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| Clinical effect of small needle knife combined with Mulligan dynamic joint loosening in the treatment of periarthritis adhesion |
| LI Junhe1 SUN Yunting2 WANG Yanwu2 |
1.Department of Acupuncture and Rehabilitation, Qiandongnan State Hospital of Traditional Chinese Medicine, Guizhou Province, Kaili 556000, China;
2.Department of Acupuncture and Rehabilitation, Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Province, Hangzhou 310007, China |
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Abstract Objective To observe the clinical effect of small needle knife combined with Mulligan dynamic joint loosening in the treatment of periarthritis adhesion. Methods From May 2017 to May 2018, 62 cases of acupuncture and moxibustion clinic of Hangzhou Hospital of Traditional Chinese Medicine, Zhejiang Province were selected as the subjects of study. They were divided into two groups of 31 cases according to the random number table method. The treatment group was given to a small needle knife and Mulligan dynamic joint loosening. Treatment including small needle knife once a week, Mulligan dynamic joint loosening 3 times a week. The control group was treated with a small needle knife once a week. The visual simulation scale (VAS) and shoulder joint activity (ROM) were used before and after 4 weeks of treatment to assess the degree of pain and joint activity of the shoulder joint. Results After treatment, VAS of two groups were lower than before treatment, and the treatment group was lower than control group, the difference was statistically significant (P < 0.05). After treatment, the shoulder lift, abduction, internal and external rotation and extension angle of two groups were improved compared with those before treatment, and the improvement of the treatment group was more obvious than that of control group, with statistical significance (P < 0.05). After treatment, the distance of back touching test between two groups was shorter than that before treatment, and the treatment group was shorter than control group, the difference was statistically significant (P < 0.05). Conclusion The clinical effect of small needle knife combined with Mulligan dynamic joint mobilization in the treatment of scapulohumeral periarthritis adhesions is reliable and worthy of recommendation.
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