A clinical study of massage intervention in knee osteoarthritis gait and plantar pressure with "painful locality taken as acupoint"

FU Yangyang; LIANG Hongguang; ZHU Qingguang; XING Hua; KANG Zhiran; GONG Li; SUN Wuquan

doi:10.16025/j.1674-1307.2025.01.008

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A clinical study of massage intervention in knee osteoarthritis gait and plantar pressure with "painful locality taken as acupoint"

更新时间：2025-01-24

- A clinical study of massage intervention in knee osteoarthritis gait and plantar pressure with "painful locality taken as acupoint"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 1, Pages: 36-40(2025)
- 作者机构：
  
  1.上海中医药大学附属岳阳中西医结合医院推拿科，上海 200437
  2.上海市第一人民医院推拿科，上海 200080
  3.上海市中医药研究院中医推拿研究所，上海 200437
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.01.008
  CLC：
- Published：25 January 2025，
  
  Received：24 April 2024，
- 稿件说明：
移动端阅览
FU YANGYANG, LIANG HONGGUANG, ZHU QINGGUANG, et al. A clinical study of massage intervention in knee osteoarthritis gait and plantar pressure with "painful locality taken as acupoint". [J]. Beijing journal of traditional chinese medicine, 2025, 44(1): 36-40.
DOI：

FU YANGYANG, LIANG HONGGUANG, ZHU QINGGUANG, et al. A clinical study of massage intervention in knee osteoarthritis gait and plantar pressure with "painful locality taken as acupoint". [J]. Beijing journal of traditional chinese medicine, 2025, 44(1): 36-40. DOI： 10.16025/j.1674-1307.2025.01.008.

摘要

目的

观察“以痛为腧”推拿手法对膝骨关节炎（knee osteoarthritis，KOA）患者步态及足底压力平衡分布的影响。

方法

选取2023年3月—2023年10月上海中医药大学附属岳阳中西医结合医院推拿科就诊的KOA患者50例，将其随机分为观察组和对照组，各25例。观察组给予推拿干预，对照组给予宣教干预。对比2组干预前后西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分、步态相关参数（步速、步幅、步长、双侧支撑相、单支撑相）及足底压力。

结果

2组均未出现严重安全问题及不良事件，50例患者均完成研究。干预后，观察组WOMAC总分、疼痛评分、活动程度评分均较干预前降低，且低于对照组干预后（

0.05）。观察组干预前后僵硬评分比较差异无统计学意义（

0.05）。干预后，观察组步速、步幅、双侧支撑相、单支撑相均较干预前改善，且优于对照组（

0.05）。观察组干预前后步长比较差异无统计学意义（

0.05）。干预后，观察组前足内部区压力较干预前升高，且高于对照组（

0.05）。观察组干预前后其他区压力比较差异无统计学意义（

0.05）。

结论

基于“以痛为腧”推拿能显著提高患者的步行能力及前足内部压力，有助于恢复步态的稳定性。

Abstract

Objective

To observe the gait and plantar pressure balance distribution patterns of the massage technique based on "painful locality taken as acupoint" in the treatment of knee osteoarthritis （KOA）.

Method

Fifty KOA patients from the Department of Massage in Yueyang Hospital of Integrated Traditional Chinese and Western Medicine， Shanghai University of Traditional Chinese Medicine， from March 2023 to October 2023 were randomly divided into an observation group and a control group， with 25 cases in each group. The observation group received massage intervention， while the control group received education intervention. The Western Ontario and McMaster Universities Arthritis Index （WOMAC） scores， gait-related parameters （walking speed， stride length， stride width， bilateral support phase， unilateral support phase）， and plantar pressure were compared before and after intervention in both groups.

Result

No severe safety issues or adverse events occurred in either group， and all 50 patients completed the study. After intervention， the WOMAC total score， pain score， and activity level score in the observation group were significantly lower than those before intervention， and lower than those in the control group after intervention （

0.05）. There was no significant difference in the stiffness score in the observation group before and after intervention （

0.05）. After intervention， the observation group showed improvement in walking speed， stride width， bilateral support phase， and unilateral support phase compared with the condition before intervention， and these improvements were better than those in the control group （

0.05）. No significant difference was observed in stride length in the observation group before and after intervention （

0.05）. After intervention， the pressure in the internal area of the forefoot in the observation group increased significantly compared with pre-treatment value， and was higher than that in the control group （

0.05）. There were no significant differences in pressure distribution in other areas between pre- and post-intervention in the observation group （

0.05）.

Conclusion

The massage technique based on "painful locality taken as acupoint" can significantly improve walking ability and increase forefoot internal pressure， which helps restore gait stability in patients with KOA.

关键词

膝骨关节炎以痛为腧推拿步态足底压力

Keywords

Knee osteoarthritispainful locality taken as acupointmassagegaitplantar pressure

references

ZHAO G, ZHU S, ZHANG F,et al. Global burden of osteoarthritis associated with high body mass index in 204 countries and territories, 1990–2019: findings from the Global Burden of Disease Study 2019[J]. Endocrine, 2023,79(1):60-71.

张帅攀,朱清广,郭光昕，等.膝骨性关节炎“筋骨失衡”生物力学评价的临床对照研究[J].中华中医药杂志,2022,37(9):5508-5511.

张泽毅,杨亦敏,李文彦，等.足前进角对不同年龄膝关节炎患者下肢动力学影响的系统综述和Meta分析[J].中国组织工程研究,2024,28(6):968-975.

邓佳南,龚利,李建华，等.“以痛为输”手法对早中期膝骨关节炎患者等速肌力的影响[J].中国中医骨伤科杂志,2015,23(6):35-38,41.

HOCHBERG MC, ALTMAN RD, BRANDT KD,et al.Guidelines for the medical management of osteoarthritis[J]. Arthritis Rheum, 1995,38(11):1535-1540.

KELLGREN JH, LAWRENCE JS. Radiological assessment of osteo-arthrosis[J].Ann Rheum Dis，1957,16(4):494-502.

房敏，宋柏林.推拿学[M].10版.北京:中国中医药出版社,2016:233.

庄金刚,王圆圆,陈冬,等.“以筋代骨”六步手法推拿治疗早期骨性膝关节炎临床观察[J].北京中医药,2020,39(2):174-177.

梁红广,姜淑云,李建华,等.坐位调膝法治疗膝骨关节炎的疗效与步态分析研究[J].北京中医药,2018,37(2):135-138.

胡炳麟,龚利,李建华,等.一指禅推法治疗膝关节骨性关节炎的临床研究[J].中医药导报,2017,23(2):72-75.

邵盛,龚利,孙武权,等.基于经筋理论的膝骨性关节炎下肢生物力学研究进展[J].中华中医药杂志,2021,36(11):6589-6591.

KHAN SJ, KHAN SS, USMAN J, et al. Combined effects of knee brace, laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients[J]. Gait Posture, 2018,61:243-249.

王欣,罗文,黄文泽,等.单侧膝骨关节炎临床分期与双足足底压力的相关性[J].中国组织工程研究,2021,25(27):4312-4317.

张永祥,张文洁,邵战海.膝关节骨性关节炎患者足底压力分布规律分析[J].中华临床医师杂志(电子版),2012,6(11):2955-2958.

王子坚,闫松华,李伟,等.单侧膝内翻型膝骨关节炎患者足底压力分布特征研究[J].北京生物医学工程,2019,38(2):151-158.

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