Name: the lower body positive pressure treadmill for knee osteoarthritis rehabilitation
Uploaded: 2019-07-22T13:30:00
Description: Watch this Scientific Journal Video about The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation at JoVE.com

这项研究由广州医科大学资助(助学金号2018A053)。

临床项目经广州医科大学第五附属医院医学伦理协会批准,已在中国临床试验注册中心注册(No.ChiCTR1800017677,标题为"膝关节骨关节炎患者下肢运动功能的反重力跑步机的效果和机制"
1. 招聘
<ol><li>在行走、蹲下和/或跪下时,用轻度至中度(Kellgren & Lawrence II 或 III 级)膝盖 OA 的放射学证据招募患者(数字疼痛评分表上的最低等级 3/10 [NPRS]包含之前)。</li>
	<li>确保这些患者没有严重的?...

<ol>
	<li>McAlindon, T. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=OARSI+guidelines+for+the+non-surgical+management+of+knee+osteoarthritis.">OARSI guidelines for the non-surgical management of knee osteoarthritis.</a> Osteoarthritis Cartilage. 22, 363-388 (2014).</li><li>Luyten, F. P., Denti, M., Filardo, G., Kon, E., Engebretsen, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Definition+and+classification+of+early+osteoarthritis+of+the+knee.">Definition and classification of early osteoarthritis of the knee.</a> Knee Surgery Sports Traumatology Arthroscopy. 20, 401-406 (2012).</li><li>Lankhorst, G. J., Van de Stadt, R. J., Van der Korst, J. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+relationships+of+functional+capacity,+pain,+and+isometric+and+isokinetic+torque+in+osteoarthrosis+of+the+knee.">The relationships of functional capacity, pain, and isometric and isokinetic torque in osteoarthrosis of the knee.</a> Scandinavian Journal of Rehabilitation Medicine. 17, 167-172 (1985).</li><li>Waugh, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Physical+activity+intervention+in+primary+care+and+rheumatology+for+the+management+of+knee+osteoarthritis:+A+review.">Physical activity intervention in primary care and rheumatology for the management of knee osteoarthritis: A review.</a> Arthritis Care &amp; Research. 71 (2), 189-197 (2019).</li><li>Segal, N. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+quadriceps+strength+and+proprioception+on+risk+for+knee+osteoarthritis.">Effect of quadriceps strength and proprioception on risk for knee osteoarthritis.</a> Medicine &amp; Science in Sports &amp; Exercise. 42, 2081 (2010).</li><li>Linda, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=EULAR+recommendations+for+the+non-pharmacological+core+management+of+hip+and+knee+osteoarthritis.">EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis.</a> Annals of the Rheumatic Diseases. 72, 1125-1135 (2013).</li><li>Watanabe, S., Someya, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+Body+Weight-supported+Walking+on+Exercise+Capacity+and+Walking+Speed+in+Patients+with+Knee+Osteoarthritis:+A+Randomized+Controlled+Trial.">Effect of Body Weight-supported Walking on Exercise Capacity and Walking Speed in Patients with Knee Osteoarthritis: A Randomized Controlled Trial.</a> Journal of the Japanese Physical Therapy Association. 16, 28-35 (2013).</li><li>Takacs, J., Anderson, J. E., Leiter, J. R., MacDonald, P. B., Peeler, J. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Lower+body+positive+pressure:+an+emerging+technology+in+the+battle+against+knee+osteoarthritis?.">Lower body positive pressure: an emerging technology in the battle against knee osteoarthritis?.</a> Clinical Interventions in Aging. 8, 983-991 (2013).</li><li>Ruckstuhl, H., Kho, J., Weed, M., Wilkinson, M. W., Hargens, A. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparing+two+devices+of+suspended+treadmill+walking+by+varying+body+unloading+and+Froude+number.">Comparing two devices of suspended treadmill walking by varying body unloading and Froude number.</a> Gait &amp; Posture. 30, 446-451 (2009).</li><li>Peeler, J., Christian, M., Cooper, J., Leiter, J., MacDonald, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Managing+Knee+Osteoarthritis:+The+Effects+of+Body+Weight+Supported+Physical+Activity+on+Joint+Pain,+Function,+and+Thigh+Muscle+Strength.">Managing Knee Osteoarthritis: The Effects of Body Weight Supported Physical Activity on Joint Pain, Function, and Thigh Muscle Strength.</a> Clinical Journal of Sport Medicine. 25, 518-523 (2015).</li><li>Patil, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Anti-gravity+treadmills+are+effective+in+reducing+knee+forces.">Anti-gravity treadmills are effective in reducing knee forces.</a> Journal of Orthopaedic Research. 