Clinical Study On The Row Acupuncture Method For Scapular Myofascitis

ObjectiveTo observe the clinical effect of row needling on scapular myofascitis,And use the ultrasonic elastography to observe the elastic changes of the myofascial trigger points,Providing a reference for evaluating the effects of acupuncture。Methods1.Group: Sixty-six patients with Iscapular myofascitis were randomly divided into two group,33 cases in each group,These patients met the inclusion criteria.2.intervention method: the row needling group:using the row needling methods,Select the starting point of pain to the stop point as the site of operation,Piercing 1stitch every 1.0cm,Once a day,5 treatments per week,Total treatment for 2 weeks.the western medicine group:oral nonsteroidal antiinflammatory drugs(Ibuprofen sustained-release capsule Take one pill per time after meal,twice a day at most,for no more than 5 days continuously,and observe for 2 weeks.)3.Outcome measures: the Scores of Short-form McGill Pain Questionnaire were recorded on day 0,7 and 14 of treatment,ultrasonic elastography(VTIQ)were used to measure the shear wave velocity(SWV)at the excitation point on day 0 and 14,respectively.to observe circumstantial of pain relief,and the elastic changes of the myofascial trigger points before and after treatment of two different therapies.Use SPSS23.0 to analyze the statistical data.Results1.Efficacy analysis: After treatment,the difference between the row needling group and the western medicine group was no statistically significant(P>0.05),in the row needling group,the total effective rate was 84.38%,and 87.50% in the western medicine group.2.Short-form McGill Pain Questionnaire(SF-MPQ)(1)Intra-group comparison:before and after treatment,the SF-MPQ scores of the row needling group was significant difference(P<0.05);There was a statistically significant difference in the scores of SF-MPQ in the western medicine group beforeand after treatment(P<0.05);SF-MPQ score of the row needling at follow-up was not statistically significant after treatment(P >0.05),The scores of SF-MPQ in the western medicine group were significantly different from those after treatment(P<0.05).(2)Comparison among groups:7 days after treatment,the scores of the short-form mcGill pain questionnaire was statistical difference between western medicine group and row needling group(P<0.05);on the 14 th day of treatment,the short-form mcGill pain questionnaire between the western medicine group and the row needling group was no significant difference(P>0.05).During follow-up,there was significant difference between Western medicine group and row needling group(P < 0.05).3.The shear wave velocity(SWV)of the myofascial trigger points(1)Intra-group comparison:After 14 days of treatment,The shear wave velocity(SWV)of the myofascial trigger points decreased in the row needling group,Statistically significant(P<0.05);The shear wave velocity(SWV)of the myofascial trigger points was decreased inWestern medicine group,Statistically significant(P<0.05).(2)Comparison between groups:There was a significant difference in the shear wave velocity at the myofascial trigger points between the two groups(P < 0.05).Conclusion1.Pain symptoms in patients with scapular myofascitis can be effectively improved by row needling and ibuprofen sustained-release capsules.2.Compared with ibuprofen sustained-release capsules,the shear wave velocity(SWV)of the myofascial trigger,which reflects the hardness of the capsules,decreased more obviously,indicating that myofascial trigger hardness could be improved more effectively by the method of row needling.3.Ultrasound elastography(VTIQ)can be used as an objective method to evaluate the therapeutic effect of acupuncture on myofascitis.