Based on Mechanical Stimulation of Muscle and Ligament Growth Mechanics Balance and Adaptation: a Clinical Study on Acupotomy Preventing and Treating Degenerative Joint Disease

Purpose: Degenerative joint disease, known as osteoarthritis, degenerative arthritis, senile arthritis, a degenerative disease. Articular cartilage degenerative trauma, joint edge and subchondral bone-reactive hyperplasia caused by age, obesity, strain, trauma and other factors. Clinical manifestations showed slow developed joint pain, tenderness, stiffness, joint swelling, limited mobility and joint deformities, etc. In recent years, Acupotomy played an increasingly important role in the treatment of degenerative joint disease. In order to further explore the mechanism of acupotomy, this study intends to analysis the acupotomy mechanism in preventing and treating degenerated joint disease through mechanical stimulation of muscle and ligament growth mechanics balance and adaptation. Provide a theoretical basis for broaden the acupotomy adaptation scope. Methods: Choose knee osteoarthritis represents degenerative joint disease. The 106 patients who met the classification criteria of osteoarthritis according to the Chinese Medical Association osteoarthritis diagnostic and treatment guidelines were randomly single-blinded divided into treatment group and control group, with 53 cases in each group.5 cases dropped out in this study (2 cases in the treatment group and 3 cases in the control group).There was no statistics significant difference in gender, age and heart rate between the two groups(P>0.05).Patients with severe osteoporosis, pregnancy or lactating women, age below 45 or above 65 under other treatment are excluded. Use "five fingers body landmark" method locating the knee joint tibial collateral ligament, the medial retinaculum, the ligamentum patellae, the lateral retinaculum, the fibular collateral ligament and the lliotibial tract, the quadricephalus and the suprapatellar bursa and anserine bursa in the treatment group.Choose 1.0x60 acupotomy needle to release the above located points after a standard disinfection covered with sterile tower. Once a week, the treatment course is 3 weeks. The control group treated with traditional massage. Treatment standards refer to the high institutions teaching materials of TCM《Science of massage》by Yan Juntao. Once a day, one course is 7 days, the treatment course is 3 weeks. SPSSl9.0 statistical software was used to analyze all data. Results: ①Symptoms and functional scores of two groups had significant differences after treatment(P<0.05).It indicated that acupotomy is better than the traditional massage in improving the joint function and life quality of patients.②The rectus femoris posture tension increased,the biceps femoris posture tension decreased after treatment.The stability of anterior of knee joint in treatment group was significantly improved compared with the control group.③Apply“1 m footscan”plantar pressure test system to analysis gait support mid-phase plantar stress distribution of two groups, result showed: Acupotomy more effective than the traditional massage to correct the heel stress of KOA patients. Conclusions: This study found, the junctions of tibial collateral ligament, the medial retinaculum, the ligamentum patellae, the lateral retinaculum, the fibular collateral ligament and the lliotibial tract, the quadricephalus and other tissues have centralized stresses, Appropriate mechanical stimulation by acupotomy can significantly improve the patient's joint function and joint stress structure. Achieve a mechanical balance of the muscle and ligament growth, increase the knee joint stability, greatly improve the life quality of patients. Provided a powerful theoretical basis for the clinical application of acupotomy in the degenerative joint disease.Tabled 1General figures comparison of two groupsMale / FemaleAge (years)Heart rate (Times/min)Control group(n = 51)23/2854.71±5.1469.37±8.43Observation group(n = 50)21/2953.26±5.8872.38±10.64Remarks: There was no statistics significant difference in gender, age and heart rate between the two groups (P>0.05). Open table in a new tab Remarks: There was no statistics significant difference in gender, age and heart rate between the two groups (P>0.05). Remarks: There was statistics significant difference in symptom and function score between the two groups after treatment (P<0.05). Remarks: Comparison of the treatment group and the control group after treatment, P<0.05. Remarks: Comparison of the treatment group and the control group after treatment, P<0.05.