| Objective:The purpose of this study was to observe the clinical effect of diverging extracorporeal shock wave therapy for periarthritis of shoulder and pain point therapy for periarthritis of shoulder guided by tendon theory.It provides a new treatment idea for clinical treatment of periarthritis of shoulder.Methods:A total of 80 patients diagnosed with periarthritis of shoulder with a course of disease>3 months in the outpatient department of The Sixth Hospital of Beijing from February 2018 to December 2019 were selected as the study subjects,and were divided into observation group(n=40)and control group(n=40)according to random number table method.The observation group was treated with divergent shock wave tendons,while the control group was treated with divergent shock wave pain points.Treatment once a week,3 weeks(times)as a course of treatment,a total of 1 course of treatment.Visual analog scale(VAS)and Constant-Murley Score(CMS)of 2 groups were recorded.Data were collected before treatment,after 1 course of treatment,I month after treatment,3 months after treatment,and 6 months after treatment,respectively,and the total effective rate was evaluated at 6 months after treatment.The data were collected for statistical analysis,and the relevant observation indicators of patients were analyzed,compared and evaluated.Results:1.A total of 80 patients were included in this study,male:female=22:58 cases,according to random number table method divided into observation group(n=40)and the control group(n=40),the observation group 1 case due to treat bruises shoulder weeks during the process of large and peels of discontinuation,1 case of loss due to lost to follow-up,the control group 1 case because of the way a painkiller and eliminate,3 cases of loss due to lost to follow-up,ultimately,a total of 74 patients were involved in completing this subject research.Among them,the observation group:male:female=12:26,age 55.28±6.45(age),affected side left:right=15:23,course of disease 5.04±1.67(month);Control group:male:female=10:26,age 52.76±7.64(age),affected side left:right=9:27,course of disease 5.28±1.48(month).2.Before treatment,there were no statistically significant differences in age,gender,affected side,course of disease,visual analog scale(VAS)and Constant-Murley Score(CMS)between the two groups(p>0.05),indicating comparability.3.Visual analog scaleIntra-group comparison:VAS scores at the end of 1 course,1 month after treatment,3 months after treatment and 6 months after treatment were all lower than those before treatment,with statistical significance(p<0.05).Comparison between groups:There was no significant difference in VAS score between the observation group and the control group at the end of 1 course and 6 months after treatment(p>0.05);VAS scores of the observation group and the control group were significantly different 1 month and 3 months after treatment(p<0.05).4.Constant-Murley Score(CMS)Intra-group comparison:CMS scores were improved after 1 course of treatment,1 month after treatment,3 months after treatment and 6 months after treatment,with statistical significance(p<0.05).Comparison between groups:There was no statistically significant difference in CMS score between the observation group and the control group after 1 course of treatment(p>0.05),but there was statistically significant difference in CMS score at other time periods after treatment(p<0.05).5.Clinical efficacy evaluationThe total effective rate was 93.75%in the observation group and 91.43%in the control group 6 months after treatment,and there was no statistical significance between the observation group and the control group(p>0.05).6.Safety evaluationIn the course of treatment,1 patient in the observation group had large ecchymosis around the shoulder and fell off after treatment,and the subcutaneous ecchymosis disappeared and recovered after timely discontinuation of treatment for 2 weeks.1 patient lost follow-up and fell off.In the control group,1 patient was eliminated by taking painkillers midway,and 3 patients lost follow-up and fell out.Conclusion:The treatment of scapulohumeral periarthritis with divergent extracorporeal shock wave and pain point therapy with divergent extracorporeal shock wave can alleviate the pain of scapulohumeral periarthritis and improve the function of shoulder joint.The divergent external shock wave therapy guided by tendon theory can reduce the pain of periarthritis of shoulder more quickly,improve joint function better,and shorten the course of periarthritis of shoulder.It can be clinically recommended. |
PDF Full Text Request