一项随机对照试验：针刀关节镜与关节镜干预对膝骨关节炎患者步态和症状的影响
A randomized controlled trial: Acupotomy Arthroscope vs. arthroscopic intervention in knee OA patients' gait and symptoms.
作者信息
Xiong Zichao, Cheng Shaodan, Ge Cheng, Zhang Yang, Wang Shihui, Gao Yunwen, Ma Yinghui
机构信息
Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200052, China.
Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
出版信息
J Orthop. 2025 Mar 21;70:145-152. doi: 10.1016/j.jor.2025.03.020. eCollection 2025 Dec.
BACKGROUND
This study aimed to compare the effects of Acupotomy Arthroscope and Arthroscopic interventions on gait and symptoms in patients with Knee Osteoarthritis (KOA).
METHODS
In a single-blind, randomized trial, 73 KOA patients were assigned to receive either Acupotomy Arthroscope or Arthroscopic treatment. The primary outcomes measured were pre- and post-intervention gait spatiotemporal and kinematic parameters. Secondary outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Knee Society Score (KSS).
RESULTS
Both groups exhibited significant improvements in gait parameters and reductions in WOMAC scores, with increases in KSS post-intervention (P < 0.01). The Acupotomy Arthroscope group demonstrated better improvements in gait cycle times and knee flexion angles, although it was less effective in enhancing walking speed.
CONCLUSION
Both interventions effectively enhanced gait biomechanics and reduced joint symptoms. Acupotomy Arthroscope was more effective in improving short-term clinical symptoms and functional capacity, while Arthroscopic treatment was superior for pain and mobility limitations.
背景
本研究旨在比较针刀镜与关节镜干预对膝骨关节炎（KOA）患者步态和症状的影响。
方法
在一项单盲随机试验中，73例KOA患者被分配接受针刀镜或关节镜治疗。测量的主要结局是干预前后的步态时空和运动学参数。次要结局包括西安大略和麦克马斯特大学骨关节炎指数（WOMAC）和膝关节协会评分（KSS）。
结果
两组患者的步态参数均有显著改善，WOMAC评分降低，干预后KSS升高（P < 0.01）。针刀镜组在步态周期时间和膝关节屈曲角度方面有更好的改善，尽管在提高步行速度方面效果较差。
结论
两种干预措施均有效改善了步态生物力学并减轻了关节症状。针刀镜在改善短期临床症状和功能能力方面更有效，而关节镜治疗在缓解疼痛和改善活动受限方面更具优势。
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