Effects of TCM ointment rubbing technique on pain, swelling, and knee joint function in patients with knee osteoarthritis after total knee arthroplasty
10.3760/cma.j.cn115398-20240902-00009
- VernacularTitle:中药膏摩技术对膝骨关节炎患者人工全膝关节置换术后疼痛、肿胀及膝关节功能的影响
- Author:
Pan ZHANG
1
;
Qinglin WANG
;
Jing TIAN
;
Hua KONG
;
Hua ZHANG
;
Ruxin YANG
;
Bo JIANG
;
Lei ZHANG
;
Xinxia GAO
;
Liang XING
Author Information
1. 中国中医科学院望京医院运动医学一科，北京 100102
- Keywords:
Osteoarthritis, Knee;
Traditional Chinese Medicine cream rubbing technology;
Artificial knee replacement;
Range of motion of knee joint;
Pain;
Swelling
- From:
International Journal of Traditional Chinese Medicine
2025;47(8):1077-1081
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effects of TCM ointment rubbing technique on pain, swelling, and knee joint function in patients with knee osteoarthritis (KOA) after total knee arthroplasty (TKA).Methods:A randomized controlled trial was conducted. In this study, 80 patients with KOA who underwent TKA treatment in the Department of Sports Medicine I, Wangjing Hospital, China Academy of Traditional Chinese Medicine from October 2022 to March 2024 were taken as the study subjects. They were divided into two groups with random number table method, with 40 cases in each group. Both groups were treated with conventional Western medicine + rehabilitation training after surgery, and the observation group was combined with TCM paste mo technique on this basis. VAS score was used to assess the degree of pain at different time points, and skin fold was used to measure the circumference of the upper knee circumference and the circumference of the lower knee circumference, and knee Injury and osteoarthritis outcome score (KOOS) was used to assess the degree of knee joint function recovery.Results:After treatment, the observation group after surgerythe at 7 d (2.57 ± 0.84 vs. 4.00 ± 0.85, t=7.54) and 14 d (0.80 ± 0.93 vs. 2.70 ± 1.04, t=8.56) VAS scores were lower than those in the control group ( P<0.001). After treatment, the observation group after surgerythe at 7 d the superior circumference [(48.32 ± 4.57) cm vs. (50.53 ± 3.97) cm, t=2.32], and inferior circumference [(36.71 ± 2.95) cm vs. (39.21 ± 6.86) cm, t=2.12], at 14 d the superior circumference [(45.68 ± 4.69) cm vs. (47.96 ± 3.89) cm, t=2.37], and inferior circumference [(34.96 ± 2.96) cm vs. (36.70 ± 4.35) cm, t=2.10] were lower than those in the control group ( P<0.05). The observation group after surgerythe at 14 d the the knee joint mobility [(115.32 ± 2.12) ° vs. (113.34 ± 2.16) °, t=4.14] and KOOS scores (85.52 ± 0.82 vs. 80.32 ± 1.13, t=23.56) were higher than those in the control group ( P<0.01). Conclusion:TCM ointment rubbing technique has significant advantages in improving pain, swelling and knee joint mobility after artificial knee arthroplasty, which can effectively restore knee joint function.
