The Clinical Effect Observation Of The Treatment Of Frozen Shoulder With Needle Knife Under The Guidance Of The Theory Of Reinforcement

Objectives:The article aims to observe the clinical effect of the treatment of frozen shoulder with needle knife under the guidance of the theory of reinforcement,to discuss the guiding significance of the theory of reinforcement to the needle knife in clinical work,and to provide a new idea for the treatment of frozen shoulder with needle knife.Methods:90 patients with frozen shoulder,who come from Bone Traumatology Department in People's Hospital affiliated to Fujian University of Traditional Chinese Medicine from October,2016 to October,2017,are in line with the diagnostic criteria,inclusion criteria but do not meet the exclusion criteria.All the patients were randomly divided into experimental group,control group and basic group,30 cases in each group.The patients in the experimental group were treated with needle knife based on the theory of reinforcement.Points:The main points include yunmen,jianyu,jianliao,jianzhen,tianzongci,binaoci,and the matching acupoints include waiguan,quchi,houxi.The control group were treated with the lysis of "C"shape of needle knife.Points:Scapular Beak Burst Point-Humerus Node-Humerus Node Point-Humerus Node.Once a week,and three weeks for a period of treatment.Both groups were treated with the same technique and instructed the patients to perform reversion functional exercise.10 times for a set,and three sets for one day.The basic group were treated with technique and functional exercise:The technique is as same as the above two groups.Once a week,and three weeks for a period of treatment.The functional exercise is as same as the above two groups.10 times for a set,and three sets for one day.Count and analyze the three groups' scores of each subject on visual analogue scale and the adjusted Constant-Murley test at post-treatment session and one week after the end of treatment,and the overall efficacy of the three groups after treatment was compared.After treatment for 3 months,take outpatient follow-up and assess the recovery of problem shoulder activity.Data in this research is processed by the software of SPSS 20.0.Results:1.One week after the end of treatment,the overall efficacy of the three groups were analyzed as follows:the total effective rates of Experimental group and control group are 93.3%and 90.0%,and the total effective rate of Basic group is 83.3%.It can clearly be seen that the overall efficacy is:experimental group>control group>Basic group.The difference of the curative effect of the three groups,after being compared between two groups,has statistically significance(P<0.017).It is indicated that the treatment of frozen shoulder with needle knife under the guidance of the theory of reinforcement could gain a better effect.2.In VAS evaluations and the adjusted Constant Murley score(including each item and total score),after comparing the data of three groups one week after the end of treatment and before treatment,get to know the difference was significant(P<0.01).It shows that three kinds of treatment methods all had remarkable curative effect to improve the clinical symptoms of frozen shoulder.After the comparison among the three groups,the difference has statistically significance(P<0.05).It is indicated that the treatment of frozen shoulder with needle knife under the guidance of the theory of reinforcement had a better effect to reduce shoulder pain and recover the normal activity of the shoulder.3.Took follow-up after three months,and compared the outreach of shoulder joint among three groups,and found that the difference was significant(P<0.01).Compared the three groups in the upper limbs stretch of shoulder joint recovery evaluation and found that the difference was significant(P<0.003).The difference has statistically significance after the comparison between experimental group and control group(P<0.017).It is indicated that the treatment of frozen shoulder with needle knife under the guidance of the theory of reinforcement had a better advantage in the long-term efficacy recovery evaluation,and can improve the patients' quality of life after recovery.Conclusions:Needle-knife lytics under the guidance of the theory of reinforcement can significantly improve the clinical symptoms and symptoms score of patients with frozen shoulder,reduce patients' pain and improve the quality of life,is worth popularizing in clinical application.