Clinical Effect and Imaging Evaluation of Tendon-Management and Patella-Movement Therapeutic Manipulation for Patellofemoral Arthritis：A Randomised Controlled Trial
10.13288/j.11-2166/r.2025.13.009
- VernacularTitle:理筋动髌手法治疗髌股关节骨关节炎临床疗效及影像学评价的随机对照研究
- Author:
Jinguang GU
1
;
Guangcheng WEI
1
;
Yong ZHAO
1
;
Yongli DONG
1
;
Zechuan ZHUO
2
;
Aolin SUN
1
;
Weikai QIN
1
Author Information
1. Wangjing Hospital，China Academy of Chinese Medical Sciences，Beijing，100102
2. Suzhou Hospital of Traditional Chinese Medicine，Nanjing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
patellofemoral arthritis;
tendon fettering bones;
tendon-management and patella-movement therapeutic manipulation;
joint function;
randomised controlled trial
- From:
Journal of Traditional Chinese Medicine
2025;66(13):1350-1356
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the therapeutic effect and mechanism of tendon-management and patella-movement therapeutic manipulation in the treatment of patellofemoral arthritis based on imaging evaluation. MethodsTotally 126 patients with patellofemoral arthritis were recruited and divided into a treatment group and a control group according to a randomised numerical table. The control group received routine sodium hyaluronate injection once a week for a total of 5 times； the treatment group received tendon-management and patella-movement therapeutic manipulation three times a week for four weeks. We compared the Western Ontario and McMaster University osteoarthritis index score （WOMAC）， visual analogue scale （VAS）， imaging indicators including patellar external displacement distance， patellofemoral fit angle， lateral patellofemoral angle， and patellofemoral index， and overall effectiveness evaluation between the two groups before and one week after treatment. ResultsThe total effective rate of the treatment group （45/54， 83.33%） was significantly higher than that of the control group （36/54， 66.67%，P＜0.05）. One week after the end of treatment， the VAS scores and WOMAC scores of both groups were lower than those before treatment in the same group （P＜0.01）， and the patellofemoral index and patellofemoral fit angle of the treatment group decreased compared with that of the control group （P＜0.05）. Compared with the pre-treatment， the distance of patellar external displacement， patellofemoral index， and patellofemoral fit angle decreased in the treatment group 1 week after the end of treatment， and the patellofemoral fit angle decreased in the control group （P＜0.05）. ConclusionThe therapeutic manipulation of tendon-management and patella-movement can correct the degree of patellar external displacement， alleviate joint pain symptoms， improve joint function， and achieve the goal of treating patellofemoral arthritis.
