[Clinical Research on Double-needle Winding and Pulling Combined with Electroacupuncture Therapy in Treating Scapulohumeral Periarthritis].

OBJECTIVE: To observe the efficacy of double-needle winding and pulling combined with electroacupuncture in treating scapulohumeral periarthritis. METHODS: Sixty cases with scapulohumeral periarthritis were equally randomized into treatment group and control group (n=30 in each group). Jianliao (TE 14), Jianyu(LI 15), Naoshu(SI 10), Jianzhen(SI 9), Binao(LI 14), Quyuan(SI 13), Quchi(LI 11), Shousanli(LI 10) were selected in the two groups. In the treatment group,double-needles were inserted respectively into TE 14,LI 15 and SI 10, twirling till sticking,then the needles were pulled for 3 times.The rest acupoints were manipulated routinely before electroacupuncture apparatus was connected. The control group received routine electroacupuncture treatment. Both groups were treated for 2 courses, which comprised of 6 days as a course and 1 day rest. VAS and Melle were scored and clinical efficacy was evaluated for both groups. RESULTS: VAS and Melle scores were lower after treatment than those before in both groups (P<0.001), and the scores in the treatment group were significantly lower than those in the control group (P<0.001). The before-and-after-treatment difference values of VAS and Melle scores in the treatment group were significantly higher than those of the control group (P<0.01). There were 8 cases cured, 17 observed markedly effective and 4 effective in the treatment group, the rate of cured and markedly effective was 83.3%, which was significantly higher (P<0.01) than that of the control group (50.0%), in which 0 cases cured, 15 observed markedly effective, 13 effective. No significant difference was observed between the two groups in total effective rate (P>0.05). No adverse event occurred during the treatment. CONCLUSIONS: The therapy of double-needle winding and pulling combined with electroacupuncture has good efficacy in treating scapulohumeral periarthritis,which can relieve pain and improve the shoulder joint function, and it is superior to single electroacupuncture therapy.

[Observation on therapeutic effect of opposing needling for treatment of poststroke shoulder-hand syndrome].

OBJECTIVE: To compare the therapeutic effects of opposing needling and routine acupuncture for treatment of poststroke shoulder-hand syndrome. METHODS: Sixty cases were randomly divided into an opposing needling group and a routine acupuncture group, 30 cases in each group. In the two groups, Jianyu (LI 15), Jianliao (TE 14), Quchi (LI 11), Hegu (LI 4), etc. were selected, with on the healthy side selected for the opposing needling group and on the affected side selected for the routine acupuncture group. The motor function of the affected limb was evaluated by Fugl-Meyer scale, activity of daily living by ADL scale, and pain by VAS, and the edema degree was investigated before and after treatment. RESULTS: There were significant differences before treatment and after 2 therapeutic courses in the scores of Fugl-Meyer for the upper limb motor function and the ADL score for activity of daily living (both P<0.05), with the opposing needling group being significantly better than the routine acupuncture group (P<0.05); after treatment, both the edema degree and the pain scores significantly decreased (both P<0.05), with the opposing needling group in improvement of the edema degree being better the routine acupuncture group (P<0.05), and with no significant difference between the two groups in improvement of pain (P>0.05); the total effective rate was 93.3% in the opposing needling group and 90.0% in the routine acupuncture group with a significant difference between the two groups (P<0.05). CONCLUSION: The clinical therapeutic effect of the opposing needling is better than that of routine acupuncture therapy for treatment of poststroke shoulder hand syndrome.