Traditional chinese medicine in patients with osteoarthritis. Jul 11, 2019 this study is designed to explore an effective acupuncture method for knee osteoarthritis. Pdf immediate effects of electroacupuncture and manual. Electro acupuncture is considered a potentially useful treatment for osteoarthritis. Effect of electroacupuncture ea and manual acupuncture ma on. Knee oa is one of the leading causes of global disability and the real burden of osteoarthritis oa has. Acupuncture concepts and physiologyapplication on stroke and. Effects of electroacupuncture for knee osteoarthritis.
This study is designed to determine the efficacy of electro acupuncture and manual acupuncture versus sham acupuncture for koa. Sinew acupuncture, sham acupuncture, knee osteoarthritis, pain, randomized controlled trial, protocol background osteoarthritis is one of the leading causes of disability in the elderly worldwide 1, 2. Knee osteoarthritis, electro acupuncture, manual acupuncture, sham acupuncture, randomised controlled trial background knee osteoarthritis koa is one of the most common musculoskeletal diseases 1, and it is a major cause of chronic pain and impaired physical function in older adults 2. Electroacupuncture alleviates cartilage degradation. Twenty patients with bilateral medial knee oa were assigned evenly and randomly to a sham group and an experimental group. Electro acupuncture and arthritis dm acupuncture estim. Inflammation plays a significant role in the pathogenesis of knee osteoarthritis koa. Electroacupuncture relieves pain and potentiates muscle function in koa rabbit, thus reducing the degradation of cartilage. The study aimed to investigate the immediate effects of acupuncture on gait patterns in patients with knee oa. Immediate effects of acupuncture on gait patterns in patients.
Oct 04, 2018 electronic stimulation estim, has shown to increase the efficacy of acupuncture treatment for knee pain. Our studies showed that acupuncture produces analgesic effect and that electroacupuncture ea is more effective than manual acupuncture. Efficacy of electroacupuncture and manual acupuncture. After the treatment, by contrast before and after therapy, by comparing curative. Dec 02, 2017 electroacupuncture in knee osteoarthritis the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Acupuncture therapy for knee osteoarthritis full text view. Fortyone patients completed the study 26 females, 15 males, mean age sd 71. According to the papers published in the past years, we find that acupuncture therapy for the treatment of knee osteoarthritis include manual acupuncture, electro acupuncture, acupotomy, laser acupuncture, fire. To assess the efficacy in providing improved function and pain relief by administering 8 weeks of acupuncture as adjunctive therapy to standard care in elderly patients with oa of the knee. Electroacupuncture and manual acupuncture increase joint.
The effectiveness and safety of acupuncture for knee osteoar. To investigate the effect of acupotomy on knee osteoarthritis koa, compared to electro acupuncture ea. Application of electroacupuncture for postoperative pain management after total knee arthroplasty. As a first step, we compared the effect of a single session of each. Periosteal electric dry needling for knee osteoarthritis. The purpose of this study is to asse ss the efficacy of electro acupuncture on pain control, pain perception, plasma cortisol and betaendorphin levels, patientperceived. Acupuncture provided significantly better relief from knee osteoarthritis pain and a larger improvement in function than sham acupuncture, standard care treatment, or waiting for further treatment. We chose a frequency of 3 sessions per week as one kind of electro acupuncture intervention, because 3 sessions per week is most commonly used in clinical practice in china to treat chronic pain. Koa is a lifelong disease which can lead to obvious pain, joint stiffness, limitation of activity and even joint failure or disability. To compare the effectiveness of electroacupuncture ea and transcutaneous electrical nerve stimulation tens for pain control in knee.
Acupuncture for knee osteoarthritis fpins clinical. Knee osteoarthritis koa, known as severe degenerative. Electroacupuncture for treatment of knee pain from. Acupuncture, knee osteoarthritis, electro acupuncture, warmneedling, sham acupuncture, mild moxibustion, multicentre randomized controlled trial article summary this is a singleblinded, multicentre, randomized controlled trial. This is a multicenter threearm randomized controlled trial. In addition, electro acupuncture was not recommended in light of poor costeffectiveness outweighing a reliable evidence base to highlight its clinical benefits.
Moreover, the papers published in the past years suggest that manual acupuncture and electro acupuncture are most commonly used acupuncture therapy for the treatment of knee osteoarthritis. Patients with knee arthritis respond particularly well to electro acupuncture. Feb 05, 2020 we aimed to explore the feasibility of evaluating the comparative effectiveness and safety of electroacupuncture ea relative to manual acupuncture ma for the treatment of knee osteoarthritis koa. Effect of electro acupuncture ea and manual acupuncture ma on markers of inflammation in knee osteoarthritis. Apr 01, 2021 the use of traditional needle, laser andor electro acupuncture for knee oa is not supported by current clinical evidence.
