Clinical Study of Bone Injury Massage Technique in the Treatment of Knee Osteoarthritis under the Guidance of Structural Differentiation
Objective:To explore the clinical efficacy of bone injury massage under the guidance of differential structure-based treatment in the treatment of knee osteoarthritis(KOA).Methods:A prospective randomized controlled research design was employed,wherein 72 patients with KOA who met the inclusion criteria were selected.These patients were randomly allocated into two groups using a random number table:the treatment group(36 cases)and the control group(36 cases).The treatment group received bone injury massage under the guidance of differential structure-based treat-ment,while the control group received conventional massage therapy.Before and after the treatment,clinical efficacy was assessed in both groups using visual analogue scale(VAS),Western Ontario and McMaster Universities(WOMAC)oste-oarthritis index,and SF-36 scores.Results:In the treatment group,the VAS scores decreased from(5.74±1.12)points before treatment to(2.23±0.85)points after treatment(P＜0.001).The WOMAC scores exhibited significant improve-ments,with knee joint stiffness scores decreasing from(5.07±1.22)points to(1.73±0.62)points(P＜0.001),joint pain scores decreasing from(9.32±1.51)points to(3.57±0.71)points(P＜0.001),and activity function scores decreasing from(38.90±5.48)points to(15.44±3.92)points(P＜0.001).Additionally,SF-36 scores increased from(69.28±7.90)points to(88.39±9.02)points(P＜0.001).All of these outcome measures showed significantly better improvements compared to the control group(P＜0.05).Conclusion:The philosophy of differential structure-based treatment can effectively guide the direction of bone injury massage in the treatment of KOA.Bone injury massage techniques can be precisely aligned with the principles of differential structure-based treatment.The combined application of these approaches leverages their respective advantages and achieves synergistic effects,significantly improving the symptoms and quality of life for KOA patients.This provides new evidence for the Chinese medicine treatment of KOA.
knee osteoarthritisdifferential structure-based treatmentbone injury massageTCM thinkingdiagnosis and treatment philosophy
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