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Table 2 Tuina therapy for knee OA

From: Individually integrated traditional chinese medicine approach in the management of knee osteoarthritis: study protocol for a randomized controlled trial

Sequence number

Tuina manipulation

1

The therapist using grasping or rolling applies to the back of the thigh and the crus for 2 minutes.

2

Pushing, kneading or pushing with one-finger meditation on popliteal fossa for 2 minutes.

3

Rolling applies to tensor fascia lata, quadriceps and adductors in the limb for 3 minutes.

4

Rubbing, kneading or pushing with one-finger meditation applies to the Dubi(ST35), Neixiyan(EX-LE5), Ashi points, and each acupoint is about 40 seconds.

5

Gently Pushing the patella to the upward, downward, inward and outward directions for several times, then to the extreme limit of patella and maintaining for 2 and 3 seconds. Repeat 3 times.

6

Pulling the knee. The assistant helps fix the distal thigh, and the therapist uses hands to hold the distal leg and pull for 2 seconds. Repeat 5 times.

7

Passive flexion and extension, adduction and abduction of hip and knee joint to the utmost degree that patient can stand. Repeat 3 times.

  1. Description: The power of tuina manipulation requires evenly and gently application to the degree that patients feel comfort and tolerance. In operations 1 and 2, the patient remains in the prone position. In operations 3 through 7, the patient assumes the supine position.
  2. Dose: about 20 minutes each time and 2 times per week.