scapulohumeral periarthritis
Conditions
Interventions
Ultramicro needle knife combined with targeted exercise to inactivate tendons and structures treatment group (specialty therapy group):Ultrasound guided ultra-thin needle knife combined with motion ta
Conventional ultramicro needle knife targeted treatment group (control group):Conventional ultramicro needle knife targeted therapy guided by muscle bone ultrasound
Sponsors
Wuhan Caidian District People's Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1: Patients with shoulder periarthritis who meet the diagnostic criteria of traditional Chinese medicine and Western medicine 2: Age 40-70 years old unilateral lesion left or right not limited 3: Patients who can tolerate ultramicro needle knife treatment 4: Participants who did not participate in other clinical trials 5: Sign informed consent form 6: Strong compliance able to actively cooperate with treatment and provide complete information DC 1. TCM diagnostic criteria Refer to the Evidence-based Acupuncture: periarthritis of shoulder issued by the Chinese Society of Acupuncture and Moxibustion in 2015: (1) Lack of qi and blood recovery of wind and dampness chronic strain bone and muscle trauma. (2) Chronic onset the age of the disease is about 50 years old the right shoulder is more common physical workers are more common. (3) Shoulder pain aggravated at night often caused by external evil and fatigue limited joint movement. (4) Shoulder muscle atrophy extensive tenderness significant abduction external rotation and posterior extension limitations typical shoulder resistance phenomenon occurs . (5) The X-ray is mostly negative. 2. Diagnosis criteria for Western medicine The diagnostic criteria for Western medicine refer to the diagnostic criteria for Western medicine specified in the "Clinical Practice Guidelines for Evidence-based Acupuncture and Moxibustion: periarthritis of shoulder" issued by the Chinese Society of Acupuncture and Moxibustion in 2015 and combined with the "five Codman items" based on the criteria it is agreed as follows: (1) The onset is relatively slow. (2) Shoulder pain (around the stop point of the deltoid muscle of the shoulder joint) paroxysmal at the beginning of the disease then gradually aggravated aggravated at night aggravated by climate change or fatigue. (3) Active and passive activities of the shoulder joint are limited in all directions and the abduction upper lifting internal rotation and external rotation are more obvious. (4) Deltoid muscle supraspinatus muscle and other shoulder muscles can appear early spasm late can occur inappropriate muscle atrophy acromion protrusion adverse lifting and other typical symptoms. (5) X-ray examination is mostly negative and osteoporosis can be seen in a long course of disease.
Exclusion criteria
Exclusion criteria: 1: Shoulder joint pain caused by other diseases such as tuberculosis tumors shoulder trauma severe osteoporosis etc 2: Individuals with mental illness who are unable to cooperate effectively with treatment implementation or are unable to continuously complete treatment plans 3: Fear of resistance to needle and knife therapy 4: Pregnant and lactating patients 5: Patients with other visceral organic lesions (liver ascites spinal tuberculosis) and coagulation dysfunction (DIC idiopathic thrombocytopenia) 6: We are currently receiving other related treatments that may affect the observation indicators of this trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constant Murley shoulder joint score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale;ultrasonic measurement; | — |
Countries
China
Contacts
Public ContactZhouWei
Wuhan Caidian District People's Hospital
Outcome results
None listed