中医康复2025，Vol.2Issue(11)：6-10,5.DOI:10.19787/j.issn.2097-3128.2025.11.002
基于姚新苗教授"以筋为先"思想探讨等速肌力训练治疗膝骨关节炎的作用机制
Discussion on the Mechanism of Action of Isokinetic Muscle Strength Training in the Treatment of Knee Osteoarthritis Based on Professor Yao Xinmiao's Idea of"Tendon First"
摘要
Abstract
Knee osteoarthritis(KOA)is a degenerative disease,and the key to its treatment is to relieve pain and improve function.Professor Yao Xinmiao,a famous doctor of traditional Chinese medicine in Zhejiang Province,put forward the idea of"tendon first",which provides an important theoretical basis for this idea.This idea is rooted in the theory of"tendon-bone balance"in traditional Chinese medicine.It is believed that the pathological core of KOA is"tendon out of the groove",that is,the dysfunction of the ten-don tissue around the knee joint occurs before the change of bone,forming the evolution process of"tendon stasis-bone arthralgia",emphasizing the treatment of KOA by restoring the coordination of tendons and bones through"soft tendons and bones".Isokinetic muscle strength training,as a modern rehabilitation technique,shows significant advantages in the treatment of KOA with its con-stant angular velocity and compliance resistance:it can effectively enhance the muscle strength of the knee muscle group,improve joint stability and activity,and reduce pain.At the same time,can improve proprioception,correct abnormal gait,and form a virtuous cycle of"coordination of muscles and bones".Its mechanism of action is highly consistent with the concept of"soft muscles and bones"in traditional Chinese medicine,reflecting the effective combination of traditional medical thought and modern rehabilitation technology.However,the clinical application of isokinetic training still faces challenges such as high equipment cost,lack of stan-dardized programs,and unclear intervention strategies for different stages of KOA.In the future,we can develop portable equip-ment,carry out large sample clinical research,and dialectically integrate the idea of"tendon first"into the training program to deepen the integration of traditional Chinese and Western medicine and promote the wide application of isokinetic training in KOA rehabilitation.关键词
以筋为先/等速肌力训练/膝骨关节炎/作用机制Key words
tendon first/isokinetic muscle strength training/KOA/mechanism of action分类
医药卫生引用本文复制引用
何越,陈铁武,唐晶,姚新苗..基于姚新苗教授"以筋为先"思想探讨等速肌力训练治疗膝骨关节炎的作用机制[J].中医康复,2025,2(11):6-10,5.基金项目
国家中医药管理局科技司-浙江省中医药管理局共建科技计划项目(GZY-ZJ-KJ-23022) （GZY-ZJ-KJ-23022）
