Effectiveness and feasibility of acupuncture for knee osteoarthritis: a pilot randomized controlled trial.
Clin Rehabil
; 32(12): 1666-1675, 2018 Dec.
Article
em En
| MEDLINE
| ID: mdl-30037276
ABSTRACT
OBJECTIVE:
To evaluate the effectiveness of acupuncture for pain relief and function improvement in patients with knee osteoarthritis and to determine the feasibility of an eight-week acupuncture intervention.DESIGN:
Pilot randomized controlled trial.SETTING:
Three teaching hospitals in China.SUBJECTS:
Patients with knee osteoarthritis (Kellgren grade II or III).INTERVENTIONS:
Patients were randomly assigned to an eight-week (three sessions per week) intervention of either traditional Chinese acupuncture or sham acupuncture. MAINMEASURES:
The primary outcome was response rate-the proportion of patients achieving score ⩾36% decrease in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function at week 8 compared with baseline. Secondary outcomes included pain, function and quality of life.RESULTS:
Of 42 patients randomized, 36 (85.7%) completed the study. There was no significant difference in response rate between the traditional Chinese acupuncture and control groups 61.9% (13 of 21) versus 42.9% (9 of 21) achieved score ⩾36% decrease in WOMAC pain and function at week 8 ( P = 0.217). The sum of WOMAC pain and function scores at week 8 was 11.6 (9.1) in the traditional Chinese acupuncture group compared with 16.3 (10.9) in the control group ( P = 0.183). There was no significant difference between groups. Three adverse events were recorded and were classified as mild.CONCLUSION:
It showed that three sessions per week acupuncture intervention of knee osteoarthritis was feasible and safe. No difference was observed between groups due to small sample size. Larger (sample size ⩾ 296) randomized controlled trials of this intervention appear justified.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Terapia por Acupuntura
/
Osteoartrite do Joelho
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article