Clinical Efficacy Observation Of Shujin Huoxue Decoction With Proprioceptive Training On Rotator Cuff Injury With Qi Stagnation And Blood Stasis

Objective This study aims to observe and evaluate the curative effect of Shujin Huoxue Decoction comb ined with proprioception training on rotator cuff injury with pattern of qi stagnation and blood stasis,and provide clinical evidence for the treatment of this disease.MethodsA total of 60 eligible patients who were treated in the Department of Orthopedics and Traum atology of Zhangzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian Universit y of Traditional Chinese Medicine from January 2021 to December 2021 were selected.A ran dom number table was used to divided the patients into the experimental group and the contro l group,and both groups were given basic treatment such as oral celecoxib.The control group was given basic treatment and proprioception training;while the experimental group was giv en basic treatment,proprioception training,and Shujin Huoxue Decoction.Both groups were t reated for 5 weeks.The shoulder extorsion,anteflexion and abduction,VAS score,CMS scor e were compared between the two groups before and in the 3rd,5th,and 8th week after treatm ent,and the curative effect was compared before and in the 8th week after treatment.Statistica l analysis was performed on the collected data using SPSS 26.0 statistical software.Results1.There was no significant difference between the two groups of patients in terms of gender,a ge,affected side and disease course(P>0.05),and the two groups were comparable.2.There was no significant difference in the extorsion,anteflexion-uplift,abduction-uplift of affected shoulder joints,VAS score and CMS score between the two groups before treatment(P>0.05).3.The extorsion,anteflexion-uplift,abduction-uplift of affected shoulder joints: The motion o f the affected shoulder joints was compared within the two groups in the 3rd,5th,and 8th wee k after treatment,and the differences were statistically significant(P<0.05).The motion of the affected shoulder joints was compared between the two groups in the 3rd,5th,and 8th week after treatment,and the differences were statistically significant(P<0.05).4.VAS score: The VAS score was compared within the two groups in the 3rd,5th,and 8th w eek after treatment,and the differences were statistically significant(P<0.05).The VAS score was compared between the two groups in the 3rd,5th,and 8th week after treatment,and the d ifferences were statistically significant(P<0.05).5.CMS score: The CMS score was compared within the two groups in the 3rd,5th,and 8th w eek after treatment,and the differences were statistically significant(P<0.05).The CMS score was compared between the two groups in the 2nd and 4th week after treatment and in the 4th week after the end of treatment,and the differences were statistically significant(P<0.05).6.Curative effect: The two groups of patients were analyzed in the 8th week after treatment fo r the improvement of shoulder symptoms: control group: 8 cases were cured(26.67%),the co nditions of 17 cases were improved(56.67%),5 cases were not cured(16.67%),and the total effective rate was 83.33%;Experimental group: 16 cases were cured(53.33%),the conditions of 12 cases were improved(40.00%),2 cases were not cured(6.67%),and the total effective r ate was 93.33%;There was a statistical difference in the total effective rate between the two g roups(P=0.030 < 0.05),and the total effective rate of the experimental group was better than t hat of the control group.7.Analysis of adverse reactions: During the treatment period,1 patient in the experimental gr oup developed acid reflux,and the symptom improved after 1 day without any treatment.ConclusionsShujin Huoxue Decoction combined with proprioception training or proprioception training al one can effectively improve clinical symptoms of rotator cuff injury with pattern of qi stagnati on and blood stasis.The treatment can relieve shoulder pain,improve shoulder abduction,ant eflexion and extorsion,enhance upper limb’s muscle strength,and promote the functions of sh oulder joints.The clinical efficacy of Shujin Huoxue Decoction combined with proprioceptio n training is better than that of proprioception training alone.