| Objective: To observe the improvement of pain,clinical symptoms,and isokinetic muscle strength training indicators of knee osteoarthritis after combined treatment of scalp acupuncture and isokinetic muscle strength training,and to evaluate the analgesic effect and therapeutic effect.To provide new ideas for clinical diagnosis and treatment and to enrich the clinical application scope of scalp acupuncture.Methods: Sixty patients satisfying the inclusion criteria in this study were randomly divided into two groups,with 30 patients in each group.Both groups received basic treatment.The control group received simple isokinetic muscle strength training,while the treatment group received scalp acupuncture on the basis of the control group.The treatment course of both groups was once a day,five times a week,rested for two days.The treatment lasted for four weeks.The VAS score,Womac score,isokinetic muscle strength flexion and extension muscle group test value,and clinical efficacy before and after treatment of the two groups were compared.SPSS22.0 scientific statistical analysis was used to further compare the advantages and disadvantages of the two treatment methods.Result:1.Comparison of general data between the two groups: The test showed that there was no significant difference in gender,age,and disease duration between the two groups of included cases,making them comparable(P>0.05).2.Comparison of VAS scores: There was a statistically significant difference in VAS scores between the treatment group after treatment(P<0.05),and there was also a statistically significant difference in VAS scores between the control group after treatment(P<0.05).There was also a statistically significant difference in the reduction of VAS scores between the two groups(P<0.05),with the treatment group showing better results in improving the pain symptoms of knee osteoarthritis compared to the control group(P<0.05).3.Comparison of Womac scores: There was a statistically significant difference in Womac scores between the treatment group after treatment(P<0.05),and there was also a statistically significant difference in Womac scores between the control group after treatment(P<0.05).There was a statistically significant difference in Womac score reduction between the two groups(P<0.05).Compared between the two groups,the treatment group was better than the control group in Womac score reduction(P<0.05).4.Comparison of isokinetic muscle strength flexion and extension PT,TW,and AP test values: There was a statistically significant difference in isokinetic muscle strength flexion and extension PT,TW,and AP test values between the treatment group after treatment(P<0.05).There was also a statistically significant difference in isokinetic muscle strength flexion and extension PT,TW,and AP test values between the control group after treatment(P<0.05).There was a statistically significant difference in the improvement of isokinetic muscle strength flexion and extension PT,TW,and AP test values between the two groups(P<0.05).The treatment group was superior to the control group in improving isokinetic muscle strength flexion and extension PT,TW,and AP test values(P<0.05).5.Clinical efficacy evaluation: The total effective rate of the treatment group was 86.7%,and the total effective rate of the control group was 63.3%.The difference between the two groups was statistically significant(P<0.05),indicating that the clinical efficacy of the treatment group in treating knee osteoarthritis was better than that of the control group.Conclusion:1.Both scalp acupuncture combined with isokinetic muscle strength training and simple isokinetic muscle strength training can effectively improve the pain and dysfunction brought by knee osteoarthritis.2.Compared with simple isokinetic muscle strength training,scalp acupuncture combined with isokinetic muscle strength training has a higher efficiency in improving the force distance and power of training extensors and flexors.3.Compared with simple isokinetic muscle strength training,scalp acupuncture combined with isokinetic muscle strength training has a better effect in relieving pain and improving clinical symptoms. |