The Effect And Assessment Of The Joint Motion Energy Control Therapy In Knee Osteoarthritis Rehabilitation

Objective:The purpose of this study is to explore the efficacy and mechanism of the joint motion energy control therapy in patients with knee osteoarthritis(OA).Methods:Forty subjects with knee OA were randomly assigned to a research group(n=20)or a control group(n=20).Subjects in the research group received joint motion energy control therapy based on assessments of joint range motion,strength and neuromuscular control capacity for a 2-week.Subjects in the control group received ultra-short wave,magnetic therapy and ultra-sound therapy in combination for a 2-week.Measured outcomes were the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and the visual analogue scale(VAS).Results:1.Both groups were statistically insignificant(P>0.05)in VAS scores before the treatment.The difference was statistically significant in both groups after treatment(P<0.05),and the joint motion energy control therapy had more improvement than the control group.2.Both groups were statistically insignificant(P>0.05)in WOMAC scores before the treatment.Both groups showed clinically and statistically significant improvements in WOMAC scores after the treatment.The research group had WOMAC scores improved by 29.96%,while the other by 16.21%.The results showed that the joint motion energy control therapy was superior to the control group.3.Differences of the separate part of the WOMAC scores in pain,stiffness,and joint capacity were statistically insignificant(P>0.05)between the both groups before the treatment.After the treatment,the research group showed improvement in pain scores by 39.6%,stiffness 40.9%,and joint capacity 27.6%,while the control group was 29.1%in pain,20.1%in stiffness and 14.1%in joint capacity.The differences between the separate parts of WOMAC scores were statistically significant(P<0.05).Conclusions:The joint motion energy control therapy can obviously improve the symptoms and function of patients with knee OA,reflecting the individualized and comprehensive treatment concept.This method combines the immediate effect of manual therapy on joint symptoms and the continuation of exercise therapy.The overall effect of the joint motion energy control therapy was better than multiple physical factors treatment and had a certain clinical efficacy in patients with knee OA,it is worthy of application in clinical work.