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Effect of akupotomye on stiffness and fibrosis of rectus femoris muscle in rabbits with knee osteoarthritis |
GONG Yurong1* LIN Qiaoxuan2* LIU Jing3 GUO Zexing4 LU Liming4 XIU Zhongbiao3 |
1.Department of Ultrasound Medicine, Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350004, China; 2.Department of Orthopedics, the Third People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350122, China;
3.the First Department of Orthopedics, Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350004, China;
4.College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350122, China |
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Abstract Objective To explore the effect of akupotomye on stiffness and fibrosis of rectus femoris muscle in rabbits with knee osteoarthritis (KOA). Methods Twenty-four healthy male New Zealand rabbits were divided into blank group, model group, and akupotomye group by random number table method, with eight rabbits in each group. The KOA rabbit model was made by plaster fixation of left hind limb in straight position for six weeks by modified Videman method. The model success criteria was evaluated by the Lequesne MG score of knee joint behavior ≥4 points. Akupotomye group received akupotomye release treatment for “top of the cranium”, “upper of the external iliac”, and “lower of the internal iliac”, intervention once every seven days, a total of four interventions. The blank group and model group underwent the same grasping and fixation, but no akupotomye treatment. One week after the intervention, real-time tissue elastography was performed to measure the elastic strain rate ratio to evaluate the changes in tissue hardness of rectus femoris muscle. Masson staining was used to observe the changes of tissue morphology and collagen fiber content of rectus femoris muscle. Results Compared with the blank group, the elastic strain rate ratio and collagen volume fraction of rectus femoris muscle in the model group were all increased (P < 0.05). Compared with the model group, the ratio of elastic strain rate and collagen volume fraction of rectus femoris in the akupotomye group decreased significantly (P < 0.05). Conclusion Akupotomye intervention can improve the hardness of rectus femoris tissue in KOA rabbits and promote the restore of chronic injury fibrosis of rectus femoris. It can be one of the mechanisms of acupotomy in treating KOA.
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[1] Tang X,Wang S,Zhan S,et al. The prevalence of symptomatic knee osteoarthritis in China:results from the China health and retirement longitudinal study [J]. Arthritis Rheumatol,2016,68(3):648-653.
[2] Cisternas P,Henriquez JP,Brandan E,et al. Wnt in skeletal muscle dynamics:myogenesis neuromuscular synapse and fibrosis [J]. Mol Neurobiol,2014,49(1):574-589.
[3] 刘晶,林巧璇,卢莉铭,等.针刀“解结法”对膝骨关节炎兔软骨形态学及影像学的影响[J].针刺研究,2021,46(2):129-135.
[4] 刘晶,林巧璇,宫玉榕,等.超声多模态联合技术评估膝骨性关节炎兔股直肌病变的应用探析[J].中国医药导报,2020,17(7):147-151.
[5] 王禄增,王捷,贺争鸣,等.起草“关于善待实验动物的指导性意见”草案溯源的探讨[J].中国比较医学杂志,2007(8):534-537.
[6] 刘晶,林巧璇,卢莉铭,等.改良Videman法复制兔膝骨关节炎的实验研究[J].康复学报,2020,30(3):212-219.
[7] Lequesne MG,Mery C,Samson M,et al. Indexes of severity for osteoarthritis of the hip and knee.Validation--value in comparison with other assessment tests [J]. Scan J Rheumatol,1987,16(65):85-89.
[8] 薛立功.中国经筋学[M].北京:中医古籍出版社,2009:681-728.
[9] 富昱,董宝强.经筋辨证探析[J].中华中医药杂志,2021, 36(1):148-150.
[10] 刘建民,刘晶.专家系列讲座七从经筋弓弦特性探析针刀治疗膝骨性关节炎[J].中国医药导报,2017,14(27):161-164.
[11] 乌云额尔敦,郭长青,王彤,等.针刀干预对中期膝骨关节炎兔模型伸肌-屈肌萎缩状态及肌肉拉伸弹性模量的影响[J].湖南中医药大学学报,2019,39(10):1248-1253.
[12] 曾维铨,刘晶,连晓文,等.基于TRPV4通路探讨针刀对兔膝骨关节炎软骨细胞凋亡的影响[J].福建中医药,2021,52(3):19-22.
[13] 修忠标,张春霞,刘洪,等.针刀治疗膝骨性关节炎临床观察及机制探讨[J].辽宁中医药大学学报,2018,20(1):15-18.
[14] 乌云额尔敦,郭长青,王彤,等.针刀干预对KOA兔关节软骨细胞功能及细胞外基质代谢的影响[J].中医学报,2020,35(12):2612-2618.
[15] 胡国强,薛宝山,刘际石,等.基于人体弓弦力学理论探讨针刀治疗膝骨关节炎的临床效果[J].中国医药导报,2021,18(18):172-175.
[16] 富昱,董宝强.经筋“解结”内涵及机制探讨[J].中华中医药杂志,2021,36(3):1314-1317.
[17] 富昱,董宝强.经筋损伤微环境探幽[J].中华中医药杂志,2021,36(2):772-774.
[18] Jones GC,Blotter JD,Smallwood CD,et al. Effect of Resonant Frequency Vibration on Delayed Onset Muscle Soreness and Resulting Stiffness as Measured by Shear-Wave Elastography [J]. Int J Environ Res Public Health,2021,18(15):7853.
[19] 陈柏錱,林铭,邓炜欣,等.基于剪切波超声弹性成像评价不同姿势对胸腰筋膜和斜方肌组织硬度的影响[J].中国康复医学杂志,2021,36(3):283-287.
[20] 雷槟恺,赵硕,徐涛,等.TGF-β1/ERK/CTGF通路在针刺干预运动致骨骼肌纤维化中的作用[J].针刺研究,2021,46(4):306-311.
[21] Xu B,Xing R,Huang Z,et al. Excessive mechanical stress induces chondrocyte apoptosis through TRPV4 in an anterior cruciate ligament-transected rat osteoarthritis model [J]. Life Sci,2019,228(3):158-166.
[22] Jones AE,Price FD,Le Grand F,et al. Wnt/β-catenin controls follistatin signalling to regulate satellite cell myogenic potential [J]. Skelet Muscle,2015,28(5):14.
[23] 付昕怡,马诗凝,张伟,等.针刀干预对膝骨性关节炎模型兔股直肌Akt/mTOR通路的调控作用[J].针灸临床杂志,2019,35(9):67-71.
[24] 陈烯琳,孙学燕,马诗凝,等.以电针对照观察针刀干预对膝骨关节炎兔股直肌的修复作用[J].针灸临床杂志,2020,36(4):67-71.
[25] 王彤,张佳怡,张伟,等.针刀对膝骨关节炎兔伸屈肌群表面肌电的影响[J].中华中医药杂志,2021,36(9):5460-5463. |
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