康复学报 (Aug 2021)
Rehabilitation of Knee Osteoarthritis with Conception of "Muscles and Bones, Arthralgia and Flaccidity, Asthenia and Sthenia, Dynamic and Static, Hardness and Softness"
Abstract
The dysfunction of knee osteoarthritis(KOA)is characterized with"comorbidity of tendons with bones, coexistence of arthralgia and flaccidity, mixture of asthenia with sthenia, imbalance between dynamic and static statuses, and disorder between hardness and softness".In the early, middle and late stages of the disease, the related functional disorders have their own emphasis on the specific manifestations of"muscles and bones, arthralgia and flaccidity, asthenia and sthenia, dynamic and static, hardness and softness", so the traditional Chinese medicine(TCM)rehabilitation treatment of KOA should also be applied according to syndrome differentiation by stages. This article explains the principles and ideas of TCM rehabilitation for KOA dysfunction from five aspects:"the coordination of muscles and bones, equal emphasis on arthralgia and flaccidity, consideration of both asthenia and sthenia, combination of dynamic and static, and combination of hardness and softness". The coordination of muscles and bones refers to the basic pathogenesis characteristics of dysfunction caused by KOA, starting from the disease position, and adopting corresponding rehabilitation treatments to achieve the purpose of strengthening the muscles and bones. Equal emphasis on arthralgia and flaccidity, consideration of both asthenia and sthenia are aimed at the the basic performance characteristics of KOA dysfunction, starting from the the nature of the disease and adopting the corresponding rehabilitation therapy to achieve the purpose of eliminating arthralgia and flaccidity, regulating asthenia and sthenia. Combination of dynamic and static aims at the important factors that cause the repeated and aggravated condition of KOA, starting from the cause of the disease and adopting the corresponding rehabilitation therapy to achieve the purpose of balancing dynamic and static. Combination of hardness and softness aims at the important characteristics of KOA dysfunction, starting from the condition and cause of the disease, adopting the corresponding rehabilitation therapy to achieve the purpose of strengthening the bones and muscles. The analysis aims to further improve the theory of TCM rehabilitation of KOA and provide certain references for its clinical rehabilitation.
