OBJECTIVE: Chinese massage(Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis(OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA thr...OBJECTIVE: Chinese massage(Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis(OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA through self-assessment questionnaires; however, very few studies have objectively assessed the effect by measuring knee muscle strength. The purpose of this study was to assess the efficacy of Chinese massage in improving knee extensor and flexor muscle strength in patients with knee OA.METHODS: Thirty patients with knee OA received Chinese massage therapy three times per week for 2 weeks. Patients completed pre- and post-treatment Visual Analogue Scale(VAS) pain questionnaires, and pre- and post-treatment knee muscle strength was evaluated using the Biodex Multi-Joint System 3. Isokinetic muscle strength measurements were performed at 60 degrees/s and 180 degrees/s. The peak torque(PT), peak torque/body weight(PT/BW), total work(TW), average power(AP), hamstring/quadriceps(H/Q), and range of motion(ROM) values were recorded separately for flexors and extensors.RESULTS: Chinese massage therapy significantly improved knee pain as assessed by the VAS in patients with knee OA(P < 0.05). Post-treatment values were significantly greater than pre-treatment values in the extensor muscles for PT(right P =0.013, left P = 0.001), PT/BW(right P = 0.008, left P =0.001) and TW(right P = 0.036, left P = 0.004) at 60 degrees/s. The AP increased significantly after treatment in the flexor muscles in the right knee(P =0.009) and the extensor muscles in the left knee(P = 0.001). There were no significant differences in pre- and post-treatment ROM and H/Q at 60 degrees/s and 180 degrees/s.CONCLUSION: Chinese massage therapy decreased pain and may improve extensor muscle strength in patients with knee OA, but does not appear to improve ROM.展开更多
OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This randomized, single assessor-blinded clinical trial was carried out from May 201...OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This randomized, single assessor-blinded clinical trial was carried out from May 2014 to April 2015. Eighty participants in the trial were divided randomly into two groups: experimental group and control. The experimental group(40 cases) was treated by AT and the control group(40 cases) by acupuncture. Each treatment was conducted once a day, 5 d for one course, at an interval of 2 d between each course. The whole treatment course lasted for 4 weeks. To ascertain the effect of AT and acupuncture, Fatigue Scale-14(FS-14), Self-rating Anxiety Scale(SAS) and Hamilton Rating Scale for Depression(HAMD) scores were used before and after treatment. Patients were followed up for3 months after treatment.RESULTS: After treatment for 4 weeks, 77 patients(39 cases in the experimental group and 38 cases in the control group) completed the trial. The FS-14,SAS and HAMD scores decreased(P < 0.05) significantly compared with those before treatment in both groups. The FS-14 and HAMD(P < 0.05) scores in the experimental group were much lower than those in the control group. The difference in SAS scores between the two groups was not significant.In the final follow-up, CFS in two cases in the experimental group and three in the control group recurred, but the difference was not significant. The scores for the FS-14, SAS and HAMD in the experimental group were superior to those of the control group, and the difference was significant(P < 0.05).No serious adverse events and few adverse events were observed.CONCLUSION: AT elicited a more efficacious effect than acupuncture alone on CFS.展开更多
