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in the Treatment of Knee Osteoarthritis
Clinical Research of Soft Tissue Balance Technique
in the Treatment of Knee Osteoarthritis
Cheng Tingxiu*, Cheng Guangyao and Liu Shuqiang
Department of Rehabilitation, Dongning City People’s Hospital, China
Submission: July 04, 2018;Published: October 17, 2018
*Corresponding author: Cheng Tingxiu, Department of Rehabilitation, Dongning City People’s Hospital, Heilongjiang province, 157299, China.
How to cite this article: Cheng T, Cheng G, Liu S. Clinical Research of Soft Tissue Balance Technique in the Treatment of Knee Osteoarthritis. J Yoga
& Physio. 2018; 6(4): 555691.DOI: 10.19080/JYP.2018.06.555691
Objective:Clinical efficacy of soft tissue balance technique in the treatment of knee osteoarthritis.
Methods: 120 cases of knee osteoarthritis were randomly divided into two groups: treatment group and control group, Each group of 60 cases. Treatment group was treated with soft tissue balance technology, the control group was treated with traditional massage therapy, Treatment 4 week. Compare the two groups before and after treatment HSS score and VAS score and evaluate the curative effect.
Results: The cure rate and total effective rate of the treatment group were significantly better than that of the control group (Ridit analysis, u=5.0818, P<0.01, The difference between the two groups was statistically significant); The function and pain of the treatment group were better than that of the control group(HSS score compared with the control group: t=22.287, P<0.01; VAS score compared with the control group: t=6.242, P<0.01).
Conclusion:Soft tissue balance technique is simple, practical and effective in the treatment of knee osteoarthritis, and is suitable for clinical application.
Keywords: Soft tissue balance; Knee osteoarthritis; Clinical research
Knee osteoarthritis (KOA) is a chronic osteoarthritis disease. It is a common and frequent disease in orthopedics clinic. The quality of life of patients is seriously affected. In recent years, soft tissue balance technology has been widely used in knee arthroplasty [1,2]. In recent years, the author has used soft tissue balance technology to treat knee osteoarthritis conservatively and achieved remarkable curative effect.
From January 2014 to January 2016, 120 patients with knee osteoarthritis were admitted to the department of rehabilitation medicine of dongning people’s hospital. The patients were randomly divided into treatment group and control group. There was no statistically significant difference in gender, age, course of disease, HSS score and VAS score before and after treatment (P>0.05). All patients were diagnosed as knee osteoarthritis according to the diagnostic criteria of osteoarthritis guidelines (2007 edition) .
The control group: The traditional massage method is fully referred to the massage prescription of knee osteoarthritis in the “diagram of traditional Chinese medicine orthopedics and traumatology treatment methods” (second edition) . Each knee manipulation treatment time is 30 minutes.
Key points of operation: the patient is recumbent, slightly kneeling, and the doctor holds up the knee with one hand and points the blood hole with the other hand with the thumb, so as to regulate qi and activate blood circulation. Some points of knee eye: before the same position, the doctor points the patient’s bilateral knee hole with both hands. Patients lie on their knees and bend their knees. The physician crosses his hands and thumbs and presses the inferior iliac ligament. Ongoing kneading: in practice, patella is kneaded to promote airflow throughout the knee and improve joint activity and function. The patient extends the knee, presses the lower line of the patella with both hands and thumbs, pushes up and kneads it, then presses down the upper margin of the patella and pushes down several times. Patellar articulation: the physician fastens the patella with one hand, fastens the patella up with force, and repeatedly withdraws the patella along the side line of the patella. The semi-squat position of the patient, the semi-squat position of the doctor, one hand on the ankle, anti-clockwise direction or clockwise direction repeatedly shake several times, can remove the joint interlock, relieve pain.
The treatment group: According to the soft tissue balancing techniques  treatment plan design, the first application methods such as push, take, press, kneading, relax muscles around the knee joint, the patient decubitus position according to relax change position for patients with stomach, lie on your back, and side; Specific treatment include quadriceps, hamstrings,
glutes, kuo tensor fascia, the iliotibial band and adduction muscle
group, calf triceps muscle, such as the tibialis anterior muscle and
massage every part 2 min, treatment time of 20 minutes; Then,
the quadriceps and hamstring muscles were subjected to multipoint
equi-length stretching and contraction training [6,7], and
the treatment lasted 10 minutes. Once a day, 6 days for a course of
treatment; The next course of treatment is conducted at intervals
of one day; The main clinical symptoms, signs and life ability of
the patients were observed after 4 courses of treatment.
