| Objective:In this study,randomized controlled experiment was used to assess the clinical information of patients with supraspinatus tendonitis,and the three shoulder pain,ability to perform daily activities and shoulder mobility before and after quantitatively examined to determine the clinical effectiveness of deactivating the "supraspinatus trigger point" with sharp needles in the treatment of supraspinatus tendonitis compared with conventional acupuncture.The difference between the clinical efficacy of "supraspinatus trigger point" and conventional acupuncture was observed,and an objective evaluation was made.Method:Seventy-two patients with supraspinatus tendonitis attending the outpatient and inpatient departments of the Department of Acupuncture and Pain of the Affiliated Hospital of Gansu University of Chinese Medicine between November 2021 and October 2022 were included in the study,and were randomly divided into the sharpened-needle treatment group and the acupuncture control group according to the clinical trial method,with sharp-needle inactivation trigger points,and the treatment was carried out at an interval of 5 days for 3 times;the control group was treated with conventional acupuncture,with the main acupuncture points of anterior shoulder,shoulder shoulder nerve,shoulder girdle,shoulder chastity,shoulder well,Quchi,Yanglingquan,A-Yi point and the supporting acupuncture points on the affected side,using the technique of flat tonic and flat diarrhea,and the acupuncture was retained for 30 minutes and carried out once at an interval of 15 minutes,once a day for 5 times,for a total of 3 courses of treatment.The scores were tested before and after the treatment,respectively.The clinical efficacy of the two groups was compared by recording the VAS pain visual analogue scale,ADL score of daily living ability in Constant-Murley rating method.Before and after treatment,scores for shoulder mobility and functional range of motion(ROM)were collected,the data were statistically compiled,their clinical significance was examined in light of the statistical findings,and lastly the clinical study’s efficacy was assessed.Findings and recommendations.The clinical importance was examined in light of the statistical findings,and the study’s findings and conclusions were made.Results:(1)There was no statistically significant difference between the two groups in terms of gender,age and site of the affected side(P>0.05),which was comparable.(2)Comparison of VAS scores between the two groups:① Prior to therapy,the VAS scores of the two groups were comparable and did not differ significantly.(P>0.05).②The VAS scores of patients in both groups decreased significantly before and after treatment(P<0.01),and the difference was statistically significant,which proved that the clinical treatment of both groups had a significant effect on the improvement of shoulder pain in patients.③ There was a statistical difference in the overall VAS score distribution between the two groups of patients at week 1,week 2 and week 3 after treatment(P<0.05),proving that the clinical effect of the blade needle treatment group was consistently better than that of the acupuncture control group.(3)Daily living ability ADL scores comparison between the two groups:①There was no statistically significant differencebetween the ADL scores of patients in the two groups before treatment,which was comparable(P>0.05).② After treatment,the patients in both groups showed significant prior in ADL compared with those before cure(P<0.001),which proved that both inactivation of myofascial trigger points by blade needles and acupuncture points by milli-acupuncture could improve ADLs.③After treatment,the overall distribution of ADL scores was different between the two groups(Z=-6.070,P<0.001),which shows that the blade needle group did better than the acupuncture group.(4)Comparing the two groups’ scores on shoulder joint mobility and functional range of motion:①Before treatment,there was no statistically significant difference between the ROM scores of the two groups,which were about the same(P>0.05).②After 3 weeks of treatment,the mobility and function of the shoulder joints in both groups were much better than they were before treatment.(P<0.001),indicating that both the treatment and control groups could improve shoulder joint mobility and function.③There was a significant statistical difference in the overall ROM score distribution between the two groups(P<0.001),which showed that the group that got treatment with sharp needles was better than the group that just got acupuncture.(5)Comparing the effectiveness of the two groups:15 patients have been cured,18 cases were improved,and 3 cases were not cured in the treatment group,with an effective rate of 91.7%;6 cases were cured,23 cases were improved,and 7 cases were not cured in the control group,with an effective rate of 80.6%;through the observation of the effective rate of the two groups,The effective rate of the blade needle treatment group was significantly higher than that of the acupuncture control group,as determined by a chi-square test comparing the total effective rates of the two groups.By chi-square test,the total efficacy rate of the two groups was significantly greater than that of the acupuncture control group,and the effective rate of the two groups was statistically different(P=0.016<0.05),indicating that the sharp-edged acupuncture treatment group was more efficient than the acupuncture control group,Conclusion:(1)Both blade needle treatment and normal acupuncture can safely and effectively treat supraspinatus tendonitis,and have advantages in reducing pain,improving daily living ability and shoulder joint mobility.(2)Compared with conventional acupuncture treatment,the efficacy of blade needle treatment was more prominent,and There was a significant difference between the two groups’ total effective rates.(3)The treatment with edged needles is more effective at making the shoulder joint more mobile and daily living ability,and has the advantages of quick effect,short treatment time,easy operation,safety and reliability,etc.,which is worthy of wide clinical promotion. |
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