Knee protection requires “Knee osteoarthritis pendulum therapy” the clinical value of&amp;quot;Knee osteoar-thritis pendulum therapy&amp;quot; in Knee Osteoarthritis

doi:10.3877/cma.j.issn.2096-0263.2024.06.002

Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition) ›› 2024, Vol. 10 ›› Issue (06): 325-330. doi: 10.3877/cma.j.issn.2096-0263.2024.06.002

• Research Letters • Previous Articles Next Articles

Knee protection requires “Knee osteoarthritis pendulum therapy” the clinical value of"Knee osteoar-thritis pendulum therapy" in Knee Osteoarthritis

Zhanle Zheng¹, Yuchuan Wang¹^,²^,³^,⁴^,⁵^,⁶, Jiahao Wei¹^,²^,³^,⁴^,⁵^,⁶, Qingcheng Song¹^,²^,³^,⁴^,⁵^,⁶, Kaixuan Zhang⁷, Jing Na⁷, Tianrui Wang⁸, Jiuhong Song⁹^,^†(), Yingze Zhang¹^,²^,³^,⁴^,⁵^,⁶^,⁷^,⁸^,¹⁰^,^†(), Juan Wang¹¹^,^†()

1.Trauma Emergency Center of the Third Hospital of Hebei Medical University，Shijiazhuang 050051，China
2.Orthopaedic Research Institute of Hebei Province，Shijiazhuang 050051，China
3.Key Laboratory of Biomechanics of Orthopaedics of Hebei Institute of Orthopaedics，Shijiazhuang 050051，China
4.Key Laboratory of Orthopaedic Intelligent Devices of National Health and Wellness Committee，Shijiazhuang 050051，China
5.Clinical Medical Research Center of Orthopaedic Diseases of Hebei Province，Shijiazhuang 050051，China
6.Engineering Research Center of Orthopaedic Minimally Invasive Intelligent Devices of Ministry of Education，Shijiazhuang 050051，China
7.Nankai University School of Medicine， Tianjin 300071，China
8.Laoshan Campus Knee Preservation Center Affiliated Hospital of Qingdao University， Qingdao 266035，China
9.Wuhan Haona Haona Medical Technology Co.， Ltd， Wuhan 430040， China
10.China Institute of Engineering， Beijing 100088， China
11.Department of Arthrology，the Third Hospital of Hebei Medical University， Shijiazhuang 050051， China

Received:2024-11-01 Online:2024-12-05 Published:2025-01-06
Contact: Jiuhong Song, Yingze Zhang, Juan Wang

Abstract

Abstract:

Objective

To evaluate the therapeutic value of the"Knee osteoarthritis pendulum therapy"technique in the prevention and treatment of knee joint disorders，aiming to provide theoretical and practical guidance for the prevention and rehabilitation of knee joint diseases.

Methods

8 patients diagnosed with Kellgren-Lawrence grade II osteoarthritis and Visual Analog Scale （VAS） of 6 were instructed to perform the "knee osteoarthritis pendulum therapy" exercises for six weeks under guidance. Follow-up evaluations were conducted in outpatient settings after the intervention. The primary outcome was the change in pain scores， used to assess the effectiveness of the "knee osteoarthritis pendulum therapy" therapy.

Results

After six weeks of intervention， all patients reported pain relief. VAS scores were reduced to less than 3（mild pain） in six patients， while two patients had VAS scores of 5 （moderate pain）， showing improvement compared to baseline. The overall response rate was 100%， with a marked improvement rate of 75%.

Con- clusion

Preliminary application of the "knee osteoarthritis pendulum therapy" therapy demonstrated favorable outcomes，suggesting its potential clinical value in the management of early-stage osteoarthritis.

