Clinical study of rubbing-knee,pushing-patella and pressing-points combined with pressing needle for treatment of osteoarthritis pain induced by training
Objective:To explore the clinical efficacy of pressing needle at ear combined with rubbing-knee,pushing-patella and pressing-points(RKPPPP)in the treatment of knee osteoarthritis(KOA)pain after training.Methods:A total of 120 cases with KOA pain admitted to the 900th Hospital of Joint Logistics Support Force from November 2021 to January 2023 were selected as research objects and divided into 4 groups by random number table method.They were treated with pressing needle ear(pressing needle group),RKPPPP method(manipulation group),pressing needle ear point combined with RKPPPP method(combination group),and external diclofenac diethylamine emulsion(western medicine group).All the above were treated for 4 weeks.Lysholm knee scoring standard,visual analog scale(VAS)and Western Ontario and McMaster Universities(WOMAC)osteoarthritis index scale evaluated joint functional status;Knee range of motion(ROM)and quadriceps muscle strength were measured;The contents of interleukin-1 β(IL-1 β)and tumor necrosis factor-α(TNF-α)in the synovial fluid were detected by enzymed-linked immunosorbent assay(ELISA).Results:Lysholm scores,ROM and quadriceps muscle strength increased in the each group after treatment(P＜0.01,P＜0.05),and the combination group was higher than that of the other three groups(P＜0.01,P＜0.05).VAS and WOMAC scores decreased in the each group after treatment(P＜0.01),VAS in the combination group was lower than that of the other three groups(P＜0.01,P＜0.05)and WOMAC score was lower than pressing needle group and western medicine group(P＜0.01).The level of IL-1 β and TNF-α decreased in the each group after treatment(P＜0.01),and the combination group was lower than that of the other three groups(P＜0.01,P＜0.05).Comparing the efficacy of the each group,the combined group had a higher effective rate than the other three groups(P＜0.05).Conclusion:Pressing needle at ear combined with RKPPPP is more beneficial than single therapy in decreasing KOA pain,improving knee function and ROM in patients,and reducing inflammatory reactions.This method is simple and effective,and is suitable for promotion and application in the military and clinical.
OsteoarthritisClinical trialsPressing needleMethod of rubbing-knee,pushing-patella and pressing-points
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