| OBJECTIVE:To evaluate the clinical efficacy of knee osteoarthritis(KOA)through muscle strength training and acupuncture treatment combined with acupuncture and moxibustion,and to observe the combination of muscle strength training and acupuncture and moxibustion to provide a better choice for clinical treatment planning..METHODS:First:theoretical research:through inductive analysis of ancient literature data and the research progress of knee osteoarthritis in recent ten years,from the perspective of traditional Chinese medicine and modern medicine to summarize the knowledge of the disease,and the two therapies in the treatment of knee osteoarthritis were reviewed.Second,the clinical research:according to the inclusion criteria and exclusion criteria of knee osteoarthritis,collection to the nanjing traditional Chinese acupuncture clinic and meet the requirements of the subject of 50 cases,the treatment group and control group randomly assigned,25 people in each groups.The control group used acupuncture treatment,and the treatment group increased muscle strength training on the basis of acupuncture treatment.Find out the two groups:selecting"kidney glory spicule method",the specific acupoints:find out:gan shu,shen shu,Liang Qiu,xuehai,pressure point,plus the knees five needle:crane,nei xiyan,wai xiyan,Yin ling quan,yang ling quan.Acupuncture 3 times per week,30minutes one time.The muscle strength training method of the treatment group:1.The quadriceps of the quadriceps muscle,with the extension of the knee joint,consciously uses the quadriceps to pull the patella at the proximal end and the popliteal fossa to the lower pressure bed.Whether the patella is moving toward the proximal end of the body,whether the muscles bulge or harden to determine whether there is muscle contraction.Slow down at first,and then do your best to keep the 5s and then relax.2.Supine position straight leg elevation movement:supine knee extension,knee flexion 90.First,the ankle is bent back,then the whole lower limb consciously exerts force on the knee,while the straight leg is raised to the level of the knee joint,keeping 5s in the air and relaxing after falling.2 kinds of training 2-3 times/day,each time about 5min/time,after relaxation,repeated training.Third,the clinical efficacy of WOMAC questionnaire,VAS scale,range of motion,and joint pain score was used to evaluate the clinical efficacy of the patients before and after treatment and in the group.RESULT:1.By comparing the WOMAC scores of the two groups,the scores were lower than before treatment,and after 6 weeks of treatment compared with 4 weeks after treatment,there were significant differences between groups(P<0.05).2.After 6 weeks of treatment,VAS score,recovery level of joint motion,tenderness,swelling,and symptom scores of both groups were significantly lower than before treatment,with significant differences(P<0.05);Symptoms between the two groups after treatment The comparison of scores,VAS,and joint swelling showed no statistically significant difference between the two groups(P>0.05).However,there was a statistically significant difference in the degree of motion and tenderness in joints(P<0.05).3.Comparison of total effective rate and recurrence rate between the two groups,P<0.05,the difference was statistically significant,indicating that the long-term curative effect of rehabilitation combined with acupuncture for KOA was better than that of acupuncture treatment alone group.CONCLUSION:Muscle strength training combined with acupuncture and moxibustion has a definite curative effect on KOA.The short-term curative effect and long-term curative effect are better than those of acupuncture treatment group.Muscle strength training combined with acupuncture treatment can significantly improve joint swelling,pain,joint mobility and activities of daily living,and is worthy of clinical application. |
