The Milli-fire Needle Curative Effect Observation Of Exercise Therapy For Knee Osteoarthritis

This paper undertook a systematical and further study on treating knee osteoarthritis with Traditional Chinese Medicine and Western Medicine in three aspects namely literature research,theoretic discussion and clinical experiment.The first part of the paper is introduction.It introduced pathology,clinical manifestation,the impact on the patients and the increase of incidence of knee osteoarthritis,and pointed out the importance of the treatment,prevention and health care of knee osteoarthritis.Next it discussed the western medicine treatment of knee osteoarthritis from early-to-late stage and its disadvantage and the advantage of acupuncture and moxibustion treatment of knee osteoarthritis.According to the causes of knee osteoarthritis,using fire needle therapy had a good analgesic effect in patients with knee osteoarthritis but poor on the improvement of the motion of joint.And it made a brief introduction to exercise therapy which can improve the function of joint activity.Thereby,it draw out research purpose and clinical significance of this paper about the different curative effect on knee osteoarthritis between fire needle therapy and fire needle therapy with exercise therapy.The second part of the paper focuses on literature research and theor etical discussion.The paper,according to the understanding,etiology,p athogenesis and the treatment of knee osteoarthritis on the basis of Trad itional Chinese Medicine and the understanding,epidemiological character,pathogenesis and the treatment of knee osteoarthritis on the basis of Mod ern Medicine,discussed a lot.In the aspect of Traditional Chinese Medic ine,knee osteoarthritis belong to the category of the diseases of arthra lgia syndrome and there are many ancient Chinese medical literature of ar thralgia syndrome.The paper pointed out that the cause of knee osteoarth ritis related to various factors,including exogenous pathogenic factorsa nd internal injuries;the main lesion of knee osteoarthritis derives fro m knee joint,which has a close relationship with liver,kidney and splee n;in essence,knee osteoarthritis is deficiency in origin and excess in superficiality;the deficiency of both liver and kidney and the deficienc y of both qi and blood are the pathological basis;wind,cold and wetness are common causative factors of knee osteoarthritis;blood stagnating in channels plays a key role at the onset of knee osteoarthritis;according to different pathological features,reinforce insufficiency and reduce ex cessiveness is therapeutic principle;meanwhile,replenishing yang qi,re moving cold,activating blood circulation and dredging the meridian are t herapeutic method;specific treatment methods include traditional Chinese medicine,acupuncture therapy,electroacupuncture,needle warning moxibus tion,combination of acupuncture and medicine,small needle scalpel thera py,point-injection therapy and fire needle therapy.In the aspect of mod ern medicine,the pathological and clinical manifestations and epidemiolo gical character of knee osteoarthritis were firstly discussed.Then it po inted out that the cause of knee osteoarthritis related to various factor s.Possible pathogenic factors and pathogenesis are the imbalance of join t stress,role offree radical,role of immune response and osteoporosis.The treatment methods included non-drug therapy,drug therapy and operati ve treatment.One of the non-drug therapy-exercise therapy,including the training of muscle strength,rang of joint motion,joint position sense,aerobic exercise,underwater exercise and so on,which is an effective th erapy to make the clinical symptoms and the function of joint of patients who suffered from knee osteoarthritis to a good direction.The paper disc ussed many methods of treating knee osteoarthritis.The fire needle thera py effectively reduce the pain of patients while exercise therapy can exp anding the range of joint motion and delay attack of knee osteoarthritis.The third part of the paper introduced some clinical studies on treating knee osteoarthritis with the fire needle therapy with exercise therapy.Objectiveto observe the safety and curative effect of treating knee osteoarthritis with the Milli-fire needle therapy and exercisetherapy and make comparison between the Milli-fire needle therapy with exercise therapy and the pure Milli-fire needle therapy in order to find out that which method can better improve clinical symptoms and ability of daily function and activity,and relieve the pain of knee osteoarthritis patients,so that we can provide a more effective and convenient treatment plan for the treatment of knee osteoarthritis.Methods60 qualified patients are divided at random into two groups according to research approach;wherein,the observation group and the control group have 30 cases respectively;treating the patients among the control group with the milli-fire needle therapy while treating the patients among the observation group with the milli-fire needle therapy combined with exercise therapy.Two groups of patients choose the same points,the a-shi points,XiYan,LiangQiu,YangLinQuan.According to different types of syndromes with the corresponding points,deficiency of kidney plus with XuanZhong,obstruction of collaterals by blood stasis plus with XueHai,Yang deficiency cold coagulation plus with ZuSanLi.The control group implementing the fire needle therapy after selecting the main points and the matching points of corresponding syndrome;controlling process in 0.5 seconds and depth about 0.2~0.5cm;when it is finished,quickly coloring the purple flower oil outside the pinhole;three treatment a week,one times two day,4 weeks for 1 course;the observation group doing exercise therapy after the fire needle therapy(the same with the control group);doing training about drafting leg thigh muscle straightly in supine position first and then in prone position;time of administration is same with that of the control group;evaluating curative effect after a course.Then,according to JOA and VAS,compared score before and after treatment,Nim horizon method adopted to evaluate the curative effect,then statistic and analysis.Resultthe results of clinical observation showed that two groups of patients after treatment,the JOA score and VAS score significantly lower than before treatment(P<0.01),which instructed that the two kinds of treatment are effective;clinical control rate of the observation group after treatment is(74.31 ±6.92)%which is significantly higher than the control group(60.29±6.74)%;in the aspect of safety,no adverse reactions were observed in the observation group.Conclusionthe milli-fire needle therapy and the milli-fire needle therapy with exercise therapy have good curative effect in patients with knee osteoarthritis;by comparison,the effect of milli-fire needle with exercise therapy is much better than the simple milli-fire needle therapy;the milli-fire needle with exercise therapy is so safe and effective that it is worthy of popularization and application.