Tendon manipulation based on meridian tendon theory can improve the treatment of knee osteoarthritis
10.3760/cma.j.issn.0254-1424.2023.06.012
- VernacularTitle:基于经筋理论的理筋手法治疗膝骨性关节炎的疗效观察
- Author:
Fuchun WU
1
;
Jie CHEN
;
Debiao YU
;
Lin CHEN
;
Guoqing MO
;
Xing JIN
Author Information
1. 福建医科大学省立临床医学院，福建省立医院，福州 350001
- Keywords:
Tendon manipulation;
Ultrasound physiotherapy;
Exercise therapy;
Osteoarthritis;
Knees;
Gait
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(6):538-542
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of tendon manipulation on the joint pain, joint motion and gait of persons with knee osteoarthritis (KOA).Methods:Sixty-one KOA patients were randomly divided into an observation group ( n=31) and a control group ( n=30). Both groups received ultrasonic physiotherapy and exercise trai-ning (including quadriceps femoris training and heel raising training), while the observation group was additionally provided with daily tendon manipulation, five times a week for 3 weeks. Before and after the treatment, knee pain (using a visual analog scale (VAS)), motor function (using the Western Ontario and McMaster University (WOMAC) osteoarthritis index scale), step length, gait speed and the double support phase ratio were evaluated in both groups using three-dimensional gait analysis equipment. Results:After the treatment the average VAS scores, as well as the joint pain, stiffness and dysfunction and the total WOMAC scores of both groups had decreased significantly. There was significant improvement in the average stride length, walking speed and the proportion of double support phase among the observation group, and the latter two measurements had also improved significantly in the control group. After the intervention, the average pain, WOMAC scores and gait descriptors of the observation group were significantly superior to the control group′s results.Conclusion:Tendon manipulation can usefully supplement routine rehabilitation in the treatment of KOA, improving walking efficiency and thus life quality.
