温针灸治疗肩袖损伤的效果

doi:10.3969/j.issn.1006-9771.2022.05.017

Abstract

Abstract:

Objective To observe the effect of warming needle moxibustion based on rehabilitation on rotator cuff injury. Methods From January, 2019 to January, 2020, 70 patients with rotator cuff injury from Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine were randomly divided into control group (n = 35) and experimental group (n = 35). Both groups received Mulligan mobilization and rotator cuff muscle group muscle energy technique (MET) training, while the experimental group received warming needle moxibustion at Jianyu (LI15), Jügu (LI16), Jianqian and Jianzhen (SI9) in addition, for two weeks. They were assessed with Shoulder Pain and Disability Index (SPADI), Visual Analogue Scale for pain (VAS), range of motion of shoulder (ROM), and shoulder isokinetic muscle strength before and after treatment, and the complications and recurrence were observed. Results There were five cases in the control group and four cases in the experimental group dropped. The SPADI score, VAS score decreased (|t| > 5.039, P < 0.001), and the ROM and R value of isokinetic muscle strength testing increased (|t| > 2.751, P < 0.01) in both groups after treatment, while the SPADI score, VAS score were less (|t| > 3.616, P < 0.001); the ROM, and R values of isokinetic muscle strength testing of flexion, extension, adduction and abduction were more (|t| > 2.214, P < 0.05) in the experimental group than in the control group. Conclusion Warming needle moxibustion can further relieve shoulder pain in patients with rotator cuff injury, and improve shoulder ROM, muscle strength and functioning.

Key words: rotator cuff injury, warming needle moxibustion, rehabilitation

CLC Number:

R686.1

ZENG Xiaoxia,LIN Rong,YANG Fangjie,XIAO Hongwei,SU Yan,HUANG Chengwu,HE Jian. Effect of warming needle moxibustion on rotator cuff injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 609-615.

Figures/Tables 20

References 34

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组别	n	性别(男/女)/n	年龄/岁	病程/月	优势侧损伤/n	体质量指数/kg·m^-2
对照组	35	14/21	52.58±10.23	3.97±2.04	20	23.18±1.61
试验组	35	13/22	50.46±10.17	3.43±2.21	24	23.71±1.13
χ²/t值		0.060	-0.076	-1.673	0.979	1.583
P值		0.806	0.939	0.094	0.322	0.118

组别	n	治疗前	治疗后	t值	P值
对照组	30	50.18±10.51	34.53±15.54	-5.169	< 0.001
试验组	31	53.71±11.56	20.88±11.82	-5.187	< 0.001
t值		1.340	-3.616
P值		0.185	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	49.94±8.31	33.60±14.79	-5.175	< 0.001
试验组	31	51.89±10.20	19.83±10.85	-5.187	< 0.001
t值		0.874	-3.849
P值		0.385	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	50.32±11.94	35.11±16.04	-5.170	< 0.001
试验组	31	54.86±12.48	21.54±12.45	-5.200	< 0.001
t值		1.554	-3.954
P值		0.125	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	5.03±0.81	3.50±0.70	-5.039	< 0.001
试验组	31	5.15±1.16	2.42±1.10	-5.225	< 0.001
t值		0.415	-3.989
P值		0.678	< 0.001

Effect of warming needle moxibustion on rotator cuff injury

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组别	n	治疗前	治疗后	t值	P值
对照组	30	112.60±19.48	135.57±19.87	5.517	< 0.001
试验组	31	118.57±23.36	155.29±19.27	5.165	< 0.001
t值		1.162	4.214
P值		0.249	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	102.66±20.96	125.03±22.03	14.673	< 0.001
试验组	31	97.14±21.02	146.37±21.95	22.624	< 0.001
t值		-1.355	4.060
P值		0.176	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	44.63±7.14	52.06±10.96	3.844	< 0.001
试验组	31	42.14±5.31	60.80±9.81	10.615	< 0.001
t值		-1.653	3.518
P值		0.103	0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.62±0.15	0.72±0.19	3.233	0.003
试验组	31	0.60±0.19	0.89±0.22	10.759	< 0.001
t值		-0.598	3.583
P值		0.552	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.55±0.14	0.73±0.24	4.114	< 0.001
试验组	31	0.55±0.20	0.87±0.20	13.011	< 0.001
t值		0.150	2.444
P值		0.881	0.015

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.56±0.12	0.75±0.24	4.901	< 0.001
试验组	31	0.59±0.21	0.89±0.25	4.898	< 0.001
t值		0.789	2.432
P值		0.434	0.015

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.58±0.18	0.75±0.23	3.975	< 0.001
试验组	31	0.58±0.20	0.89±0.27	7.694	< 0.001
t值		0.135	2.725
P值		0.893	0.006

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.57±0.18	0.83±0.21	4.253	< 0.001
试验组	31	0.56±0.16	0.87±0.17	8.631	< 0.001
t值		-0.212	0.628
P值		0.832	0.530

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.58±0.20	0.81±0.23	4.037	< 0.001
试验组	31	0.57±0.19	0.87±0.25	6.193	< 0.001
t值		0.212	0.903
P值		0.832	0.367

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.60±0.15	0.72±0.24	2.751	0.009
试验组	31	0.61±0.19	0.88±0.20	7.753	< 0.001
t值		0.183	3.142
P值		0.856	0.002

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组别	n	治疗前	治疗后	t值	P值
对照组	30	0.55±0.18	0.70±0.26	2.955	0.003
试验组	31	0.57±0.19	0.83±0.22	8.046	< 0.001
t值		0.245	2.214
P值		0.808	0.030

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.59±0.19	0.74±0.25	3.658	< 0.001
试验组	31	0.59±0.18	0.92±0.28	7.289	< 0.001
t值		-0.046	2.884
P值		0.964	0.004

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.59±0.19	0.77±0.31	3.233	0.001
试验组	31	0.59±0.21	0.90±0.26	8.276	< 0.001
t值		-0.058	2.226
P值		0.954	0.026

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.55±0.08	0.86±0.26	4.995	< 0.001
试验组	31	0.52±0.14	0.87±0.22	9.351	< 0.001
t值		-1.314	0.342
P值		0.189	0.732

组别	n	治疗前	治疗后	t值	P值
对照组	30	0.56±0.20	0.85±0.32	5.462	< 0.001
试验组	31	0.56±0.17	0.86±0.26	6.264	< 0.001
t值		-0.080	0.194
P值		0.937	0.846