Materials and methods this study is a prospective, threearmed, randomized, control trial rct, conducted on 60 adult patients with knee oa to determine the efficacy of acupuncture for treatment of oa of the knee and its relation to clinical outcome measures of oa. During the experiment, the experimental group underwent a 30minute formula electro acupuncture. Published by medwire news on november 2020 an 8week intensive course of electro acupuncture ea could improve pain and function in patients with knee osteoarthritis oa, with the effects lasting for up to 26 weeks, chinese research shows. Knee osteoarthritis, manual therapy, exercises, electroacupuncture, home. Electro acupuncture is beneficial for knee osteoarthritis. Efficacy of intensive acupuncture versus sham acupuncture in. The effectiveness and safety of acupuncture for knee. Intensive acupuncture may improve pain, function in knee osteoarthritis. Cunzhi liu, md, phd, on acupuncture in patients with knee. Efficacy of intensive acupuncture versus sham acupuncture.
Acupuncture of different treatment frequency in knee. Efficacy of electro acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis. This randomized, controlled, blinded trial was conducted on 55 patients with oa of the knee. Pdf osteoarthritis of the knee is a major cause of pain and functional limitation. Electroacupuncture at acupoint st36 reduces inflammation. The purpose of this randomized, controlled clinical trial was to investigate whether strong electroacupuncture ea was more effective on chronic pain by strengthening the cpm function than weak ea or sham ea in patients with koa. Effect of electroacupuncture ea and manual acupuncture. Hip and knee osteoarthritis was ranked the 11th highest contributor to years lived.
Different kinds of acupuncture treatments for knee. Periosteal electrical dry needling as an adjunct to. Electroacupuncture versus manual acupuncture for knee. Acupuncture has been proved to be effective for the treatment of several types of chronic pain and has a better performance than a placebo intervention. Acupuncture and electroacupuncture for the treatment of. Ten studies used manual acupuncture ma the remaining studies used electro acupuncture ea. Pdf acupuncture treatment for knee osteoarthritis, an experience. Jan 25, 2019 knee osteoarthritis koa is one of the most common musculoskeletal disorders. Although the available evidence for its efficacy is inconclusive, acupuncture is used as an alternative therapy for koa. A total of 60 participants with koa were randomly allocated. Efficacy of electroacupuncture and manual acupuncture versus.
Electroacupuncture in knee osteoarthritis full text view. Osteoarthritis of the knee is a major cause of disability among adults. The purpose of this study is to assess the efficacy of electro acupuncture on pain control, pain perception, plasma cortisol and betaendorphin levels, patientperceived quality of life, and pain medication use in patients with chronic. Microlight electro acupuncture treatment of leg and knee. Among patients with knee osteoarthritis, both manual and electro acupuncture outperformed sham acupuncture in reducing pain and improving function, new randomized controlled trial data showed. Nov 10, 2020 to assess the efficacy of intensive acupuncture 3 times weekly for 8 weeks versus sham acupuncture for knee osteoarthritis koa. Knee osteoarthritis koa is a common chronic degenerative disease of the elderly. Conclusionthere is no significant difference between the immediate effects of a single session of ma and ea on pain, muscle strength and mobility in patients with knee oa. Arthritis affects millions of people around the world. Listing a study does not mean it has been evaluated by the u. Electroacupuncture in knee osteoarthritis full text. Acupuncture for peripheral joint osteoarthritis rheumatology. Comparing the effectiveness of electroacupuncture with different.
Microlight electro acupuncture treatment of leg and knee pain with microlight therapy darren starwynn, o. Dec 15, 2009 although there have been a few studies to demonstrate the effect of electro acupuncture on osteoarthritis oa of knee,, to our knowledge, none has simultaneously measured the objective parameters of pain and functional disability and levels of endocrine markers, cortisol and. Manual acupuncture ma also improved pain and function relative to. Immediate effects of electroacupuncture and manual acupuncture on pain, mobility and muscle strength in patients with knee osteoarthritis. Conversely, acupuncture for the treatment of oa of the knee or. Pdf acupuncture treatment for knee osteoarthritis, an. We aimed to explore the feasibility of evaluating the comparative effectiveness and safety of electroacupuncture ea relative to manual acupuncture ma for the treatment of knee osteoarthritis koa. Periosteal electrical dry needling as an adjunct to exercise. Intensive acupuncture may improve pain, function in knee.
When acupuncture is used to treat osteoarthritis, points are selected that will help contribute to strengthening the bones. Among patients with knee osteoarthritis, electro acupuncture resulted in less pain and better function at week 8 than sham acupuncture. Dec 23, 2019 acupuncture is highly effective for the natural alleviation of knee pain. The oarsi guidelines20 for hip and knee oa reported acupuncture to have a moderate effect size. Effects of intensity of electroacupuncture on chronic pain.
Acupuncture can make you feel like a fit again at the most advanced of ages with healthy and flexible knees. Efficacy of electroacupuncture versus manual acupuncture. Electroacupuncture is beneficial for knee osteoarthritis. Twelve of the trials included only people with oa of the knee, 3 only oa of the hip, and 1 a mix of people with oa of the hip andor knee. This is a study protocol for a randomised, threearm, multicentre.
