papers describing the use get method, 748 papers describing the use of Pushing Manipulation with one finger,715 papers describe the use of plucking method;and pulling and stretching method, rubbing method, rubbing method, shaking method to describe the relative use less.9. The 1151 articles,340 articles for massage for treatment of periarthritis of shoulder, only accounted for 29.5%; the rest of the 811 article of massage combined with other therapy for the treatment of scapulohumeral periarthritis, including acupuncture combined with massage for 254, accounted for 22.1%; massage combined with acupoint injection of 61, accounting for 5.3%; massage combined with cupping 105, accounting for 9.1%; the massage and massage combined with TDP irradiation combined with functional exercise and the 86, accounting for 14.9%; massage combined with closed 21, accounting for 1.8%; massagecombined with moxibustion 152, accounting for 13.2%; massagecombined with other (knife, iontophoresis, scraping, ear ache) 46, accounted for 4%.Conclusion:1. Clinical application of massage in treatment of periarthritis of shoulder is widely used and the curative effect is good. But the face for outpatientclinic, patients with poor compliance, influence of evidence judgment. While in the experimental design, most of the lack of follow-up work part, thus affecting.the prognosis judgement. Therefore, in the design of future experimental research, researchers should consider patients do follow-upwork and follow-up time, for the distant patients can consider the use oftelephone visit way. And prognosis of follow-up work is also bettercurative effect in the treatment of the problem of proof.2. The lack of a standard uniform diagnostic criteria in clinical massage for treatment of periarthritis of shoulder, and when the standard of curative effect. And different standard such as pain index, the joint function, patients with self assessment. The proportion is different, treatment outcome it to study the direct effect. Comparison of efficacy in researchand therefore between studies, will make the reported macroscopic anduniversal significance has been questioned, so the unified standards be imperative. But as researchers should strengthen the basic research on the level of their own ascension, emphasis on evidence-based medicine, clinical laboratory medicine, clinical epidemiology, medical statistics such as learning, grasp the basic principle of the latest study, the efficacy of diagnostic criteria of timely follow-up for various diseases.3. The study also found that, in the present study on massage treatment of periarthritis of shoulder still stay in manipulation or manipulative therapycombinedwith acupuncture, moxibustion, cupping, needle, acupoint injection and so on, but is the study of massage combined with traditional Qigong exercise is relatively small, and the traditional Qigong exercise and massage are non-invasive, no side effect, less pain, and the patients can exercise therapy, reducing investment, convenient and affordable, and the traditional works than the general functional exercise a more systematic, comprehensive, so massage combined with functional exercise of the prospect of further development.4. In addition, massage for treatment of periarthritis of shoulder is the embodiment of the biomechanical effect, current science, organic willtraditional massage with modern anatomy, physiology, pathology, the combination of knowledge, based on the principle of biomechanics, science will ask for massage and but for the cure of comfortable massageto separate, massage force, Effect Study on the effect of area, time has become the new trend of development.