Clinical Observation Of Modified Position Acupotomy In The Treatment Of Levator Scapulae Injury

BACKGROUND:Levator scapulae inj ury scapulae is characterized by soreness and distension of the shoulder or neck,pain and discomfort,and serious impact on neck,shoulder and upper limb activities.It belongs to tendons disease in traditional Chinese medicine.At present,there are lots of clinical treatments of traditional Chinese and western medicine,mainly conservative therapy.Most of the therapies for levator scapulae inj ury have the disadvantages of slow efficacy and high recurrence rate.Acupotomology has a significant clinical effect on the injury of the levator scapulae.Currently,acupotomology is often used in the prone position in clinical practice,but the safety and effectiveness of this kind of position treatment are questionable.Through clinical practice,we found that the effectiveness and safety of acupotomology for the treatment of scapulae levator muscle injury in lateral position can be guaranteed and improved.This study investigates the clinical efficacy of acupotomology in the treatment of levator scapulae injury in different positions,and provides a practical basis for the selection of appropriate positions for acupotomology in the treatment of this disease.OBJECTIVE:To observe the clinical efficiency,visual analogue score(VAS)and LENT-SOMA score of patients with scapulae levator muscle injury treated with acupotomy under modified lateral position and traditional prone position,and to analyze the role of acupotomy in the clinical treatment of levator scapulae injury and the treatment methods,so as to improve the clinical efficacy and safety of acupotomy in the treatment of levator scapulae inj ury.METHOD:Sixty patients diagnosed with levator scapulae injury who were admitted to the acupotomology department of Nanjing university of Chinese medicine outpatient service from January 2018 to December 2018 were recruited.60 patients were randomly divided into two groups by using the method of random number table,namely,the lateral position group and the prone position group,with 30 patients in each group.Both groups were treated with acupotomy.It was treated once a week,and 6 consecutive treatments were completed.The efficacy of the two groups after treatment was recorded.Visual analogistic scale(VAS)and LENT-SOMA Scale were used for efficacy observation and evaluation,and SPSS 22,0 software was applied for statistical analysis.RESULT:1.Compared with the prone position group,acupotomy in lateral position can remarkably improve the clinical symptoms and signs of patients,and the clinical effect is superior to that of the prone treatment,and the difference is statistically significant(P<0.05).2.Through visual analogue scale method,the VAS scores of the two groups after treatment are significantly improved compared with the prior treatment,and the difference is statistically significant(P<0.05).The improvement of scores in the lateral position group is better than that in the prone position,the difference is statistically significant(P<0.05).3.Through LENT-SOMA scale,functional disorders in the two groups are significantly improved after treatment compared with the prior treatment,and the difference is statistically significant(P<0.05).The improvement of functional disorders in the two groups is similar,treatmcnt,and the difference is statistically significant(P<0.05).CONCLUSION:1.The effect of acupotomy on levator scapulae inj ury is significant.2.The effect of modified lateral position acupotomy on levator scapulae inj ury is better than traditional prone position.3.During the treatment in this study,no adverse reactions occurred in the two groups of patients during the treatment,such as hematoma,severe pain,important nerve and blood vessel injury,pneumothorax,hemothorax and other adverse reactions,indicating that acupotomy for the treatment of scapular levator muscle injury has good safety.