Effect of rolling tuina combined with sitting position knee adjustment method in the treatment of knee osteoarthritis
SHAO Sheng1 GONG Li1 SUN Wuquan1 ZHU Qingguang2 KONG Lingjun2 LI Jianhua1 CHU Yuzhou1 FU Yangyang1 HE Pengfei1 FANG Min2
1.Department of Tuina, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;
2.Institute of Tuina, Shanghai Institute of Traditional Chinese Medicine, Shanghai 200437, China
Abstract:Objective To observe the clinical effect of rolling tuina combined with sitting position knee adjustment method in the treatment of knee osteoarthritis (KOA). Methods From April 2017 to April 2018, 60 cases of KOA admitted to Department of Tuina in Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine were divided into control group and treatment group according to the random number table method, with 30 patients in each group. Both groups were given rolling tuina, and the treatment group was given sitting position knee adjustment method based on rolling tuina. The clinical efficacy and Western Ontario and McMaster Universities osteoarthritis index (WOMAC) scores and three dimension gait analysis of two groups before and after treatment were observed. Results There was no significant difference of total effective rate between the two groups (P > 0.05). After 5 weeks of treatment, the pain, stiffness, daily activities scores and total scores of WOMAC in the two groups were lower than those before treatment, the step length, stride length, walk velocity all increased, bilateral stance phase was extended, the maximal flexion angle of knee joint increased, the differences were statistically significant (P < 0.05). And the pain, daily activities scores and total scores of WOMAC in the treatment group were lower than those of the control group, the step length, stride length, walk velocity and bilateral stance phase were higher than those of the control group, the differences were statistically significant (P < 0.05). Conclusion The rolling tuina combined with sitting position knee adjustment method can reduce the pain and stiffness symptoms of KOA patients, improve the knee function and walking ability. It is worthy of clinical promotion.
邵盛1 龚利1 孙武权1 朱清广2 孔令军2 李建华1 储宇舟1 付阳阳1 何鹏飞1 房敏2. ■法结合坐位调膝法治疗膝骨关节炎的效果[J]. 中国医药导报, 2020, 17(34): 134-137.
SHAO Sheng1 GONG Li1 SUN Wuquan1 ZHU Qingguang2 KONG Lingjun2 LI Jianhua1 CHU Yuzhou1 FU Yangyang1 HE Pengfei1 FANG Min2. Effect of rolling tuina combined with sitting position knee adjustment method in the treatment of knee osteoarthritis. 中国医药导报, 2020, 17(34): 134-137.
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