Observation The Effects Of Articular Acupoints Combihed With Sit-to-Stand Tests For Knee Osteoarthritis

ObjectiveTo observe the therapeutic effect of articular acupoints combined with Sit-to-Stand Tests for knee osteoarthritis.Methods72patients were randomly divided into two groups:group of acupuncturing points on elbow joint correspond to knee-joint and group of acupuncturing points around injured knee joint.36cases in each group. Group of acupuncturing points on joints correspond to knee joint:doctor acupunctures points including LI10、LI11、 LI12and retaining the needle for20minutes once daily, patients need doing Sit-to-Stand Test during that period. Group of acupuncturing points around injured knee joint:doctor acupunctures points including EX-LE5、midpoint of two EX-LE5、SP10、 ST34and retaining needle for20minutes once daily. On the other hand, two groups are treated with arthrolysis for20minutes once daily.5times as a course,4courses in all, no rest time between courses."Knee Joint Function Assessment", FTSST, IL-1and "Guiding principle of clinical research on new drugs of traditional Chinese Medicine" are selected.Results:1. Comparison of comprehensive therapeutic effect Group of acupuncturing points on elbow joint correspond to knee joint:the cure rate was41.7%and excellence was30.6%, and other13.9%was better, so total effecting rate was88.9%.Group of acupuncturing points around injured knee join:the cure rate was19.4%and excellence was27.8%, and other22.2%was better, so total effecting rate was69.4%.The clinical therapeutic effects between two groups was significantly different (P<0.05)2. Comparison of "Knee Joint Function Assessment"After treatment, comparing the score before treatment, all indexes score except swelling one were significantly improved (P<0.05) in each group and between two groups.3. Comparison of time to finish FTSSTAfter treatment, comparing the score before treatment, the time used to finish FTSST was significantly shorter (P<0.05) in each group and between two groups.4. Comparison of the content of IL-1of injured knee jointAfter treatment, comparing the score before treatment, the content of IL-1of knee joint was significantly reduced(P<0.05) in each group and between two groups.Conclusion1. The two different methods used in two different groups are significantly effective to patients with KOA. Acupuncturing points on elbow joint correspond to knee-joint is better than acupuncturing points around injured knee joint to patients with KOA.2. IL-1may be very much related to the effect of both methods. IL-1may be used as an index to estimate the effectiveness of both methods.