It causes pain and restricted movement that greatly reduces the quality of life of the patients. One unblinded trial found that acupuncture as an addition to routine primary physician care was associated with. If you have sprained your knees or if you have arthritis, then acupuncture for knee pain is highly recommended for you. It was reported that chinese people over the age of 60 have koa symptoms hared a high incidence 19. The aim of this trial is to determine the efficacy of electroacupuncture and manual acupuncture versus sham acupuncture for koa. Acupuncture treatment for knee osteoarthritis, an experience. Application of electroacupuncture for postoperative pain. Electro acupuncture ea is considered as a beneficial treatment for koa, but the conclusion is controversial. Acupuncture is an ancient therapeutic technique for pain treatment, which has been proved to have a promising analgesic effect on chronic pain disorders in clinical studies 1, 2.
Electroacupuncture versus manual acupuncture for knee osteoarthritis. Summary points manual acupuncture and electroacupuncture are both used to treat osteoarthritis pain but are rarely compared directly. The electroacupuncture ea with different number of points significantly affected its efficacy on knee osteoarthritis koa, and the severity of koa also influenced its resp. Electro acupuncture ea st36 collageninduced arthritis cia rheumatoid arthritis ra introduction acupuncture is one of the oldest therapeutic interventions in the world and is now widely accepted for pain relief not only in the east but in the west as well 1. Clinical and endocrinological changes after electro.
Knee osteoarthritis koa, also called degenerative knee disease, is one of the. Kidney mushu points for chronic knee pain or the gall bladder for hip osteoarthritis apply through pne centers chakras to anchor emotional or soul healing in conjunction with intuitive counseling in most cases apply mushu technique before doing symptomatic techniques for pain, rehab, facials, etc. A multicenter randomized controlled clinical trial was conducted in beijing from september 2017 to january 2018. This trial is expected to clarify whether acupuncture and moxibustion treatment play a key. Effect of ultrasoundguided acupotomy vs electroacupuncture. Effects of intensity of electroacupuncture on chronic pain in patients. Although both electro acupuncture ea and manual acupuncture ma are known to influence systemic inflammation, little is known about the potential changes in inflammation as a working mechanism of ea and ma in koa. Data from the acupuncture for knee osteoarthritis trial atkoa were. Effects of intensity of electroacupuncture on chronic pain in. An 8week intensive course of electroacupuncture ea. The following randomized control study rcs rct randomized control trial, shows that estim out performed transcutaneous electrical nerve stimulation tens in treating knee pain from osteoarthritis oa. Immediate effects of acupuncture on gait patterns in.
The results suggest electroacupuncture helped to both reduce pain. Acupuncture is widely used for knee osteoarthritis koa, despite contradictory evidence. Sixty koa patients were randomly divided into 2 groups. A comparison of the effects of electroacupuncture versus. Two of the most common types are osteoarthritis oa and rheumatoid arthritis ra. Different kinds of acupuncture treatments for knee osteoarthritis. While some improvements in knee pain and function have been identified in lowquality studies, the benefits are considered so small that theyre not clinically relevant. Acupuncture for knee arthritis fails one test but may still.
The effects of electroacupuncture and transcutaneous. In the other study, people had acupuncture with an electric current going through the needles at speci. Electroacupuncture treatment can relieve the pain of osteoarthritis of the. Sep 26, 2017 chen n, wang j, mucelli a, zhang x, wang c. A randomized controlled trial of acupuncture for osteoarthritis of the. Effect of electroacupuncture ea and manual acupuncture ma.
May 14, 2019 background conditioned pain modulation cpm is impaired in people with chronic pain such as knee osteoarthritis koa. To examine the relative effectiveness of electro acupuncture ea and transcutaneous electrical nerve stimulation tens in alleviating osteoarthritic oa induced knee pain. Further studies are required particularly for manual or electroacupuncture in hip oa. Acupuncture is an ancient chinese method to treat diseases and relieve pain. A number of risk factors are well recognized, including age, female sex, smoking, physical inactivity, and vitamin.
Delayed effect of acupuncture treatment in oa of the knee. Open access full text article effect of electroacupuncture. In regards to pain, electroacupuncture was effective in. Electroacupuncture ea, an important form of acupuncture, has been widely used as a substitute for classical acupuncture 3, 4. Knee osteoarthritis koa, known as severe degenerative arthritis, commonly occurs in middleaged and elderly people all over the world.
Knee osteoarthritis koa is a chronic disease with symptoms of. Effect of manual therapy on knee osteoarthritis oa international. When knee arthritis is mild or moderate, a limited number of sessions produce very good results. We have conducted a series of studies to examine the mechanisms of this ancient method for pain relief. Pain was reduced by 42% and 52% following manual acupuncture. Published by medwire news on november 2020 an 8week intensive course of electro acupuncture ea could improve pain and function in patients with knee osteoarthritis oa, with the effects lasting for. Electroacupuncture delivers in knee osteoarthritis. The evidence from metaanalysis of randomized controlled trials. Oct 01, 2015 in addition, most chinese herbal medicines zhong cao yao are pure compounds, and few rcts have applied herbal medicine and herbal patches to treat knee oa. Effect of ultrasoundguided acupotomy vs electro acupuncture on knee osteoarthritis. Knee pain while at rest, while moving or while standing decreased more in the people who had therealacupuncture.
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