Refer to the relevant standards in the guiding principles for
clinical research of traditional Chinese medicine new drugs .
Cure: the clinical symptom disappeared, the joint function activity
returns to normal. Obvious effect: clinical symptoms disappear
basically or main symptom is eliminated basically, joint activity
recovers basically, can work normally and labor. Effective: the
main symptoms were basically eliminated, and the function of
joint activity was obviously recovered. Invalid: no improvement in
symptoms and joint function.
The Hospital for Special Surgery (HSS) knee joint score
standard  was adopted to assess. The knee joint function of
the affected side before and after treatment. Visual analogue
Scale (VAS) was used to assess the degree of pain before and after
Comparison of clinical efficacy between the two groups
(see Table 1): As can be seen from Table 1, the total effective rate
of the treatment group was 100%, and that of the control group
was 75%. The comparison difference between the two groups was
statistically significant (P<0.01).
Explain: Compared with the control group, according to Ridit analysis, u=5.0818, P<0.01.
Comparison of HSS scores and VAS scores between the two
groups before and after treatment (see Table 2): It can be seen
from Table 2 that the HSS scores and VAS scores of the two groups
before treatment were not statistically significant (P>0.05). HSS
scores and VAS scores of the two groups after treatment were
compared, and the difference was statistically significant (P <
Explain: Comparison of HSS score and control group t=22.287, 1) P<0.01; VAS score was compared with control group t=6.242, 2) P<0.01.
Knee osteoarthritis (knee osteoarthritis, KOA) is a common
clinical chronic joint disease, according to the world health
organization (WHO), 4 of osteoarthritis in female prevalence, it
is in men the eighth, the crowd over 40 knee osteoarthritis total
prevalence was 28.7% . China has entered an aging society. By
the end of 2009, the number of elderly people aged 65 or above in
China exceeded 113 million, and the number increased year by year
. In China, 50% of people over 60 years old have osteoarthritis
on the X line, and 35% to 50% have clinical symptoms . In
recent years, knee osteoarthritis has attracted high attention
from the society, and the treatment of knee osteoarthritis has also
become a concern of the medical community .
Due to degeneration and changes in the negative gravity line,
knee osteoarthritis leads to dysfunction of the locking mechanism
of the knee joint, which damages the stability of the knee joint .
The stability of the joint depends on the surrounding soft tissue
and its balance [15,16]. The articular surface and surrounding
muscles and ligaments ensure the range of physiological activities
of the knee joint, and the surrounding muscles act as power
devices to maintain the balance of lower limb movements.
Normal joint activity depends on the results of the coordination
and antagonism between the muscles around the joint. The main
factor to maintain the stability of the joint is the balance of forces
between the muscles .
The soft tissue balance technique is mainly used to loosen
the soft tissue around the joint contracture. The adjustment of mechanical balance of soft tissue can effectively adjust the stress
state of knee joint, restore the function of knee joint and improve
the stability of knee joint. Always soft tissue balancing technique
is applied to knee replacement, the author introduces the
technology of conservative treatment knee osteoarthritis clinical
study, the method first relax all muscles around the knee joint, the
shortening and stretching stiff muscles, and then the quadriceps
and hamstring multipoint isometric isotonic contraction training,
more training, respectively, the quadriceps muscle and training
four muscles, make the quadriceps and hamstring strength (Q/H)
rebalancing, recovery of soft tissue balance; So it’s therapeutic.
Study according to the technical design of soft tissue balance
treatment of knee osteoarthritis treatment cure rate and total
effective rate is better than traditional massage group (via Ridit
analysis, u=5.0818, P<0.01 is similar between the two groups
have statistical significance); According to the design treatment of
soft tissue balance technology treatment of knee joint function in
patients with knee osteoarthritis and improve the degree of pain
is better than traditional control group (t=22.287, compared with
controls HSS score (P<0.01; VAS score was compared with control
group t=6.242, P<0.01).
To sum up, soft tissue balance technology applies not only to
knee arthroplasty [18-20], in a conservative plays an important
role in treatment of knee osteoarthritis, through soft tissue
balance is good and stable to the line, to restore the knee to the
painless, stability, activity function good condition; This method
is simple, practical and effective, suitable for clinical promotion.