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Gu J.-Q.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine
Journal of Acupuncture and Tuina Science | Year: 2013

To introduce two cases with orthopedic and traumatic diseases attacking at specific time periods treated by the Shu-Stream points, and explain the theory 'select Shu-Stream points for condition that alleviate or aggravate in certain time periods' that was recorded in Ling Shu (Spiritual Pivot). © 2013 Shanghai Research Institute of Acupuncture and Meridian and Springer-Verlag Berlin Heidelberg. Source


Zhu F.,Tongji University | Chen Y.-X.,Tongji University | Ouyang G.-L.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | Xia Q.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine
Chinese Journal of Tissue Engineering Research | Year: 2015

BACKGROUND: The incidence of patellar complications is decreasing, however, the necessity of patellar replacement remains unclear. OBJECTIVE: To investigate the incidence rate of anterior knee pain and postoperative pain score in total knee arthroplasty without the patellar replacement and to provide a reference for the formulation of clinical operation scheme. METHODS: 151 patients with 193 knees receiving total knee arthroplasty were involved in this study. All the patients were treated with patellar forming but not resurfacing of the patella. The Western Ontario and McMaster University (WOMAC) Osteoarthritis Index and America Hospital for Special Surgery (HSS) score were used to evaluate patients before surgery and at 6 and 12 months after surgery. The function of knee joint, the incidence rate of anterior knee pain and visual analogous scale score before and after operation were compared. RESULTS AND CONCLUSION: After 6 and 12 months of total knee arthroplasty, WOMAC osteoarthritis index was significantly lower and HSS score was significantly higher than those before surgery (P < 0.05). At 12 months post-operation, the incidence rate of anterior knee pain was 11.3%, which was significantly lower than the preoperative rate (94.5%) (P < 0.05). At 12 months post-surgery, visual analogous scale scores were also significantly lower than the preoperative score (P < 0.05). Total knee replacement without resurfacing of the patella can effectively improve knee joint function in knee osteoarthritis or rheumatoid arthritis patients, ameliorate the symptoms of anterior knee pain, has a good clinical effect within short term post-operation. The middle- and long-term effects need further exploration. © 2015, Journal of Clinical Rehabilitative Tissue Engineering Research , All Rights Reserved. Source


Gu J.-Q.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | Guo Y.-M.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | Liang Y.-Y.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine
Journal of Acupuncture and Tuina Science | Year: 2014

Objective: To observe the clinical effect of acupotomy plus cupping for knee osteoarthritis (KOA).Methods: Sixty cases with KOA were randomly divided into a treatment group and a control group, 30 cases in each group. The patients in the treatment group were given acupotomy and cupping, while the patients in the control group were given injection of Sodium Hyaluronate. The index of severity for osteoarthritis (ISOA), the change of the effusion of knee joint and clinical effects were observed after treatment.Results: The total effective rate was respectively 96.7% in the treatment group and 66.7% in the control group. The difference in the clinical effects between the two groups was statistically significant (P<0.05). After treatment, ISOA scores and scores of knee effusion in the two groups were remarkably reduced than those before treatment (P<0.05). The changes of the scores of the two indexes were statistically significant (both P<0.05).Conclusion: Acupotomy plus cupping is better than injection of Sodium Hyaluronate in treatment of KOA. © 2014, Shanghai Research Institute of Acupuncture and Meridian and Springer-Verlag Berlin Heidelberg. Source


Wang N.-H.,Fudan University | Yan J.-T.,Shanghai University of Traditional Chinese Medicine | Sun W.-Q.,Shanghai University of Traditional Chinese Medicine | Hu Y.-S.,Fudan University | And 8 more authors.
Chinese Journal of Tissue Engineering Research | Year: 2013

Background: The present study investigated the efficacy of Tuina rehabilitation on the patients with rheumatoid arthritis after total knee arthroplasty and the mechanism underlying Tuina rehabilitation. Objective: To observe the clinical effect of early Tuina comprehensive rehabilitation therapy on rheumatoid arthritis patients after total knee arthroplasty, in order to provide some objective evidences for clinical rehabilitation treatment. Methods: Sixty-six rheumatoid arthritis patients after total knee arthroplasty were equally divided into two groups control group and Tuina group. The patients in the control group underwent continuous passive motion training after replacement, and the patients in the Tuina group underwent continuous passive motion training combined with Tuina rehabilitation. The effect of Tuina comprehensive rehabilitation was observed through Hospital for Special Surgery system and 36-Item Short-Form Health Survey. Results and Conclusion: Comparison of the Hospital for Special Surgery score among groups at 3 months after replacement found that the function (P=0.020), muscle strength (P=0.020), stability (P=0.011) and total scores (P=0.019) were improved, and there were significant differences when compared with those before treatment (P < 0.05). Comparison of the 36-Item Short-Form Health Survey scores among groups at 3 months after replacement found that the emotional health score (P=0.003) and total health score (P=0.008) were significantly improved, and there were significant differences when compared with those before treatment (P < 0.05). Early Tuina rehabilitation could facilitate function restoration and improve strength, stability, emotional health and total health for the rheumatoid arthritis patients after total knee arthroplasty. Source


Hu J.-L.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | Ouyang G.-L.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | Han D.-P.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | Xia Q.,Guanghua Hospital of Integrated Traditional Chinese and Western Medicine | And 4 more authors.
Journal of Chinese Integrative Medicine | Year: 2011

Objective: To evaluate the efficacy of Tuina and Chinese patent drug Shuxuetong injection in preventing patients undergoing total knee arthroplasty from deep venous thrombosis and in functional rehabilitation. Methods: A total of 120 patients with diagnosed rheumatoid arthritis in the Department of Orthopaedic Surgery, Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine in China were enrolled for this study. The patients underwent total knee arthroplasty and were divided into treatment group (n = 60) and control group (n = 60) after surgery. Patients in the control group received conventional rehabilitation training, including using a continuous passive motion machine and training of muscle contractions of the lower limb. Patients in the treatment group were administered Shuxuetong injection and Tuina based on the conventional rehabilitation training. The course of treatment lasted for 2 weeks. Hospital for Special Surgery (HSS) knee score, rate of deep venous thrombosis and range of motion of the knee joint were evaluated before and after treatment. Results: There was no significant difference in HSS knee score and range of motion as compared before and after treatment in two group (P>0. 05). The rate of deep venous thrombosis of the treatment group was 13.33%, which was lower than 20% of the control group (P<0.05). Conclusion: Tuina combined with Shuxuetong injection treatment can prevent deep venous thrombosis in patients with rheumatoid arthritis after total knee arthroplasty. Source

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