推拿联合运动疗法在退行性肩袖损伤患者中的疗效观察OA

Objective:To evaluate whether Tuina combined with standardized exercise therapy provides significant additional benefits in improving shoulder function and quality of life compared to sham Tuina plus exercise therapy or exercise therapy alone in patients with degenerative rotator cuff tears.Methods:This was a three-arm,parallel-group,randomized,assessor-blinded controlled clinical trial.A total of 63 patients with radiologically confirmed degenerative rotator cuff tears were recruited and randomly assigned to Group A(Tuina+exercise therapy),Group B(sham Tuina+exercise therapy),and Group C(exercise therapy alone).All interventions lasted for 12 weeks.The primary outcome measure was the Western Ontario Rotator Cuff(WORC)index score.Secondary outcomes included the Visual Analogue Scale(VAS)for pain assessment and shoulder range of motion(ROM).Results:After 12 weeks of treatment,there was a statistically significant difference in the WORC score among the three groups(P<0.05).Post-hoc comparisons indicated that the improvement in Group A was significantly superior to that in Group B(P<0.05)and Group C(P<0.05),while no significant difference was observed between Group B and Group C.Regarding secondary outcomes,Group A showed significantly greater improvements in shoulder flexion(P<0.05)and abduction(P<0.05)ROM compared with the other two groups.There were no significant differences in VAS pain relief among the three groups(P>0.05).No serious adverse events occurred during the study period.Conclusion:Adding Chinese Tuina to standardized exercise therapy offers significant clinical benefits beyond the placebo effect for patients with degenerative rotator cuff tears,especially in improving shoulder function,quality of life,and ROM.The findings of this study support the inclusion of Chinese Tuina as a safe and effective adjunctive therapy in the comprehensive conservative treatment regimen for this condition.