31, 672-679 (2013).</li><li>Nicolas-Alonso, L. F., Gomez-Gil, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Brain+computer+interfaces,+a+review.">Brain computer interfaces, a review.</a> Sensors (Basel). 12, 1211-1279 (2012).</li><li>Webber, S. C., Horvey, K. J., Yurach Pikaluk, M. T., Butcher, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiovascular+responses+in+older+adults+with+total+knee+arthroplasty+at+rest+and+with+exercise+on+a+positive+pressure+treadmill.">Cardiovascular responses in older adults with total knee arthroplasty at rest and with exercise on a positive pressure treadmill.</a> European Journal of Applied Physiology. 114, 653-662 (2014).</li><li>Dolphin, N. W., Crue, B. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pain:+Clinical+Manual+For+Nursing+Practice.">Pain: Clinical Manual For Nursing Practice.</a> Clinical Journal of Pain. 5, 363 (1989).</li><li>Lavernia, C., D'Apuzzo, M., Rossi, M. D., Lee, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Accuracy+of+Knee+Range+of+Motion+Assessment+After+Total+Knee+Arthroplasty.">Accuracy of Knee Range of Motion Assessment After Total Knee Arthroplasty.</a> The Journal of Arthroplasty. 23, 85-91 (2008).</li><li>Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., Stitt, L. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Validation+study+of+WOMAC:+a+health+status+instrument+for+measuring+clinically+important+patient+relevant+outcomes+to+antirheumatic+drug+therapy+in+patients+with+osteoarthritis+of+the+hip+or+knee.">Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee.</a> Journal of Rheumatology. 15, 1833-1840 (1988).</li><li>Collins, N. J., Misra, D., Felson, D. T., Crossley, K. M., Roos, E. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Measures+of+knee+function:+International+Knee+Documentation+Committee+(IKDC)+Subjective+Knee+Evaluation+Form,+Knee+Injury+and+Osteoarthritis+Outcome+Score+(KOOS),+Knee+Injury+and+Osteoarthritis+Outcome+Score+Physical+Function+Short+Form+(KOOS-PS)+Knee+O.">Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS) Knee O.</a> Arthritis Care &amp; Research. 63, S208-S228 (2011).</li><li>Rabin, R., De-Charro, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=EQ-5D:+a+measure+of+health+status+from+the+EuroQol+Group.">EQ-5D: a measure of health status from the EuroQol Group.</a> Annals of Medicine. 33, 337-343 (2001).</li><li>Wirz, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effectiveness+of+automated+locomotor+training+in+patients+with+chronic+incomplete+spinal+cord+injury:+a+multicenter+trial.">Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: a multicenter trial.</a> Archives of Physical Medicine and Rehabilitation. 86, 672-680 (2005).</li><li>Shumway-Cook, A., Baldwin, M., Polissar, N. L., Gruber, W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Predicting+the+probability+for+falls+in+community-dwelling+older+adults.">Predicting the probability for falls in community-dwelling older adults.</a> Physical Therapy. 77, 812-819 (1997).</li><li>Iii, R. B. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+gait+analysis+data+collection+and+reduction+technique.">A gait analysis data collection and reduction technique.</a> Human Movement Science. 10, 575-587 (1991).</li><li>Peeler, J., Ripat, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effect+of+low-load+exercise+on+joint+pain,+function,+and+activities+of+daily+living+in+patients+with+knee+osteoarthritis.">The effect of low-load exercise on joint pain, function, and activities of daily living in patients with knee osteoarthritis.</a> Knee. 25 (1), 135-145 (2018).</li><li>Escamilla, R. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Knee+biomechanics+of+the+dynamic+squat+exercise.">Knee biomechanics of the dynamic squat exercise.</a> Medicine &amp; Science in Sports &amp; Exercise. 33, 127-141 (2001).</li><li>Linschoten, R. V., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+PEX+study+&#8211;+Exercise+therapy+for+patellofemoral+pain+syndrome:+design+of+a+randomized+clinical+trial+in+general+practice+and+sports+medicine+[ISRCTN83938749].">The PEX study &#8211; Exercise therapy for patellofemoral pain syndrome: design of a randomized clinical trial in general practice and sports medicine [ISRCTN83938749].</a> BMC Musculoskeletal Disorders. 7, 31 (2006).</li></ol>

