上海针灸杂志2025，Vol.44Issue(4)：451-457,7.DOI:10.13460/j.issn.1005-0957.2025.13.4016
穴位冲击波治疗肩袖损伤的疗效观察
Therapeutic observation of acupoint shock wave therapy in treating rotator cuff injuries
摘要
Abstract
Objective To observe the clinical efficacy of medium-energy shock wave therapy at Jian San Zhen plus conventional rehabilitation training in treating rotator cuff injuries(RCI).Method Sixty-two RCI patients were recruited and allocated to a control group and an observation group using the random number table method,with 31 participants in each group.The control group received conventional rehabilitation,including exercise training and joint mobilization manipulations.In addition to the intervention given to the control group,the observation group also received medium-energy shock wave therapy applied to Jian San Zhen[Jianyu(LI15),Jianzhen(SI9),and Jianliao(TE14)].Before and after the intervention,the two groups were assessed using the Constant-Murley Scale(CMS),University of California at Los Angeles shoulder scale(UCLASS),and visual analog scale(VAS).Result Before the treatment,the CMS,VAS,and UCLASS scores were statistically parallel between the two groups(P＞0.05).Both groups presented improvements in the CMS,VAS,and UCLASS scores after the treatment(P＜0.05);the observation group was superior to the control group in comparing the CMS,VAS,and UCLASS scores after the treatment(P＜0.05).Compared to the control group,the observation group showed more significant improvements in the CMS component scores of pain,muscle strength,and motion(P＜0.05)and in the UCLASS component scores of pain relief,muscle strength enhancement,and patient satisfaction(P＜0.05).The observation group achieved a markedly effective rate of 80.6%and a total effective rate of 93.5%,both higher than the control group(P＜0.05).Conclusion When combined with conventional rehabilitation training,medium-energy shock wave therapy at Jian San Zhen can enhance the clinical efficacy in treating RCI,further improving the shoulder joint range of motion,reducing pain,and fortifying shoulder joint function.关键词
穴位疗法/肩袖损伤/针灸器械/穴,肩髃/穴,肩贞/穴,肩髎Key words
Point therapy/Rotator cuff injuries/Acupuncture-moxibustion instrument/Point,Jianyu(LI15)/Point,Jianzhen(SI9)/Point,Jianliao(TE14)分类
中医学引用本文复制引用
刘强,王传杰,李秀明,王念宏,胡瑞萍,吴毅..穴位冲击波治疗肩袖损伤的疗效观察[J].上海针灸杂志,2025,44(4):451-457,7.基金项目
上海市中医药重点学科建设项目(shzyyzdxk-2024113) （shzyyzdxk-2024113）
国家中医药管理局国家临床研究基地专项科研课题(JDZX201923、JDZX201915) （JDZX201923、JDZX201915）
复旦大学医工结合项目(yg2023-21) （yg2023-21）
