Clinical Study on Combination Use of Warming-Needle Moxibustion and Point- Pressing Massage of Pulling Manipulation for Transient Synovitis of the Hip Joint of Cold-Damp Type in Adults
Abstract:Objective:To observe the clinical effect of the combination use of warming-needle moxibustion and point-pressing massage of pulling manipulation on transient synovitis of the hip joint of cold-damp type in adults. Methods:A total of 129 patients with transient synovitis of the hip joint of cold-damp type in adults who were treated in the Huzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University were selected and divided into the warming-needle moxibustion group,the massage group and the combination group according to the random number table method, with 43 cases in each group. The patients in the three groups were given conventional treatment, namely health education and bedside pulling manipulation. In addition to the conventional treatment, the warming-needle moxibustion group was additionally treated with warming-needle moxibustion,the massage group was additionally treated with point-pressing massage of pulling manipulation, and the combination group was first treated with point-pressing massage of pulling manipulation, and then with warming-needle moxibustion. The three groups were treated five times a week for two consecutive weeks. The scores of Visual Analogue Scale (VAS) of pain,Harris scores, levels of inflammatory indexes [erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)], the maximum width of space in front of femoral neck and maximum depth of recess effusion in front of capsule of hip joint were compared before and after treatment among the three groups. Results: After two weeks of treatment, the VAS scores in the three groups were decreased when compared with those before treatment (P<0.05),and the Harris scores were increased when compared with those before treatment (P<0.05). The VAS score in the combination group was lower than those in the warming-needle moxibustion group and the massage group (P<0.05),and the Harris score was higher than those in the warming-needle moxibustion group and the massage group (P<0.05). After two weeks of treatment, the levels of ESR and CRP in the three groups were decreased when compared with those before treatment (P<0.05), with the combination group showing lower levels of ESR and CRP than the warming-needle moxibustion group and the massage group (P<0.05). After two weeks of treatment,the maximum width of the anterior gap of the femoral neck on the affected side and the maximum depth of the anterior recess effusion of the hip joint capsule in the three groups were reduced when compared with those before treatment (P<0.05). The combination group had smaller maximum widths of the anterior gap of the femoral neck on the affected side and smaller maximum depths of the anterior recess effusion of the hip joint capsule compared to the warming-needle moxibustion group and the massage group (P<0.05). Conclusion: The combination use of warming-needle moxibustion and point-pressing massage of pulling manipulation on transient synovitis of the hip joint of cold-damp type in adults can effectively alleviate hip joint pain and swelling,improve the range of motion of hip joint and inhibit the inflammation with a better curative effect than single use of warming-needle moxibustion or point-pressing massage of pulling manipulation.