Chen Mu-Yuan, Pu Qin-Qin, Liu Shen-Yi, Jiang Zai-Yi
Department of Rehabilitation, Second People's Hospital of Hunan Province, Changsha 410007, China.
Zhongguo Zhen Jiu. 2013 Feb;33(2):109-12.
To compare clinical efficacy differences among electroacupuncture (EA), transcutaneous electrical nerve stimulation (TENS) therapy and acupoint massage (AM) on periarthritis of shoulder.
One hundred and twenty cases were randomly divided into an EA group, a TENS group and an AM group, 40 cases in each one. The selection of acupoints in the three groups were all the same, which were Jianqian (Extra), Xiabai (LU 4), Jianyu (LI 15), Binao (LI 14), Jianliao (TE 14), Naohui (TE 13), Xiaohai (SI 8) and Houxi (SI 3). EA was applied in the EA group with dense-disperse wave for 30 min, TENS therapy with dense-disperse wave for 30 min in the TENS group and AM combined with mobilization manipulation of Tuina on the shoulder in the AM group. All of the treatment was given once a day, six times a week and totally 4 weeks were required. The score of visual analogue scale (VAS) and improvement of shoulder joint activities in the three groups before and after the treatment were observed.
After the treatment, the VAS score and activities of shoulder joint were all improved in the three groups (all P < 0.001) and AM group had more obvious improvement than TENS group and EA group (all P < 0.05). The effective and curative rate was 61.50 (24/39) in the AM group, which was superior to 42.9% (15/35) in the EA group and 44.4% (16/36) in the TENS group (both P < 0.05). The effective and curative rate of shoulder joint activities in the AM group was 61.5% (24/39), which was superior to 48.6% (17/35) in the EA group and 44.4% (16/36) in the TENS group (both P < 0.05).
The acupoint massage has obvious clinical efficacy on periarthritis of shoulder, which could effectively relieve the pain and improve activities of shoulder joint, and it is superior to EA and TENS therapy.
比较电针（EA）、经皮电刺激神经疗法（TENS）和穴位按摩（AM）治疗肩周炎的临床疗效差异。
将120例患者随机分为电针组、经皮电刺激神经疗法组和穴位按摩组，每组40例。三组穴位选择相同，均为肩前（奇穴）、侠白（肺经4穴）、肩髃（大肠经15穴）、臂臑（大肠经14穴）、肩髎（三焦经14穴）、臑会（三焦经13穴）、小海（小肠经8穴）和后溪（小肠经3穴）。电针组采用疏密波电针治疗30分钟，经皮电刺激神经疗法组采用疏密波经皮电刺激神经疗法治疗30分钟，穴位按摩组采用穴位按摩并结合肩部推拿手法。所有治疗均每日1次，每周6次，共治疗4周。观察三组治疗前后视觉模拟评分（VAS）及肩关节活动度改善情况。
治疗后，三组VAS评分及肩关节活动度均有改善（均P < 0.001），且穴位按摩组改善程度明显优于经皮电刺激神经疗法组和电针组（均P < 0.05）。穴位按摩组有效率及治愈率为61.50%（24/39），优于电针组的42.9%（15/35）和经皮电刺激神经疗法组的44.4%（16/36）（均P < 0.05）。穴位按摩组肩关节活动度有效率为61.5%（24/39），优于电针组的48.6%（17/35）和经皮电刺激神经疗法组的44.4%（16/36）（均P < 0.05）。
穴位按摩治疗肩周炎临床疗效显著，能有效缓解疼痛，改善肩关节活动度，优于电针及经皮电刺激神经疗法。