目的:系统评价全髋关节置换术后应用不同中医外治法的疗效和安全性。方法:应用计算机检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、Web of Science中在髋关节置换术后应用中医外治...目的:系统评价全髋关节置换术后应用不同中医外治法的疗效和安全性。方法:应用计算机检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、Web of Science中在髋关节置换术后应用中医外治法治疗的对比研究文献,检索时限均为建库至2024年7月1日。试验组在术后采用中医外治法联合常规西药治疗,对照组仅采用常规西药治疗。依据文献检索及筛选方案筛选出符合要求的文献后,由2名研究人员分别独立进行数据提取和质量评价。采用Stata14软件进行网状Meta分析,并根据累积概率排名曲线下面积(the surface under the cumulative ranking curve,SUCRA)对不同中医外治法的疗效和安全性进行排序。结果:共检索到2219篇文献,最终纳入17篇文献。17项研究涉及腕踝针、针刺、耳穴压豆、耳针、穴位电刺激、隔药饼电子灸、耳穴磁疗、中药封包热敷、推拿9种中医外治法。在改善髋部疼痛视觉模拟量表评分方面,不同中医外治法的疗效排序为针刺+常规西药治疗(SUCRA=100%)>隔药饼电子灸+常规西药治疗(SUCRA=58.2%)>耳穴压豆+常规西药治疗(SUCRA=31.5%)>常规西药治疗(SUCRA=10.3%);在改善Harris髋关节评分方面,不同中医外治法的疗效排序为推拿+常规西药治疗(SUCRA=68.3%)>中药封包热敷+常规西药治疗(SUCRA=64.5%)>耳针+常规西药治疗(SUCRA=60.5%)>腕踝针+常规西药治疗(SUCRA=45.1%)>常规西药治疗(SUCRA=11.6%);在安全性方面,不同中医外治法的排序为耳针+常规西药治疗(SUCRA=90.9%)>隔药饼电子灸+常规西药治疗(SUCRA=58.4%)>中药封包热敷+常规西药治疗(SUCRA=57.8%)>腕踝针+常规西药治疗(SUCRA=57.0%)>针刺+常规西药治疗(SUCRA=55.7%)>耳穴压豆+常规西药治疗(SUCRA=55.1%)>穴位电刺激+常规西药治疗(SUCRA=41.8%)>耳穴磁疗+常规西药治疗(SUCRA=28.1%)>常规西药治疗(SUCRA=5.0%)。结论:现有证据表明,全髋关节置换术后应用中医外治法联合常规西药治疗能够缓解术后髋部疼痛、改善髋关节功能,且安全性高;在常规西药治疗的基础上,针刺在缓解术后髋部疼痛方面更具优势、推拿在改善髋关节功能方面更具优势、耳针在安全性方面更具优势。展开更多
基金the National Science Foundation for Distinguished Young Scholars of China,Tuina Subject(No.81025022)the National Natural Science Foundation of China(Biomechanics and Clinical Efficacy of Tuina Treatment on Knee Osteoarthritis,No.81373763)+2 种基金Science and Technology Commission of Shanghai Municipality(Kinematics and Kinetics Analysis of Patients With Knee Osteoarthritis before and after Chinese Massage Treatment,No.11DZ1973501)Epidemiological Study on Risk Factors And Chinese Medical Syndrome of Knee Osteoarthritis in Shanghai City(No.12401904300)the Shanghai Municipal Health Bureau(Gait Analysis before and after Chinese Massage Treatment on Patients With Knee Osteoarthritis,No.20114039)
文摘OBJECTIVE: Chinese massage(Tui Na) is one of the most popular Traditional Chinese Medicine remedies for knee osteoarthritis(OA). Several studies have subjectively evaluated the effect of Chinese massage on knee OA through self-assessment questionnaires; however, very few studies have objectively assessed the effect by measuring knee muscle strength. The purpose of this study was to assess the efficacy of Chinese massage in improving knee extensor and flexor muscle strength in patients with knee OA.METHODS: Thirty patients with knee OA received Chinese massage therapy three times per week for 2 weeks. Patients completed pre- and post-treatment Visual Analogue Scale(VAS) pain questionnaires, and pre- and post-treatment knee muscle strength was evaluated using the Biodex Multi-Joint System 3. Isokinetic muscle strength measurements were performed at 60 degrees/s and 180 degrees/s. The peak torque(PT), peak torque/body weight(PT/BW), total work(TW), average power(AP), hamstring/quadriceps(H/Q), and range of motion(ROM) values were recorded separately for flexors and extensors.RESULTS: Chinese massage therapy significantly improved knee pain as assessed by the VAS in patients with knee OA(P < 0.05). Post-treatment values were significantly greater than pre-treatment values in the extensor muscles for PT(right P =0.013, left P = 0.001), PT/BW(right P = 0.008, left P =0.001) and TW(right P = 0.036, left P = 0.004) at 60 degrees/s. The AP increased significantly after treatment in the flexor muscles in the right knee(P =0.009) and the extensor muscles in the left knee(P = 0.001). There were no significant differences in pre- and post-treatment ROM and H/Q at 60 degrees/s and 180 degrees/s.CONCLUSION: Chinese massage therapy decreased pain and may improve extensor muscle strength in patients with knee OA, but does not appear to improve ROM.
