[Research progress of effect mechanism of acupotomy for knee osteoarthritis].

Journal: Zhongguo zhen jiu = Chinese acupuncture & moxibustion
Published Date:

Abstract

Acupotomy therapy demonstrates the definite clinical efficacy on knee osteoarthritis (KOA). After reviewing systematically the mechanism studies on acupotomy for KOA over the past 5 years, It is revealed that acupotomy synergistically intervenes in the pathological progression of KOA through multi-target approaches, such as regulating cartilage homeostasis, restoring skeletal muscle function, alleviating synovial inflammatory responses, remodeling subchondral bone, and neuromodulation. But the current research still limits to single-tissue phenotypic observation, and is insufficiency in the in-depth exploration of multi-tissue synergistic interactions and molecular upstream-downstream regulatory mechanisms. Future studies should focus on the inheritance and innovation of acupotomy theory, and integrating multi-omics analytical technologies, artificial intelligence, and novel biochemical detection methods. The mechanism research targets on the interaction mechanisms among tissues, direct effects of acupotomy, immune-inflammatory regulatory mechanisms, and analgesic mechanisms, so as to comprehensively elucidate the therapeutic mechanism of acupotomy for KOA.

Authors

  • Wenying Yu
    School of Mechanical Engineering, Hebei University of Technology, Tianjin, P.R. China.
  • Jing Liu
    Department of Ophthalmology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
  • Hong Liu
    Key Laboratory of Grain and Oil Processing and Food Safety of Sichuan Province, College of Food and Bioengineering, Xihua University Chengdu 610039 China xingyage1@163.com.
  • Liangzhi Zhang
    Department of Orthopedics and Traumatology, People's Hospital Affiliated to Fujian University of TCM, Fuzhou 350004, China; First School of Clinical Medicine, Fujian University of TCM, Fuzhou 350122.
  • Zehao Lin
    Department of Orthopedics and Traumatology, People's Hospital Affiliated to Fujian University of TCM, Fuzhou 350004, China; First School of Clinical Medicine, Fujian University of TCM, Fuzhou 350122.
  • Zhongbiao Xiu
    Department of Orthopedics and Traumatology, People's Hospital Affiliated to Fujian University of TCM, Fuzhou 350004, China; Key Laboratory of Traditional Chinese Medicine Orthopedics and Sports Rehabilitation, Ministry of Education, Fujian University of TCM, Fuzhou 350122; Fujian Provincial Clinical Research Center for Chronic Musculoskeletal Diseases of Integrative Chinese and Western Medicine, Fuzhou 350004.