The Comparative Research Of Periarthritis Of Shoulder Treating By Distal Acupoints And Local Acupoints

ObjectiveThis paper mainly based on randomized research design principles to acupuncture distance with points and local points of comparison, the clinical effect was observed with inflammation of the distance to treating hole, designed to investigate the distance distribution points, local points therapy difference in efficacy and mechanism of inflammation around the shoulder joint, and provide an objective basis for the clinical treatment of frozen shoulder.MethodsThe case study from Taiwan clinic patient, case collection time for the December 2014-2015 In December 2009,80 cases were collected in line with the diagnosis of patients with peri arthritis, wherein the distance with points group of 40 patients, local points group 40 cases.TCM diagnostic criterion-referenced "Journal of Clinical Acupuncture and diagnostic and treatment practices" in the "shoulder Bi" diagnostic criteria Western diagnostic criteria refer to "Clinical Pain Therapeutics’ periarthritis of diagnostic criteria for TCM type reference" in Western medicine diagnosis and treatment of rheumatism "in the" shoulder paralysis "an important syndrome type, the patients were divided into frozen blood stasis type, invasive cold, cold stagnate type, blood deficiency type four syndromes. Treatment for a total of two courses, two weeks of a course of treatment, acupuncture three times a week. Observation indicators:Evaluation of shoulder pain is described with reference to the internationally recognized measurement simplify the McGill Pain Scale pain assessment, shoulder motor function was assessed using functional scale ASES shoulder, shoulder measurement evaluation activities measure the patient’s shoulder flexion, shoulder abduction, shoulder extending degrees. The evaluation method with reference to People’s Republic of China Ministry of Health in 1997 to develop standards for the efficacy of the release of frozen shoulder "Chinese medicine clinical research guidelines."ResultsPeriarthritis patients collected 80 cases. Before treatment, the age structure, gender, duration of the composition of the group in the distance with points and local points group were not significantly different (P＞ 0.05) by statistical analysis, case distance with explanatory information Point Group and local points group comparison with a comparative aspect. Frozen efficacy evaluation comparisonsThe efficacy of the two groups were frozen by rank sum test, z= 0.127, P= 0.039, the difference was statistically significant (P＜0.05), in which the distance with points total effective rate was 90%, local points group total efficiency was 72.5%. The results suggest:distance acupoints therapy frozen in the overall comparison of efficacy, clinical efficacy more significant than mere local points.Shoulder pain score (McGill pain scale) comparisonsWhether it is or after a course of two courses, with local points distal acupuncture group and the group of local points of shoulder pain score (McGill pain scale) than before treatment, to reduce the significance of their scores (P＜0.05). Comparisons between the two groups after four weeks of acupuncture treatment, distance acupoints group McGill Pain Rating Scale score less than to local points group, the difference was statistically significant (P＜0.05). Distal acupuncture points with local groups and local points around the shoulder joint can relieve symptoms of inflammation in patients with localized pain, but in contrast to the overall efficacy of the distal end of the analgesic effect of acupuncture with local points of group therapy is superior to local points.ASES shoulder function score comparisonsAfter two weeks of treatment, the distal acupoints increased (P＜0.05) with the former local acupoints and treatment group compared to ASES shoulder function score. Four weeks after treatment, both groups ASES shoulder function scores were improved than before treatment (P＜0.05). After two courses, the degree of improvement distal acupoints with local acupoints group ASES shoulder function score better than the local acupoints group score increased statistical superiority (P＜0.05). Local points for short-term efficacy of daily functional activities around the shoulder joint inflammation in patients with obvious, distal acupoints with local acupoints group can better improve patients frozen shoulder dress, high extract, toilet, hair, etc. functional activities, its efficacy is more pronounced than the local points.Shoulder flexion case comparisonsAfter treatment, although shoulder flexion value than before treatment has increased, but there was no statistical difference (P＞0.05), and the group was not significantly different between. Both near and far with points or local points the treatment of patients with shoulder inflammation around the shoulder flexion to improve the situation is not very clear.Shoulder abduction case comparisonsWhether treatment is the treatment of around two weeks or two shoulder abduction cases as compared with before treatment, the degree has increased (P＜0.05), but no significant difference between the two groups (P＞ 0.05). Distal acupoints with local points, local points of acupuncture treatment for improving frozen shoulder abduction cases, there is a certain effect.Case comparisons shoulder stretch After treatment, the two groups after treatment compared to the previous situation the shoulder stretch significantly alleviated (P＜0.05), with local points after distal acupoints group shoulder extending degree than local acupoints group improved significantly (P＜0.05). After the distal acupoints with local acupoints group, local points of acupuncture treatment can better improve frozen shoulder stretch degree, and with points near and far more significant than local points efficacy. ConclusionThe results show that distance and local points with acupuncture acupuncture to alleviate pain and improve function in patients with frozen shoulder movement disorder and daily life situations have a certain effect. In contrast to the overall effect of frozen aspect, the clinical efficacy of therapy with points near and far more significant than mere local points. Local acupoints group for frozen shoulder function in patients with no obvious improvement activities, and distance with points set either analgesia or improve activities of daily living situations are better than local points.