Observation on the clinical efficacy of non-drug intervention with visual acupotomy combined with exercise rehabilitation in treatment of rotator cuff injury based on proactive healthcare mode

WANG Cheng; LI Shi-liang; LYU Ya-nan

doi:10.3969/j.issn.1674-3806.2023.12.04

Abstract：Objective To observe the clinical efficacy of non-drug intervention with visual acupotomy com-bined with exercise rehabilitation in treatment of rotator cuff injury based on proactive healthcare mode.Methods Sixty patients with rotator cuff injury who received visual acupotomy and massage in the People's Hospital of Guangxi Zhuang Autonomous Region from July 2022 to July 2023 were selected and divided into observation group(30 cases)and con-trol group(30 cases)using the random number table method.The observation group was treated with musculoskeletal ultrasound-guided acupotomy to relieve the supraspinatus muscle and the control group was treated with conventional mas-sage,and both the observation group and the control group were treated with shoulder joint exercise rehabilitation therapy once every three days for 2 weeks.Before and immediately after treatment,ultrasound elastography was performed to observe the elastic modulus value of the affected supraspinatus muscle,and the changes in pain Visual Analogue Scale(VAS)scores and Constant-Murley Scale(CMS)scores were compared between the patients in two groups.Results Compared with those before treatment,the elastic modulus value of the affected supraspinatus muscle and VAS scores in the patients of both groups were decreased after treatment,while the CMS scores were elevated after treatment,and the differences were significant(P＜0.05).After treatment,the elastic modulus value of the affected supraspinatus muscle and VAS scores in the patients of the observation group were lower than those in the patients of the control group,and the CMS scores in the patients of the observation group were higher than those in the patients of the control group,and the differ-ences were significant(P＜0.05).Conclusion Non-drug intervention with visual acupotomy combined with exercise rehabilitation has good effects on the treatment of rotator cuff injury and has obvious advantages in alleviating rotator cuff pain and improving shoulder joint function.