我们提出了一种LBPP跑步机干预方案,包括临床评估和治疗模型,用于膝下OA下肢运动功能的恢复。同时,针对临床症状和膝关节OA功能障碍,治疗模式不仅包括LBPP协议中行走的训练部分,还包括一个创新的蹲下训练部分,旨在解决日常功能障碍。大腿肌肉无力和蹲下困难在膝盖OA患者。据我们所知,此协议是首次在膝OA患者中使用非重量技术进行蹲下运动方案。
该协议的设计基于五个要...

膝关节骨关节炎(OA)是一种渐进性退行性关节疾病,是世界各地人们疼痛和运动障碍的主要原因1。膝关节OA的特点是骨质和囊肿形成,狭窄的关节间距,和亚孔德拉骨硬化2。这些病理变化使得人们难以进行日常生活的基本活动,如步行、蹲下和上下楼梯3。然而,身体活动被推荐作为一线膝关节OA管理4的重要组成部分。膝关节OA康复的运动干预受多种因素影响:(1)疼痛和膝部结构轻微变化引起的膝关节运动受限;(2)与维持膝关节稳定性有关的肌肉萎缩和肌肉力量下降5;(3)上述原因导致运动减少和身体质量指数(BMI)增加,这进一步增加了膝盖的负担,从而造成恶性循环6。
针对上述问题,体重支持训练系统(BWSTT)已逐步解决骨骼和关节疾病相关的康复问题。近年来,一种新兴的体重支持训练技术被称为下体正压(LBPP)跑步机7。该技术使用腰高充气气球实现正下肢压力,并精确调节气压以调节体重,以实现减肥。该系统还配备了一个跑步平台,可以同时执行跑步机相关的活动,在体重8的控制下。同时,充气外壳中产生的压力对车身提供提升力。由于压力仅略高于大气压力且均匀分布,因此下部身体的力几乎无法察觉。因此,LBPP运行平台提供了更高的舒适度,比传统的BWSTT9更适合长期训练。皮尔等人对32名膝关节OA患者进行了LBPP跑步机干预,结果表明LBPP跑步机能有效缓解膝关节疼痛,改善日常生活功能,并产生大腿肌肉力量增加10.潜在的机制可能与实现有效的膝关节活动有关,同时减少膝关节扭矩11。另一方面,由于膝关节OA患者发病年龄大多在45岁以上,12岁,发病也可能与心肺疾病有关。研究表明,LBPP使人们在心率、血压和耗氧量相对较低的运动中实现步行,实现比全重平式行走更安全、更有效的有氧运动;这种类型的步行是LBPP的另一个优势,相比传统的BWSTT13。
然而,由于该系统在膝关节OA干预中的应用相对较新,目前相对较少的研究极大地限制了该技术在膝关节OA康复中的临床应用。本文提出的LBPP方案旨在探索使用LBPP跑步机的临床非药物和手术膝关节OA治疗。

<table>
	<tbody>
		<tr>
			<td>AlterG Anti-Gravity Treadmill M320</td>
			<td>AlterG Inc, Fremont, CA, USA</td>
			<td>1</td>
			<td>LBBP training</td>
		</tr>
		<tr>
			<td>BTS Smart DX system</td>
			<td>Bioengineering Technology System, Milan, Italy</td>
			<td>2</td>
			<td>Temporospatial data collection</td>
		</tr>
		<tr>
			<td>BTS FREEEMG</td>
			<td>Bioengineering Technology System, Milan, Italy</td>
			<td>3</td>
			<td>Surface EMG data collection</td>
		</tr>
		<tr>
			<td>BTS SMART-Clinic software</td>
			<td>Bioengineering Technology System, Milan, Italy</td>
			<td>4</td>
			<td>Data processing</td>
		</tr>
	</tbody>
</table>

the lower body positive pressure treadmill for knee osteoarthritis rehabilitation

在这里,基于临床医生的观点,我们提出了一个双模型下体正压(LBPP)协议(步行和蹲下模型),除了临床,功能评估方法,包括进一步鼓励膝骨关节炎患者非药物手术干预策略的制定。然而,我们只通过三维步态分析,提出LBPP训练对改善一个患者疼痛和膝关节功能的效果。在今后的研究中,应探讨这种方法的确切和长期影响。

我们展示了一个膝关节OA患者的结果,她是一个60岁的女性(BMI = 22.9),在行走时患有"超过3年的膝骨关节炎"和剧烈疼痛(视觉模拟量表[VAS] = 8/10),并参加了我们为期2周的LBPP训练计划。设施。在整个干预过程中,患者没有服用任何止痛药来缓解膝关节疼痛。图3和表1显示了她膝关节的放射图像和临床功能评估结果。
10 MWT 从培训前的 4.1 s 下降到培训?...

