Clinical Report of Lumbar-Hip Bone-Setting Manipulation in the Treatment of Valgus Knee Osteoarthritis
Objective:To explore the clinical efficacy and selection of lumbar-hip bone-setting manipulation in osteoarthritis of the inversion type knee.Methods:69 patients of varus knee osteoarthritis treated with waist-hip homology manipulation in March 2023 to July 2023,56 females and 13 male,age is(64.67±7.58)years old,ranging from 50 to 82 years old.The affected limb hip-knee ankle angle 172.84°±3.56° ranging from 161.8° to 177.0°.The changes of the lumbar lordosis an-gle(LL)and the mechanical axis offset distance(MAD)were measured before and after the full length of both lower limbs and lumbar weight photography.Clinical efficacy was assessed based on the Western Ontario and McMaster Univer-sities(WOMAC)osteoarthritis index,pain visual analogue scale(VAS)score before treatment,2 weeks after treatment,and 3 months after treatment.Results:Follow-up was obtained in all 69 patients,WOMAC score for knee pain decreased from pre-treatment(44.43±1.75)points to 2 weeks(25.28±1.52)points and 3 months(24.90±1.42)points;VAS score decreased from pre-treatment(7.30±0.20)points to 2 weeks(3.98±0.16)points and 3 months(4.63±0.18)points.After treatment,lumbar lordosis angle increased from treatment premise to 27.60°(17.60°,37.05°)(P＜0.05).The side MAD value decreased from pretreatment to 13.00(6.00,22.00)mm(P＜0.05).Comparing the MAD values of the affected side before and after treatment,there was no significant difference(P＞0.05).The MAD difference decreased from before treatment to 7.50(4.25,13.00)mm(P＜0.05).Conclusion:Lumbar-hip bone-setting manipulation can reduce pain and improve joint function in patients with varus knee osteoarthritis.By adjusting the spine-pelvis-lower limb force line,the body can establish a new compensatory mechanism,so as to achieve the purpose of treatment.
lumbar-hip bone-setting manipulationosteoarthritis of the inversion type kneecompensatory mechanismmechanical axis of lower limbs
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