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Effect of acupuncture plus exercise on pain and motor function in patients with knee osteoarthritis

针刺结合运动对膝骨关节炎患者疼痛及运动功能的影响

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

Abstract

Objective: To observe the effects of acupuncture combined with isokinetic eccentric exercise on pain and motor function in patients with knee osteoarthritis (KOA).

Methods: Sixty-four patients with KOA were randomly divided into an observation group and a control group, with 32 cases in each group. The observation group received acupuncture and isokinetic eccentric exercise, and the control group received isokinetic eccentric exercise and oral intake of meloxicam tablets. Both groups were treated for 4 weeks. Before and after treatment, the visual analog scale (VAS) score, the lysholm knee scale (LKS) score, and the quadriceps peak torque (PT) were evaluated.

Results: The total effective rate was 93.8% in the observation group, versus 81.3% in the control group. The difference between the two groups was statistically significant (P<0.05). After treatment, the VAS scores of the two groups were lower than those before the treatment; both LKS score and quadriceps PT were higher than those before treatment, and the differences were statistically significant (all P<0.05). The VAS score, LKS score and quadriceps PT (angular velocity was 60°/s) of the observation group were significantly different from those of the control group (all P<0.05).

Conclusion: Acupuncture plus isokinetic eccentric exercise is effective in treating KOA. The combined treatment can reduce the pain of KOA patients, improve joint function, strengthen quadriceps, improve joint stability, and its curative effect is better than isokinetic eccentric exercise plus oral intake of meloxicam tablets.

摘要

目的:观察针刺结合等速离心运动对膝骨关节炎(KOA)患者疼痛及运动功能的影响。方法:将64例KOA患 者按随机数字表法分为观察组和对照组, 每组32例。观察组接受针刺及等速离心运动治疗, 对照组予等速离心运 动及口服美洛昔康片治疗。两组疗程均为4周。治疗前后进行视觉模拟量表(VAS)评分、Lysholm膝关节功能量表(LKS) 评分及股四头肌峰力矩(PT)测评。结果:观察组的总有效率为93.8%, 高于对照组的81.3%, 组间差异有统计学意 义(P<0.05); 治疗后, 两组VAS评分均较本组治疗前下降, LKS评分及股四头肌PT较本组治疗前升高, 组内差异均 有统计学意义(均P<0.05); 观察组VAS评分、LKS评分及股四头肌PT(角速度为60 °/s)与对照组差异均有统计学意义 (均P<0.05)。结论:针刺加等速离心运动治疗KOA疗效确切, 能减轻KOA患者疼痛程度, 改善关节功能, 增强股四 头肌肌力, 提高关节稳定性, 其疗效优于等速离心运动加口服美洛昔康片。

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Authors and Affiliations

  1. Tongde Hospital of Zhejiang Province, Hangzhou, 310012, China

    Chong Li  (郦冲)

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  1. Chong Li  (郦冲)
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Correspondence to Chong Li  (郦冲).

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The author declared that there was no potential conflict of interest in this article.

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Informed consent was obtained from the recruited patients in this study.

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Li, C. Effect of acupuncture plus exercise on pain and motor function in patients with knee osteoarthritis. J. Acupunct. Tuina. Sci. 17, 356–360 (2019). https://doi.org/10.1007/s11726-019-1135-6

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  • DOI: https://doi.org/10.1007/s11726-019-1135-6

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