| Objective:With a retrospective study observing the short-term curative effciency of scapular stability rehabilitation training combined with acupuncture treatment on the treatment of the subacromial impingement syndrome,and then analyze the therapeutic mechanism and clinical value of this sort of combinded treatment in order to provide a more reasonable and better solution for the treatment of subacromial impingement syndrome and thus a more effective clinical treatment idea.Method:From September 2020 to November 2021,Thirtysix patients who fit the diagnosis of subacromial impingement syndrome and the exclusion criteria of Chinese and Western are recruited in the Department of Orthopedics and Traumatology of Wuhan Hospital of Traditional Chinese Medicine.Then according to their different treatment methods,they were seperately divided into the experimental group of 17 cases（acupuncture combined with scapular stability training）and the observation group of 16 cases（acupuncture combined with routine rehabilitation training）,and both groups were given treatments of a total of 4 weeks.Their VAS score,muscle strength score,and active range of motion（ROM）of the shoulder joint were recorded before treatment and after 1 week,2 weeks and 4 weeks of treatment.The data,recorded each time after patients finishing their treatment,were compared both within the same group and between the two groups.At last,the obtained data was analyzed with SPSS25.0 statistical software,and the resulting data were listed and explained.Result:1.The gender,age,disease location,disease course,VAS,ROM,and muscle strength scores of the two groups of patients before treatment were statistically analyzed,and the results showed no significant difference（P（29）0.05）,and the clinical efficacy can be compared.2.The VAS,ROM,and muscle strength scores of the two groups after 4 weeks of treatment were significantly improved compared with those before treatment（P（27）0.01）,suggesting that both treatment regimens can reduce the VAS score and improve the ROM and muscle strength scores.3.The VAS scores of the two groups of patients during the treatment process,and the comparison of the VAS scores of the experimental group at various time points after treatment were statistically significant（P（27）0.01）,suggesting that the VAS scores of the patients had a linear decreasing relationship with the treatment time.There was no significant difference in the VAS score between 2 weeks after treatment and 4 weeks after treatment in the control group（P>0.05）,indicating that although the VAS score of the control group decreased significantly at 1 week and 2 weeks after treatment,the fourth week did not show a statistically significant difference.No significant change from the second week.In the comparison between groups,there was no statistical significance in the VAS scores between the two groups at 1 week after treatment,suggesting that although the two groups were both decreased compared with those before treatment,there was no significant difference in the improvement range between the two groups;2 and 4 weeks after treatment,the two groups were The VAS scores of the patients were compared with statistical significance（P（27）0.01）,and the mean VAS of the patients in the experimental group was greater than that of the patients in the observation group.4.In the comparison of ROM between the two groups of patients during the treatment,the data of each time in the experimental group were significantly better than those in the control group,and the difference was statistically significant（P（27）0.01）.The comparison of abduction activity at time points was statistically significant,suggesting that the relationship between abduction ROM and treatment time was linearly increasing.There was no significant difference in shoulder ROM between 1 week after treatment and 2weeks after treatment in the control group（P>0.05）,indicating that although the shoulder ROM in the control group was significantly improved after four weeks of treatment compared with before treatment,there was no significant difference in shoulder ROM.Shows a linear incremental change.5.Comparing the improvement of muscle strength in the two groups of patients during the treatment,each time point after treatment in the experimental group was different from the previous time point.One week after treatment,the patients in the control group were significantly improved compared with those before treatment,and the difference was statistically significant（P（27）0.01）,but there was no significant improvement at two weeks and four weeks after treatment compared with the previous time point,and the difference was not statistically significant（P（27）0.01）,indicating that although the muscle strength of the control group was significantly improved after four weeks of treatment,it did not show a linear incremental change.In the comparison between the two groups,the muscle strength of the two groups was significantly different in the 2nd and 4th week after treatment,and the difference was statistically significant（P>0.05）.6.The 33 patients with subacromial impingement syndrome in this study successfully completed the relevant treatment according to the treatment plan prescribed by the study,and there were no adverse effects such as aggravation of pain,tissue swelling,skin infection,allergic reaction,halo acupuncture during the treatment process.reaction situation.Conclusion Acupuncture combined with scapular stability training in the treatment of subacromial impingement syndrome can effectively reduce the pain symptoms of patients and improve the strength and ROM of the shoulder joints.It has a significant therapeutic effect and high safety,and provides a basis for clinical treatment of subacromial impingement syndrome. |
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