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Effects of tendon-regulating and stretching manipulation combined with JIN’s three-needle therapy for the shoulder on pain and shoulder joint function in subacromial impingement syndrome

理筋牵张手法联合靳氏肩三针针刺对肩峰下撞击综合征疼痛及肩关节功能的影响

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

Abstract

Objective

To observe the effects of tendon-regulating and stretching manipulation plus JIN’s three-needle therapy for the shoulder on pain and shoulder joint function in subacromial impingement syndrome (SIS).

Methods

Eighty patients with SIS were recruited and divided into a control group and a treatment group by the random number table method, with 40 cases in each group. The control group was given JIN’s three-needle therapy for the shoulder, and the treatment group received additional tendon-regulating and stretching manipulation. The visual analog scale (VAS) score and constant-Murley score (CMS) were observed before and after the intervention, and the total effective rate was also observed.

Results

The total effective rate was 92.5% in the treatment group versus 70.0% in the control group, and the difference was statistically significant (P<0.05). The VAS score and CMS changed notably after treatment in both groups (P<0.05), and the improvements were markedly greater in the treatment group than in the control group (P<0.05).

Conclusion

Tendon-regulating and stretching manipulation plus JIN’s three-needle therapy for the shoulder can facilitate the relief of pain and the improvement of shoulder joint function in SIS patients.

摘要

目的

观察理筋牵张手法联合靳氏肩三针针刺对肩峰下撞击综合征(SIS)疼痛及肩关节功能的影响。

方法

选取SIS患者80例, 采用随机数字表法分为对照组与治疗组, 每组40例。对照组给予靳氏肩三针针刺治疗, 治疗组在对照组的基础上加用理筋牵张手法治疗。观察两组患者治疗前后疼痛的视觉模拟量表(VAS)评分、Constant-Murley肩关节功能评定量化表评分(CMS)变化以及总有效率。

结果

治疗组的总有效率为92.5%, 对照组为70.0%, 差异有统计学意义(P<0.05)。两组治疗后的VAS评分及CMS与同组治疗前比较, 差异均有统计学意义(P<0.05), 且治疗组的改善程度明显优于对照组(P<0.05)。

结论

理筋牵张手法联合靳氏肩三针针刺对SIS患者疼痛的缓解及肩关节功能的改善均产生积极影响。

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References

  1. LARSSON R, BERNHARDSSON S, NORDEMAN L. Effects of eccentric exercise in patients with subacromial impingement syndrome: a systematic review and meta-analysis. BMC Musculoskelet Disord, 2019, 20(1): 446.

    Article  PubMed  PubMed Central  Google Scholar 

  2. VAN DER WINDT D A, BURKE D L, BABATUNDE O, HATTLE M, MCROBERT C, LITTLEWOOD C, WYNNE-JONES G, CHESTERTON L, VAN DER HEIJDEN G J M G, WINTERS J C, RHON D I, BENNELL K, RODDY E, HENEGHAN C, BEARD D, REES J L, RILEY R D. Predictors of the effects of treatment for shoulder pain: protocol of an individual participant data meta-analysis. Diagn Progn Res, 2019, 3: 15.

    Article  PubMed  PubMed Central  Google Scholar 

  3. GARVING C, JAKOB S, BAUER I, NADJAR R, BRUNNER U H. Impingement syndrome of the shoulder. Dtsch Arztebl Int, 2017, 114(45): 765–776.

    PubMed  PubMed Central  Google Scholar 

  4. STEURI R, SATTELMAYER M, ELSIG S, KOLLY C, TAL A, TAEYMANS J, HILFIKER R. Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med, 2017, 51(18): 1340–1347.

    Article  PubMed  Google Scholar 

  5. GUO F J, MA X, CAO C Y, YU C L, YANG N N, FU X X. Clinical study of muscle balance in the treatment of subacromial impingement syndrome. Zhongguo Yiyao Zhinan, 2021, 19(32): 8–10.

    Google Scholar 

  6. LI X P, CHAI L, JIANG B. Clinical study on shockwave combine with wax therapy for shoulder impingement syndrome. Xin Zhongyi, 2020, 52(8): 122–124.

    Google Scholar 

  7. GE L P, XIE Y P, CHEN Z N, YAO X M. 47 cases clinical study for needle knife guided by musculoskeletal ultrasound in treating subacromial impingement syndrome. Zhongguo Zhongyi Gushangke Zazhi, 2021, 29(12): 47–49, 53.

    Google Scholar 

  8. WEIGL K, FORSTNER T. Design of paper-based visual analogue scale items. Educ Psychol Meas, 2021, 81(3): 595–611.

    Article  PubMed  Google Scholar 

  9. VROTSOU K, ÁVILA M, MACHÓN M, MATEO-ABAD M, PARDO Y, GARIN O, ZAROR C, GONZÁLEZ N, ESCOBAR A, CUÉLLAR R. Constant-Murley score: systematic review and standardized evaluation in different shoulder pathologies. Qual Life Res, 2018, 27(9): 2217–2226.

