Clinical Observation On The Treatment Of Scapulohumeral Periarthritis With

Periarthritis humeroscapularis, which is also called tissue inflammation of the shoulder joints, is a chronic inflammation of some soft tissues like muscles around the shoulders, tendons, synovial bursas and joint capsules. Common pathogenic factors include a variety of acute and chronic sprains of soft tissues around the shoulders, dislocations of shoulder joints, fractures of proximal humerus, surgery around the shoulders, limb paralysis and irritation of coldness. Clinical manifestations are paroxysmal or persistent pain, tenderness around the shoulders, limited joint mobility. Over the times, muscle atrophy can be onset, which has serious negative influence on patients’daily life and health. Based on existing studies and researches, acupunctural treatment has a significant clinical effect on the reduction of periarthritis humeroscapularis. Studies and researches also show that patients tend to receive acupunctural treatments instead of taking oral medications or surgeries.Although there are many clinical reports of acupuncture treat for the frozen shoulder,but the effect within the three different point selection is still lacking.lt is necessary to carried on the clinical studies.Objective:By observing the clinical efficacy of four different acupunctural treatments, comparing the pain relief levels and functional activity indicators in shoulders before and after the treatment, as well as interviewing all the patients after one and three months’treatment, an objective and a scientific estimate was come up with and an therapeutic evidence was provided for further clinical practice.Methods:Randomized and controlled principles have been applied in the clinical trails. Fourty patients at the Dongzhimen Hospital who suffered from scapulohumeral periarthritis and met the diagnose standards were divided into four groups. Patients received four different treatments, which included the distal acupoint (acupoint:from Tiaokou penetrating to Chengshan) acupuncture and the local acupoints (acupoints:JianyU,Jianzhen,Jianliao,Binao) acupuncture; single the local acupoints acupuncture, single the distal acupoint acupuncture; and non-acupoint acupuncture. Shoulder pain and shoulder activity were selected as observing indexes. The indexes were quantified and statistically analyzed to reach the conclusion.Result:1. The experimental study included a total of 40 patients,12 male and 28 female between 33 and 65 year’s old, with the treatment duration of two months up to 24 months. Before treatment, there was no significant difference (p> 0.05) between the four groups of patients in terms of gender, age, duration, shoulder pain levels, functional activity of shoulders and SF-36 scores on integration.2. In comparison with the clinical data from the four groups after the rank sum test (which has a result of H=22.036, p=0.000<0.01), the difference between the over all effectiveness of the four treatment groups is a statistically significant (P<0.05). In the distal acupoint with local acupoint group,6 individuals were clinically cured,1 individual was markedly improved, and 1 individual was effectively improved. In the single local acupoint group,1 individual was clinically cured,5 individuals were markedly improved,3 indiciduals were effectively improved, and there was no obvious improvement observed in only 1 individual, In the single distal acupoint group,1 individual was clinically cured,1 individual was markedly improved, and 5 individuals were effective improved. In the non-acupoint group, only 6 individuals were effectively improved. After pair wise comparison, it was found that the distal with local acupoint treatment showed a better result than the other three treatments and there was no statistically significant clinical result from single local acupoint and single distal acupoint.3. All four kinds of treatments have the result of pain relief from scapulohumeral periarthritis (P<0.01), and without syndrome relapse in 3 months. The distal acupoint with local acupoint group shows a better treatment result than the other three treatment groups significantly (P<0.05)4. All four kinds of treatments have the result of improvements in shoulder activities (P< 0.01), and without syndrome relapse in 3 months. The distal acupoint with local acupoint group shows a better treatment results than the other three treatment groups significantly (P< 0.05)5. The distal acupoint with local acupoint group and the single distal acupoint group improve the SF-36 scores significantly after the treatments (P<0.05),and without syndrome relapse in 3 months. Both of the two groups show a better clinical treatment result than the other two groups significantly (P<0.05). There was no statistically significance CP>0.05) between the results from the distal acupoint with local acupoint group and the single distal acupomt group.Conclusions:Acupuncture is effective by needling local acupoints, distal acupoints or non-acupoints. Needling both distal and local acupoints will get better effect than needling only local acupoints, distal acupoints or non-acupoints in relieving the shoulder pain and promote the shoulder movement. The long-term effect is stable. So we should extend the application on curing the periarthriris humeroscapularis.