Volume 23 Issue 8
Aug.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(8): 1391-1394
LI Jie, SUN Wuquan, CHEN Jintian, ZHENG San, LI Jiangshan, FU Yangyang. Exploring the effectiveness of seated knee adjustment method for treating knee osteoarthritis based on anybody simulation technology[J]. Chinese Journal of General Practice, 2025, 23(8): 1391-1394. doi: 10.16766/j.cnki.issn.1674-4152.004141
Citation: LI Jie, SUN Wuquan, CHEN Jintian, ZHENG San, LI Jiangshan, FU Yangyang. Exploring the effectiveness of seated knee adjustment method for treating knee osteoarthritis based on anybody simulation technology[J]. Chinese Journal of General Practice, 2025, 23(8): 1391-1394. doi: 10.16766/j.cnki.issn.1674-4152.004141
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Exploring the effectiveness of seated knee adjustment method for treating knee osteoarthritis based on anybody simulation technology

doi: 10.16766/j.cnki.issn.1674-4152.004141

  • Department of Massage, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China

Funds:

 2022QN087

 zyyzdxk-2023061

 24YF2747100

 25J008

 2024yyzh06

  • Received Date: 2025-02-11
    Available Online: 2025-10-31
    Abstract
  •   Objective  To explore the effects of the seated knee adjustment method on lower limb joint forces and muscle forces in patients with unilateral knee osteoarthritis (KOA) and to evaluate its biomechanical characteristics using computer simulation.  Methods  A total of 20 patients diagnosed with unilateral KOA who visited the outpatient clinic of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, from August 2023 to March 2024, were included. The intervention involved the seated knee adjustment method, administered twice weekly for 5 weeks. Gait data were collected using the Vicon Nexus system, and the AnyBody software was used for biomechanical simulation to analyze lower limb joint forces and muscle forces.  Results  The clinical outcomes indicated a total efficacy rate of 100% (20/20 cases) after intervention. Post-intervention VAS pain scores [3.00 (2.00, 3.00)] and Western Ontario and McMaster Universities osteoarthritis index (WOMAC) scores (34.10±14.14) were significantly lower than pre-intervention VAS scores [5.00 (3.00, 6.25)] and WOMAC scores (42.80±17.49, P < 0.05). Significant differences were observed in the peak relative joint forces on the vertical axis and frontal axis of the affected knee and the vertical axis of the unaffected knee before and after the intervention (P < 0.05). Additionally, the peak relative muscle forces of the vastus lateralis superior, rectus femoris, tibialis anterior, semitendinosus, and tensor fasciae latae of the affected knee, as well as the vastus lateralis superior and rectus femoris of the unaffected knee, showed significant differences before and after the intervention (P < 0.05).  Conclusion  The seated knee adjustment method effectively alleviates knee pain, improves daily functional activities, and optimizes joint force balance while enhancing muscle coordination in patients with KOA.

     

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    • References(20)
  • [1]
    SHARMA L. Osteoarthritis of the knee[J]. N Engl J Med, 2021, 384(1): 51-59. doi: 10.1056/NEJMcp1903768
    [2]
    ZHU S, WANG Z, LIANG Q, et al. Chinese guidelines for the rehabilitation treatment of knee osteoarthritis: an CSPMR evidence-based practice guideline[J]. J Evid Based Med, 2023, 16(3): 376-393. doi: 10.1111/jebm.12555
    [3]
    DONG Y, 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. DOI: 10.1186/s13018-023-04089-6.
    [4]
    JI S, LIU L, LI J, et al. Prevalence and factors associated with knee osteoarthritis among middle-aged and elderly individuals in rural Tianjin: a population-based cross-sectional study[J]. J Orthop Res, 2023, 18(1): 1-8.
    [5]
    STEINMETZ J D, CULBRETH G T, HAILE L M, et al. Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021[J]. Lancet Rheumatol, 2023, 5(9): e508-e522. doi: 10.1016/S2665-9913(23)00163-7
    [6]
    LI D, LI S, CHEN Q, et al. The prevalence of symptomatic knee osteoarthritis in relation to age, sex, area, region, and body mass index in China: a systematic review and meta-analysis[J]. J Clin Oncol, 2020, 7: 304. DOI: 10.3389/fmed,2020.00304.
    [7]
    段升磊, 魏乾坤, 刘青. 青岛市八大关地区中老年人退行性膝骨关节炎流行病学调查[J]. 青岛大学学报(医学版), 2023, 59(4): 589-592.

    DUAN S L, WEI Q K, LIU Q. Epidemiological Investigation of Degenerative Knee Osteoarthritis in Middle-aged and Elderly People in Badaguan Area, Qingdao City[J]. Journal of Qingdao University (Medical Science Edition), 2023, 59(4): 589-592.
    [8]
    朱博文, 朱清广, 房敏. 老年人膝骨关节炎本体感觉的特征概况及治疗策略[J]. 中华老年医学杂志, 2024, 43(10): 1357-1361, 1364.

