| ObjectiveTo observe the clinical effect of muscle strength training combined with a needle knife on knee osteoarthritis and its effect on the balance function of the lower limbs,and further explore the objective indicators for evaluating the clinical effect of knee osteoarthritis.MethodsIn this study,98 patients with knee osteoarthritis with liver and kidney deficiency who met the inclusion criteria from January 2019 to December 2019 were selected from the orthopedic clinic of the second middle school hospital of guangdong province.They were randomly divided into the experimental group and the control group,with 49 cases each.Experimental group using strength training with needle knife therapy,the control group only with needle knife therapy,treatment of patients with pain score,joint function score before,isokinetic muscle strength test and lower limbs balance and proprioception function test,indicators include:VAS score,WOMAC score,peak torque,muscle total energy value,passive Angle value,average trajectory error value.After one course of treatment,the relevant indicators were tested again,and the curative effect of TCM was evaluated.ResultsClinical efficacy:the total effective rate of the experimental group and the control group was 91.11%and 71.11%,respectively.The total effective rate of the experimental group was better than that of the control group,and the difference was significant(P<0.05).VAS score:there was no significant difference in VAS score between the two groups before treatment(P>0.05).After treatment,VAS scores of the experimental group and the control group were significantly different from those before treatment(P<0.01).After treatment,VAS scores of the experimental group and the control group were significantly different(P<0.01).The VAS score of the experimental group before and after treatment was significantly different from that of the control group(P<0.01).In terms of VAS scores,both the experimental group and the control group were better than before treatment,and the improvement degree of the experimental group was better than the control group.WOMAC score:there was no significant difference in WOMAC score between the two groups before treatment(P>0.05).After treatment,WOMAC scores of the experimental group and the control group were significantly different from those before treatment(P<0.01).After treatment,there was a significant difference in WOMAC score between the experimental group and the control group(P<0.01).The difference of WOMAC score before and after treatment in the experimental group was significantly different from that in the control group(P<0.01).The experimental group was superior to the control group in WOMAC scoring.Peak torque:extensor group peak torque:Compared with the two groups before treatment,there is no significant difference in peak torque(P>0.05);after treatment,the peak torque of the extensor group in the experimental group was significantly different from the control group(P<0.01);The difference between the peak torque of the extensor muscles of the experimental group before and after treatment has a significant difference compared with the control group(P<0.01);after the treatment,the peak torque of the extensor muscles of the experimental group is different from that before the treatment.There was a significant difference in comparison(P<0.01);after treatment,the peak torque of the extensor group in the control group was not significantly different from that before treatment(P>0.05);in terms of improvement of the peak torque of the extensor group,the experimental group was superior In the control group.Peak flexor group torque:There was no significant difference in peak torque between the two groups before treatment(P>0.05);after treatment,the peak flexor group torque in the experimental group was significantly different from the control group(P<0.01);The difference between the peak flexor group torque of the experimental group before and after treatment has a significant difference compared with the control group(P<0.01);after treatment,the peak flexor group torque of the experimental group has Significant difference(P<0.01);After treatment,the peak torque of the flexor group in the control group was not significantly different from that before treatment(P>0.05);in terms of improvement of the flexor group peak torque,the experimental group was better than the control group.Total muscle work value:Total muscle work value of the extensor muscle group:Compared with the two groups before treatment,there is no significant difference in total muscle work value of the extensor muscle group(P>0.05);Compared with the control group,the difference was significant(P<0.01)the difference between the total value of the extensor muscles of the experimental group before and after treatment was significantly different from that of the control group(P<0.01);after treatment,The total muscle work value of the extensor muscle group in the experimental group was significantly different from that before treatment(P<0.01);after treatment,the total muscle work value of the extensor muscle group in the control group was not significantly different from that before treatment(P>0.05);The experimental group is better than the control group in improving the total muscle work value of the extensor muscle group.Total muscle work value of the flexor muscle group:There was no significant difference in total muscle work value of the flexor muscle group between the two groups before treatment(P>0.05);after treatment,the total work value of the flexor muscle group in the experimental group was compared with the control group,and there was a difference.Significant(P<0.01);The difference between the total flexor muscle work value of the experimental group before and after treatment was significantly different from that of the control group(P<0.01);after treatment,the flexor of the experimental group The total muscle work value of the group had significant difference compared with that before treatment(P<0.01);after treatment,the total muscle work value of the flexor group of the control group had no significant difference compared with that before treatment(P>0.05);In terms of improvement of the total muscle work value of the muscle group,the experimental group was better than the control group.Passive angle recurrence value:Compared with the two groups before treatment,the knee joint passive angle recurrence value has no significant difference(P>0.05);after treatment,the experimental group knee joint passive angle recurrence value is compared with the control group,and the difference has Significant(P<0.01);The difference between the passive angle recurrence value of the knee joint in the experimental group before and after treatment has a significant difference compared with the control group(P<0.01);after treatment,the knee joint in the experimental group is passive The angle recurrence value was significantly different from that before treatment(P<0.01);after treatment,the passive angle recurrence value of the control group was not significantly different from that before treatment(P>0.05);the reproduction was passive angle In terms of value improvement,the experimental group was better than the control group.Average trajectory error value:There was no significant difference in the average trajectory error value between the two groups before treatment(P>0.05);after treatment,the average trajectory error value of the lower limb in the experimental group was significantly different from that in the control group(P<0.01);The difference between the mean trajectory error value of the lower limb of the affected group before and after treatment is significantly different from that of the control group(P<0.01);after treatment,the mean trajectory of the lower limb of the affected group in the experimental group The error value was significant compared with that before treatment(P<0.01);after treatment,the mean trajectory error value of the affected lower limb in the control group was not significant compared with that before treatment(P>0.05);the average trajectory error value was In terms of improvement,the experimental group was better than the control group.Adverse events:during the treatment,there were 4 cases of local subcutaneous mild hematoma in the experimental group,3 cases of needle sickness in the control group,and 1 case of local subcutaneous mild hematoma in the control group.The incidence of adverse events in both groups was 4/49.Conclusion1.Knee osteoarthritis can significantly relieve pain and improve joint function through muscle strength training combined with acupotomy therapy;2.Muscle strength training combined with acupotomology can improve the balance function of lower limbs;3.Muscle strength training combined with acupotomology has a synergistic effect on knee osteoarthritis;4.Isokinetic equipment and dynamic and static balance instruments are applicable to the objective evaluation of the clinical efficacy of knee osteoarthritis. |
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