Clinical and Biomechanical Effects of the Traditional Chinese Medical Treatments in Individuals with Medial Knee Osteoarthritis
type: CreativeWork
description: Background: Knee otesoarthritis (OA) is the most common of the arthritises, affecting an estimated over 300 million people worldwide. Traditional Chinese Medicine (TCM) therapies have been widely used in the management of knee OA in China, however, there has been a lack of studies evaluated the effects of TCM therapies on clinical and biomechanical outcomes in individuals with knee OA. This thesis was designed to identify the clinical and biomechanical effects of the Chinese herbal (CH) patch, acupuncture treatment (AT), and Chinese massage (CM) in comparison with a control group with neutral flat insole (CN), where the results could help to improve the understanding of both clinical and biomechanical effects of the different TCM therapies in the management of knee OA.Methods: To accomplish this research, we preformed several trials; a) test-retest reliability studies on both healthy individuals and individuals with medial knee OA were conducted to determine the reliability of the outcome measures and the minimal clinically important difference for the future study; b) sixty participants with medial knee OA were recruited and randomly divided into four groups (CN, CH, AT, and CM). The six-week effect of TCM treatments on biomechanical and clinical outcomes were measured and assessed by comparing the outcomes with the baseline and six-week CN.Results: The CH showed significant improvements in WOMAC pain and total scores when compared with baseline (P<0.05). Although no significant improvement was found in biomechanical variables when compared with the baseline and the six-week CN (P>0.05), a slight trend toward reduced muscle co-contraction was found in most of the selected paired muscles in the CH group after receiving six-week treatment. The six-week AT showed significant improvements in WOMAC pain, stiffness, function, and total scores when compared with the baseline, the six-week CN, and CH (P<0.05). Furthermore, the six-week AT showed significant improvements in…
abstract: Background: Knee otesoarthritis (OA) is the most common of the arthritises, affecting an estimated over 300 million people worldwide. Traditional Chinese Medicine (TCM) therapies have been widely used in the management of knee OA in China, however, there has been a lack of studies evaluated the effects of TCM therapies on clinical and biomechanical outcomes in individuals with knee OA. This thesis was designed to identify the clinical and biomechanical effects of the Chinese herbal (CH) patch, acupuncture treatment (AT), and Chinese massage (CM) in comparison with a control group with neutral flat insole (CN), where the results could help to improve the understanding of both clinical and biomechanical effects of the different TCM therapies in the management of knee OA.Methods: To accomplish this research, we preformed several trials; a) test-retest reliability studies on both healthy individuals and individuals with medial knee OA were conducted to determine the reliability of the outcome measures and the minimal clinically important difference for the future study; b) sixty participants with medial knee OA were recruited and randomly divided into four groups (CN, CH, AT, and CM). The six-week effect of TCM treatments on biomechanical and clinical outcomes were measured and assessed by comparing the outcomes with the baseline and six-week CN.Results: The CH showed significant improvements in WOMAC pain and total scores when compared with baseline (P<0.05). Although no significant improvement was found in biomechanical variables when compared with the baseline and the six-week CN (P>0.05), a slight trend toward reduced muscle co-contraction was found in most of the selected paired muscles in the CH group after receiving six-week treatment. The six-week AT showed significant improvements in WOMAC pain, stiffness, function, and total scores when compared with the baseline, the six-week CN, and CH (P<0.05). Furthermore, the six-week AT showed significant improvements in…
author: Zhang, M
language: en
date published: 2021
date modified: 2026-07-24T04:26:06Z
provider: U. of Salford
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: U. of Salford