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Clinical effect of small akupotomye on the trigger points of the adductor femoral muscle group in the treatment of knee osteoarthritis |
LIU Na1 SUN Yindi1 JIANG Xiaofan2 XIANG Jie1 WANG Baohui1 LIANG Haohao1 CHEN Yingpu3 LI Yafeng1 |
1.Pain Ward, Rehabilitation Hospital of Honghui Hospital Affiliated to Xi’an Jiaotong University, Shaanxi Province, Xi’an 710054, China;
2.Department of Traditional Chinese Medicine, Shaanxi Provincial People’s Hospital, Shaanxi Province, Xi’an 710068, China;
3.Bone and Joint Ward, Rehabilitation Hospital of Honghui Hospital Affiliated to Xi’an Jiaotong University, Shaanxi Province, Xi’an 710054, China |
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Abstract Objective To observe the clinical effect of small akupotomy therapy on knee osteoarthritis through stimulating trigger points of adductor femoral muscle group. Methods A total of 80 patients with knee osteoarthritis treated in the outpatient department of the Rehabilitation Hospital of the Honghui Hospital Affiliated to Xi’an Jiaotong University from October 2020 to October 2021 were selected as the research objects. According to the random number table method, they were divided into control group and observation group, with 40 cases in each group. The control group was treated with extracorporeal shock wave, and the observation group was treated with small akupotomy on the trigger points of adductor femoral muscle group on the basis of control group. Four weeks was as a course of treatment. The syndrome efficacy of traditional Chinese medicine, Wester Ontario and McMaster Universities osteoarthritis (WOMAC) index and the Lysholm knee rating scores were used to evaluated knee function. Results After treatment, the curative effect of traditional Chinese medicine syndrome in the observation group was better than the control group, and the difference was statistically significant (P < 0.05). After treatment, the WOAMAC scores of the two groups were decreased, and the observation group was lower than the control group, and the differences were statistically significant (P < 0.05). After treatment, Lysholm scores of the two groups were increased, and the observation group was higher than the control group, and the difference was statistically significant (P < 0.05). Conclusion The acupotomy of adductor femoral combined with extracorporeal shock wave can simultaneously deal with the internal and external muscles of the knee joint, improve the dynamic imbalance of the knee joint, effectively alleviate the pain of knee osteoarthritis, improve dysfunction, and improve the quality of life. It is better than the treatment of lateral femoral muscle with shock wave alone, and it is worth popularizing in clinical practice.
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