| 摘要: |
| 目的：观察火针激痛点联合Mulligan动态关节松动术治疗寒湿痹阻型肩周炎的临床疗效。方法：选取66 例寒湿痹阻型肩周炎患者，将其随机分为治疗组与对照组，每组各33 例。对照组予Mulligan动态关节松动术治疗，治疗组在对照组的基础上予火针激痛点治疗，2组治疗均为隔天1次，3次/周，共治疗4周。比较2组治疗前后疼痛视觉模拟量表（visual analogue scale，VAS）评分、加州大学洛杉矶分校（university of California，Los Angeles shoulder score，UCLA）肩关节评分、肩关节自主活动度（active range of motion，AROM），并评价临床疗效。结果：总有效率治疗组为93.9%（31/33），对照组为78.8%（26/33），2组比较，差异有统计学意义（P＜0.05）。2组疼痛VAS、UCLA肩关节评分和AROM治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P＜0.05）。结论：与单用Mulligan动态关节松动术相比，其联合火针激痛点疗法治疗寒湿痹阻型肩周炎疗效更好，值得临床推广应用。 |
| 关键词: 肩周炎 寒湿痹阻型 火针 激痛点 Mulligan动态关节松动术 |
| DOI： |
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| Clinical effect of fire needle at trigger points combined with Mulligan mobilization with movement technique in treatment of scapulohumeral periarthritis with cold-damp obstruction：An analysis of 33 cases |
| ZHU Lijian,XU Binbin,XU Ruixu |
| (Quanzhou First Hospital Affiliated to Fujian Medical University，Quanzhou 326000，Fujian，China;Xiamen Medical College，Xiamen 361021，Fujian，China) |
| Abstract: |
| Objective：To investigate the clinical effect of fire needle at trigger points combined with Mulligan mobilization with movement technique in the treatment of scapulohumeral periarthritis with cold-damp obstruction.Methods：A total of 66 patients with scapulohumeral periarthritis with cold-damp obstruction were randomly divided into treatment group and control group，with 33 patients in each group.The patients in the control group received Mulligan mobilization with movement technique alone，while those in the treatment group received fire needle at trigger points in addition to the treatment in the control group;both groups were treated once every other day，3 times a week for 4 weeks.The two groups were compared in terms of Visual Analogue Scale (VAS) pain score，university of California，Los Angeles (UCLA) shoulder score，and active range of motion (AROM) of shoulder joint before and after treatment，and clinical outcome was assessed.Results：There was a significant difference in overall response rate between the treatment group and the control group ［93.9%(31/33)vs78.8%(26/33)，P＜0.05］.After treatment，both groups had significant changes in VAS pain score，UCLA shoulder score，and AROM，and there were significant differences in these indicators between the two groups after treatment (P＜0.05).Conclusion：Compared with Mulligan mobilization with movement technique alone，its combination with needle at trigger points has a better clinical effect in the treatment of scapulohumeral periarthritis with cold-damp obstruction and thus holds promise for clinical application. |
| Key words: scapulohumeral periarthritis cold-damp obstruction fire needle trigger point Mulligan mobilization with movement technique |