基金Supported by the National Natural Science Foundation:Use of the BDNF-CREB-Bcl-2 Protein Pathway to Investigate the Mechanism of Abdominal Tuina to Promote CFS Hippocampal Neuronal Remodeling(No.81360567)Based on the ENS-ICC-SMC Network to Investigate Abdominal Massage to Control the Intestinal Motility(No.81373762)
文摘OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This randomized, single assessor-blinded clinical trial was carried out from May 2014 to April 2015. Eighty participants in the trial were divided randomly into two groups: experimental group and control. The experimental group(40 cases) was treated by AT and the control group(40 cases) by acupuncture. Each treatment was conducted once a day, 5 d for one course, at an interval of 2 d between each course. The whole treatment course lasted for 4 weeks. To ascertain the effect of AT and acupuncture, Fatigue Scale-14(FS-14), Self-rating Anxiety Scale(SAS) and Hamilton Rating Scale for Depression(HAMD) scores were used before and after treatment. Patients were followed up for3 months after treatment.RESULTS: After treatment for 4 weeks, 77 patients(39 cases in the experimental group and 38 cases in the control group) completed the trial. The FS-14,SAS and HAMD scores decreased(P < 0.05) significantly compared with those before treatment in both groups. The FS-14 and HAMD(P < 0.05) scores in the experimental group were much lower than those in the control group. The difference in SAS scores between the two groups was not significant.In the final follow-up, CFS in two cases in the experimental group and three in the control group recurred, but the difference was not significant. The scores for the FS-14, SAS and HAMD in the experimental group were superior to those of the control group, and the difference was significant(P < 0.05).No serious adverse events and few adverse events were observed.CONCLUSION: AT elicited a more efficacious effect than acupuncture alone on CFS.
文摘目的:系统评价全髋关节置换术后应用不同中医外治法的疗效和安全性。方法:应用计算机检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、Web of Science中在髋关节置换术后应用中医外治法治疗的对比研究文献,检索时限均为建库至2024年7月1日。试验组在术后采用中医外治法联合常规西药治疗,对照组仅采用常规西药治疗。依据文献检索及筛选方案筛选出符合要求的文献后,由2名研究人员分别独立进行数据提取和质量评价。采用Stata14软件进行网状Meta分析,并根据累积概率排名曲线下面积(the surface under the cumulative ranking curve,SUCRA)对不同中医外治法的疗效和安全性进行排序。结果:共检索到2219篇文献,最终纳入17篇文献。17项研究涉及腕踝针、针刺、耳穴压豆、耳针、穴位电刺激、隔药饼电子灸、耳穴磁疗、中药封包热敷、推拿9种中医外治法。在改善髋部疼痛视觉模拟量表评分方面,不同中医外治法的疗效排序为针刺+常规西药治疗(SUCRA=100%)>隔药饼电子灸+常规西药治疗(SUCRA=58.2%)>耳穴压豆+常规西药治疗(SUCRA=31.5%)>常规西药治疗(SUCRA=10.3%);在改善Harris髋关节评分方面,不同中医外治法的疗效排序为推拿+常规西药治疗(SUCRA=68.3%)>中药封包热敷+常规西药治疗(SUCRA=64.5%)>耳针+常规西药治疗(SUCRA=60.5%)>腕踝针+常规西药治疗(SUCRA=45.1%)>常规西药治疗(SUCRA=11.6%);在安全性方面,不同中医外治法的排序为耳针+常规西药治疗(SUCRA=90.9%)>隔药饼电子灸+常规西药治疗(SUCRA=58.4%)>中药封包热敷+常规西药治疗(SUCRA=57.8%)>腕踝针+常规西药治疗(SUCRA=57.0%)>针刺+常规西药治疗(SUCRA=55.7%)>耳穴压豆+常规西药治疗(SUCRA=55.1%)>穴位电刺激+常规西药治疗(SUCRA=41.8%)>耳穴磁疗+常规西药治疗(SUCRA=28.1%)>常规西药治疗(SUCRA=5.0%)。结论:现有证据表明,全髋关节置换术后应用中医外治法联合常规西药治疗能够缓解术后髋部疼痛、改善髋关节功能,且安全性高;在常规西药治疗的基础上,针刺在缓解术后髋部疼痛方面更具优势、推拿在改善髋关节功能方面更具优势、耳针在安全性方面更具优势。
