Effects of Dong's Reverse Horse Acupuncture Technique on recovery outcomes of youth running enthusiasts with medial tibial stress syndrome:A randomized parallel-controlled study
Objective To explore the therapeutic effect of Dong's Reverse Horse Acupuncture Tech-nique(DRHAT)on the rehabilitation outcomes of youth runners with medial tibial stress syndrome(MTSS).Methods This was a single-center,randomized,controlled clinical trial conducted in 2021.Young MTSS runners who visited the outpatient clinic of a tertiary hospital were enrolled and random-ly divided into an acupuncture group and a control group,according to a random number table.Both groups received standard care,including rest,oral analgesics and physical therapy,while the acupunc-ture group underwent DRHAT additionally,which consisted of perpendicular needling at the Yan-glingquan,Yangjiao,and Juegu acupoints using the reverse horse technique.The needles were manipu-lated every 10 minutes over a total session duration of 40 minutes,five times per week for four con-secutive weeks or a cumulative total of 20 sessions.The control group received sham acupuncture us-ing a Park device for 2 weeks.Outcomes were assessed two and four weeks after the treatment.The primary outcome measurement was pain intensity evaluated by the Visual Analog Scale(VAS).The sec-ondary outcome measurements included MRI grading of the condition,while the other measurements covered the SF-12 Health Survey[including the Physical Component Summary(SF-12-PCS)and Mental Component Summary(SF-12-MCS)]and pain-free running mileage.Adverse reactions related to the in-terventions were also recorded.Results A total of 106 young MTSS patients were recruited,out of which 44 were randomly assigned to the acupuncture and control groups after exclusion,respectively.Ultimately,40 subjects from both groups completed the study,resulting in a retention rate of 91%.No significant differences were found between the two groups before the treatment.However,after two and four weeks of treatment,the acupuncture group demonstrated significantly lower VAS scores than before the treatment(P<0.05)and the control group at the same time point(P<0.05).Moreover,their SF-12-PCS and SF-12-MCS scores,as well as the pain-free running mileage were significantly high-er than before the treatment(P<0.05)and the control group at the same time point(P<0.05).Further-more,MRI grading of the condition improved in the acupuncture group compared to the control group after the intervention and before the treatment(P<0.05).Conclusion The application of DRHAT effec-tively enhances the rehabilitation outcomes in young runners with MTSS.
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