Acupuncture from Tiaokou (ST 38) to Chengshan (BL 57) combined with local exercise for periarthritis
【Abstract】Objective To compare the effect difference between acupuncture from Tiaokou (ST 38) to Chengshan (BL57) combined with local exercise and acupuncture. Methods Sixty patients with periarthritis were randomly divided into an acupuncture group and an acupuncture combined with exercise group (active acupuncture group), 30 cases in each group. Acupuncture from Tiaokou (ST 38) to Chengshan (BL 57) was given in both groups. The active shoulder joint during acupuncture was applied in the active acupuncture group. The treatment was given once every two days, 5 times as one course and a total of 2 courses were required. The activity-related pain (VAS score), shoulder joint activity (Melle score), and daily living ability (ADL score) were observed before and after treatment in the two groups. Result The VAS score, Melle score and ADL score were significantly lower in the two groups after treatment compared with those before treatment (all Ps < 0.05); the VAS score, Melle score, and ADL score in the active acupuncture group were lower than those in the acupuncture group (all Ps < 0.05). Conclusion The curative effect of acupuncture from Tiaokou (ST 38) to Chengshan (BL 57) combined with local exercise on periarthritis is superior to that of acupuncture from Tiaokou (ST 38) to Chengshan (BL 57) alone.
【Keywords】 periarthritis; acupuncture from Point ST 38 (Tiaokou) to Point BL 57 (Chengshan) ; exercise; acupuncture; VAS score; Melle score; ADL score;
【DOI】
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References
[1] Sheridan MA, Hannafin JA. Upper extremity: emphasis on frozen shoulder [J]. Orthop Clin North Am, 2006, 37 (4): 531–539.
[2] Liu Y, Yin F, Xu B, et al. Progress in diagnosis and treatment of periarthritis [J]. Orthopedic Journal of China, 2012, 20 (19): 1771–1773 (in Chinese).
[3] Zuckerman JD, ROKITO A. Frozen shoulder: a consensus definition [J]. J Shoulder Elbow Surg, 2011, 20 (2): 322–325.
[4] Zhang XL. 针灸治疗肩周炎 [M]. Beijing: People’s Medical Publishing House, 2009 (in Chinese).
[5] State Administration of Traditional Chinese Medicine of the People’s Republic of China. 中医病证诊断疗效标准 [M]. Nanjing: Nanjing University Press, 1994 (in Chinese).
[6] Peking Union Medical College Hospital. 骨科诊疗常规 [M]. Beijing: People’s Medical Publishing House, 2004 (in Chinese).
[7] Lu J, Wang C. Progress in diagnosis and treatment of periarthritis [J]. Chinese Journal of Joint Surgery (Electronic Edition), 2015 (4): 527–531 (in Chinese).
[8] Guo CQ, Zhang FM, Sha Y, et al. Randomized controlled trial of the effect of acupuncture at Tiaokou on periarthritis [J]. Chinese Acupuncture & Moxibustion, 2006, 26 (8): 544–546 (in Chinese).
[9] Huang LX, Huang YM. Searching solutions for the difficult problems of acupoint specificity from the evolution of a proved recipe of acupuncture and moxibustion [J]. Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 2013 (1): 80–82 (in Chinese).
[10] He XL, Liu X, Zhu B, et al. The central mechanism of the general analgesic effect of electroacupuncture with strong stimulation on dorsal horn neurons [J]. Acta Physiologica Sinica, 1995 (6): 605–609 (in Chinese).
[11] Liu X. The basic neural mechanism of analgesia with acupuncture [J]. Chinese Science Bulletin, 2001, 46 (7): 609–616 (in Chinese).
[12] He GX. Influence of exercise on analgesic effect of acupuncture and its clinical significance [J]. Acupuncture Research, 1982, 2 (1): 6–12 (in Chinese).
[13] Xia LY, Xing SY. Effects of ipsilateral limb movement on pain threshold [J]. Acupuncture Research, 1985, 5 (1): 56–58 (in Chinese).
[14] Richards SC, Scott DL. Prescribed exercise in people with fibromyalgia: parallel group randomized controlled trial [J]. BMJ, 2002, 325 (7357): 185.
[15] Li YJ. Neuropathic pain and its treatment with sport-induced cortex stimulation [J]. Chinese Journal of Pain Medicine, 2005, 11 (4): 196–200 (in Chinese).
[16] Nguyen JP, Lefaucher JP, GuerineL CL, et al. Motor cortex stimulation in the treatment of central and neuropathic pain [J]. Arch Med Res, 2000, 31 (3): 263–265.
[17] Senapati AK, Huntington PJ, PENG YB. Spinal dorsal horn neuron response to mechanical stimuli is decreased by electrical stimulation of the primary motor cortex [J]. Brain Res, 2005, 1036 (1): 173–179.
[18] Koltyn KF. Analgesia following exercise: a review [J]. Sports Med, 2000, 29 (2): 85.
[19] Thor NP, Floras JS, Hoffmann P, et al. Endorphins and exercise: physiological mechanisms and clinical implications [J]. Med Sci Sports Exerc, 1990, 22 (4): 417–428.
[20] Sparling PB, Giuffrida A, Piomelli D, et al. Exercise activates the endocannabinoid system [J]. Neuroreport, 2003, 14 (17): 2209–2211.
[21] Heyman E, Gamelin FX, Goekint M, et al. Intense exercise increases circulating endocannabinoid and BDNF levels in humans—possible implications for reward and depression [J]. Psychoneuroendocrinology, 2012, 37 (6): 844.
ISSN:0255-2930
CN:11-2024/R
Vol 38, No. 08, Pages 815-818
August 2018
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