| Objective: The paper compares the clinical observation of combining manipulation with sinew acupuncture and combining manipulation with acupuncture for shoulder impingement syndrome,and explores the clinical efficacy,feasibility and existing problems of the two therapies,and makes an objective and systematic evaluation.Methods: From December 2018 to January 2020,66 patients who suffered from Shoulder Impingement Syndrome and received treatment in the Kunming Hospital Of Traditional Chinese Medicine Department of Orthopedics was selected.Among them,30 cases were males and 36 cases were females,with the minimum age of 40 years old and the maximum age of 65 years old.66 eligible patients were randomly divided into observation group and control group.There were 33 cases in the observation group and 33 cases in the control group.The observation group was treated with sinew acupuncture and manipulation once a day,5 times for 1 course of treatment,and 2 days for rest after each course of treatment for a total of 3 courses of treatment.The control group was treated with filiform needle manipulation once a day,5 times a day for a course of treatment,with 2 days for rest between the courses of treatment,3 courses of treatment in total.In the treatment process,curative effect in both groups were evaluated with the shoulder joint Constant Murley score and VAS score analysis,and were scored on the 1st,7th,14 th and 21 st day after treatment.Finally,a database was established and SPSS22.0 was used for analysis.Results:Due to incomplete course of treatment and some patients who did not comply with treatment during the study,four cases were exfoliated,a total of 62 SIS patients completed the study,including 31 in the observation group and 31 in the control group.1.Baseline comparison:There was no statistical difference between the two groups in gender,age,and affected side(P > 0.05),and the baseline level of the two groups was comparable.2.Comparison of VAS scores:Comparison within the group:VAS scores in the observation group on the 1st,7th,14 th and 21 st day after treatment were significantly different from those before treatment(P < 0.05).In the control group,the difference of VAS score on the 1st day before and after treatment was not statistically compared(P > 0.05).In the same group,VAS scores on the7 th,14th and 21 st day after treatment were compared with those before treatment,and the difference was statistically significant(P < 0.05).Comparison between groups: on the 1st day,VAS scores of the observation group were compared with those in control group after treatment,and the difference was statistically significant(P < 0.05).On the 7th,14 th and 21 st day,VAS scores of the observation group were compared with those in control group after treatment,and the difference was not statistically significant(P>0.05)3.Comparison of Constant-Murley scores:Comparison within the group: on the 1st,7th,14 th and 21 st day,the Constant-Murley scores of the observation group was compared before and after treatment,and the difference was statistically significant(P < 0.05).On the 1st day,the Constant-Murley scores in the control group was compared before and after treatment,and the difference in pain,daily activity,activity level and muscle strength was not statistically significant(P >0.05),and the difference in total score was statistically significant(P < 0.05).On the 7th,14 th and 21 st day,the Constant-Murley scores in the control group were compared before and after treatment,and the difference were all statistically significant(P < 0.05).Comparison between groups:(1)On the 1st day,the Constant-Murley scores were compared between the observation group and the control group after treatment,and the differences in pain and total score were all statistically significant(P < 0.05),but the differences in daily life,range of motion of shoulder joint,and muscle strength were not statistically significant(P >0.05).(2)On the 7th day,the Constant-Murley scores were compared between the observation group and the control group after treatment,and the differences in daily life and total score were all statistically significant(P < 0.05),but the differences in pain,range of motion of shoulder joint,and muscle strength were not statistically significant(P >0.05).(3)On the 14 th day,the Constant-Murley scores were compared between the observation group and the control group after treatment,and the differences in daily life,range of motion of shoulder joint,muscle strength and total score were all statistically significant(P < 0.05),but the difference in pain were not statistically significant(P > 0.05).(4)On the 21 st day,the Constant-Murley scores were compared between the observation group and the control group after treatment,and the differences in daily life,range of motion of shoulder joint,muscle strength and total score were all statistically significant(P < 0.05),but the difference in pain were not statistically significant(P > 0.05).Conclusion: sinew acupuncture combined with manipulation for shoulder impingement syndrome has a significant therapeutic effect,which can effectively improve the function and the mobility of the affected shoulder,and the analgesic effect on the affected shoulder is significant and immediate. |
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