| Background and objective:With the acceleration of aging,degenerative diseases represented by knee osteoarthritis(KOA)are gradually increasing,causing joint pain and limitation of movement function,seriously affecting the quality of life of patients,and one of the main causes of disability.And bring huge social and economic burden.The prevalence rate in Beijing is about 32.2%.Among them,10.3%of the patients show pain,limited activities,an average of 12 visits a year,with an average annual direct cost of 8858 yuan.Traditional Chinese medicine massage can effectively relieve the pain of musculoskeletal diseases,help to relax,relieve stress,reduce anxiety levels,and improve the quality of life.However,there are some problems in the research of TCM massage therapy,such as small sample size,poor methodological quality,publication deviation and so on.It has not been proved that TCM massage is effective and safe in the treatment of knee osteoarthritis.The court tendon-regulating technique in the Department of Massage pain,Dongzhimen Hospital,Beijing University of traditional Chinese Medicine is one of the main schools of traditional Chinese massage.Clinical application and pre-experimental results show its clinical effectiveness and safety,but there is a lack of well-designed clinical research.Therefore,to carry out a well-designed RCT test to verify the effectiveness and safety of court tendon manipulation in the treatment of KOA is the only way to improve the evidence intensity of massage intervention in KOA,and it is also the direction of development in the future.Methods:73 patients were selected strictly according to the inclusion and exclusion criteria,and were randomly divided into the experimental group(n=37)and the control group(n=36).The patients in the experimental group and the control group were treated with the same basic treatment.patients in both groups were treated 10 times in 4 weeks for 18 minutes each time.All patients were treated with pain numerical score before and after treatment.Numerical Rating Scale(NRS),Western Ontario and McMaster University Bone and Joint Index(WOMAC),healthy living profile The 12-item Short From Health Survey(SF-12),30 is the stand-up sitting test,standing-walking test,one-leg standing test,and the relevant data obtained are statistically analyzed.Results:A total of 73 patients were included in this study,12 cases fell off,30 cases in the test group and 31 cases in the control group completed the study.the statistical analysis is as follows:1.The data of age,sex,course of disease,BMI,knee and KL grade of the two groups were compared by statistical analysis,and the baseline was the same and comparable(P>0.05).2.Comparison of pre-treatment indicators between the two groups of patients:① NRS pain score,no significant difference between the two groups at baseline(u=604.5,p>0.05);②30-second stand-up test,no significant difference between the two groups at baseline(t=0.557,p>0.05);③Stand-up walking test,no significant difference between the two groups of baselines(u=625.5,p>0.05);④Single leg standing test,no significant difference between the two groups of baselines(u=539.0,p>0.05);⑤ WOMAC pain dimension score,no significant difference between the two groups of baselines(u=654.0,p>0.05);WOMAC stiffness dimension score,no significant difference between the two groups of baselines(u=569.0,p>0.05);WOMAC functional dimension score,no significant difference between the two groups of baselines(t=0.159,p>0.05);⑥WOMAC total score,no significant difference between the two groups of baselines(u=651.5,p>0.05);⑦SF-12 physical health score,there was no significant difference between the two groups of baseline(t=-0.716,p>0.05);SF-12 mental health score,there was no significant difference between the two groups of baseline(t=0.773,p>0.05);There is no significant difference in the baseline indicators between the two groups(p>0.05),which is comparable.3.Comparison of indicators after treatment between the two groups:① NRS pain score,no significant difference between the two groups after 4 weeks of treatment(t=0.610,p>0.05);② Overall efficacy evaluation,no significant difference between the two groups after 