Clinical Effect Study On Knee Osteoarthritis Treated Sanpanluodi-style Of Yi Jin Jing

Objective:To explore the clinical effect of Sanpanluodi-style of Yi Jin Jing exercise on the treatment of early KOA,and provide a more effective option for conservative treatment of KOA.Methods:By collecting 60 middle-aged and elderly KOA patients with Kellgren-Lawrence grade I-II in our orthopedic department from February2021 to October 2021,they were divided into two groups according to the treatment method:the control group was treated with Supine straight leg raise exercise(30 cases),and the experimental group was treated with Sanpanluodi-style of Yi Jin Jing exercise(30 cases).The average age of patients in the control group was 60.70±5.59 years,9 were male and 21 were female,the average BMI was 25.5±3.27 kg/m~2,and Kellgren-Lawrence grade I in 12 cases and grade II in 18 cases.The mean age of the patients in the experimental group was 59.03±5.06 years,7 males and 23 females,with a mean BMI of 25.34±3.096 kg/m~2and Kellgren-Lawrence grade I in 11 cases and grade II in 19 cases.Patients in both groups were compared in terms of index scores before treatment,at week 4,week 8 and week 12 after treatment.These included VAS score,WOMAC score,SF-36 score,timed standing test time assessment,and clinical efficacy assessment.Results:All patients completed follow-up and no shedding occurred.The general baseline data and pre-intervention VAS scores,WOMAC scores,SF-36 scores,and timed standing test time were not significantly different between the two groups(P>0.05),and the groups were comparable.Comparing different time points within groups,the VAS scores in the control group were statistically significant(P<0.001)before the intervention compared with 8 weeks after the intervention and 12 weeks after the intervention,and the differences were statistically significant(P<0.001)between 4 weeks after the intervention and 12 weeks after the intervention,and between 8 weeks after the intervention and 12 weeks after the intervention,while the scores of patients in the experimental group were lower at weeks 4,8 and 12 after the intervention compared with before the intervention.differences were statistically significant(P<0.001),and the differences were statistically significant(P<0.001)when comparing week 4 to week 8 after intervention,week 4 to week 12 after intervention,and week 8 to week 12after intervention.WOMAC scores in both groups were lower at weeks 4,8and 12 after intervention compared with pre-intervention,with statistically significant differences(P<0.001),and the differences were statistically significant(P<0.001)when comparing week 4 with week 8 after intervention,week 4 with week 12 after intervention,and week 8 with week 12 after intervention.Timed standing test times at weeks 4,8,and 12 after the intervention were lower in both groups than before the intervention,and the differences were statistically significant(P<0.001),and the differences were statistically significant(P<0.001)when comparing week 4 with week 8 after the intervention,week 4 with week 12 after the intervention,and week 8 with week 12 after the intervention.For comparisons between groups at the same time points,the differences in VAS scores and WOMAC scores were statistically significant at weeks 8 and 12 post-intervention(P<0.05)and not at week 4 post-intervention(P>0.05).There was a statistically significant difference in the SF-36 score comparing the post-intervention physical function,social function,and health change scores between the two groups(P<0.05),but there was no statistically significant difference in the post-intervention physical function scores between the two groups(P>0.05).The differences in the timed standing test at weeks 4,8 and 12 after the intervention were statistically significant(P<0.001).At the final follow-up,the total effective rate was 26 cases(87.00%)in the control group and 30cases(100.00%)in the experimental group.The difference between the two groups was not statistically significant(P>0.05).No adverse reactions or serious complications were observed in both groups during the study period.Conclusion:Sanpanluodi-style of Yi Jin Jing exercise and Supine straight leg raise exercise have satisfactory short-term clinical effects in the treatment of KOA.Whether in the relief of knee pain and stiffness,or in the improvement of lower limb muscle strength and quality of life,Sanpanluodi-style of Yi Jin Jing exercise has a better therapeutic effect and can effectively delay the progress of KOA.