Key words: Knee osteoarthritis, Knee osteoarthritis pendulum therapy, Knee preservation, Knee maintenance, Knee protection

Zhanle Zheng, Yuchuan Wang, Jiahao Wei, Qingcheng Song, Kaixuan Zhang, Jing Na, Tianrui Wang, Jiuhong Song, Yingze Zhang, Juan Wang. Knee protection requires “Knee osteoarthritis pendulum therapy” the clinical value of"Knee osteoar-thritis pendulum therapy" in Knee Osteoarthritis[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(06): 325-330.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhlngkykfdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-0263.2024.06.002

https://zhlngkykfdzzz.cma-cmc.com.cn/EN/Y2024/V10/I06/325

Figures/Tables 6

References 12

1	Y Zhang， JM Jordan. Epidemiology of osteoarthritis ［J］. Clin Geriatr Med， 2010，26（3）:355-69.
2	M Cross， E Smith， D Hoy， et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study［J］.Ann Rheum Dis，2014，73（7）:1323-30.
3	王天瑞，于承浩，孙泽文，等.负重关节与非负重关节软骨基因表达差异的初步研究［J］.中华老年骨科与康复电子杂志，2021，07（1）:2-3.
4	D Bačenková， M Trebuňová， J Demeterová， et al. Human Chondrocytes， Metabolism of Articular Cartilage， and Strategies for Application to Tissue Engineering［J］.Int J Mol Sci，2023，24（23）:17096.
5	YE Henrotin，P Bruckner，JP Pujol.The role of reactive oxygen species in homeostasis and degradation of cartilage［J］.Osteoarthritis and cartilage，2003，11（10）:747-55.
6	Wu M， Song W， Zhang M， et al. Potential mechanisms of exercise for relieving inflammatory pain:a literature review of animal studies，Frontiers in aging neuroscience 16 ［J］. Front Aging Neurosci，2024，16:1359455.
7	Bartholdy C， Juhl C， Christensen R， et al. The role of muscle strengthening in exercise therapy for knee osteoarthritis:A systematic review and meta-regression analysis of randomized trials ［J］.Semin Arthritis Rheum，2017，47（1）:9-21.
8	B Heidari. Knee osteoarthritis prevalence， risk factors， pathogenesis and features:Part I［J］.Caspian J Intern Med，2011，2（2）:205-12.
9	Dong YW，Yan Y，Zhou J，et al.Evidence on risk factors for knee osteoarthritis in middle-older aged:a systematic review and meta analysis［J］.J Orthop Surg Res，2023，18（1）:634.
10	Torstensen TA， Grooten WJA， Østerås H， et al. How does exercise dose affect patients with long-term osteoarthritis of the knee? A study protocol of a randomised controlled trial in Sweden and Norway:the SWENOR Study［J］.BMJ Open，2018，8（5）:e018471.
11	Marlene Fransen，Sara McConnell. Exercise for osteoarthritis of the knee， The Cochrane database of systematic reviews. Cochrane Database Syst Rev，2008，（4）:CD004376.
12	董天华，李石伦，于沂阳，等.不均匀沉降理论新进展［J］.河北医科大学学报，2016，37（11）:1354.

年龄（岁）	性别	体重指数（kg/m²）	治疗前合并症	K-L分级（级）	开膝前VAS评分（分）	开膝后VAS评分（分）	改善程度（%）
48	女	20.3	高血压	Ⅱ	6	3	50.0
63	男	25.7	糖尿病	Ⅱ	6	2	66.7
70	女	31.2	无	Ⅱ	6	5	16.7
71	女	23.8	糖尿病	Ⅱ	6	1	83.3
55	女	25.2	高血压	Ⅱ	6	3	50.0
62	女	26.1	腰椎间盘突出	Ⅱ	6	5	16.7
68	男	24.9	无	Ⅱ	6	2	66.7
53	女	22.0	无	Ⅱ	6	1	83.3

年龄（岁）	性别	体重指数（kg/m²）	治疗前合并症	K-L分级（级）	开膝前VAS评分（分）	开膝后VAS评分（分）	改善程度（%）
48	女	20.3	高血压	Ⅱ	6	3	50.0
63	男	25.7	糖尿病	Ⅱ	6	2	66.7
70	女	31.2	无	Ⅱ	6	5	16.7
71	女	23.8	糖尿病	Ⅱ	6	1	83.3
55	女	25.2	高血压	Ⅱ	6	3	50.0
62	女	26.1	腰椎间盘突出	Ⅱ	6	5	16.7
68	男	24.9	无	Ⅱ	6	2	66.7
53	女	22.0	无	Ⅱ	6	1	83.3

