Clinical Observation On The Treatment Of Patellofemoral Joint Pain Syndrome With Acupuncture Combined With Exercise Therapy Based On Meridian Theory

Purpose:This study intends to observe the difference in curative effect of different treatment methods on patients with patellofemoral pain syndrome(PFPS),and to explore the improvement of knee joint function and flexor and extensor strength in patients with PFPS before and after treatment,so as to provide a basis for clinical treatment.Method:A total of 63 PFPS subjects were randomly divided into three groups: acupuncture combined with exercise therapy on the tendons(referred to as the tendon group),acupuncture around the knee combined with exercise therapy(abbreviated as the knee group),and exercise therapy group.The treatment plan of the meridian group was acupuncture at the nodes of the tendons where the Yangming meridian of the foot circulates,combined with exercise;the intervention plan of the knee-peripheral group was acupuncture at the points around the knee joint,combined with exercise;the exercise therapy group was given related exercises exercise.All three groups were intervened 3times/week for 6 weeks.The changes of visual analogue scale(VAS)and Kujala patellofemoral joint function score before and after treatment in the three groups were observed,and the ISOMED2000 isokinetic tester,angular velocity: 60°/s,was used to measure the knee flexion and extension of the subjects before and after treatment.Muscle strength was tested and changes in muscle strength were observed.Result:1.There was no statistical difference(P>0.05)in the baseline data and observation indicators of the three groups of subjects,which were comparable.2.VAS score: after treatment,the VAS score of the three groups was significantly different(P<0.001).The difference between the meridian group and the exercise therapy group was statistically significant(P<0.001),and the difference between the knee week group and the exercise therapy group was statistically significant(P=0.012);the difference between the meridian group and the knee week group was statistically significant(P = 0.041).3.Kujala patellofemoral joint function score: after treatment,the difference of Kujala score among the three groups was statistically significant(P<0.001).There was a statistically significant difference between the meridian group and the exercise therapy group(P<0.001),the meridian group and the knee-peripheral group had a statistically significant difference(P<0.001),and the knee-peripheral group and the exercise therapy group had a statistically significant difference(P<0.001).= 0.026).4.Knee flexion strength: There was a statistically significant difference in flexor strength before and after treatment in the meridian group and the knee-peripheral group(P<0.001),but there was no significant difference in the exercise therapy group before and after treatment(P=0.057).After treatment,there was a statistically significant difference between the meridian group and the exercise therapy group(P<0.001),and the meridian group and the knee-peripheral group had a statistically significant difference(P<0.001).The difference was not statistically significant(P=0.111).5.Knee extensor strength: There was a statistically significant difference in knee extensor strength among the three groups after treatment(P<0.001).There was a statistically significant difference between the meridian group and the exercise therapy group(P<0.001),the meridian group and the knee-peripheral group had a statistically significant difference(P=0.001),and the knee-peripheral group and the exercise therapy group had a statistically significant difference(P = 0.039).In conclusion:Acupuncture combined with exercise therapy based on meridian theory can effectively relieve the pain of PFPS patients,enhance the knee flexor and extensor muscle strength of PFPS patients,adjust the patellofemoral joint function,and improve the quality of life of the patients.