| ObjectivesIn this study,by observing the treatment of knee osteoarthritis(KOA)with extension-loosening combined with the manipulation of tendons and conventional manipulation of massage,the clinical efficacy of extension-loosening combined with the manipulation of tendons in the treatment of knee osteoarthritis was studied,and the therapeutic basis of this study was sought to provide a reliable basis for the clinical application of this technique.MethodsA total of 72 eligible and voluntary KOA patients from the outpatient and inpatient departments of the department of massage in yunnan hospital of traditional Chinese medicine were collected from October 2018 to December 2019.The method of random number table was divided into the control group(the group of conventional manipulation)and the experimental group(the group of stretching and loosening combined with the manipulation of tendons).Once a day,10 times a course,a total of 1 course.The WOMAC scores and sEMG values of the two groups before and after treatment were statistically analyzed to compare the clinical efficacy of the two groups.Results(1)The MF and MPF of sEMG in the two groups before treatment were statistically analyzed,with P>0.05,which was comparable.Statistical analysis of MF and MPF of sEMG before and after treatment in the two groups and after treatment between the two groups was carried out,P<0.05,which was statistically significant.It proved that drawing and stretching and loosening combined with tendon manipulation were superior to conventional manipulation in enhancing quadriceps femoris anti-fatigue.(2)The WOMAC score statistics analysis of the two groups before treatment,P>0.05 as a result,comparable,within the two groups before and after treatment and after treatment between two groups of WOMAC scores through statistical analysis,P<0.05,there is statistical significance that stretch pull loose combination the reinforcement technique in to improve the function of knee joint,reduce pain,improve stiffness,improve the ability of daily life is superior to the conventional massage.(3)By statistical analysis was conducted on the overall efficacy of the two groups after treatment,P<0.05,which was statistically significant.In addition,the total effective rate,clinical cure and significantly effective number of patients with extraction-extension-loosening combined with meridional tendon manipulation were significantly higher than that of conventional massage manipulation.Conclusion(1)Both stretching and loosening combined with warp and tendon manipulation and conventional manipulation can improve MF and MPF values of sEMG and enhance quadriceps resistance,but both stretching and loosening combined with warp and tendon manipulation are obviously better than conventional manipulation.(2)Both extension-loosening combined with meridional manipulation and conventional manipulation can reduce WOMAC score,reduce knee joint pain,improve stiffness and improve daily living ability,but extension-loosening combined with meridional manipulation is obviously better than conventional manipulation.(3)The overall efficacy and recovery rate of pulsating,stretching and loosening combined with the manipulation of the tendons are better than that of the conventional manipulation of massage,which is worthy of being popularized in clinical practice. |
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