动痛穴阻力针法治疗粘连期难治性肩凝症的随机对照观察

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Objective:To objectively evaluate the clinical effect of resisting method of acupuncture at movement-painful points on treating the refractory cases of frozen shoulder during adhesion period,and to compare with that of the conventional acupuncture method.Methods:According to the random grouping principle,90 patients with frozen shoulder during adhesion period were divided into“resisting method acupuncture group,general acupuncture group,and physio-therapy group”,30 patients in each.In the resisting method acupuncture group,the resisting method of needling was applied at the“movement-painful points”,and during acupuncture the patient was asked to do shoulder movements.In the general acupuncture group,the conventional needling method of acupuncture was applied at the conventional three shoulder-acupoints.In the physiotherapy group,the patients were treated with shock wave at the affected shoulder.All groups were treated once a day,5 times a week,a total of 2 weeks as a course of treatment.After one course of treatment,the clinical ef-fect of the three groups was evaluated.The shoulder pain and shoulder function scale(Constant-Murley),Rating Scale of the American Shoulder and Elbow Surgeons(ASES),and infrared thermal imaging tem-perature change score were observed.Results:After treatment,the shoulder pain was relieved and movement improved in all three groups,whilst the cured and remarkably effective rate of the resisting method acupuncture group was 96.7%(29/30),better than those of the general acupuncture group 86.2%(25/29)and the physiotherapy group 73.3%(22/30),with a statistically significant difference(P<0.05);the VAS score of the resisting method acupuncture group was significantly lower than those of the other two groups(P<0.05),the Constant-Murley score and the ASES score were significantly lower than those of the other two groups(all P<0.05),and the infrared thermal imaging temperature change score was significantly improved in comparing with those of the other two groups,with a statistically significant difference(both P<0.05).Conclusion:The resisting method of needling has an obvious analgesic effect and is able to restore the joint movement function in the treatment of refractory frozen shoulder during adhesion period.
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