Hiệu quả cải thiện chức năng khớp vai bằng điện châm kết hợp siêu âm trị liệu trên bệnh nhân viêm quanh khớp vai đơn thuần

Periarthritis humeroscapularis (PHS) is a prevalent musculoskeletal condition characterized by pain and restricted movement in the shoulder joint, significantly impacting patients' quality of life. While conventional treatments often rely on non-steroidal anti-inflammatory drugs and corticosteroid injections, these can lead to various side effects such as osteoporosis and organ dysfunction with prolonged use. Physical therapies like electrotherapy and ultrasound therapy are also utilized, but a comprehensive approach combining traditional and modern modalities remains underexplored. This study addresses this research gap by evaluating the effectiveness of electroacupuncture combined with ultrasound therapy in improving shoulder joint function for patients suffering from periarthritis humeroscapularis. The aim is to provide a non-pharmacological, integrated treatment strategy with potentially fewer adverse effects.

Healthcare professionals, including physicians, physical therapists, acupuncturists, and researchers in traditional and modern medicine specializing in musculoskeletal disorders, particularly periarthritis humeroscapularis.

This clinical intervention study investigated the efficacy of electroacupuncture combined with ultrasound therapy in enhancing shoulder joint function among 50 patients diagnosed with periarthritis humeroscapularis at the National Hospital of Traditional Medicine. The methodology involved a before-and-after treatment comparison over 20 days. Patients underwent a structured regimen of both modalities. Outcome measures included the McGill-McRomi classification for shoulder joint range of motion, Constant C.R and Murley A.H.G scores for shoulder joint mobility, and the Shoulder Pain and Disability Index (SPADI) for pain and functional difficulty. Results showed statistically significant improvements across all assessed parameters (p < 0.05). Specifically, the shoulder joint range of motion, encompassing abduction, internal, and external rotation, improved considerably. Constant C.R and Murley A.H.G scores for shoulder joint mobility increased from an average of 13.81 to 23.37 points, while the SPADI difficulty score dramatically decreased from 49.36 to 13.71 points, and the total SPADI score reduced from 51.22 to 16.75 points post-treatment. These findings indicate that the combined therapy is highly effective in reducing pain and improving functional outcomes for PHS patients. The combined application leverages the deep thermal and mechanical effects of ultrasound to promote tissue repair and circulation, alongside the pain-relieving and muscle-relaxing effects of electroacupuncture, offering a promising integrated approach for managing this debilitating condition.