针刀结合Mulligan 动态关节松动术治疗冻结期肩周炎临床研究
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R684

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上海浦东新区卫生健康委员会学科建设项目(PWZzb2022-16);浦东新区中医药传承创新发展示范试点项目(YC-2023-0131);浦 东新区科技发展基金项目(PKJ2020-Y76)


Clinical Study on Acupotomy Combined with Mulligan Dynamic Joint Mobilization for Frozen Stage Scapulohumeral Periarthritis
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    摘要:

    目的:观察针刀配合Mulligan动态关节松动术治疗冻结期肩周炎的临床疗效。方法:将2023年 1月—2024年6月在上海市浦东新区光明中医医院针刀科就诊的60例肩周炎患者作为研究对象,采用随机数字 法分为治疗组和对照组各30例。治疗组给予小针刀治疗和Mulligan动态关节松动术,对照组给予中频脉冲治疗 和Mulligan动态关节松动术。疗程均为3周,比较2组Constant-Murley综合评分系统(CMS) 评分,肩关节疼 痛视觉模拟评分法(VAS) 评分及肩关节活动度(ROM) 水平。结果:治疗前,2组CMS评分比较,差异无统 计学意义(P>0.05);治疗后及随访1个月,治疗组CMS评分均高于对照组,差异有统计学意义(P<0.05)。 治疗前,2组肩关节VAS评分比较,差异无统计学意义(P>0.05);治疗后及随访1个月,治疗组肩关节VAS 评分均低于对照组,差异有统计学意义(P<0.05)。治疗前,2组肩关节前屈、外展、背伸以及手臂内旋、外旋 活动ROM水平比较,差异均无统计学意义(P>0.05);治疗后及随访1个月,治疗组肩关节前屈、外展、背伸 以及手臂内旋、外旋活动ROM水平均大于对照组(P<0.05)。结论:针刀联合Mulligan动态关节松动术治疗冻结 期肩周炎能明显缓解疼痛,改善肩关节功能及ROM,效果优于中频脉冲治疗联合Mulligan动态关节松动术治疗。

    Abstract:

    Abstract: Objective: To observe the clinical efficacy of acupotomy combined with Mulligan dynamic joint mobilization in treating frozen stage scapulohumeral periarthritis. Methods: Sixty patients with scapulohumeral periarthritis treated at Department of Acupotomy in Guangming Chinese Medicine Hospital of Pudong New Area, Shanghai from January 2023 to June 2024 were divided into the treatment group and the control group using the random number table method, with 30 cases in each group. The treatment group received acupotomy and Mulligan dynamic joint mobilization, while the control group received medium-frequency pulse therapy and Mulligan dynamic joint mobilization. Both groups were treated for three weeks. Constant-Murley Score(CMS), Visual Analogue Scale (VAS) score for shoulder pain, and shoulder range of motion(ROM) were compared between the two groups. Results: Before treatment, there was no significant difference in CMS scores between the two groups(P>0.05); after treatment and one month of follow-up,the CMS scores in the treatment group were higher than those in the control group,differences being significant(P<0.05).Before treatment,there was no significant difference in VAS scores of the shoulder joint between the two groups(P>0.05);after treatment and one month of follow-up,the VAS scores of the shoulder joint in the treatment group were lower than those in the control group,the difference being significant(P< 0.05).Before treatment,there was no significant differences in the ROM levels of shoulder joint flexion,abduction, dorsiflexion,and arm internal and external rotation between the two groups(P>0.05).After treatment and one month of follow-up, the ROM levels of shoulder flexion, abduction, dorsiflexion, and arm internal and external rotation activities in the treatment group were higher than those in the control group(P<0.05). Conclusion: Acupotomy combined with Mulligan dynamic joint mobilization significantly relieves pain and improves shoulder function and ROM in frozen stage scapulohumeral periarthritis, with superior outcomes compared to medium-frequency pulse therapy combined with Mulligan dynamic joint mobilization.

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陈琪,李丹,冯欣茵,但淑杰,陈波.针刀结合Mulligan 动态关节松动术治疗冻结期肩周炎临床研究[J].新中医,2025,57(18):110-114

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  • 在线发布日期: 2025-09-25
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