Purpose: The body of the bowstones Anatomical system is a skeleton for the bow to connect the joints of the joints of the capsule, ligaments, muscles, fascia for the string, to complete the body movement function of the mechanical anatomy system, Joint capsule, ligament, muscleand other organizations damage will lead to articular cartilage contact surface pressure size and direction changes, the surface of the force is not coordinated, the whole bow and bridge mechanical imbalance, Leading to joint space, stiffness, varying degrees of joint activity dysfunction, reduced balance control, increased risk of falls, and even disability, and ultimately the formation of osteoarthritis, seriously affecting the quality of life of the elderly. The aim of this study is to explore the effect of Acupotomy therapy on joint pain in knee osteoarthritis patients and the analysis of cartilage surface stress. Methods: 128 patients who met the diagnostic criteria for osteoarthritis were randomly divided into treatment group and control group. The treatment group in the suprapatellar bursa, patellar medial collateral ligament, iliotibial tract, Tendon of quadriceps femoris, popliteal fossa around the selected positive tender point Acupotomy therapy release surgery, once a week, five times as a course of treatment. The control group was intraperitoneally injected with sodium hyaluronate, once a week, five times as a course of treatment. All patients were evaluated by WOMAC rating scale before and five weeks after treatment, CT and MRI scans were performed on the knee. Data were used to establish the KOA musculoskeletal model. The surface stress of the knee cartilage was analyzed by the data of the model before and after treatment of KOA. Results: At five weeks after treatment, the pain, stiffness and joint function scores of the treatment group were significantly lower than those of the control group. At five weeks after treatment, the stress in the middle of the knee cartilage was lower than that in the treatment group, while the difference between the distal end stress and the anteroposterior surface of the knee cartilage was similar to that of the control group No significant significance. Conclusions: Based on the human body orbital mechanics anatomy system, the use of needle knife release surgery to change the stress around the articular cartilage to achieve a ergonomic balance, can effectively improve the KOA knee joint stress structure, increase knee stability, Promote blood circulation around the joints, change the nutritional supply of diseased tissue, improve the body's corresponding metabolic capacity, effectively relieve pain around the joint. Its treatment effect is remarkable, for the Acupotomy therapy KOA to provide a certain clinical basis. The pain, stiffness and joint function score of two groups patients has no statistically significant difference (P > 0.05) before treatment, while the pain, stiffness and joint function score of the treatment group patients was statistically significant lower than the control group (P < 0.05) after 5 weeks treatment. Two individual sample rank sum test present the middle lateral compression stresses of the knee cartilage surface of the control group patients were statistically significant (P > 0.05) higher than the treatment group when squatting, while the knee cartilage surface near the distal compression stresses, the front and rear side compression stresses of the treatment groups compared with the control group has no statistically significant difference (P > 0.05). (Table presented).
Dong, B., Ou, G., Yao, J., Yuan, P., Liu, D., & Li, X. (2018). Effect of acupotomy therapy on joint pain in KOA and analysis of cartilage surface stress based on Bowstones theory. Osteoarthritis and Cartilage, 26, S265. https://doi.org/10.1016/j.joca.2018.02.539