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Clinical observation on filiform fire-needling plus continuous passive motion therapy for frozen shoulder

毫火针加持续被动运动治疗肩凝症疗效观察

  • Clinical Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To observe the clinical efficacy of filiform fire-needling plus continuous passive motion (CPM) therapy for frozen shoulder.

Methods

A total of 72 patients were randomized into an observation group and a control group by the random number table method, with 36 cases in each group. Patients in the control group received celecoxib capsule plus CPM, while those in the observation group received filiform fire-needling plus CPM. The whole course of treatment lasted for 2 weeks in both groups. The visual analog scale (VAS), Constant-Murley score (CMS) and range of motion of shoulder joint were measured for therapeutic efficacy evaluation.

Results

The total effective rate was 91.7% in the observation group, higher than 72.2% in the control group, and the between-group comparison showed statistical significance (P<0.05). After treatment, the VAS scores in the two groups dropped significantly, the CMS as well as the range of motion including abduction, forward flexion and extension were all increased significantly, and the intra-group comparisons showed statistical significance (all P<0.05). The between-group comparisons showed the improvements in these items in the observation group were more significant than those in the control group (all P<0.05).

Conclusion

Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder; it can alleviate pain, improve shoulder function and restore joint range of motion in such patients.

摘要

目的

观察毫火针加持续被动运动(CPM)治疗肩凝症的临床疗效.

方法

将72 例患者按随机数字表法分 为观察组和对照组, 每组36 例. 对照组予塞来昔布胶囊加CPM治疗, 观察组予毫火针加CPM治疗. 两组疗程均为 2 周. 比较两组患者治疗前后视觉模拟量表(VAS)评分、Constant-Murley评分(CMS)及肩关节活动度, 并评价临床疗 效.

结果

观察组的总有效率为91.7%, 高于对照组的72.2%, 两组总有效率差异有统计学意义 (P<0.05). 治疗 后两组患者VAS评分均较本组治疗前下降, CMS评分及外展、前屈、后伸活动度均较本组治疗前增加, 组内差异均 有统计学意义(均P<0.05). 组间治疗后比较, 观察组上述指标的改善情况均优于对照组(均P<0.05).

结论

毫火 针加CPM治疗肩凝症疗效优于塞来昔布胶囊加CPM治疗, 能迅速缓解疼痛, 改善关节功能, 恢复关节活动度.

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Acknowledgments

This work was supported by Funding Project of National Administration of Traditional Chinese Medicine (国家中医 药管理局资助项目, No. LP0118041).

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Authors and Affiliations

  1. The First Hospital of Hunan University of Chinese Medicine, Changsha, 410007, China

    Yue Cao  (曹越), Cheng Chen  (陈成), Wen-juan Zhou  (周文涓), Feng Zhong  (钟峰) & Wei Zhang  (章薇)

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  1. Yue Cao  (曹越)
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  2. Cheng Chen  (陈成)
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  3. Wen-juan Zhou  (周文涓)
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  4. Feng Zhong  (钟峰)
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  5. Wei Zhang  (章薇)
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Correspondence to Wei Zhang  (章薇).

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The authors declare that there is no conflict of interest.

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Informed consent was obtained from all individual participants.

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Cao, Y., Chen, C., Zhou, Wj. et al. Clinical observation on filiform fire-needling plus continuous passive motion therapy for frozen shoulder. J. Acupunct. Tuina. Sci. 18, 281–285 (2020). https://doi.org/10.1007/s11726-020-1189-5

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  • DOI: https://doi.org/10.1007/s11726-020-1189-5

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