Clinical Observation On Treatment Of Patellofemoral Arthritis By Acupuncture Of Myofascial Trigger Point Combined With Isokinetic Muscle Strength Tester Training Quadriceps Femoris Muscle

Objective: By acupuncture myofascial trigger point the quadriceps muscle and joint isokinetic muscle strength tester is training with the knee joint injection of sodium hyaluronate in the treatment of patellofemoral arthritis with quiet squat down the quadriceps muscle and training,as compared to observe the curative effect of compare them to find a high feasibility,curative effect is more significant in the treatment of the disease,in order to solve the disease in the clinical cure rate is low.Methods: 60 patients meeting the inclusion criteria were randomly divided into control group and experimental group,with 30 patients in each group.The control group was given intraarticular injection of sodium hyaluronate into the knee joint,4 times once a week,combined with squatting to exercise the quadriceps femoris,2 groups a day,for 4weeks.In the treatment group,the four myofascial trigger points on the quadriceps femoris were acupuncture once a week for 4 weeks,and the quadriceps femoris was exercised twice a week with isokinetic muscle strength tester for 4 weeks.VAS score,knee Lsyholm score and WOMAC score were used as indicators to evaluate the efficacy of the two treatments,and statistical analysis was conducted to compare the differences between the two treatments.Results:(1)There were a total of 60 patients in this study,and there were no significant differences in age,gender,body mass index and other general information between the two groups(P > 0.05).Before treatment,there were no significant differences in VAS score and knee LSYHOLM score between 2 groups(P > 0.05).(2)There was a statistically significant difference in pain VAS scores between the two groups before and after treatment(P < 0.05).After treatment,pain symptoms in both groups were significantly improved.After treatment,the VAS scores of the control group and the treatment group showed statistically significant difference(P < 0.05),and the treatment group was better than the control group in improving pain.(3)The difference of knee LSYHOLM score between the two groups before and after treatment was statistically significant(P <0.05).The knee function of the two groups was improved after treatment.After treatment,there was a significant difference in knee LSYHOLM score between the control group and the experimental group(P < 0.05).After treatment,the knee function of the experimental group was improved significantly compared with the control group.(4)Evaluation of overall efficacy after treatment showed that the total effective rate was 86.7% in the control group and 90% in the experimental group,and there was no significant difference in overall efficacy between the two groups(P > 0.05).The clinical cure rate of control group was 40%.The clinical cure rate of control group was40%.The clinical cure rate of the experimental group was 60%,and the clinical cure rate of the experimental group was significantly higher than that of the control group.Conclusion(s): acupuncture myofascial trigger point the quadriceps muscle and joint isokinetic muscle strength tester is training in the treatment of patellofemoral arthritis curative effect,will be better able to relieve patients’ pain and improve joint function in patients with activity,apply to clinical treatment Ⅰ-Ⅲ level in patients with patellofemoral arthritis.