| Objective: To investigate the intervention effect of traditional Chinese medicine ironing and muscle strength exercise on early and middle knee osteoarthritis patients,and to evaluate the effect of combined use of them,so as to provide a clinical basis for functional rehabilitation of patients with knee osteoarthritis.In recent years,epidemiological studies show that the joint bone marrow edema is a common degenerative osteoarthritis,and is one of the common risk factors of exacerbations,the grading of bone marrow edema as one of the objective index of observation,hoping to better observe the change and progress of knee joint and knee joint and other clinical symptoms contact.Methods: A randomized controlled clinical study was used in this study.From March 2017 to February 2018,patients admitted to Department of orthopedics of the First Affiliated Hospital of Guang xi University of traditional Chinese medicine for treatment of knee osteoarthritis were selected.60 patients who met the inclusion criteria were randomly divided into treatment group and control group,30 cases in the treatment group and 30 cases in the control group.Among the treatment group,the most obvious pain in the knee group was treated with Chinese medicine ironing the affected area(if all two knees were OA,the severe side),combined with muscle strength exercise,two times a day in the morning and the afternoon.The control group was only treated with Chinese herbs ironing and external application.All cases were treated for 6 weeks.The two groups were followed up for 1months.The WOMAC scores,bone marrow edema classification and VAS score were recorded in all cases before and after treatment.All the above indexes were statistically analyzed to observe the therapeutic effect of two different intervention methods on osteoarthritis of the knee.SPSS22 statistical software was used for statistical analysis.The paired T test was used in the same group.The independent sample t test was used in the comparison between the groups,and P<0.05 was statistically significant difference.Results: a total of 60 patients with knee osteoarthritis were in accordance with the standard of clinical study.They were successfully completed and successfully completed the corresponding treatment.No patients had obvious side effects or withdrawn treatment.The age,gender,disease duration and severity of the disease(before the treatment of knee joint WOMAC score,bone marrow edema grading and VAS score)between the two groups showed no significant difference,and no statistical significance(P>0.(05);After 6weeks of treatment,again WOMAC score,VAS score,and the grading of bone marrow edema,In the same group,the patients in the treatment group were significantly improved after the treatment than before the treatment,the difference was statistically significant(P < 0.05);patients in the control group after treatment than before treatment results have certain degree of improvement,with statistically significant difference(P<0.05);from the comparison between the two groups,after 6 weeks of treatment,the treatment group was significantly better than the control group,the difference was statistically significant(P<0.05).Spearman related analysis of bone marrow edema showed that there was a correlation between the degree of pain and bone marrow edema(P<0.05).The results suggest that bone marrow edema is associated with pain,and with the aggravation of pain,bone marrow edema also tends to aggravate.Conclusion: Muscle exercise and traditional Chinese medicine ironing can safely and effectively improve the pain and flexion and extension of knee osteoarthritis.Muscle exercise and traditional Chinese medicine ironing treatment knee osteoarthritis have a good effect.Muscle exercise combined with traditional Chinese medicine ironing was superior to simple Chinese medicine ironing in terms of scores and treatment effects.There is a positive correlation between bone marrow edema and knee pain. |
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