| Objective:To explore effectiveness of warm acupuncture combined with rehabilitation training on the shoulder joint function of patients in rotator cuff injury with moderate irritability through randomized controlled design,and in order to provide a scientific basis for the clinical treatment of rotator cuff injury with moderate irritability.Methods:A total of 70 eligible subjects were randomly allocated into treatment group(35)and control group(35).The treatment group was given warm acupuncture combined with rehabilitation training,and the control group was given rehabilitation training.Warm acupuncture points:Jianyu、Jugu、Jianqian、Jianzhen.Before and after the intervention,the subjects were assessed with SPADI,VAS,BTE muscle force test,ROM,MRI scanning;VAS was evaluated repeatedly at 0,2,4,6,8,10,12 and 14 days respectively;SPADI and VAS were evaluated one month after treatment.Statistical analysis used SPSS20.0 software,t test or rank sum test was used for measurement data,chi square test was used for count data,rank sum test was used for the grade data,Multiple observation time points were compared among groups,and repeated measurement analysis of variance was used.Results:1.A sample size of 70 subjects were estimated,and at the end of intervention period,1 subjects dropped out,5 lost to follow-up,3 refused to MRI scanning,As a result,61 subjects were included in the protocol data.2.The baseline results showed that the outcomes had no statistical differences between the two groups in age,gender,course of disease,proportion of dominant side,BMI,VAS,R value,ROM,muscle atrophy degree and SPADI score before treatment(P>0.05).3.The results showed that the total effective rate of warming acupuncture combined with rehabilitation training group was 100%,and the total effective rate of rehabilitation training group was 74%,the outcomes had statistical differences between the two groups(P<0.05).4.The results of pain score showed that the score of pain subscale of SPADI and VAS in the warm acupuncture combined with rehabilitation training group was significantly higher than that in the rehabilitation training group(P<0.05);there was no statistical difference between the two groups on the 2nd and 4th day after the intervention(P>0.05),and the score of VAS in the warm acupuncture combined with rehabilitation training group on the 6th,8th,10 th,12th and 14 th day was significantly higher than that in the rehabilitation training group(P<0.05).5.The results of functional impairment score showed that the total score of SPADI and the score of functional impairment subscale of SPADI in the warm acupuncture combined with rehabilitation training group were significantly higher than that in the rehabilitation training group(P<0.05).6.The results of muscle strength score showed that the R-value score of warm acupuncture combined with rehabilitation training group was significantly higher than that of rehabilitation training group(P<0.05)in shoulder joint flexion,extension,abduction and adduction,and there was no statistical difference between the two groups in external rotation and internal rotation(P>0.05).7.The results of joint activity showed that the score of shoulder activity in warm acupuncture combined with rehabilitation training group was significantly higher than that in rehabilitation training group(P<0.05).8.The results of muscle atrophy showed that there was no significant difference between the two groups(P>0.05).Conclusion:1.Warm acupuncture combined with rehabilitation training can improve the shoulder pain,dysfunction,activity and muscle strength of patients in rotator cuff injury with moderate irritability.2.Warm acupuncture combined with rehabilitation training can effectively relieve the pain symptoms of patients in rotator cuff injury with moderate irritability,after treatment for about one week.3.2 weeks of warm acupuncture combined with rehabilitation training had little improvement on the muscular atrophy of shoulder joint. |
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