Clicical Effects of Ultrasound-Guided Acupotomy Combined with Proprioceptive Training on Patients with Knee Osteoarthritis
Bibliographic record
Abstract
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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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".