    ZHU B W, ZHU Q G, FANG M. An overview of the characteristics and treatment strategies of proprioception in elderly knee osteoarthritis[J]. Chinese Journal of Geriatrics, 2024, 43(10): 1357-1361, 1364.
    [9]
    孙晓, 赵云, 张保安, 等. 麦粒灸联合康复功能训练对退行性膝关节炎患者关节疼痛的作用[J]. 中华全科医学, 2023, 21(3): 490-493. doi: 10.16766/j.cnki.issn.1674-4152.002914

    SUN X, ZHAO Y, ZHANG B A, et al. The effect of wheat grain moxibustion combined with rehabilitation functional training on joint pain in patients with degenerative knee arthritis[J]. Chinese Journal of General Practice, 2023, 21(3): 490-493. doi: 10.16766/j.cnki.issn.1674-4152.002914
    [10]
    康知然, 龚利, 邢华, 等. 坐位调膝法治疗膝骨关节炎的治疗理念与原理初探[J]. 上海中医药大学学报, 2020, 34(4): 98-102.

    KANG Z R, GONG L, XING H, et al. A preliminary study on the treatment idea and principle of knee adjustment in sitting position for knee osteoarthritis[J]. Journal of Shanghai University of Traditional Chinese Medicine, 2020, 34(4): 98-102.
    [11]
    付阳阳, 龚利, 姜淑云, 等. 坐位调膝法治疗膝骨关节炎即刻疗效的相关因素分析[J]. 中医药导报, 2020, 26(8): 32-34, 44.

    FU Y Y, GONG L, JIANG S Y, et al. Analysis of related factors of immediate effect of knee adjustment in sitting position in the treatment of knee osteoarthritis[J]. Chinese Medicine Review, 2020, 26(8): 32-34, 44.
    [12]
    KOLASINSKI S L, NEOGI T, HOCHBERG M C, et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee[J]. Ann Rheum Dis, 2020, 72(2): 220-233.
    [13]
    秦夕茹, 张立智. 骨关节炎疼痛的机制[J]. 中华全科医学, 2021, 19(6): 1001-1007. doi: 10.16766/j.cnki.issn.1674-4152.001971

    QIN X R, ZHANG L Z. The mechanism of pain in osteoarthritis[J]. Chinese Journal of General Practice, 2021, 19(6): 1001-1007. doi: 10.16766/j.cnki.issn.1674-4152.001971
    [14]
    许辉, 康冰心, 钟声, 等. 点按局部腧穴与坐位调膝法联用治疗膝关节骨关节炎: 随机对照研究[J]. 中国组织工程研究, 2021, 25(2): 216-221.

    XU H, KANG B X, ZHONG S, et al. A randomized controlled study on the combined treatment of knee osteoarthritis by pressing local acupoints and sitting knee adjustment[J]. Research on Tissue Engineering in China, 2021, 25(2): 216-221.
    [15]
    PAN J, FU W, LYU J, et al. Biomechanics of the lower limb in patients with mild knee osteoarthritis during the sit-to-stand task[J]. BMC Musculoskelet Disord, 2024, 25(1): 268. DOI: 10.1186/s12891-024-07388-z.
    [16]
    BENSALMA F, HAGEMEISTER N, CAGNIN A, et al. Biomechanical markers associations with pain, symptoms, and disability compared to radiographic severity in knee osteoarthritis patients: a secondary analysis from a cluster randomized controlled trial[J]. BMC Musculoskelet Disord, 2022, 23(1): 896. DOI: 10.1186/s12891-022-05845-1.
    [17]
    邵盛, 龚利, 孙武权, 等. 基于AnyBody仿真技术探讨法治疗膝骨关节炎的效果[J]. 中国医药导报, 2020, 17(36): 23-26.

    SHAO S, GONG L, SUN W Q, et al. To evaluate the clinical effect of AnyBody simulation technique in the treatment of knee osteoarthritis[J]. Chin Med Herald, 2020, 17(36): 23-26.
    [18]
    张浩运, 孙泽文, 赵夏, 等. 中国中老年女性脂质积累产物和内脏脂肪指数与膝骨关节炎的关联性[J]. 青岛大学学报(医学版), 2024, 60(2): 218-221.

    ZHANG H Y, SUN Z W, ZHAO X, et al. The association between lipid accumulation products and visceral fat index and knee osteoarthritis in middle-aged and elderly Chinese women[J]. Journal of Qingdao University (Medical Science Edition), 2024, 60(2): 218-221.
    [19]
    LI J, LIU H, SONG M, et al. Biomechanical characteristics of ligament injuries in the knee joint during impact in the upright position: a finite element analysis[J]. J Orthop Surg Res, 2024, 19(1): 630. DOI: 10.1186/s13018-024-05064-5.
    [20]
    陈国茜, 陈泽华, 叶翔凌, 等. 基于肌肉功能和质量探讨肌肉与膝骨关节炎关系的研究进展[J]. 中华物理医学与康复杂志, 2022, 44(5): 471-475.

    CHEN G Q, CHEN Z H, YE X L, et al. Research progress on the relationship between muscles and knee osteoarthritis based on muscle function and quality[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2022, 44(5): 471-475.
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