4 weeks of treatment Difference(t=0.413,p>0.05);③ 30-second standing up test,no significant difference between the two groups after 4 weeks of treatment(u=424.5,p>0.05);④Standing up walking test,two groups after 4 weeks of treatment There was no significant difference between them(t=0.994,p>0.05);⑤ one-leg standing test,there was no significant difference between the two groups after 4 weeks of treatment(u=378,p>0.05);⑥WOMAC pain dimension score,4 No significant difference between the two groups after weekly treatment(u=397.5,p>0.05);WOMAC stiffness dimension score,no significant difference between the two groups after 4 weeks of treatment(u=407,p>0.05);WOMAC function Dimensional score,no significant difference between the two groups after 4 weeks of treatment(u=454.5,p>0.05);⑦WOMAC total score,no significant difference between the two groups after 4 weeks of treatment(t=0.298,p>0.05)⑧SF-12 is healthy,there is no significant difference between the two groups after 4 weeks of treatment(t=-0.029,p>0.05);SF-12 mental health,there is no significant difference between the two groups after 4 weeks of treatment(t=-0.436,p>0.05).4.Comparison of indexes before and after treatment in traditional Chinese medicine massage group:a total of 30 patients completed the test.Compared with before treatment,①WOMAC total score,there was a significant difference after 4 weeks of treatment(4.3[95%CI,0.1～8.4];P<0.05);②NRS pain score,there is a significant difference after 4 weeks of treatment(2.7[95%CI,1.8～3.6];P<0.01);③ SF-12 is healthy,there is a significant difference after 4 weeks of treatment(-4.8[95CI,-7.9～-1.6];P<0.01);SF-12 mental health,no significant difference after 4 weeks of treatment(-2.3[95%CI,-6.1～1.4];P>0.05);④WOMAC pain dimension score,There was a significant difference after 4 weeks of treatment(1.7[95%CI,0.5～2.9];P<0.01);WOMAC stiffness dimension score,no significant difference after 4 weeks of treatment(0[95%CI,-0.4～0.4];P>0.05);WOMAC functional dimension score,no significant difference after 4 weeks of treatment(2.6[95%CI,-0.5-5.8];P>0.05);⑤Stand up and sit down test at 30s,there is significant after 4 weeks of treatment Difference(-2.5[95%CI,-3.3～-1.6];P<0.01);⑥Stand-up walking test,there is a significant difference after 4 weeks of treatment(1.5[95%CI,0,6-2.9];P<0.01);⑦One-leg standing test,there was a significant difference after 4 weeks of treatment(-6.2[95%CI,-9.4～-3.0];P<0.01).5.Comparison of index before and after treatment of Maitland:a total of 31 patients completed the test.Compared with before treatment,①the total score of WOMAC has a significant difference after 4 weeks of treatment(6.2[95%CI,1.3-11.0];P<0.05);②NRS pain score,after 4 weeks of treatment There is a significant difference(2.3[95%CI,1.3～3.2];P<0.01);③ SF-12 is in good health,there is a significant difference after 4 weeks of treatment(-3.3[95CI,-5.3～-1.2];P<0.01);SF-12 mental health,there is a significant difference after 4 weeks of treatment(-5.1[95%CI,-8.6～-1.6]);P<0.01);④WOMAC pain dimension score,there is a significant after 4 weeks of treatment Difference(1.5[95%CI,0.2-2.8];P<0.05);WOMAC stiffness dimension score,no significant difference after 4 weeks of treatment(0.2[95%CI,-0.4～0.7];P>0.05);WOMAC Functional dimension score,there is a significant difference after 4 weeks of treatment(4.4[95%CI,0.9～7.9];P<0.05);⑤sit up and test in 30s,there is a significant difference after 4 weeks of treatment(-3.0[95%CI,-4.4～-1.6];P<0.01);⑥ Standing walking test,there is a significant difference after 4 weeks of treatment(2.9[95%CI,1.6～4.2];P<0.01);⑦One-leg standing test,4 There were significant differences after weekly treatment(-6.5[95%CI,-9.8～-3.3];P<0.01).Conclusion:1.Traditional Chinese Medical Massage is safe and effective in the treatment of knee osteoarthritis,which can significantly improve the pain symptoms and quality of life of patients with knee osteoarthritis.2.Maitland is safe and effective in the treatment of knee osteoarthritis,which can significantly improve the pain symptoms and quality of life of patients with knee osteoarthritis.3.There was no significant difference between the two groups. |
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