Observation Of Clinical Efficacy Of Acupotomology With Nanshaolin Exercise In The Treatment Of Knee Osteoarthritis Based On Meridian Sinew Theory

Objective:To observe the clinical effect of acupuncture based on the meridian theory needle knife combined with the Southern Shaolin exercise in the treatment of knee osteoarthritis(KOA),To provide evidence-based medical evidence for the treatment of knee osteoarthritis under the guidance of meridian theory of needle and knife combined function exercises.Methods:From December 2020 to December 2021,70 cases of KOA patients were diagnosed and treated by the Department of Orthopedics and Traumatology of the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,the random number table method was randomly divided into experimental group and control group,35 cases each group,the experimental group used acupuncture knife combined with Southern Shaolin exercise for treatment,the control group was 0nly treated with acupuncture knife.Acupuncture knife therapy is based on the Meridian sinew theory,and the common meridian tendon lesions around the knee are selected for release on the " "Hedingci" "Binwaixia""Binneixia" and "Yinlingshang",which are treated once a week and treated 4 times continuously.The Southern Shaolin exercise Treatment selects the "Hunyuanyiqi","Mashangpaojiang","Jinjiduli","Shuangshoutuiche" and "Qixiguiyuan" in the Practice Thirty-six Styles for the training of the lower limbs,once a day,for 30 consecutive days.Visual analogue scale(VAS),The Western Ontario and Mc Master Universities Osteoarthritis Index(WOMAC),Knee Range of Motion,Changes in peak torque of knee flexor and knee extensor and the static balance of the eyes.Conclusions:1.The results of VAS score showed,before treatment,the difference between the two groups was not statistically significant(P>0.05).At the end of the course of treatment,both groups were lower than before treatment in the same group(P<0.05).At the 3-month follow-up,both groups were lower than before treatment and at the end of the treatment course in the same group(P<0.05).And the test group at the same time point was lower than the control group(P<0.05).2.Wo MAC scoring results showed that before treatment,there was no statistically significant difference between the two groups(P>0.05).At the end of the course of treatment,both groups were lower than before treatment in the same group(P<0.05).At the 3-month follow-up,both groups were lower than before treatment and at the end of the treatment course in the same group(P<0.05),and the test group at the same time point was lower than the control group(P<0.05).3.The measurement results of the knee joint motion show that before treatment,there was no statistically significant difference between the two groups(P>0.05).At the end of the treatment course,both groups were able to increase the range of motion of the knee joint compared with the same group before treatment(P<0.05).At the 3-month follow-up,both groups were able to increase the range of motion of the knee joint compared with the same group before treatment(P<0.05),but there was no statistically significant difference between the control group and the end of the treatment course(P>0.05).4.Comparing the results of the peak torque of knee flexor and knee extensor,before treatment,there was no statistically significant difference between the two groups(P>0.05).At the end of the course of treatment,both groups tended to normal values compared with the same group before treatment(P<0.05).At the 3-month follow-up,both groups tended to normal values before and at the end of treatment in the same group(P<0.05),and the same time point test group was better than the control group(P<0.05).5.Compared with the results of the static balance of the open eye,before treatment,the difference in the peripheral surface area and the circumference of the motion trajectory of the two groups of the open eye static balance were not statistically significant(P>0.05).At the3-month follow-up,both groups were reduced compared with the same group before treatment(P<0.05),and the same time point test group was smaller than the control group(P<0.05).Conclusion:Acupuncture knife combined with Southern Shaolin exercise treatment,based on the Meridian sinew theory,which can adjust the peak torque of knee flexor and knee extensor,improve the patient’s balance ability,and effectively improve the joint pain and lower limb function of KOA patients.The efficacy is better than acupotomology alone.