A pilot study on using acupuncture and transcutaneous electrical nerve stimulation (TENS) to treat knee osteoarthritis (OA)

被引：29

作者：

Itoh K. ^{[1
]}

Hirota S. ^{[2
]}

Katsumi Y. ^{[2
]}

Ochi H. ^{[1
]}

Kitakoji H. ^{[1
]}

机构：

[1] Department of Clinical Acupuncture and Moxibustion, Meiji University of Oriental Medicine

[2] Department of Orthopaedic Surgery, Meiji University of Oriental Medicine

来源：

Chinese Medicine | / 3卷 / 1期

关键词：

Visual Analogue Scale Score; Transcutaneous Electrical Nerve Stimulation; WOMAC Score; Diffuse Noxious Inhibitory Control; Combine Acupuncture;

D O I：

10.1186/1749-8546-3-2

中图分类号：

学科分类号：

摘要：

Background: The present study tests whether a combined treatment of acupuncture and transcutaneous electrical nerve stimulation (TENS) is more effective than acupuncture or TENS alone for treating knee osteoarthritis (OA). Methods: Thirty-two patients with knee OA were randomly allocated to four groups. The acupuncture group (ACP) received only acupuncture treatment at selected acupoints for knee pain; the TENS group (TENS) received only TENS treatment at pain areas; the acupuncture and TENS group (A&T) received both acupuncture and TENS treatments; the control group (CT) received topical poultice (only when necessary). Each group received specific weekly treatment five times during the study. Outcome measures were pain intensity in a visual analogue scale (VAS) and knee function in terms of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results: The ACP, TENS and A&T groups reported lower VAS and WOMAC scores than the control group. Significant reduction in pain intensity (P = 0.039) and significant improvement in knee function (P = 0.008) were shown in the A&T group. Conclusion: Combined acupuncture and TENS treatment was effective in pain relief and knee function improvement for the sampled patients suffering from knee OA. © 2008 Itoh et al; licensee BioMed Central Ltd.

引用

共 25 条

[1]

Creamer P., Osteoarthritis, Lancet, 350, pp. 502-509, (1997)

[2]

McAlindon T., Dieooe P., The medical management of osteoarthritis of knee: An inflammatory issue?, Br J Rheumatol, 29, pp. 471-473, (1990)

[3]

Tramer M.R., Moore R.A., Reynolds D.J., McQuary H.J., Quantitative estimation of rare adverse events which follow a biological progression: A new model applied to chronic NSAID use, Pain, 85, pp. 169-182, (2000)

[4]

Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update, Arthritis Rheum, 43, pp. 1905-1915, (2000)

[5]

Osiri M., Welch V., Brosseau L., Shea B., McGowan J., Tugwell P., Wells G., Transcutaneous electrical nerve stimulation for knee osteoarthritis, Cochrane Database Syst Rev, 4, (2000)

[6]

Ezzo J., Hadhazy V., Birch S., Lao L., Kaplan G., Hochberg M., Barman B., Acupuncture for osteoarthritis of the knee: A systematic review, Arthritis Rheum, 44, pp. 819-825, (2001)

[7]

Witt C., Brinkhaus B., Jena S., Linde K., Streng A., Wagenpfeil S., Hummelsberger J., Walther H.U., Melchart D., Willich S.N., Acupuncture in patients with osteoarthritis of the knee: A randomised trial, Lancet, 366, pp. 136-143, (2005)

[8]

Berman B.M., Lao L., Langenberg P., Lee W.L., Gilpin A.M., Hochberg M.C., Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: A randomized, controlled trial, Ann Intern Med, 141, pp. 901-910, (2004)

[9]

Vas J., Mendez C., Perea-Milla E., Vega E., Panadero M.D., Leon J.M., Borge M.A., Gaspar O., Sanchez-Rodriguez F., Aguilar I., Jurado R., Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: Randomised controlled trial, BMJ, 329, (2004)

[10]

Tukmachi E., Jubb R., Dempsey E., Jones P., The effect of acupuncture on the symptoms of knee osteoarthritis - An open randomised controlled study, Acupunct Med, 22, pp. 14-22, (2004)

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