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Clinical effect of ultrasound-guided akupotomye sequential therapy in the treatment of scapulohumeral periarthritis |
LI Ziyuan1 ZHANG Zhenyu1 FENG Minshan2 SI Jiangtao1▲ |
1.Characteristic Diagnosis and Treatment Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China;
2.the Second Department of Spine, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China
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Abstract Objective To observe the clinical effect of ultrasound-guided akupotomye sequential therapy on scapulohumeral periarthritis. Methods Sixty patients with scapulohumeral periarthritis treated in Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine from August 2021 to September 2022 were divided into treatment group and control group by random number table method, with 30 cases in each group. The treatment group was treated with ultrasonic guidance-hydraulic expansion-akupotomye release-shoulder joint loosening, while the control group was treated with ultrasonic guidance-pain point sealing-shoulder joint loosening. The course of treatment in both groups was three weeks. Visual analogue scale (VAS) and Constant-Murley shoulder function score were compared before treatment (T1), after the last treatment (T2) and two weeks after treatment (T3), the thickness of internodal sulci and subglenoid capsula at T1 and T3 were compared and the clinical efficacy of the two groups were compared. Results VAS and Constant-Murley shoulder joint function scores at different time points between the two groups were statistically significant (P<0.05). The VAS score at T2-T3 in the treatment group was lower than that in the control group, and the Constant-Murley shoulder joint function score was higher than that in the control group, the differences were statistically significant (P<0.05). The thickness of internodal sulci and subglenoid capsula decreased in T3 compared with T1, and the treatment group was lower than the control group, the differences were statistically significant (P<0.05). The clinical effect of the treatment group was better than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Ultrasound-guided akupotomye sequential therapy has a good clinical effect on periarthritis of shoulder, which can relieve pain and improve mobility.
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