Clinical Observation On The Treatment Of SIS By Scapular Gyration Method Combined With Intramuscular Sticking Adjuvant Therapy Based On ‘Tendon-bone Balance’ Theory

Objective:(1)To verify the effectiveness of scapular gyration method combined with intramuscular sticking adjuvant therapy in the treatment of subacromial impingement syndrome under the guidance of the theory of "tendon-bone balance";(2)To explore the mechanism of scapular gyration method combined with intramuscular sticking adjuvant therapy to improve the scapular gyration.Methods: 108 patients diagnosed as SIS in the orthopedics and traumatology departments of the Third Affiliated Hospital of Yunnan University of Traditional Chinese Medicine were screened and enrolled into the group.According to the principle of randomized control,the subjects were divided into treatment group,kinesio taping group and massage group.The treatment group was treated with scapular gyration combined with intramuscular sticking adjuvant therapy,the kinesio taping group was treated with intramuscular sticking adjuvant therapy,and the massage group was treated with scapular gyration.Visual Analogue Scale(VAS)score,Constant-Murley(CMS)score and imaging(A-H spacing,scapular glenoid inclination Angle and scapular outboard inclination Angle)of the three groups were observed at different periods of treatment.The relevant indicators of patients before and after treatment were evaluated to form a database.The symptoms,signs,scores,activity recovery and imaging data of patients were collected at the first visit and each return visit,and were recorded with tables.At the conclusion,the data obtained were summarized by Excel,statistical analysis and processing of data were carried out by SPSS27.0 to reach the final conclusion.Results of clinical study:1.There was no significant difference in general data among the three groups(P>0.05),including sex,age,course of disease and location of disease;2.The difference in VAS scores between the three groups before treatment was not statistically significant,P>0.05.After four weeks of treatment,the VAS scores of the treatment groups were better than those of the massaage group and the kinesio taping group,and the difference was statistically significant,P<0.05,while the difference between the kinesio taping group and the massaage group was not significant,P>0.05.The intra-group comparison suggested that the three groups could improve the VAS scores of the patients,and the difference was statistically significant,P<0.05.It is suggested that the VAS scores of patients in the three groups showed a linear decreasing trend with the treatment process;3.The difference in CMS scores between the three groups before treatment was not statistically significant,P>0.05.After four weeks of treatment,the CMS scores of the treatment groups were better than those of the massage group and the kinesio taping group,and the difference was statistically significant,P<0.05,and the difference between the massage group and the kinesio taping group was statistically significant,P<0.05.The intra-group comparison suggested that all three groups could improve the CMS scores of patients,and the difference was statistically significant,P<0.05,suggesting that the CMS scores of patients in the three groups showed a linear increasing trend;4.There was no significant difference in the A-H spacing between the three groups before treatment,P>0.05.After 4 weeks of treatment,both the treatment group and the massage group could improve the A-H spacing of patients,thus increasing the upper gyration of the scapula,increasing the volume of the subacromial space,and reducing the frequency of impact,which had statistical significance compared with the kinesiology tape group,P<0.05,the difference between the treatment group and the massage group was statistically significant,P<0.05;The comparison before and after the treatment group and the massage group suggested that the difference was statistically significant,P<0.05,while the difference in the kinesio taping group was not significant,P>0.05;5.There was no statistical significance in the inclination Angle of scapular pelvis between the three groups before treatment,P>0.05,and the inclination Angle of scapular pelvis could be improved in both the treatment group and the massage group after four weeks of treatment,which had statistical significance compared with the kinesio taping group,P<0.05,while there was statistical significance between the treatment group and the massage group,P<0.05.The comparison before and after the treatment group and the massage group indicated that the difference was statistically significant,P<0.05,while there was no significant difference in the kinesio taping group,P>0.05;6.There was no significant difference in scapular outboard inclination Angle between the three groups before treatment,P>0.05.After 4 weeks of treatment,both the treatment group and the massage group could improve the scapular outboard inclination Angle,which had statistical significance compared with the kinesio taping group,P<0.05,the difference between the treatment group and the massage group was significant,P<0.05.The comparison before and after the treatment group and the massage group suggested that the difference was statistically significant,P<0.05,while the difference in the kinesio taping group was not significant,P>0.05.Conclusions: By comparing the index data of the three groups of patients,the following conclusions were drawn.1.Both scapular gyration method and intramuscular sticking adjuvant therapy can improve the VAS score of SIS patients,and the combined treatment can improve the benefit of patients;2.Both scapular gyration method and intramuscular sticking adjuvant therapy could improve CMS scores of SIS patients,and there was statistical significance between the massage group and kinesio taping group,suggesting that scapular gyration method was superior to intramuscular sticking adjuvant therapy in improving shoulder joint function;3.The scapular gyration method can increase the supra-scapular gyration in SIS patients,while the intramuscular sticking adjuvant therapy does not increase the supra-scapular rotation effect,and the combined effect can benefit patients more.4.The intramuscular sticking adjuvant treatment after the scapular gyration method can provide support for the scapular muscle group,stabilize the scapula,reduce the scapular rebound,and increase the scapular rotation is more advantageous than the scapular gyration method alone.