Clinical Study On Treatment Of Knee Osteoarthritis By Acupuncture Combined With Static Squat Training

Objective:To observe the clinical effect of acupuncture combined with static squat training in the treatment of knee osteoarthritis and explore its mechanism,so as to provide a basis for the treatment of knee osteoarthritis.Method:Patients who are suffered from knee osteoarthritis after making a definite diagnosis from the rehabilitation department and acupuncture department in People's hospital affiliated to Fujian University of Traditional Chinese Medicine were selected.60 patients were chosen who accorded with the inclusion criteria and exclusion criteria of the topic and by using the randomized experimental design method,acupuncture group,static squat training group and acupuncture with static squat training group were divided with 20 patients in every group.After the health education and medium frequency therapy,in acupuncture group,acupuncture treatment was used,in static squat training group,static squat training treatment was used and in acupuncture with static squat training group,the treatment of acupuncture and static squat training were used.After continuous treatment of four weeks,the osteoarthritis index of Western Ontario and McMaster University(WOMAC)was observed before and after treatment: arthralgia,ankylosis,physical function and the changing condition of surface electromyogram signal of quadriceps femoris.Result:(1)WOMAC grade: After the treatment,the total points of WOMAC and the score of subentry index,such as pain,stiffness and physical function in three groups reduced compared with the condition before treatment.The difference had the statistical significance(P<0.01).After treatment,there were significant differences among the three groups(P<0.05).Acupuncture with static squat training was better than acupuncture treatment and static squat treatment orderly;the comparison result between the acupuncture group and acupuncture with static squat training group was that there was obvious difference in the aspects of WOMAC total points and stiffness(P<0.01)and the difference was not obvious in pain and physical function(P<0.05);The comparison result between the acupuncture and static squat training group was that there was obvious difference in the aspects of WOMAC total points,pain,stiffness and physical function(P<0.01).The comparison result between the acupuncture group and static squat training group was that there was not obvious difference in the aspects of WOMAC pain and stiffness(P<0.05)and the difference was obvious in total points and physical function(P<0.01).(2)After the treatment,the points of MF in three groups increased compared with the condition before treatment.The difference had the statistical significance(P<0.05).After treatment,there were significant differences among the three groups(P<0.05).Acupuncture with static squat training was better than static squat treatment and acupuncture treatment orderly;in three group had the statistical significance(P<0.05);(3)After the treatment,the total effective rate of acupuncture with static squat training group was 95%;the total effective rate of acupuncture group was 90%;the total effective rate of static squat training group was 80%.the comparison in three group had the statistical significance(P<0.05)Conclusion:Acupuncture,static squat training and acupuncture with static squat training all can treat knee osteoarthritis.However,the three treatments have different effects in relieving arthralgia,ankylosis,physical function and quadriceps femoris function.In the aspects of relieving arthralgia,ankylosis and physical function,acupuncture with static squat training was better than acupuncture treatment and static squat treatment orderly.In improving the function of quadriceps femoris,the effect of acupuncture with static squat training is better than static squat training and acupuncture orderly.Acupuncture with static squat training not only have obvious effect in relieving the clinical symptoms and improving the knee function,but also has better effect in improving the function of quadriceps femoris.It is worth promoting in clinical application.