The Study Of Needle Knife Release Coracoid Process In The Treatment Of Subacromial Impingement Syndrome

ObjectiveTo observe whether the symptoms of subacromial impingement syndrome were improved by comparing the clinical effects of needle knife release coracoid process and acupuncture in the treatment of subacromial impingement syndrome,and to understand its therapeutic effect by comparing the change of pectoralis minor muscle index.Discuss and think about its mechanism.To provide theoretical and practical basis for needle-knife therapy of subacromial impingement syndrome and make it play a clinical role.MethodsThe data of patients in the Department of Acupuncture and Orthopaedics of Baoan traditional Chinese Medicine Hospital in Shenzhen,Guangdong.A total of 60 patients with subacromial impingement syndrome were collected from December 2018 to November 2019.The patients were randomly divided into two groups:the treatment group(n=30)and the control group(n=30).The treatment group was treated with needle knife to release the coracoid process,and the control group was treated with acupuncture.Both groups cooperated with shoulder cuff muscle rehabilitation exercise.We evaluated the shoulder joint function by CMS score and PMI before and after the treatment.Through statistical calculation,the clinical efficacy of needle knife release coracoid process in the treatment of subacromial impingement syndrome was evaluated,and the changes of PMI before and after treatment were compared.Results1.There was no significant difference in age,sex distribution,CMS score and PMI between the two groups before treatment.(P>0.05)2.After treatment,the CMS score of the treatment group increased from 52.27±11.03 to 81.23±11.80,and the CMS score of the control group increased from 51.80±10.91 to 70.23±11.90.the CMS score of the two groups was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the PMI of the treatment group increased from 8.80±0.12 to 9.23±0.17,and the PMI of the control group increased from 8.76±0.20 to 8.85。ConclusionBoth the release of coracoid process and acupuncture with small needle knife are beneficial to relieve pain,improve activities of daily life,expand the range of movement exercise,increase rotator cuff muscle strength and improve shoulder joint function in patients with subacromial impingement syndrome,and the treatment group were better at them.It may be related to this method prolonging the length of pectoralis minor muscle,alleviating the state of adaptive shortening of pectoralis minor muscle,and reducing the abnormal stress state of scapula forward inclination and acromial pressure.