The Effectiveness Of Extracorporeal Shock Wave Therapy Guiding By Meridian Theory For Patients With Frozen Shoulder

ObjectiveTo observe and evaluate the efficacy and safety of extracorporeal shock wave Therapy guiding by meridian theory to treat frozen shoulder,and to explore the feasibility of meridian theory to guide extracorporeal shock wave intervention in frozen shoulder.Methods60 patients diagnosed as frozen shoulder were selected from the orthopedic clinic of Zhongshan TCM Hospital from April 2019 to December 2019.Randomized,single-blind,controlled trials were used to divide the patients into two groups:①The experimental group(n=30):selected patients with frozen shoulder with acupoints of the shoulder and distal acupoints of the extremities for external shock wave treatment;②The control group(n=30):Select patients with frozen shoulder for shoulder pain for extracorporeal shock wave treatment.Both groups appl ied the same external-type external shock wave treatment system.The patients were treated with a pressure of 1.8-2.0 bar,a frequency of 8-10 Hz,and an external shock wave with a total impact of 2500 times.5 treatments.The visual analog pain score(VAS),daily activity score(ADL),and shoulder active range score(ROM)were used to evaluate the two groups of patients before treatment,after the last treatment,and at 4 weeks after treatment.Efficacy evaluation was performed at 4 weeks after treatment in both groups.ResultsAfter the last treatment and at 4 weeks after treatment,the VAS scores in the two groups were significantly lower than before treatment,and the ADL score and ROM score were increased.The differences were statistically significant(P<0.05).The curative effect was evaluated at 4 weeks after treatment.The total effective rate in the test group was 96.7%,and the total effective rate in the control group was 90%.There was no statistically significant difference in total effective rate between the two groups(P>0.05).The difference of treatment effect between the two groups was statistically significant(P<0.05).The decrease of VAS scores in the experimental group after the last treatment and 4 weeks after treatment was greater than that in the control group,and the difference was statistically significant(P<0.05).After the last treatment,the ADL score of the test group was higher than that of the control group,and the difference was statistically significant(P<0.05).At 4 weeks after treatment,the ADL score of the test group was not significantly different from the control group(P>0.05).The ROM score of the experimental group was higher than that of the control group after the last treatment and 4 weeks after the treatment,and the difference was statistically significant(P<0.05).ConclusionExtracorporeal shock wave therapy guided by the theory of Chinese medicine meridian theory can significantly improve the symptoms of pain and limited movement in patients with frozen shoulders,and can improve the quality of life of patients.This method has higher clinical safety and fewer adverse reactions.