Watch this Scientific Journal Video about The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation at JoVE.com

The Lower Body Positive Pressure Treadmill for Knee Osteoarthritis Rehabilitation

下体正压跑步机用于膝关节骨关节炎康复

Here, based on a clinician&rsquo;s point-of-view, we propose a two-model lower body positive pressure (LBPP) protocol (walking and squatting models) in ...

疼痛和由此产生的步态是膝关节骨关节炎患者的主要问题。在这里，我们提出了下半身正压跑步机干预方案，其中包括临床评估和治疗模型，用于膝盖骨关节炎下肢运动功能的恢复。LBPP跑步机方案允许人们以相对较低的心率、血压和耗氧量进行锻炼，因此，对于患有心肺疾病的膝盖OA患者来说，它比全量运动更安全、更有效。该方法的可视化演示对于LBPP培训系统的安全运行和协议的理解至关重要。演示该手术的将是梁俊杰博士、林强博士、PT红新博士和来自我实验室的郎世菊博士。开始临床评估，要求患者描述他们的疼痛强度从零到10，其中零是无痛，10是最严重的疼痛。然后使用手持式双臂测速仪进行主动/被动膝关节运动范围评估。然后进行西安大略和麦克马斯特大学骨关节炎指数或WOMAC，要求患者在五个疼痛相关项目、两个僵硬项目和17个功能项的直线上标记疼痛或功能有限的对应位置。零表示无疼痛或无功能限制。10 表示剧烈疼痛或功能极度受限。在WOMAC之后，进行两个可选的评估：膝伤和骨关节炎结果评分或KOOS，和/或欧洲五维健康量表EQ-5D，以评估疼痛症状和生活质量。然后，对于 10 米步行测试，请患者以自选速度连续进行三次 10 米步行测试，以确保安全性和舒适性。要求患者在没有协助的情况下行走 10 米，并测量中间 6 米所用的时间。接下来，进行"即点启动和移动测试"，要求患者以自选速度连续进行三次试验。站起来，走三米，转，走回去坐下。最后，执行 3D 步态分析。为此，根据戴维斯协议，在患者的解剖地标上放置 22 个球形标记。然后将六个表面 EMG 电极放在患者的双边直肠女性、半丁尼诺和长头二头肌上。要求患者保持矫形位置至少三到五秒钟，脚对齐，以避免一只脚放在另一只脚的前部或后部位置。指示患者沿着五米长的走道以自选速度行走五次。最后，从患者中删除所有球形标记和E姆格电极，并保存所有收集的数据供以后处理。首先向患者介绍下半身正压或LBPP跑步机的训练过程和相关预防措施。接下来，检查患者的血压和心率。根据患者的腰围确定空气密封短裤的大小，并要求患者穿上短裤。通过操作位于系统前盖上的开关打开跑步机，并运行反重力跑步机的自我测试。降低驾驶舱。让患者踏入反重力跑步机的织物外壳。根据 LBPP 训练模型将驾驶舱提升到适当的高度，使驾驶舱高度位于具有行走模型的上侧脊柱处，略低于下座模型的股骨大肌。驾驶舱就位后，将患者压缩到反重力跑步机上。使用机器随附的安全挂绳将夹子固定到患者衣物上，这对于在培训过程中紧急停止至关重要。然后指示患者在跑步机皮带表面静止，让系统在没有任何系统支撑的情况下保持和称重患者的全部体重，然后按下启动按钮执行反重力跑步机系统计算，以准确取消重量。最后，调整机器随附的三台摄像机的位置，在训练过程中获得同步视频反馈，帮助患者纠正异常运动模式。对于训练课，以以下设置开始热身：5 分钟的速度为零到每小时 2 英里，BW 65% 倾斜 0% 提高速度 4 英里/小时，体重支持以每分钟 7% 的速度递增。然后执行步行模型会话，设置如下：15 分钟，速度为每小时 2 英里，BW 为 65%，倾斜速度为 0%执行冷却会话，设置如下：5 分钟，速度为每小时 2 至零英里，BW 65 到 100% 倾斜速度为 0%每小时降低速度 4 英里，且体重支持在每分钟 7% 下降。以以下设置结束蹲下模型会话：5 分钟的速度为零英里/小时，BW 50%倾斜 0%AROM 零到 50 度或最大可容忍关节范围在 50 度内，蹲下 30 秒，然后是 30 秒的休息期。最后，经过两周的LBPP培训课程后，使用标准化测试和3D步态分析重新评估患者。这些结果表明，10分钟的步行测试从训练前的4.1秒减少到训练后3.3秒。TUG 测试从训练前的 9.1 秒减少到训练后 8.2 秒。经过两周的LBPP培训后，患者在WOMAC总评分、疼痛子刻度、僵硬亚尺度和功能子尺度上表现出改善。治疗两周后，VAS疼痛总评分没有改变。正确的摆动阶段增加。左摆动阶段从训练前缩短到训练后。右侧长度减小，但左侧步长从训练前增加到训练后。此外，平均速度和节奏从训练前增加到训练后，但步长宽度减小。我们的 LBPP 培训课程包括步行和蹲下模块。行走模块侧重于改善行走功能，蹲点模块侧重于增强紧绷的肌肉关节。如果患者不能容忍蹲点训练模块，则只执行行走模块。

