Name: Assessing the Post-Intervention Outcome of Small Needle Knife Therapy on Frozen Shoulder
Uploaded: 2023-11-17T12:50:00
Description: Watch this Scientific Journal Video about Assessing the Post-Intervention Outcome of Small Needle Knife Therapy on Frozen Shoulder at JoVE.com

assessing the post-intervention outcome of small needle knife therapy on frozen shoulder

الفعالية العلاجية للعلاج بسكين إبرة صغيرة في علاج الكتف المتجمد

Frozen shoulder is a disease characterized by pain and limitation of active and passive shoulder movement, which causes great inconvenience to the work and life of patients1. The global incidence of frozen shoulder is 2%-5%2,3 and higher in females than in males, showing a certain genetic tendency4. The majority of frozen shoulder patients are 40-60 years old5. Moreover, the frozen shoulder brings about a heavy social burden due to the longer recovery cycle and the absence of established treatment consensus in the clinic practice.
The main treatment methods for frozen shoulders include oral or external use of herbal medicine, acupuncture, massage, functional exercise, and so on6; however, the compliance of the patients is poor due to the multiple treatment frequency and longer time-consuming, and cannot meet the urgent necessities of patients to improve pain and functional limitations. Therefore, it is urgently needed to identify more effective therapeutics in the clinical management of frozen shoulder patients.
Small needle knife therapy is a special and effective external treatment of traditional Chinese medicine, which has arisen rapidly in the field of traditional Chinese medicine in recent decades7. It has the advantages of quick effect, definite curative effect, and high repeatability. Moreover, the operation instrument is cheap and easy to obtain, the operation process is simple, and the method is not limited by the environment and condition. The normal work and life of patients are not affected after the small needle knife therapy since the micro-incision will be recovered quickly without damage to the body, causing infection, or other side effects8,9,10,11. Systematic reviews showed that the efficacy of small needle knife on frozen shoulder was significantly superior to acupuncture, massage, and oral Chinese medicine12,13. Modern studies show that the mechanism of small needle knife treatment of frozen shoulder is to dredge the meridians and collaterals, promote the circulation of qi and blood, cut and strip the lesion tissue, remove adhesion, promote tissue repair, and restore the dynamic balance of the human body14,15.
The protocol presented here demonstrates the operation of small needle knife in treating frozen shoulders including patient management, material preparation, positioning, operation, and postoperative care. The purpose of this protocol is to relieve the pain and functional limitations and improve the living ability of patients with frozen shoulders.
With the development of small needle knife therapy, its application has been extended from the treatment of neck, shoulder, waist, leg pain, and other muscle and bone diseases to internal medicine, surgery, gynecology, pediatrics, and other diseases, playing an increasingly important role in the field of rehabilitation medicine16. In recent years, the small needle knife shows a more accurate, scientific, and safe therapeutic efficacy due to the application of ultrasound-guided small needle knife visualization therapy, whose development has entered a new stage17,18.

تسليط الضوء على المؤلف: علاج الكتف المتجمد بعلاج سكين إبرة صغيرة 

الفعالية السريرية للعلاج بسكين إبرة صغيرة على الكتف المجمد من المرحلة الأولى إلى الثانية

Our study investigated the therapeutic efficacy of small needle knife in patients with frozen shoulders, and evidence that the improvement of pain function and the life ability. Our protocol addresses the detailed operation process of small needle knife in frozen shoulder patients. Our protocol has the advantages of quicker and definite therapeutic effects, high repeatability, broader availability, also there are less physical injury in patients.

Watch this Scientific Journal Video about Assessing the Post-Intervention Outcome of Small Needle Knife Therapy on Frozen Shoulder at JoVE.com

Assessing the Post-Intervention Outcome of Small Needle Knife Therapy on Frozen Shoulder  

تقييم نتائج ما بعد التدخل للعلاج بسكين إبرة صغيرة على الكتف المتجمد

لبدء تقييم نطاق حركة كتف المرضى الذين تلقوا تدخل العلاج بالإبرة الصغيرة ، أولا ، اطلب من المريض رفع الكتف إلى أقصى زاوية ممكنة. ثم اضغط على زر التشغيل لتشغيل أداة التقييم. قم بتدوير مسطرة القياس واحصل على القيمة المقاسة.اضبط مقياس أداة القياس مرة أخرى على الصفر قبل تكرار القياس مرتين. اضغط مع الاستمرار على إيقاف ، لإيقاف تشغيل الطاقة. لقياس سمك الرباط العضدي ، قم أولا بتشغيل جهاز الموجات فوق الصوتية عن طريق الضغط على زر الطاقة.ثم افتح برنامج الموجات فوق الصوتية. اضغط على زر المريض وأدخل اسم الموضوع. اطلب من المريض كشف الكتف المصاب بالكامل في وضع الجلوس.حرك مفصل كتف المريض بشكل سلبي, لتحديد موقع الرباط العضدي. بعد تطبيق كمية مناسبة من المقرنة الطبية على المسبار ، قم بمحاذاة مسبار الموجات فوق الصوتية مع الرباط العضدي. اضغط على الزر تجميد لتجميد الشاشة، ثم اضغط على زر المتجر لحفظ صورة الموجات فوق الصوتية.استمر في تسجيل صورتين مختلفتين كما هو موضح. بعد الضغط على زر المريض ، ابحث عن الصور المسجلة في قائمة الدراسة. اضغط على زر الفرجار للدخول إلى وضع القياس وتقييم سمك الرباط العضدي.أخيرا ، بعد تسجيل القياسات ، قم بإيقاف تشغيل الجهاز. بعد العلاج ، انخفض سمك الرباط العضدي بشكل ملحوظ في مجموعة العلاج ، مقارنة بمجموعة التحكم.

Research

JoVE Journal

Medicine

Assessing the Post-Intervention Outcome of Small Needle Knife Therapy on Frozen Shoulder

Clinical Efficacy of Small Needle Knife Therapy on Stage I-II Frozen Shoulder

Frozen shoulder is a kind of aseptic inflammatory disease of the shoulder caused by strain, trauma, and other reasons, resulting in shoulder joint pain ...