作者机构：
[Yue Cao; 陈成; Wen-juan Zhou; Feng Zhong; Wei Zhang] The First Hospital of Hunan University of Chinese Medicine, Changsha, China
通讯机构：
[Wei Zhang] T;The First Hospital of Hunan University of Chinese Medicine, Changsha, China
关键词：
Acupuncture Therapy;Fire-needle Therapy;Motion Therapy, Continuous Passive;Frozen Shoulder;Shoulder Pain;Visual Analog Scale;Constant-Murley Score;Range of Motion, Articular
摘要：
Objective: To observe the clinical efficacy of filiform fire-needling plus continuous passive motion (CPM) therapy for frozen shoulder. Methods: A total of 72 patients were randomized into an observation group and a control group by the random number table method, with 36 cases in each group. Patients in the control group received celecoxib capsule plus CPM, while those in the observation group received filiform fire-needling plus CPM. The whole course of treatment lasted for 2 weeks in both groups. The visual analog scale (VAS), Constant-Murley score (CMS) and range of motion of shoulder joint were measured for therapeutic efficacy evaluation. Results: The total effective rate was 91.7％ in the observation group, higher than 72.2％ in the control group, and the between-group comparison showed statistical significance (P<0.05). After treatment, the VAS scores in the two groups dropped significantly, the CMS as well as the range of motion including abduction, forward flexion and extension were all increased significantly, and the intra-group comparisons showed statistical significance (all P<0.05). The betweengroup comparisons showed the improvements in these items in the observation group were more significant than those in the control group (all P<0.05). Conclusion: Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder; it can alleviate pain, improve shoulder function and restore joint range of motion in such patients.
作者机构：
[刘兵] Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China;[王华] Hubei University of CM;[周仲瑜] Department of Acupuncture and Moxibustion, Hubei Provincial Hospital of TCM;[常小荣] Acupuncture-Moxibustion and Tuina School of Hunan University of CM;[章薇] First Affiliated Hospital of Hunan University of CM
作者机构：
[Jiang PAN; Yang CAO; Chuang FANG; Yan ZHANG; Jin-zhong TANG; Wei ZHANG] The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410000, Hunan Province, China (湖南中医药大学第一附属医院, 长沙 410000, 中国);[Cheng-xi WANG] The Affiliated Hengyang Hospital of Hunan University of Chinese Medicine, Hengyang 421000, Hunan Province (湖南中医药大学附属衡阳医院, 湖南衡阳421000, 中国)
通讯机构：
[Cheng-xi WANG] T;The Affiliated Hengyang Hospital of Hunan University of Chinese Medicine, Hengyang 421000, Hunan Province (湖南中医药大学附属衡阳医院, 湖南衡阳421000, 中国)
关键词：
Shoulder hand syndrome (SHS);Body acupuncture;Moxibustion;Rehabilitation training
摘要：
Objective: To compare the clinical effects of body acupuncture,moxibustion,and body acupuncture plus moxibustion in the treatment of post-stroke shoulder hand syndrome (SHS).Methods: A total of 90 SHS patients after stroke were randomly divided into the body acupuncture group,the moxibustion group,and the body acupuncture plus moxibustion group,with 30 cases in each.On the basis of rehabilitation and routine treatment,the patients in different groups were treated with body acupuncture,moxibustion,and body acupuncture plus moxibustion respectively.Treatment was given once a day,5 times a week,and 4 weeks in all.The visual analogue scale (VAS) scores,edema grading scores,and simplified Fugl-Meyer assessment (FMA) scores were evaluated before and after treatment,and the therapeutic effects of patients were evaluated as well.Results: After treatment,the VAS and edema grading scores of the three groups were all lower and the FMA scores were all higher than those before treatment,with statistically significant differences (all P＜0.05).The VAS and edema grading scores of the acupuncture plus moxibustion group were lower and the FMA score was higher than those of the body acupuncture group and the moxibustion group,with statistically significant differences (all P＜0.05).The total effective rate of the acupuncture plus moxibustion group was 96.7％,higher than 80.0％ of the body acupuncture group and 83.3％ of the moxibustion group,with statistically significant differences (both P＜0.05).Conclusion: Body acupuncture,moxibustion,and body acupuncture plus moxibustion are all effective for post-stroke SHS,while the effect of acupuncture plus moxibustion is the best in relieving the pain and swelling,and improving effectively the joint movement of post-stroke SHS patients,which should be popularized in clinical practice.