Research

JoVE Journal

Medicine

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

倾斜试验结合下体负压测量立位耐力的“金标准”

Orthostatic tolerance (OT)  refers to the ability to maintain cardiovascular stability when upright,  against the hydrostatic effects of gravity, and ...

科研

医学

Using a Knee Arthrometer to Evaluate Tissue-specific Contributions to Knee Flexion Contracture in the Rat

用膝关节关节仪评价大鼠膝关节屈曲收缩的特定组织贡献

Normal knee range of motion (ROM) is critical to well-being and allows one to perform basic activities such as walking, climbing stairs and sitting. Lost ...

FSN Therapy for Knee Osteoarthritis Pain Management

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain (Video) | JoVE 

傅氏皮下针刺治疗膝关节骨关节炎疼痛

Fu's subcutaneous needling (FSN) is a new acupuncture and dry needling technique based on traditional Chinese medicine. It rapidly produces long-lasting ...

Performing Fu's Subcutaneous Needling for Degenerative Knee Osteoarthritis

Performing Fu's Subcutaneous Needling for Degenerative Knee Osteoarthritis (Video) | JoVE 

对退行性膝关节骨关节炎进行傅氏皮下针刺

Treating Knee Osteoarthritis with Tuina in a Rabbit Model

Tuina Intervention in Rabbit Model of Knee Osteoarthritis

Using a Rabbit Model to Explore the Efficacy of Tuina in Treating Knee Osteoarthritis (Video) | JoVE

推拿干预膝骨关节炎兔模型

Knee osteoarthritis (KOA) is mainly characterized by degenerative changes in the knee joint's cartilage and surrounding soft tissues. The efficacy of ...

Experimental Modeling of Knee Osteoarthritis in Rats

Experimental Modeling of Knee Osteoarthritis in Rats (Video) | JoVE 

大鼠膝关节骨关节炎的实验建模

Establishment of the KOA Model in Rabbits Using the Modified Videman Method

Application of Acupotomy in a Knee Osteoarthritis Model in Rabbit

Author Spotlight: Investigating the Mechanism of Action of Acupotomy in Treating Knee Osteoarthritis

Knee osteoarthritis (KOA) is one of the most frequently encountered diseases in the orthopedic department, which seriously reduces the quality of life of ...

Therapeutic Potential of Tuina Massage for Knee Osteoarthritis

Tuina Intervention in Sodium Monoiodoacetate Injection-Induced Rat Model of Knee Osteoarthritis

Treating Knee Osteoarthritis with Tuina - A New Perspective (Video) | JoVE

单碘乙酸钠注射液诱导膝骨关节炎大鼠模型的推拿干预

Knee osteoarthritis (KOA), a common degenerative joint disorder, is characterized by chronic pain and disability, which can progress to irreparable ...