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| Discussing the efficacy of rolling tuina in treating knee osteoarthritis based on AnyBody simulation technology |
| SHAO Sheng1 GONG Li1 SUN Wuquan1 ZHU Qingguang2 KONG Lingjun2 LI Jianhua1 CHU Yuzhou1 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 |
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Abstract Objective To compare the changes and efficacy of the muscle force of the main muscle group of the lower limbs before and after the treatment of knee osteoarthritis patients by rolling Tuina. Methods The 15 KOA patients who were treated in the Department of Tuina, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, from January to June 2018 were selected and treated with rolling Tuina. The muscle force of the main muscle group of the lower limbs was analyzed by AnyBody simulation technology to compare the changes in muscle imbalance. Results After treatment with rolling Tuina, 15 KOA patients had achieved treatment effect, the degree of muscle imbalance of the anterior, posterior and lateral muscle group of the lower limbs had a tendency to decrease, among which the degree of muscle imbalances of rectus femoris, biceps femoris longhead and peroneal longus were significantly smaller than those before treatment, the differences were statistically significant (all P ＜ 0.05). After treatment, the degree of muscle imbalance of medial muscle group showed an increasing trend, among which the degree of muscle imbalances of sartorius magnus were larger than that before treatment, but the degree of muscle imbalances of adductor magnus were smaller than that before treatment and the differences were statistically significant (all P ＜ 0.05). Conclusion Rolling Tuina can improve the imbalance of lower limbs muscle in KOA patients. Its effective mechanism may be related to improvement the muscle force of the lower limbs muscles of KOA patients, especially the muscle force of the anterior and posterior muscles of the lower limbs, which can restore the coordination of flexor and extensor muscles. It is suggested that Tuina therapy for KOA should not only correct the osseous structural disorder, but also restore the muscle imbalance of lower limbs.
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