Clinical Observation Of Huoxue Shujin Decoction Combined With Scapular Stabilizatiom Exercises In The Treatment Of Stage Ⅰ Or Ⅱ Subacromial Impingement Syndrome

Objective:The objective of this study was to observe the clinical comprehensive effect of Huoxue Shujin Decoction combined with scapular stabilizatiom exercises in the treatment of stage Ⅰ or Ⅱ subacromial impingement syndrome.In order to enrich the conservative treatment of clinical stage Ⅰ or Ⅱ subacromial impingement syndrome,and provide some clinical reference.Methods:In this study,66 patients diagnosed as stage Ⅰ or Ⅱ subacromial impingement syndrome were selected from the Department of Bone,Joint and Sports Medicine,Fuzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Chinese Medicine.Through strict inclusion and exclusion criteria,66 patients were collected and randomly divided into the experimental group(33 cases)and the control group(33 cases).The control group was treated with oral glucosamine sulfate combined with scapular stabilizatiom exercises.Experimental group was given glucosamine sulfate and Huoxue Shujin decoction,combined with scapular stabilization exercises.Visual analogue scale(VAS),Constant-Murley shoulder scale,shoulder active range of motion(abduction,forward flexion,external rotation)and Clinical efficacy index were observed 1 day before treatment,3 weeks after treatment and 6weeks after treatment,and SPSS 23.0 was used for statistical analysis.Results:1.A total of 2 cases were shed during treatment,and 32 cases were completed in the experimental group and the control group respectively.There was no statistical significance in age,gender,course of disease,disease grade,VAS,Constant-Murley score and shoulder motion between the two groups before treatment(P > 0.05),indicating comparability.2.VAS : After 3 weeks and 6 weeks of treatment,VAS of 2 groups was lower than pre-treatment,the difference was statistically significant(P < 0.05),and the decrease of test group was more significant than control group.These results indicated that both groups had efficacy in improving pain,but the experimental group had better effect than the control group.3.Constant-Murley Score: After 3 and 6 weeks of treatment,the Constant-Murley Score in 2groups was increased compared with pre-treatment,with statistical significance(P < 0.05),and the improvement in the experimental group was more significant than that in the control group.These results indicated that the two groups of treatment were effective in improving shoulder joint function,but the experimental group had better effect than the control group.4.Active range of motion of shoulder: After 3 and 6 weeks of treatment,Active range of motion of shoulder in both groups increased compared with pre-treatment,and the difference was statistically significant(P < 0.05).After 3 weeks of treatment,there was no significant difference in active shoulder motion between the two groups(P > 0.05).After 6 weeks of treatment,there was a statistically significant difference in active range of motion of shoulder between the two groups(P < 0.05),and the experimental group increased more significantly than the control group.These results indicated that the two groups were effective in increasing the active range of motion of shoulder,but the experimental group had better effect than the control group.5.Efficacy evaluation: After 6 weeks of treatment,the total effective rate of the control group was 75% and the total effective rate of the experimental group was 87.5%.There was a statistical difference in the overall efficacy between the two groups(P < 0.05),and the overall efficacy of the experimental group was higher than that of the control group.Conclusions:Huoxue Shujin Decoction combined with scapular stabilizatiom exercises in the treatment of stage Ⅰ or Ⅱ subacromial impingement syndrome has certain efficacy in reducing pain,improving shoulder joint function and improving shoulder joint motion,and can be used as a clinical promotion of the treatment plan.