| BackgroundAccording to reports in the U.S, myofascitis has become the second most common cause (upper respiratory infection as the first one), and seriously affect people’s work and life, about four million people suffering from this disease; Disease can occur in many parts of the body.It is the common disease in clinical.The disease is more complex, the incidence rate of up to12%and was caused by the posture,external environment and other reasons, often lingering refractory.Tt is hard to be cured, seriously affecting the patient’s work and study.After entering the new century, in China, the number of people who use computers had reached50million. Use of computers is becoming the frst caues of modern professional who shoulder and back pain. Some scholars through the questionnaire to survece the information technology (IT) health status,it showed that: work more than8hours everyday, accounting for77.8%, work more than11hours everyday, accounting for22.5%. About64.3%of IT practitioners using computer for longer than8hours everyday.56.4%of the population working more than11hours everyday who use the computer about more than nine hours everyday. This overload of using a computer to make a considerable number of people in the IT sector has long been plagued by acid precipitation scapular pain, and this effect will gradually increase over time."Lingshu tendons", the twelve bars on the body limbs from the finger, toe, terminating in the head and body, and "knot"," together" in the joints and muscles of the body, through the line with concentric characteristics. How scapular of tendons after:Hand sun tendons " its branch who go after axillary inexpensive, around the shoulder on......"; hand Yangming tendons "......its branch who, around the shoulder, relying on the ridge; straight who, from the shoulder to neck ".......Lingshu sad that" tendonsn who had the disease when the branched pain and spasm,""support tendon transfer "; hand Sun tendons "into the armpit, armpit pain, pain after axillary Lim, eagerly and pain around the shoulder "; hand Yangming tendons "shoulder can not move, can not be left as the neck," and so on.Modern research showing that jingjin and fascia muscle groups are directly related. Scapular multiple tendons through the line where there are a lot of muscle fascia tissue. Trapezius, rhomboids,levator scapulae, supraspinatus, infraspinatus muscle, teres minor, subscapularis, these distributions and wrapping around the scapula, when people work on desk for long time, scapular muscles around the fascia is long-term state of tension, resulting in edema, exudation, pathological changes in muscle fiber spasm, causing shoulder muscles fasciitis occurs. So the real scapular muscle fasciitis medicine belong to the scope of the jingjin disease in the TCM." Lingshu tendons " described each of the tendons over time, and finally described the treatment of tendons principles, namely " robbery burnt needle prick to know amounting to pain is lost.""Lingshu9-pin12of the original" The needle is divided into nine, and made a detailed introduction,"nine-pin in the name of various shape...... Rider beryllium needles, four inches long, two and a half wide;pizhen who, at the end as Janus."Currently according to the material principles,pizhen Is converted into a smaller needle and the treatment of the disease spectrum has changed, this improved for pizhen in cutaneous nerve entrapment, muscle fascia and other soft tissue pain have a good effect. Are also the characteristics of the corresponding tendons of the disease, so that the therapies of robbery thorn can be effectively implemented.Therefore, based on the theory of traditional Chinese medicine tendons, the use of pizhen to "shoulder muscles fasciitis gather for patients with localized pain points to lose"on the shoulder muscles fasciitis treatment is an effective ideas and methods to alleviate pain in patients. PurposesThrough the literature on the " tendons" theory and mechanism of pizhen acupuncture theory to in-depth study the treatment methods of shoulder muscles fasciitis;analysis relationship between shoulder muscles fasciitis local common pain points and tendons," knot","together " and clinical significance; through randomized controlled clinical studies according to medicine tendons theory and soft tissue mechanics to discuss the correlation tenderness value of the local pain points and soft tissue tension, to evaluation the clinical efficacy and advantages of pizhen therapy for shoulder muscles fasciitis pain.MethodsOne hundred and sixteen patients were divided into two groups according to random number table method,58cases in treatment group and58cases in control group;Among them,109patients finished treatment and followed up,treat-ment group fall off in2cases, One case of control group was rejected and4cases, fall off. In treatment group, there were15males and41females with a mean age of(28.02+4.85) years, the course of disease for0.25to3years, treated by Pizhen once a week, and2weeks were a course. In control group, there were19males and34females with a mean age of (27.23+4.54) years.the course of disease for0.25to1year, treated by acupuncture massage instrument,20minutes at a time, once a day for2weeks.Soft tissue displacement and banana area were tested by soft tissue tension tester, pressure value were measured by pressure measuring instrument, VAS score were recorded by pain visual analog scale recordData using SPSS19.0statistical software for statistical analysis.Which quantitative data were expressed as x±s,group design quantitative data using"t"test, count data were compared using the x2test,selected two-sided95%confidence interval, the P<0.05considered as statistically significant. Results109patients in the tender point distribution:the supraspinatus fossa tenderness in20cases, scapula axillary margin of the segment tenderness in16cases, scapular axillary edge of the middle tenderness in10cases, scapular axillary edge of the lower section of tenderness in9cases, scapula medial margin of28cases of the previous paragraph, the medial scapula edge of the middle18cases,3cases of medial border of the scapula following paragraph, the infraspinatus fossa5cases.Treatment group and the control groups500g soft tissue displacement values banana area, tenderness measurements, subjective pain VAS scores before and after treatment was statistically significant difference (P<0.05), and500g of soft tissue displacement values after treatment, tenderness values, the treatment group was higher, bananas treated area and VAS scores were lower than the control group. Clinical evaluation, treatment group clinically cured29cases, effective in13cases, improved in12cases,invalid in2cases;in the control group clinically cured16cases,effective in19cases,improved in11cases, invalid in7cases. There are significant differences between the two methods (X2=8.840, P=0.031) in the treatment of shoulder muscles fasciitis overall efficacy.Tenderness value and soft tissue displacement data values correlated (P<0.05); tenderness value as the dependent variable, soft tissue displacement data as an argument between the two linear regression equation:Y (tenderness value)=0.420+0.518X (soft tissue displacement data).ConclusionFrom the perspective of the tendons, shoulders fasciitis pain point is actually pathological tendons knot poly site. Value and tenderness in patients with soft tissue pain points of tension has a negative correlation. Under the guidance of TCM tendons theory and soft tissue mechanics, pizhen at pain points that the soft tissue tension higher pain points, by reducing soft tissue tension localized pain points, relieve nerve compression and irritation, so as to effectively alleviate the shoulder muscles and tendons pain in patients with meningitis, with fast, efficient, safe, and convenient clinical advantages. |
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