| Objective: This study observed and studied the clinical efficacy of Taiji massage knee joint manipulation combined with physical therapy in the treatment of knee osteoarthritis,compared the efficacy difference between Taiji massage knee joint manipulation combined with physical therapy and ordinary knee joint manipulation,and observed the effect of Taiji massage knee joint manipulation combined with physical therapy on synovial thickness and knee joint effusion depth,so as to explore the unique advantages and mechanism of Taiji massage therapy.Methods: According to the inclusion and exclusion criteria of the experimental design,a total of 60 subjects with knee osteoarthritis in the outpatient department of massage / rehabilitation medicine of Hubei Hospital of traditional Chinese medicine（garden hospital area）from September 2021 to January 2022 were selected.According to the selected experimental method,they were divided into treatment group（Taiji massage group）and control group（ordinary manipulation group）,with 30 cases in each group,The treatment group was treated with Taiji massage knee manipulation as massage therapy and assisted by physical therapy（wet and hot compress）,and the control group was treated with ordinary massage therapy for knee osteoarthritis.The treatment frequency of the treatment group and the control group was 1 time / day（the treatment time was regardless of morning or afternoon）,the treatment duration was 30 minutes each time,and the physical treatment was 15 minutes.One course of treatment was determined as 5 times of massage manipulation treatment.A total of 2 courses of massage manipulation treatment were performed during the research process.Generally speaking,it is necessary to rest for 2 days after the end of a course of treatment.The WOMAC score and VAS score,the change of synovial thickness under muscle bone ultrasound and the change of knee joint effusion depth of the two groups were evaluated before and after treatment.All kinds of emergencies and adverse reactions need to be strictly recorded during the whole study period. After the completion of the overall treatment,statistical analysis and research should be carried out.The intra group and inter group differences should be observed and analyzed with the scale score and muscle bone ultrasound statistical indicators.Ending: 1.Basic information of subjects: after the end of the whole treatment process,2 cases fell off in Taiji massage group and ordinary manipulation group respectively.Finally,the statistical sample size of the control group was 28 cases,13 males and 15 females,with an average age of 55.9 ± 2.1 years and an average course of disease of 7.7 ± 1.7 months;The statistical sample size of Taiji massage group was 28 cases,12 males and 16 females,with an average age of 56.1 ± 1.9 years and an average course of disease of 7.9 ± 1.5 months.2.Scale score before and after treatment: after treatment,VAS pain score and WOMAC scale score of patients in the control group and Tai Chi massage group decreased significantly（P < 0.05 or 0.01）;After treatment,compared with VAS pain score and WOMAC scale score,the effect of Taiji massage group was more significant than that of the control group（P < 0.01 or 0.05）.3.Before and after treatment,the synovial thickness of the control group and Tai Chi massage group were above the normal range,and there was no significant statistical difference between the control group and Tai Chi massage group.After 10 times of treatment,the synovial thickness of the two groups decreased.After treatment,it can be found that there was no significant difference between the Taiji massage group and the control group（P > 0.05）.4.Depth of knee joint effusion: among the 56 patients included in the study,the depth of knee joint effusion increased significantly,and the depth of knee joint effusion decreased significantly after treatment in the control group and Tai Chi massage group（P < 0.01）.After treatment,it can be found that the effect of Tai Chi massage group is more significant after treatment（P < 0.05）.Conclusion: 1.Taiji massage knee joint manipulation combined with physical therapy compared with ordinary knee bone joint manipulation,Taiji massage combined with physical factor therapy has more advantages in reducing subjects’ pain,improving subjects’ quality of life and improving subjects’ knee swelling.2.The depth of knee joint effusion in patients with knee osteoarthritis is obvious,and the thickness of synovium is thickened.After the treatment of Taiji massage combined with physical factor therapy,the depth of joint effusion is significantly reduced,and the thickness of synovium is slightly improved.Taiji massage combined with physical factor therapy has certain advantages in promoting the absorption of knee joint effusion,but the advantages of repairing synovium need to be further studied. |
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