Clinical Study Of Shu Jin Hui Xuan Manipulation Treatment On Knee Osteoarthritis (Mild Or Moderate Degree)

ObjectiveTo explore the curative effect of Shu Jin Hui Xuan Manipulation treatment on mild or moderate Knee Osteoarthritis(KOA),and evaluate therapeutic effect through surface electromyography.Providing a basis for clinical practice and scientific research on the treatment of KOA with the theory of "Simultaneous Treatment in Bone,Sinew and Muscle".Methods72 patients were randomly divided between the experimental group and the control group,which were selected to collect Surface electromyography information,then extracted the root mean square(RMS)of femoral rectus,medial femoral muscle and lateral femoral muscle during the process of straight-leg raising.And analyzed the ratio of RMS of femoral rectus during the process of squatting.The experimental group was treated with Shu.Jin Ilui Xuan Manipulation and the control group with Joint Mobilization Technique,and both groups were given the same basic treatment.All patients wore treated once a week anci 8 times were a course of treatment.The VAS scores and WOMAC scores of two groups were compared before and after the initial treatment,as well as 8 times after the treatment.The surface electromyography information of limb quadriceps muscle of the affected limbs during the process of straight-leg raising and the muscles of the lower extremities during the process of squatting were tested.The RMS value of limb quadriceps muscle and the ratio of the surface myoelectric RMS of both lower extremities mLiscle during squatting were calculated before and after the initial treatment.ResultsOver the course of the study,the patients can cooperate with the treatment and follow-up according to the requirements of this study.There are no cases removed and exfolliated.36 cascis in the experimental group and 36 cases in the control group were completed.Statistical analysis is as follows:1.Compared in terms of sex,age,course of illness,side of illness and BMI,the baseline of two groups was consistent and comparable(P>0.05).2.The pretreatment VAS scores of two groups which showed no statistically significant difference(P>0.05);Compared with the control group,there were significant differences in overall mean of VAS scores,and VAS scores after the initial treatment and 8 times after treatment in the experimental group(P<0.05);Within-group comparison showed there were significant differences in VAS scores between the experimental group and the control group(P<0.05);Compared with the control group,there were significant differences in VAS scores after the initial treatmentand 8 times after the initial treatment(P<0.05)·3.The pretreatment WOMAC scores of two groups which showed no statistically significant difference(P>0.05);Compared with the control group,there were significant differences in in overall mean of WOMAC scores,and WOMAC scores after the initial treatment and 8 times after treatment in the experimental group(P<0.05);Within-group comparison showed there were significant differences in WOMAC scores between the experimental group and the control group(P<0.05);Compared with the control group,there were significant differences in WOMAC scores after the initial treatment and 8 times after the initial treatment(P<0.05)·4.The RMS value of limb quadriceps muscle during the process of straight-leg raising between the two groups in the pretreatment was no significant difference(P>0.05);there were significant dif f;erences in the RMS value of limb quadriceps muscle during the process of straight-leg raising before and after treatment(P<0.05).There was significant difference between the two groups of patients in the dif'ference of RMS of the quadriceps during the process of straight-leg raising before and after treatment(P<0.05).There was significant difference in the RMS of the quadriceps during the process of straight-leg raising before and after treatment in e.xperimental group(P<0.05).There was no significant difference in the RMS of the quadriceps during the process of straight-leg raising before and after treatment in the control group(P>0.05).5.The ratio of the RMS of both lower extremities femoral rectus muscle during squatting between the two groups in the pretreatment was no significant difference(P>0.05);There was no significant difference in the ratio of the RMS of both lower extremities femoral rectus muscle during squatting after treatment(P>0.05).There was significant difference between the two groups of patients in the difference of ratio of the RMS of both lower extremities femoral rectus muscle during squatting before and after treatment(P<0.05).There was significant difference in the ratio of the RMS of both lower extremities femoral rectus muscle during squatting before and after treatment in experimental group(P<0.05).There was significant difference in the ratio of the RMS of both lower extremities femoral rectus muscle during squatting before and after treatment in the control group(P<0.05).ConclusionThe curative effect of Shu Jin Hui Xuan Manipulation treatment on mild or moderate KOA is effective,especially in terms of initial effect time.It can significantly improve the patient' s pain sensation and joint functional activity,promote the rehabilitation of soft tissue around the knee,and is safe and reliable,low cost,worth clinical application and promotion.