| Objective: To investigate the clinical effectiveness of the knee flexor muscles training-based comprehensive rehabilitation treatment on knee osteoarthritis (KOA). Methods: All 97 patients with KOA were randomly divided into knee flexor group (n=33), knee extensor group (n=33), and drug group (n=31). Both knee flexor group and knee extensor group were subjected to the comprehensive rehabilitation treatments including strength training, acupuncture, and the medium frequency electrotherapy. Knee flexor group was treated mainly on knee flexor muscles, and knee extensor group on knee extensor muscles. The drug group was given oral administration diclofenac sodium sustained release tablets, and diclofenac diethylamine emulsion for external use. Results: After one course of treatment, the WOMAC evaluation, physical examination evaluation and comprehensive evaluation scores in three groups were significantly decreased as compared with before treatment (P<0.01), and those in knee flexor group and knee extension group were greater than those in drug group (P<0.01, or 0.05). Pain and physical function scores in knee flexor group was decreased more significantly than in knee extensor group (P<0.05). The total effective rate was higher (P<0.05), and the recurrent rate was lower in knee extensor group and knee flexor group than in drug group (P<0.05). There were no significant differences between the knee flexor group and knee extensor group. Conclusion: Knee flexors in knee joint function play an important role. We can give a certain degree of attention in the treatment, and strengthen the overall treatment of knee joint function. |
