| Objectives:Knee Osteoarthritis(KOA)is a degenerative joint disease,which is one of the most common clinical osteoarthritis.In this study,the release needle method and external application of Votalin latex were used to treat KOA.By comparing the difference of clinical evaluation indexes and curative effect between the release needle method and external application of Votalin latex,the clinical efficacy of the release needle method in treating KOA was studied compared with that of external application of Votalin latex.To explore the clinical value of selective functional movement assessment(SFMA)in guiding the treatment of KOA by needle release.Methods:This study selected 70 KOA patients from Liulitun Community Hospital in Chaoyang District of Beijing who met the KOA diagnostic criteria.After signing the informed consent,70 patients were randomly divided into western medicine group(25patients),release group(25 patients)and SFMA+release group(20patients).Twenty patients in the western medicine group,20 in the release group and 20 in the SFMA+ release group finished the experiment and were included in the analysis.The western medicine group was treated with external Futalin latex three times a day for 10 days;the release group was treated with the release needle method for KOA,a course of treatment,once every two days,four times;the SFMA+release group was treated with the diagnosis of SFMA and the release needle method,a course of treatment,once every two days,four times.By comparing the changes of visual analogue scale(VAS),range of motion(ROM),severity index of knee osteoarthritis(Lequesne MG),quadriceps femoris muscle strength(QFMS)before and after treatment and the clinical efficacy of the three groups,we studied the clinical treatment of KOA by needle release compared with Western medicine.Effectiveness advantages,and explore whether SFMA has guiding significance for the treatment of KOA by needle release method.Results:1.Baseline status:There was no significant difference in age,height,weight,VAS score,Lequesne MG,ROM,QFMS before treatment among the three groups(P>0.05),and the baseline was comparable.2.The clinical curative effect:① The clinical cure rate,marked efficiency,effective rate,inefficiency and total effective rate of Western medicine group were 0%,0%,75%,25%and 75%,respectively.②The clinical cure rate,marked efficiency,effective rate,ineffective rate and total effective rate of the release group were 10%,80%,5%?5%and 95%,respectively.)In SFMA+lysis group,the clinical cure rate was 0%,the marked efficiency was 0%,the effective rate was25%,the ineffective rate was 75%,and the total effective rate was 25%..There were significant differences in clinical efficacy among the three groups(P<0.001).χ2 =60.41.In the clinical efficacy of KOA,the relaxation group was superior to the western medicine group(P<0.001)and the SFMA+relaxation group(P<0.001),and the western medicine group was superior to the SFMA+relaxation group(P<0.05).3.VAS score changes:①The VAS score of the western medicine group decreased after treatment compared with that before treatment,and the difference was statistically significant(P<0.001),.Compared with before treatment,the VAS score in the release group decreased significantly after treatment(P<0.001).③Compared with before treatment,the VAS score of SFMA+ lysis group did not decrease after treatment,and the difference was statistically significant(P<0.05).④The VAS scores of three groups were significantly different after treatment(P<0.001).In improving the pain symptoms of KOA patients,the relief group was better than the western medicine group(P<0.05)and the SFMA+relief group(P<0.001),and the western medicine group was better than the SFMA+relief group(P<0.05).4.The changes of knee joint flexion activity(ROM)were as follows:① Compared with before treatment,ROM in western medicine group increased after treatment,and the difference was statistically significant(P<0.001).②Compared with before treatment,ROM increased in the release group(P<0.001).③Compared with before treatment,ROM in SFMA+lysis group increased significantly after treatment(P<0.001).④There was significant difference in ROM between the three groups after treatment(P<0.001).In improving knee joint mobility of KOA patients,the relaxation group was better than the western medicine group(P<0.05)and the SFMA+relaxation group(P<0.001).There was no difference between the western medicine group and the SFMA+ relaxation group(P>0.05).5.Quadriceps femoris muscle strength(QFMS)changes:①QFMS in western medicine group increased after treatment compared with that before treatment,and the difference was statistically significant(P<0.05).②After treatment,QFMS in the release group was higher than that before treatment,and the difference was statistically significant(P<0.001).③Compared with before treatment,QFMS in SFMA+release group decreased significantly after treatment(P<0.001).④There was significant difference in QFMS among the three groups after treatment(P<0.001).In improving quadriceps femoris muscle strength of KOA patients,the relaxation group was better than the western medicine group(P<0.05)and the SFMA+relaxation group(P<0.001),and the western medicine group was better than the SFMA+relaxation group(P<0.05).6.The total score of the knee arthritis severity index(Lequesne MG)changes:①The total score of Lequesne MG in western medicine group decreased after treatment compared with that before treatment,and the difference was statistically significant(P<0.001).②Compared with before treatment,the total score of Lequesne MG in the release group decreased significantly(P<0.001).③Compared with before treatment,the total score of Lequesne MG in SFMA+release group increased significantly after treatment(P<0.001).④There was significant difference in the total Lequesne MG score among the three groups after treatment(P<0.001).The release group was better than the western medicine group(P<0.05)and the SFMA+release group(P<0.001),and the western medicine group was better than the SFMA+release group(P<0.05).7.Comparison of single syndrome scores of Lequesne MG index before and after treatment in three groups of patients:①Compared with before treatment,the western medicine group can improve the symptoms of KOA patients such as night rest pain,morning stiffness,unable to stand long and walking pain,increase walking distance and improve knee joint squatting function(P<0.05);(2)Compared with before treatment,the relief group could improve the symptoms of KOA patients,such as night rest pain,morning stiffness,inability to stand long,walking pain,sitting up and handrail,increase walking distance,improve knee squatting and daily activities of ascending and descending stairs,the difference was statistically significant(P<0.05);③Compared with before treatment,the walking distance of patients in SFMA+lysis group was improved only(P<0.05),and the rest was not improved.Conclusions:1.Loosening needle therapy is superior to western medicine in alleviating pain symptoms,increasing joint activity,improving quadriceps femoris muscle strength and improving daily life function of knee joint in KOA patients.2.Loosening needle therapy is superior to western medicine in the treatment of KOA.It has the advantages of quick effect,short course of treatment and high safety,and is worthy of clinical promotion.3.For KOA characterized by local pain and dysfunction,the efficacy of SFMA-guided needle release therapy for KOA is not superior to that of knee joint-guided needle release therapy.Future studies can study the efficacy of SFMA-guided needle release therapy for Focal and distal comprehensive treatment of KOA. |
PDF Full Text Request