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Research progress on the application of exercise therapy based on the theory of “straight bones-flexible tendons-firm flesh” in knee osteoarthritis
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DOI   10.11656/j.issn.1672-1519.2026.04.17
Key Words   bone straightening-tendon softening-flesh firming;osteoarthritis of the knee;exercise therapy;review
Author NameAffiliationE-mail
GU Neimeng First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine, Tianjin 300381, China 
 
ZHANG Jiarui First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine, Tianjin 300381, China 
 
NIU Puyu Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
DU Chao First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine, Tianjin 300381, China 
 
YE Yuntian First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine, Tianjin 300381, China 
 
CAO Dongdong First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine, Tianjin 300381, China 
 
LIU Aifeng First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine, Tianjin 300381, China 
draifeng@163.com 
Abstract
    Knee osteoarthritis(KOA) is a disease with high morbidity and disability,often accompanied by biomechanical imbalance of the joint and many clinical symptoms. Exercise therapy can effectively regulate the physiological function of the knee joint,strengthen the soft tissue and muscle strength,slow down the progression of the disease,significantly relieve joint pain and improve joint function. The core of KOA is to reshape the mechanical microenvironment of the knee joint,restore the mechanical balance of the knee joint,accelerate the repair of soft tissues,which is in line with the concept of Chinese medicine,which is to “emphasize the muscles and bones,and regulate the qi and blood”,and to promote the joints to reach the concepts of “correct bones” “soft muscles” and “soft joints”. The ideal homeostatic state of “bone correctness”“tendon softness” and “flesh solidity” can be achieved by the joints. In this paper,we will analyze the application value of exercise therapy in KOA treatment under the theoretical framework of Chinese medicine,with the aim of improving clinical efficacy,alleviating patients’ pain,and opening up a new direction for the non-pharmacological treatment of KOA.

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