title: [Effects of early application of Tuina treatment on quadriceps surface myoelectricity in patients after total knee arthroplasty: a randomized controlled trial].
abstract: BACKGROUND
  Total knee replacement surgery is commonly used in end-stage diseases of the knee. It is important for improving surgical efficacy and patient satisfaction by promoting early rehabilitation of patients and improving knee function.
  
  
  OBJECTIVE
  To observe the effects of early application of Tuina treatment on quadriceps surface electromyography (EMG) in patients with rheumatoid arthritis having undergone total knee arthroplasty.
  
  
  METHODS
  The study was performed at the Orthopedic Department of Huashan Hospital, Fudan University, and the Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine from June 2010 to September 2011. A total of 66 patients with rheumatoid arthritis who had undergone total knee replacement surgery were randomly divided into control group and observation group, 33 cases in each. The patients in the control group were administered with continuous passive training (CPM), and the patients in the observation group were treated with CPM combined with Tuina, from prior surgery to four weeks post-surgery.
  
  
  METHODS
  The knee function was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire at baseline and 4 weeks after the surgery. Quadriceps surface EMG was also detected at the same time points.
  
  
  RESULTS
  After 4 weeks of Tuina and comprehensive rehabilitation intervention, the WOMAC questionnaire score of the observation group was decreased compared with the control group (P<0.01); median frequency and integrated electromyography of the rectus femoris and vastus medialis muscles, which were recorded by EMG, in the observation group were higher than those in the control group (P<0.01).
  
  
  CONCLUSIONS
  Tuina can improve the recovery of patients who have undergone total knee replacement by increasing quadriceps EMG.
authors.affiliation: Department of Rehabilitation Medicine, Fudan University, Shanghai, China.
authors.forename: Nian-hong
authors.initials: NH
authors.lastname: Wang
authors.forename: Jun-tao
authors.initials: JT
authors.lastname: Yan
authors.forename: Wu-quan
authors.initials: WQ
authors.lastname: Sun
authors.forename: Yong-shan
authors.initials: YS
authors.lastname: Hu
authors.forename: Jun
authors.initials: J
authors.lastname: Xia
authors.forename: Li-cheng
authors.initials: LC
authors.lastname: Wei
authors.forename: Jie
authors.initials: J
authors.lastname: Jia
authors.forename: Gui-lin
authors.initials: GL
authors.lastname: Ouyang
authors.forename: Yong
authors.initials: Y
authors.lastname: He
authors.forename: Yan-ming
authors.initials: YM
authors.lastname: Guo
authors.forename: Jie
authors.initials: J
authors.lastname: Xu
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D004576:Electromyography; D005260:Female; D006801:Humans; D008516:Medicine, Chinese Traditional; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D011184:Postoperative Period; D052097:Quadriceps Muscle / Q000503:physiopathology*