针灸推拿医学（英文版）2025，Vol.23Issue(2)：170-177,8.DOI:10.1007/s11726-025-1496-y
丁氏推拿结合西药改善肩袖损伤患者疼痛、肩部功能及肩周肌力的临床观察
Clinical observation of improving pain,shoulder function,and shoulder muscle strength with DING's Tuina combined with Western medication in patients with rotator cuff injury
摘要
Abstract
Objective:To observe the clinical efficacy of DING's Tuina(Chinese therapeutic massage)plus Western medication in treating rotator cuff injury(RCI)and its impact on pain,shoulder function,and shoulder muscle strength in the patients. Methods:Sixty-two RCI patients were divided into an observation group and a control group using a simple randomization method,each consisting of 31 cases.Both groups of patients were prescribed oral celecoxib capsules.In addition,DING's Tuina treatment was offered to the observation group.After 6 weeks of treatment,the two groups were observed for changes in the Constant-Murley score(CMS)for shoulder joint function,the short-form McGill pain questionnaire(SF-MPQ)score,and peak torque(PT)and peak torque to body mass ratio(PT/BM)at angular velocities 120 °/s and 90 °/s as well as the peak torque ratio(PTR)of agonist muscles to antagonist muscles[including adductors to abductors(ADD/ABD)and flexors to extensors(F/E)]. Results:After treatment,both groups presented decreased SF-MPQ scores and increased CMS,and the intra-group differences were statistically significant(P<0.05);the observation group had a lower SF-MPQ score and a higher CMS than the control group,showing statistical significance(P<0.05).After the intervention,the ADD/ABD decreased in the control group at the angular velocity 120 °/s in abduction,and the intra-group change was statistically significant(P<0.05);in the observation group,the PT and PT/BM increased compared to the baseline at angular velocities 120 °/s and 90 °/s in abduction,adduction,forward flexion,and backward extension,showing statistical significance(P<0.05).After treatment,the PT and PT/BM at angular velocities 120 °/s and 90 °/s and ADD/ABD at 120 °/s were higher in the observation group than in the control group,and the between-group differences were statistically significant(P<0.05). Conclusion:DING's Tuina combined with oral celecoxib capsules can reduce pain,improve the joint's motor function,and enhance the strength of shoulder muscle groups in RCI patients,and this treatment has a positive impact on the stability when performing shoulder joint abduction and adduction.关键词
推拿/按摩/肩痛/肩袖损伤/肌力/随机对照试验Key words
Tuina/Massage/Shoulder Pain/Rotator Cuff Injuries/Muscle Strength/Randomized Controlled Trial分类
医药卫生引用本文复制引用
张桁,艾买提·依米尔,杨林浩,徐景崧,陈佳旭,严振,洪珏..丁氏推拿结合西药改善肩袖损伤患者疼痛、肩部功能及肩周肌力的临床观察[J].针灸推拿医学（英文版）,2025,23(2):170-177,8.基金项目
This study was supported by High-level Traditional Chinese Medicine Key Subjects of the State Administration of Traditional Chinese Medicine:Tuina Science(国家中医药管理局高水平重点学科——推拿学,No.zyyzdxk-2023061). （国家中医药管理局高水平重点学科——推拿学,No.zyyzdxk-2023061）
