| ObjectivesKnee osteoarthritis is a degenerative joint disease which is one of the most common osteoarthritis in the clinic.At present,clinical studies in China have found that electroacupuncture and soft tissue release acupuncture have unique curative effects in improving KOA symptoms and have been recognized by more and more clinical doctors.This study analyzed the scores and functional completion of functional motor screening in patients with knee osteoarthritis,explored its common problems and individual differences,and judged the injury status and the risk prediction for re-injury.So we can provide a scientific basis for the clinical choice of optimal treatment plan by comparing the efficacy of electroacupuncture and release acupuncture.MethodsThe study included patients with knee osteoarthritis who met the diagnostic criteria of Chinese and Western medicine.40 patients who completed all the trials were divided into two groups:20 in the release group and 20 in the EA group.The lysis group was treated with release acupuncture,and 3 to 4 points of tenderness around the knee joint were sought for release,3 times a week,2 weeks of treatment,a total of 4 times.In the electroacupuncture group,electro-acupuncture points were selected from the Dubi,The knee eyes,Heding,Xuehai,XiYangGuan,Liangqiu,Yanglingquan and Yinlingquan.3 times a week,they were treated for 2 weeks for a total of 6 times.The effective rate was calculated after treatment.Before and after treatment,FMS,VAS score,knee flexion activity,Lequesne MG index and muscle ultrasonography were used to compare the clinical efficacy of the two groups.One month after the treatment,the above-mentioned subjects were followed.electroacupuncture group and release group were evaluated for VAS score and Lequesne MG index.Results1.There was no significant difference in age,height,and weight between the two groups(P>0.05).Baseline measurements of VAS scores,FMS scores,knee flexion activity,Lequesne MG,and infrapatellar cyst fluid depth did not differ between the two groups(P>0.05).2.Comparison of the two groups' effectiveness:1)The clinical recovery rate of the Loosing group was 50%,the markedly effective rate was 30%,the effective rate was 15%,the ineffective rate was 5%,and the total effective rate was 95%;2)The clinical cure rate of the electro-acupuncture group was 47%,the markedly effective rate was 33%,the effective rate was 13%,the inefficiency rate was 7%,and the total effective rate was 93%.3)There was no significant difference between the two groups in the effective rate(P>0.05).3.Changes in VAS score:1)The VAS after electroacupuncture and release acupuncture was significantly lower than before treatment,and the difference was statistically significant(P<0.05);2)VAS scores were not significantly different between the two groups(P>0.05).4.The improvement of knee flexion activity:1)The flexion activity of knee joints after treatment with electroacupuncture and release acupuncture was higher than before treatment,and the difference was statistically significant(P<0.05);2)There was a significant difference in knee flexion activity between the two groups(P<0.05).5.Changes of Lequesne MG index:1)Compared with before treatment,the Lequesne MG index was significantly lower after electroacupuncture and acupuncture treatment,and the difference was statistically significant(P<0.05);2)There was a statistically significant difference between the release group and the electroacupuncture group(P<0.05).6.Screening scores of FMS:1)Compared with pre-treatment,FMS scores were significantly increased after electroacupuncture and release acupuncture,and the difference was statistically significant(P<0.05);2)There was no significant difference in FMS scores between the electroacupuncture group and the release group(P>0.05).7.Changes in the depth of suprascapral effusion:1)The depth of effusion decreased compared with before,and the difference was statistically significant(P<0.05),after the electroacupuncture and acupuncture treatment;2)There was no significant difference in the depth of treatment of supracondylar sac effusion(P>0.05).8.One month after the completion of the treatment:1)The VAS score and Lequesne MG index of the release group were significantly improved(P<0.05)before treatment,and there was no significant difference after treatment(P>0.05);2)Electroacupuncture group VAS score and Lequesne MG index were improved before treatment(P<0.05),and there was no significant difference compared with that after treatment(P>0.05);3)There was no significant difference in the VAS score and Lequesne MG index between the electroacupuncture group and the lysis group after one month(P>0.05).9.Correlation analysis of FMS score,VAS score,knee flexion activity,Lequesne MG index and depth of infrapatellar cyst fluid in patients with knee osteoarthritis:1)Correlation between FMS score and VAS score:r=-0.69 P<0.05 2)Correlation between FMS test score and knee flexion activity:r=0.46,P<0.05;3)Correlation between FMS score and Lequesne MG index score:r=-0.61,P<0.05 4)Correlation between FMS condition and the depth of subgingival sac fluid under musculoskeletal ultrasonography:r=-0.35,P<0.05.Conclusions1.A preliminary study found that FMS technology can be used to evaluate the efficacy of knee osteoarthritis.2.The preliminary study found that electroacupuncture and soft tissue releasable acupuncture can improve the clinical symptoms of patients with knee osteoarthritis,such as pain,morning stiffness,swelling and restricted joint activity.Soft tissue releasable acupuncture is superior to electroacupuncture in improving knee flexion activity and difficulty of daily life.At follow-up the situation after the end of treatment compared with the end of month of treatment,electro-acupuncture group and group efficacy were stable release.3.FMS has not been able to effectively evaluate abnormal movement patterns,weak points,and the risk of injury in patients with knee osteoarthritis.It is not recommended for clinical indicators of knee osteoarthritis. |
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