上海针灸杂志2025，Vol.44Issue(3)：272-276,5.DOI:10.13460/j.issn.1005-0957.2025.03.0272
针刺联合运动疗法治疗肩袖损伤的疗效观察及对肩外旋角的影响
Therapeutic observation of acupuncture combined with exercise therapy for rotator cuff injury and its effect on external rotation angle of the shoulder
摘要
Abstract
Objective To observe the clinical efficacy of Cang Gui Tan Xue needling combined with scapular stability training in treating rotator cuff injury and its effect on external rotation angle of the shoulder.Method One hundred patients with rotator cuff injury were randomized into a monotherapy group and an integrated group,each consisting of 50 cases.The monotherapy group was intervened by scapular stability training,and the integrated group was additionally treated with Cang Gui Tan Xue needling method.The two groups were observed for the post-treatment changes in the American Shoulder and Elbow Surgeons(ASES)score,pain visual analog scale(VAS)score,the number of myofascial trigger points(MTrPs)around the shoulder,shoulder range of motion(ROM),and the score of the MOS 36-item short-form health survey(SF-36).The clinical efficacy was also compared between the two groups.Result The total effective rate was 92.0%in the integrated group,higher than 70.0%in the monotherapy group(P＜0.05).After the treatment,the ASES score increased in both groups(P＜0.05)and was higher in the integrated group than in the monotherapy group(P＜0.05).The VAS score went down in the two groups after the treatment(P＜0.05)and was lower in the integrated group compared to the monotherapy group(P＜0.05).After the intervention,both groups showed a decrease in the number of MTrPs(P＜0.05),and the integrated group had a smaller number than the monotherapy group(P＜0.05).The shoulder ROM increased after the treatment in the two groups(P＜0.05)and was larger in the integrated group compared to the monotherapy group(P＜0.05).Both groups showed an increase in the SF-36 score after the intervention(P＜0.05),and the score was higher in the integrated group than in the monotherapy group(P＜0.05).Conclusion Acupuncture plus scapular stability training can alleviate shoulder pain and encourage the recovery of shoulder joint function in patients with rotator cuff injury.关键词
针刺疗法/苍龟探穴/肩袖损伤/肩胛带稳定性训练/关节功能Key words
Acupuncture therapy/Cang Gui Tan Xue/Rotator cuff injury/Scapular stability training/Joint function分类
中医学引用本文复制引用
王昭琦,周秋燕,刘元,赵耀..针刺联合运动疗法治疗肩袖损伤的疗效观察及对肩外旋角的影响[J].上海针灸杂志,2025,44(3):272-276,5.基金项目
大连市医学重点专科建设项目(2021) （2021）
辽宁省自然科学基金项目(2020-MS-336) （2020-MS-336）
