Objective <p>To observe the clinical efficacy of DING’s Tuina (Chinese therapeutic massage) plus Western medication in treating rotator cuff injury (RCI) and its impact on pain, shoulder function, and shoulder muscle strength in the patients.</p> Methods <p>Sixty-two RCI patients were divided into an observation group and a control group using a simple randomization method, each consisting of 31 cases. Both groups of patients were prescribed oral celecoxib capsules. In addition, DING’s Tuina treatment was offered to the observation group. After 6 weeks of treatment, the two groups were observed for changes in the Constant-Murley score (CMS) for shoulder joint function, the short-form McGill pain questionnaire (SF-MPQ) score, and peak torque (PT) and peak torque to body mass ratio (PT/BM) at angular velocities 120 °/s and 90 °/s as well as the peak torque ratio (PTR) of agonist muscles to antagonist muscles [including adductors to abductors (ADD/ABD) and flexors to extensors (F/E)].</p> Results <p>After treatment, both groups presented decreased SF-MPQ scores and increased CMS, and the intra-group differences were statistically significant (<i>P</i>&lt;0.05); the observation group had a lower SF-MPQ score and a higher CMS than the control group, showing statistical significance (<i>P</i>&lt;0.05). After the intervention, the ADD/ABD decreased in the control group at the angular velocity 120 °/s in abduction, and the intra-group change was statistically significant (<i>P</i>&lt;0.05); in the observation group, the PT and PT/BM increased compared to the baseline at angular velocities 120 °/s and 90 °/s in abduction, adduction, forward flexion, and backward extension, showing statistical significance (<i>P</i>&lt;0.05). After treatment, the PT and PT/BM at angular velocities 120 °/s and 90 °/s and ADD/ABD at 120 °/s were higher in the observation group than in the control group, and the between-group differences were statistically significant (<i>P</i>&lt;0.05).</p> Conclusion <p>DING’s Tuina combined with oral celecoxib capsules can reduce pain, improve the joint’s motor function, and enhance the strength of shoulder muscle groups in RCI patients, and this treatment has a positive impact on the stability when performing shoulder joint abduction and adduction.</p>

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Clinical observation of improving pain, shoulder function, and shoulder muscle strength with DING’s Tuina combined with Western medication in patients with rotator cuff injury

  • Heng Zhang,
  • Yimier Aimaiti,
  • Linhao Yang,
  • Jingsong Xu,
  • Jiaxu Chen,
  • Zhen Yan

摘要

Objective

To observe the clinical efficacy of DING’s Tuina (Chinese therapeutic massage) plus Western medication in treating rotator cuff injury (RCI) and its impact on pain, shoulder function, and shoulder muscle strength in the patients.

Methods

Sixty-two RCI patients were divided into an observation group and a control group using a simple randomization method, each consisting of 31 cases. Both groups of patients were prescribed oral celecoxib capsules. In addition, DING’s Tuina treatment was offered to the observation group. After 6 weeks of treatment, the two groups were observed for changes in the Constant-Murley score (CMS) for shoulder joint function, the short-form McGill pain questionnaire (SF-MPQ) score, and peak torque (PT) and peak torque to body mass ratio (PT/BM) at angular velocities 120 °/s and 90 °/s as well as the peak torque ratio (PTR) of agonist muscles to antagonist muscles [including adductors to abductors (ADD/ABD) and flexors to extensors (F/E)].

Results

After treatment, both groups presented decreased SF-MPQ scores and increased CMS, and the intra-group differences were statistically significant (P<0.05); the observation group had a lower SF-MPQ score and a higher CMS than the control group, showing statistical significance (P<0.05). After the intervention, the ADD/ABD decreased in the control group at the angular velocity 120 °/s in abduction, and the intra-group change was statistically significant (P<0.05); in the observation group, the PT and PT/BM increased compared to the baseline at angular velocities 120 °/s and 90 °/s in abduction, adduction, forward flexion, and backward extension, showing statistical significance (P<0.05). After treatment, the PT and PT/BM at angular velocities 120 °/s and 90 °/s and ADD/ABD at 120 °/s were higher in the observation group than in the control group, and the between-group differences were statistically significant (P<0.05).

Conclusion

DING’s Tuina combined with oral celecoxib capsules can reduce pain, improve the joint’s motor function, and enhance the strength of shoulder muscle groups in RCI patients, and this treatment has a positive impact on the stability when performing shoulder joint abduction and adduction.