    Article  PubMed  PubMed Central  Google Scholar 

  10. State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects of Diseases and Syndromes in Traditional Chinese Medicine. Nanjing: Nanjing University Press, 1994: 201.

    Google Scholar 

  11. LI Y, WANG S H. Discussion on the efficacy of arthroscopic acromioplasty in the treatment of subacromial impingement syndrome. Zhongguo Xiandai Yaowu Yingyong, 2021, 15(19): 63–65.

    Google Scholar 

  12. FU G J, LI S W, LU B, XIE Y, LI G Z, YANG W L. Arthroscopy treatment of sub-acromial impingement syndrome and its complications. Linchuang Guke Zazhi, 2019, 22(1): 56–59.

    Google Scholar 

  13. WANG Q L, CHENG H L. The effect of arthroscopic modified anterior acromioplasty on type II subacromial impingement syndrome. Linchuang Guke Zazhi, 2021, 24(4): 534–537.

    Google Scholar 

  14. QU C Y, HUANG B Z, YANG J J, GUO D M, GAO X, LIU X N. Application of arthroscopy-assisted cutting-block technique in acromioplasty for exogenous subacromial impingement syndrome. Zhongguo Gu Yu Guanjie Sunshang Zazhi, 2020, 35(11): 1199–1200.

    Google Scholar 

  15. TANG L, CHEN K, MA Y H, MA Y H. Research progress of scapular stability training for subacromial impingement syndrome. Guoji Gukexue Zazhi, 2021, 42(4): 209–212.

    Google Scholar 

  16. YILMAZ E. A prospective, comparative study of subacromial corticosteroid injection and subacromial corticosteroid injection plus suprascapular nerve block in patients with shoulder impingement syndrome. Arch Orthop Trauma Surg, 2021, 141(5): 733–741.

    Article  PubMed  Google Scholar 

  17. XU J, ZHU C L, ZHAO Z C, SHEN Y F, FU R Y. Effect of stretch manipulation of traumatology department in North Zhejiang combined with core muscles stability exercise on scapular dyskinesis in patients with traumatic scapulohumeral periarthritis. Xin Zhongyi, 2021, 53(13): 170–174.

    Google Scholar 

  18. TAHRAN Ö, YEŞILYAPRAK S S. Effects of modified posterior shoulder stretching exercises on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome. Sports Health, 2020, 12(2): 139–148.

    Article  PubMed  PubMed Central  Google Scholar 

  19. SHIN H R, SEO J, PARK K, ANN S H, PARK S J, LEE S, YEOM S R. Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: a randomized, patient-assessor blind, parallel clinical trial. Integr Med Res, 2021, 10(3): 100693.

    Article  PubMed  Google Scholar 

  20. TU F. Efficacy of acupuncture with thrusting manipulation for subacromial impingement syndrome. Shanghai Zhenjiu Zazhi, 2014, 33(11): 1046–1047.

    Google Scholar 

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Acknowledgments

This work was supported by Zhejiang Province Science and Technology Project of Traditional Chinese Medicine (浙江省中医药科技计划项目, No. 2021ZB279); Huzhou Science and Technology Planning Project (湖州市科技计划项目, No. 2018GY22); Construction Project of Inheriting Academic Experience of Old Chinese Medicine Experts FU Ruiyang [傅瑞阳全国老中医药专家学术经验继承工作建设项目, 国中医药人教发(2017) 29 号]; FU Ruiyang Famous Traditional Chinese Medicine Expert Inheritance Workshop Construction Project of Zhejiang Province [浙江省傅瑞阳名老中医专家传承工作室建设项目, 浙中医药 (2017) 28 号].

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Authors and Affiliations

  1. Department of Acupuncture and Massage, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Huzhou, 313000, China

    Zhongqiang Pan  (潘中强), Jing Xu  (徐晶), Jinxia Li  (李金霞), Chenglin Zhu  (朱成林) & Ruiyang Fu  (傅瑞阳)

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  1. Zhongqiang Pan  (潘中强)
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  2. Jing Xu  (徐晶)
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  3. Jinxia Li  (李金霞)
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  4. Chenglin Zhu  (朱成林)
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  5. Ruiyang Fu  (傅瑞阳)
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Correspondence to Ruiyang Fu  (傅瑞阳).

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First Author

PAN Zhongqiang, M.M., attending physician of traditional Chinese medicine

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The authors declare that there is no potential conflict of interest in this article.

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Informed consent was obtained from all individual participants.

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Pan, Z., Xu, J., Li, J. et al. Effects of tendon-regulating and stretching manipulation combined with JIN’s three-needle therapy for the shoulder on pain and shoulder joint function in subacromial impingement syndrome. J. Acupunct. Tuina. Sci. 21, 142–148 (2023). https://doi.org/10.1007/s11726-023-1369-1

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  • DOI: https://doi.org/10.1007/s11726-023-1369-1

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