Clicical Effects of Ultrasound-Guided Acupotomy Combined with Proprioceptive Training on Patients with Knee Osteoarthritis
Notice bibliographique
Résumé
ObjectiveTo observe the effects of ultrasound-guided acupotomy combined with proprioceptive training on patients with knee osteoarthritis (KOA).MethodsA total of 80 KOA patients who were treated in the Rehabilitation Department of Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine from March to September 2023 were enrolled and randomly divided into control group and observation group, with 40 cases in each group. Two cases in the control group and one case in the observation group dropout due to loss to follow-up, resulting in 38 and 39 cases finally included in each group, respectively.The control group received ultrasound-guided acupotomy therapy, 20 minutes a time, once weekly for four weeks. The observation group received proprioceptive training additionally, including passive and active repositioning training, BioDex balance training, and proprioceptive neuromuscular facilitation therapy, with each training session lasting for 10 minutes, once daily, five times a week for four consecutive weeks. Before treatment and after four weeks of treatment, the Visual Analog Scale (VAS) was used to assess the pain of patietnts; the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to assess the knee function; an ultrasound detector was used to measure synovial thickness of the affected knee joint; the Biodex balance testing system was used to assess Static Fall Index (SFI), Dynamic Fall Index (DFI), and Limits of Stability (LOS); the clinical efficacy was compared between two groups.Results(1) VAS, WOMAC scores, and synovial thickness: compared with those before treatment, VAS and WOMAC scores, and synovial thickness of both groups after treatment decreased significantly (P<0.05). Compared with the control group, the observation group had significantly lower VAS score, WOMAC score, and synovial thickness after treatment (P<0.05). (2) SFI, DFI, and LOS scores: compared with those before treatment, SFI, DFI, and LOS scores of the observation group after treatment decreased significantly (P<0.05), whereas no statistically significant changes were observed in the control group after treatment (P>0.05). Compared with the control group, the observation group had significantly lower SFI, DFI, and LOS scores after treatment (P<0.05). (3) Clinical efficacy: compared with the control group, the clinical efficacy of the observation group was higher (U=460.0, P=0.004). (4) Safety: No adverse reactions including wound infection or lidocaine allergy were observed during treatment in either group, and no adverse events such as falls were reported in the observation group.ConclusionUltrasound-guided acupotomy combined with proprioceptive training can effectively alleviate pain, improve balance function and knee joint function of patients with KOA , with good safety and worthy of clinical generalization and application.
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Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».