Clinical Study On The Treatment Of Subacromial Bursitis With Muscle Relaxation Exercise

Objective:In this study,visual analogue scale(VAS),Constant-Murley score(CMS)and TCM clinical efficacy indicators were used to observe the clinical efficacy of loose tendon exercise in the treatment of subacromial bursitis,and compared with traditional Tuina to explore the efficacy and differences between the above two treatment options.Methods:From January 2022 ～ December 2022,72 patients who met the diagnosis and treatment standards were selected in the Tuina Department of Yunnan Provincial Hospital of Traditional Chinese Medicine.The number of cases was divided into two groups using random allocation.Control group: conventional manipulation;Test group: loosening exercise techniques.The number of enrollees was treated over 2 treatment cycles.The VAS score,CMS score and symptom efficacy of the two groups were controlled before and after treatment,and SPSS 26.0 statistical software was used for data analysis and statistical analysis.Results:1.There was no statistically significant difference between the two groups in VAS score and CMS score(pain,joint range of motion,daily activity function,etc.)of the affected shoulder joint before treatment(P>0.05).2.VAS scores of the two groups before and after treatment: the VAS scores of the two groups before and after treatment were compared within the group,and the difference was statistically significant(P<0.05),which was comparable.The difference of VAS score between the two groups before and after treatment was statistically significant(P<0.05).3.CMS score: The CMS score of patients in the two groups improved significantly before and after treatment(P<0.05),and the difference was statistically significant.4.Efficacy control: experimental group: cure 3(8.82%),effective 20(58.82%),effective 10(31.25%)ineffective 1(29.41%),total effective 31(2.94%);Control group:cure 1(3.03%),effective(39.39%),effective 16(48.48%),ineffective 3(9.09%),total effective 29(90.09%);The total effective rate was compared between groups with statistical differences(P=0.029<0.05),and the experimental group was better than the control group.Conclusion:1.Both muscle relaxation and conventional massage can treat subacromial bursitis.2.The improvement degree of clinical symptoms of patients treated with muscle relaxation exercise is significantly better than that of patients treated with conventional massage.3.Adduction,abduction and lifting combined exercises have a definite effect in improving the limited movement of the shoulder joint.4.Muscle relaxation exercise manipulation for the treatment of subacromial bursitis has high safety,simple operation,accurate curative effect.They are easy to cooperate with each other and are worthy of further study and clinical application.