Clinical study of Tuina plus exercise therapy in improving lower-limb mechanical parameters in children with genu varum
10.1007/s11726-025-1517-x
- VernacularTitle:推拿联合运动疗法改善儿童膝内翻下肢力学参数的临床研究
- Author:
Xue WANG
;
Yang LI
;
Yan YU
;
Xiaoying LU
;
Yiying LI
;
Shuyun JIANG
;
Jue HONG
- Publication Type:Journal Article
- Keywords:
Tuina;
Massage;
Exercise Therapy;
Gait Analysis;
Genu Varum;
Children
- From:
Journal of Acupuncture and Tuina Science
2025;23(4):321-327
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the improving effects of Tuina(Chinese therapeutic massage)plus exercise therapy on joint alignment and walking function in children with genu varum(GV).Methods:Sixty-six children with GV were divided into an exercise therapy group and a Tuina plus exercise therapy group using the random number table method,with 33 cases in each group.Both groups received identical exercise therapy,while the Tuina plus exercise therapy group was additionally offered Tuina manipulation treatment.The intervention course lasted 12 weeks in both groups.Before and after the intervention,the three-dimensional gait analysis was adopted to assess the spatiotemporal parameters,kinematics,and kinetic characteristics of lower-limb joints in children with GV.Results:The GV angle was reduced after intervention in the Tuina plus exercise therapy group(P<0.05),but there was no significant change in the exercise therapy group(P>0.05).After treatment,the Tuina plus exercise therapy group demonstrated a notable decrease in the step length,walking speed,peak forefoot adduction angle,and peak ankle inversion moment(P<0.05),suggesting the correction of the ankle joint's compensatory pathological changes.In the exercise therapy group,the foot progression angle(FPA)and gait deviation index(GDI)increased markedly after the intervention(P<0.05),indicating improved overall kinematic function.Conclusion:The combined use of Tuina manipulations and exercise therapy can produce significant effects in correcting the knee joint's torsion,both coronally(GV angle)and horizontally(ankle inversion moment,FPA,and forefoot adduction angle),while exercise therapy alone can markedly improve the overall kinematic parameters(FPA and GDI).