[1]	Jiale Xie, Qi Li, Shengsheng Lu, Jinsong Jiang. Surgical treatment of medial knee osteoarthritis with coronal subluxation of tibiofemoral joint [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(05): 653-657.
[2]	Yan Tang, Xiaohu Zhao, Yujiao Li, Xiangmei Gu. Correlation of musculoskeletal ultrasonography manifestation of knee with therapeutic effect in elderly knee osteoarthritis treated by acupotomy [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(01): 48-53.
[3]	Hongxing Chen, Lijun Zhang, Yong Zhang, Hu Li, Chi Zhou, Yinuo Fan. Meta-analysis of effect of external application of traditional Chinese medicine after arthroscopic debridement in knee osteoarthritis [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 663-672.
[4]	Haidong Zhang, Tao Teng. Application of high tibial osteotomy in aged degenerative knee osteoarthritis [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(03): 352-361.
[5]	Linjie Lv, Changsheng Wang, Xiaobing Wang, Zhong Li, Qijun Qian. Clinical progression of mesenchymal stem cells in the treatment of knee osteoarthritis [J]. Chinese Journal of Cell and Stem Cell(Electronic Edition), 2021, 11(06): 365-371.
[6]	Qingcheng Song, Zhanle Zheng, Tianrui Wang, Yuchuan Wang, Kaixuan Zhang, Jing Na, Jiahao Yu, Sifan1 Yang, Jiuhong Song, Yingze Zhang. "Aging without Knee Aging":Comprehensive Exploration and Practice of Knee Health Management- [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(06): 321-324.
[7]	Haoting Wang, Yuntao Shang, Guang Cao, Yanci Zhang, Junyong Li. Evaluation of arthroscopy combined with high tibial osteotomy and unicompartmental knee arthroplasty for single compartmental knee osteoarthritis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(04): 229-236.
[8]	Ziyan Zhang, Hong Zeng, Yuanjing Xu, Luqi Guo, Jinwu Wang, Shaobai Wang, Fuchao Ren, Weiqiang Miao, Kerong Dai, Ru Wang. A review of biomechanical markers of knee predicting the progression of knee osteoarthritis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(05): 315-320.
[9]	Cong Ma, Xuejing Li, Xiaozuo Zheng, Xiaoyang Zhang, Kunfeng Duan, Guoqiang Liu, Suhui Qie. A comparative study of intraarticular injection of platelet-rich plasma and sodium hyaluronate in the treatment of Stage I-Ⅲ knee osteoarthritis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(05): 282-288.
[10]	Zhenbin Zhang, Zhaolong Yan, Gongteng Wang, Wenqi Zhang, Xufeng Wang, Guangxing Li, Huaqiang Sun, Shufeng Li. Arthroscopic study on the effectiveness of high tibial osteotomy for knee osteoarthritis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(04): 218-225.
[11]	Keyi Wang, Qian Liu, Dezhi Song, Jinmin Zhao. Rehabilitation of knee osteoarthritis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(02): 120-128.
[12]	Yanbin Zhu, Kuo Zhao, Qi Zhang, Wei Chen, Xiaodong Lian, Zhongzheng Wang, Yuchuan Wang, Yingze Zhang. Preliminary study of advanced bone flap technique in high tibial osteotomy for the treatment of knee osteoarthritis (KOA) [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(03): 129-131.
[13]	Zhenpeng Guan. Establishing stepwise surgical treatment concept to promote knee osteoarthritis management [J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(10): 919-924.
[14]	Chaojun Zheng, Hongnian Wang, Yuhu Jia, Qisheng Hu. Comparison of clinical efficacy of NSAIDs alone and in combination with Fangfeng decoction in treatment of knee osteoarthritis in elderly patients [J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(04): 343-348.
[15]	Lin Zhang, Pei Zhai. Efficacy and safety of Bone Peptide Injection combined with Diclofenac Sodium in treatment of elderly patients with knee osteoarthritis [J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(05): 335-340.

Please choose a citation manager

Content to export

Knee protection requires “Knee osteoarthritis pendulum therapy” the clinical value of"Knee osteoar-thritis pendulum therapy" in Knee Osteoarthritis

RichHTML

PDF (PC)

Knowledge