Comparison between electro-acupuncture and hydrotherapy, both in combination with patient education and patient education alone, on the symptomatic treatment of osteoarthritis of the hip

被引:45
作者
Stener-Victorin, E
Kruse-Smidje, C
Jung, K
机构
[1] Univ Gothenburg, Dept Physiol & Pharmacol, S-40530 Gothenburg, Sweden
[2] Univ Gothenburg, Dept Gynecol & Obstet, Gothenburg, Sweden
[3] Krokslatts Vardcent, Distriktssjukggymnastiken, Molndal, Sweden
关键词
osteoarthritis; hip; electro-acupuncture; hydrotherapy; patient education;
D O I
10.1097/00002508-200405000-00008
中图分类号
R614 [麻醉学];
学科分类号
100217 [麻醉学];
摘要
Objectives: The aim of the Study was to evaluate the therapeutic effect of electro-acupuncture (EA) and hydrotherapy, both in combination with patient education or with patient education alone, in the treatment of osteoarthritis in the hip. Methods: Forty-five patients, aged 42-86 years, with radiographic changes consistent with osteoarthritis in the hip, pain related to motion, pain oil load, and ache were chosen. They were randomly allocated to EA. hydrotherapy. both in combination with patient education, or patient education alone. Outcome measures were the disability rating index (DRI), global self-rating index (GSI), and Visual analogue scale (VAS). Assessments were done before the intervention and immediately after the last treatment and I 3, and 6 months after the last treatment. Results: Pain related to motion and pain oil load was reduced LIP to 3 months after last the treatment in the hydrotherapy group and up to 6 months in the EA group. Ache during the day was significantly improved in both the EA and hydrotherapy group Lip to 3 months after the last treatment. Ache during the night was reduced in the hydrotherapy group LIP to 3 months after the last treatment and in the EA group tip to 6 months after. Disability, in functional activities was improved in EA and hydrotherapy groups LIP to 6 months after the last treatment. Quality of life was also improved in EA and hydrotherapy groups up to 3 months after the last treatment. There were no changes in the education group alone. Discussion: In Conclusion. EA and hydrotherapy, both in combination with patient education, induce long-lasting effects, shown by reduced pain and ache and by increased functional activity and quality of life, as demonstrated by differences in the pre- and post-treatment assessments.
引用
收藏
页码:179 / 185
页数:7
相关论文
共 36 条
[1]
ACUPUNCTURE - FROM EMPIRICISM TO SCIENCE - FUNCTIONAL BACKGROUND TO ACUPUNCTURE EFFECTS IN PAIN AND DISEASE [J].
ANDERSSON, S ;
LUNDEBERG, T .
MEDICAL HYPOTHESES, 1995, 45 (03) :271-281
[2]
A randomized trial of acupuncture as an adjunctive therapy in osteoarthritis of the knee [J].
Berman, BM ;
Singh, BB ;
Lao, L ;
Langenberg, P ;
Li, H ;
Hadhazy, V ;
Bareta, J ;
Hochberg, M .
RHEUMATOLOGY, 1999, 38 (04) :346-354
[3]
ACUPUNCTURE TREATMENT OF SEVERE KNEE OSTEOARTHROSIS - A LONG-TERM STUDY [J].
CHRISTENSEN, BV ;
IUHL, IU ;
VILBEK, H ;
BULOW, HH ;
DREIJER, NC ;
RASMUSSEN, HF .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1992, 36 (06) :519-525
[4]
The effects of social support and education interventions on health care costs [J].
Cronan, TA ;
Groessl, E ;
Kaplan, RM .
ARTHRITIS CARE AND RESEARCH, 1997, 10 (02) :99-110
[5]
FORTNIGHTLY REVIEW - MANAGEMENT OF HIP OSTEOARTHRITIS [J].
DIEPPE, P .
BRITISH MEDICAL JOURNAL, 1995, 311 (7009) :853-857
[6]
INTERACTION OF DIAZEPAM AND NALOXONE ON ACUPUNCTURE INDUCED PAIN RELIEF [J].
ERIKSSON, SV ;
LUNDEBERG, T ;
LUNDEBERG, S .
AMERICAN JOURNAL OF CHINESE MEDICINE, 1991, 19 (01) :1-8
[7]
GOLDIE I, 1987, FOREBYGGA SJUKDOMAR
[8]
GREEN J, 1993, BRIT J RHEUMATOL, V32, P812
[9]
ACUPUNCTURE TREATMENT IN EPICONDYLALGIA - A COMPARATIVE-STUDY OF 2 ACUPUNCTURE TECHNIQUES [J].
HAKER, E ;
LUNDEBERG, T .
CLINICAL JOURNAL OF PAIN, 1990, 6 (03) :221-226
[10]
Hall J, 1996, Arthritis Care Res, V9, P206, DOI 10.1002/1529-0131(199606)9:3<206::AID-ANR1790090309>3.0.CO