Observation Of The Clinical Efficacy Of "hip And Knee Coordinating" Method In The Treatment Of Knee Osteoarthritis

[Objective]Employing the Hip and knee combined treatment method in treating knee osteoarthritis,observing the degree of pain,severity and syndrome improvement before and after treatment and a month’s follow up,to compare the knee joint space before and after Hip and knee homological treatment and to explore the mechanisms of the " Hip and knee homological treatment " method by studying literature.To provide an optimized solution for clinical treatment of this ailment.[Method]All 27 patients with knee osteoarthritis who fulfilled the criteria with the exception of 2 patients who discontinued were studied by using the method of self-control.The treatment points chosen were the muscle abdomens of the targeted muscles which included nodule,rope or pressure point.The targeted muscles around the hip were pectineal muscle,adductor muscle,tensor fasciae latae,gluteus maximus,gluteus medius,gluteus minimus,while the targeted muscles around the knee joint were plantaris,soleus,musculi tibialis posterior.When needling,one hand fixes the local skin and the other hand quickly enters the needle.When the needle touches the muscle nodules,the target muscle will twitch.The intended acupuncture effects were for the muscles to twitch three times or the loosening of the rigid muscle belly nodules.There were 3 treatment sessions per week with a 1-2 day gap in between(two courses of treatment in total,one course of treatment was made up of 4 treatment sessions)The Visual Analogue Scale(VAS)score and Lequesne Index Score was used before treatment,after 4 times of treatment,after 8 times of treatment and a month’s follow up to evaluate the curative effects.The medial and lateral knee joint space was measured before and after 8 times of treatment from knee X-rays taken.After that,all patients were divided into 4 groups according to Kellgren-Lawrence classification to compare the differences between curative effects before and after 8 times of treatment.SPSS 23.0 was used to analyze all data collected.P<0.05 shows that there was statistical significance in difference of the results obtained,and P<0.01 shows that the difference of the obtained results is significant[Results]1.Before and after treatment,the VAS score decreased successively,and there was significant difference in the VAS score(P<0.01).The results showed that this treatment method had significant improvement effect on subjective knee joint pain degree.2.Before and after treatment,the Lequesne index decreased successively,and there was significant difference in the Lequesne index(P<0.01).The results showed that this treatment method had significant improvement effect on the severity of KOA in patients.3.Before and after treatment,there was significant difference in tenderness,swelling and joint motion pain scores(P≤0.01)and articular rest pain score(P≤0.05).But there was no significant difference in morning stiffness and walking ability before and after treatment(P>0.05).4.Before and after treatment,the total effective rate was 77.8%,and the penetrance rate was 18.5%.The improvement of joint stiffness was the most effective,followed by pain,dyskinesia,tenderness,and swelling.5.After treatment,the medial and lateral knee joint space became wider.Before and after treatment,there was significant difference in the medial knee joint space(P<0.01),but there was no statistical significance in the lateral knee joint space(P>0.05).The results showed that the medial knee joint space widened significantly after 8 times of treatment,but no obvious difference was found in the lateral knee joint space.[Conclusion]1.The hip and knee homological treatment had a highly significant curative effect towards improving the pain,the severity of KOA,the medial knee joint space,the tenderness and swelling of the patients with KOA.2.The hip and knee homological treatment had a highly significant curative effect towards improving the medial knee joint space of the patients with KOA.3.The hip and knee homological treatment did not improve the lateral knee joint space of patients with KOA.4.The improvement of the pain,severity of KOA,tenderness,swelling and other symptoms could last for at least a month after the hip and knee homological treatment.