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The Research Of Bioelectrical Changes During Knee Osteoarthritis Treatments

Posted on:2012-05-30Degree:MasterType:Thesis
Country:ChinaCandidate:X Y YangFull Text:PDF
GTID:2154330335477432Subject:Orthopedics scientific
Abstract/Summary:PDF Full Text Request
Objective; To study whether bio-electric interferential current can be used to diagnose and monitor treatment of patients with traditional treatment of knee osteoarthritis.Method:Of them 78were patients with Knee osteoarthritis. (37 with right knee osteoarthritis,41with left knee osteoarthritis)and 60 were healthy normals(Con). They were matched with patients by age and were measured prior and 2 weeks after the treatment.. Frequency Analysis Method (FAM-a method to assess the physiological motor and sensory/pain response to certain stimulations).78 patients adopted acupuncture, massage, Chinese medicine topical treatment. Do massage from small 1/3 to the thigh with 1/3 on the muscles before and after for kneading, kneading, rubbing method,5 minutes; two fingers (thumb and index finger) for 3-5 minutes rubbing parts of the patellar tendon, in the margin of the patella with scraping method, taking zusanli, xuehai, Yin Ling Quan and other pointers. Finally, rubbing, stroking legs. The massage take for about 15-20 minutes. Then select acupuncture points:xuehai, Liang Qiu, Yin Ling Quan, Zusanli. Xuehai, Yin Ling Quan as a group, Liang Qiu, zusanli as a group, with 805-A II type of electroacupuncture treatment of continuous-wave instrument,15 minutes. Finally, xiao zhong Shengjisan 20g, made it into a paste with water, spread on the gauze, and topical in the knee, to take except after 24 hours (stop doing it if occur allergic disease).3 times a week, continuous for 2 weeks. Round 70 mm multipurpose electrodes EL000189 (StimTrode ST75D) are used as measuring electrodes. The best measuring points are wrists and ankles, because these are the typical areas for electrical testing, measuring and therapy. Furthermore, the circumstances (fat tissue) do not change there either. Moreover, placement of electrodes in one and the same way to these areas is also easy. The FAM analysis seeks to determine 7 physiological responses based on the sensations felt by the person measured, as well as the observations of the operator. Sensoric responses:1S= The first sensation felt by the patient caused by electrical current2S= The obvious sensation felt by the patient caused by electrical current 3S= The first sensation felt by the patient caused by tingling electrical current Motoric responses:4M= The first motoric movement observed by the operator, e. g. in the small finger5M= An obvious muscle contraction observed by the operator, e.g. repeated hand muscle contractions6M= A powerful muscle contraction observed by the operator, e. g. bending of the wrist Pain response: 7P= The first pain sensation felt by the patient caused by electrical current.Results:At the baseline all patient groups had significantly higher IC values in all measured frequencies than that of the Con group (p<0.05), There were also significant differences between the painful and the healthy knee compared at the baseline(P<0.05) The initial significant differences between the Con group and the treated group as well as the difference between the painful and the healthy knee results disappeared in all frequencies.Conclusion:Bioelectrical The change before and after treatment of bone inflammation knee inflammation of TCM treatment is active and effective, bio-energy for the osteoarthritis of the knee to provide objective assessment of the efficacy index.
Keywords/Search Tags:knee of osteoarthritis KOA, Chinese medicine treatment, FAM
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