Effects of a Tendon-Balancing Tuina Technique on Patellofemoral Osteoarthritis: A Randomized Controlled Trial

INTERVENTION: Tuina group:Tendon‐Balancing tuina technique;Health education group:Health education; CONDITION: Patellofemoral Osteoarthritis PRIMARY OUTCOME: Pressure pain threshold; SECONDARY OUTCOME: Numerical rating scale;Quadriceps muscle strength;Modified 30‐second sit‐to‐stand test; INCLUSION CRITERIA: 1) Meeting the diagnostic criteria, being informed of the trial requirements and precautions, and having signed the informed consent form; 2) Aged between 40 and 75 years (inclusive); 3) A pain score of =4 during provocation (assessed using a 0–10 Numerical Rating Scale); 4) Presence of relevant symptoms for most of the time in the past month, with a relatively stable condition, and no prior pharmacological or other treatments for knee osteoarthritis (KOA) or patellofemoral osteoarthritis (PFOA) received. 5) Imaging examination indicating lateral patellofemoral joint osteophytes of grade =1.