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Clinical study on warm needling moxibustion plus isokinetic muscle strength training in treating knee osteoarthritis

温针灸结合等速肌力训练治疗膝骨关节炎临床研究

  • Clinical Study
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Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To observe the clinical efficacy of warm needling moxibustion plus isokinetic muscle strength training for knee osteoarthritis (KOA).

Methods

A total of 135 patients with KOA due to Yang deficiency and coagulated cold were randomized into a warm needling moxibustion group, an isokinetic muscle strength training group, and a combined group by the random number table method, with 45 cases in each group. The warm needling moxibustion group was treated with warm needling moxibustion. The isokinetic muscle strength training group was treated with isokinetic muscle strength training. The combined group was treated with warm needling moxibustion plus isokinetic muscle strength training. The Western Ontario and McMaster Universities osteoarthritis index (WOMAC) and visual analog scale (VAS) were scored before and after treatment, and isokinetic indicators of peak torque (PT), total work (TW) and average power (AP) were evaluated.

Results

The total effective rate of the combined group was 92.5%, which was significantly higher than 83.3% in the warm needling moxibustion group (P<0.05) and 72.5% in the isokinetic muscle strength training group (P<0.05). After treatment, the scores of WOMAC (total, pain, stiffness, and function) and VAS, and isokinetic indicators (PT, TW, and AP) were all improved compared with those before treatment (P<0.05) in all three groups. The differences among the three groups were statistically significant (P<0.05). The WOMAC total score and score of stiffness in the combined group were lower than those in the warm needling moxibustion group and the isokinetic muscle strength training group (P<0.05), and the scores in the warm needling moxibustion group were lower than those in the isokinetic muscle strength training group (P<0.05). The WOMAC score of pain and VAS score in the warm needling moxibustion group and the combined group were lower than those in the isokinetic muscle strength training group (P<0.05). The differences between the warm needling moxibustion group and the combined group were not statistically significant (P>0.05). The WOMAC function score in the combined group was lower than that in the warm needling moxibustion group and the isokinetic muscle strength training group (P<0.05), while there was no statistical difference between the warm needling moxibustion group and the isokinetic muscle strength training group (P>0.05). PT, TW, and AP in the combined group were higher than those in the warm needling moxibustion group and the isokinetic muscle strength training group (P<0.05), and they were higher in the isokinetic muscle strength training group than in the warm needling moxibustion group (P<0.05).

Conclusion

Warm needling moxibustion plus isokinetic muscle strength training has a better effect in the treatment of KOA due to Yang deficiency and coagulated cold than either warm needling moxibustion or isokinetic muscle strength training alone.

摘要

】目的

观察温针灸和等速肌力训练治疗阳虚寒凝型膝骨关节炎(KOA)的临床疗效。

方法

将135名阳虚寒凝型KOA患者按随机数字表法分为温针灸组、等速肌力训练组和联合组, 每组45例。温针灸组采用温针灸治疗, 等速肌力训练组采用等速肌力训练, 联合组采用温针灸和等速肌力训练治疗。治疗前后进行西安大略与麦克马斯特大学骨关节炎指数(WOMAC)和视觉模拟评分量表(VAS)评分, 等速测定指标峰力矩(PT)、总功量(TW)和平均功率(AP)。

结果

联合组总有效率为92.5%, 高于温针灸组的83.3%(P<0.05)和等速肌力训练组的72.5%(P<0.05)。治疗后, 三组WOMAC(总分及疼痛、僵硬、功能)和VAS评分以及等速指标(PT、TW和AP)均较治疗前改善(P<0.05), 且三组间存在统计学差异(P<0.05)。联合组WOMAC总分及僵硬评分均低于温针灸组和等速肌力训练组(P<0.05); 温针灸组低于等速肌力训练组(P<0.05)。温针灸组及联合组的WOMAC疼痛及VAS评分均低于等速肌力训练组(P<0.05), 温针灸组与联合组间差异无统计学意义(P>0.05); 联合组的WOMAC功能评分低于温针灸组和等速肌力训练组(P<0.05), 而温针灸组与等速肌力训练组间差异无统计学意义(P>0.05)。联合组的PT、TW和AP均高于温针灸组和等速肌力训练组(P<0.05), 等速肌力训练组高于温针灸组(P<0.05)。

结论

温针灸结合等速肌力训练治疗阳虚寒凝型KOA的疗效优于温针灸或等速肌力训练单独应用。

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Acknowledgments

This work was supported by the Three-year Development Project for Traditional Chinese Medicine of Shanghai [上海市进一步加快中医药事业发展三年行动计划项目, No. ZY(2018–2020)-FWTX-8010]; Key Clinical Specialty Construction Project in Putuo District of Shanghai (上海市普陀区中医临床重点专科建设项目, No. ptzyzk2110).

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Authors and Affiliations

  1. Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200062, China

    Wei Chen  (陈玮) & Guizhen Liu  (刘桂珍)

  2. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China

    Jing Li  (李璟)

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  1. Wei Chen  (陈玮)
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Correspondence to Jing Li  (李璟).

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Informed consent was obtained from all individual participants.

First Author: CHEN Wei, M.M., attending physician

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Chen, W., Li, J. & Liu, G. Clinical study on warm needling moxibustion plus isokinetic muscle strength training in treating knee osteoarthritis. J. Acupunct. Tuina. Sci. 20, 221–228 (2022). https://doi.org/10.1007/s11726-022-1316-6

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