Effect of acupotomy combined with electroacupuncture on knee function of patients with knee osteoarthritis.

Q3 Medicine

针刺研究 Pub Date : 2024-04-25 DOI:10.13702/j.1000-0607.20230087

Jie Ma, Xiao-Yan Chu, Huo-Sheng Liu, Ji-Ya Sun, Hong-Sheng Zhan, Jian-de Xu, Tian-Feng He, Jin-Lei Ding, Li-Yan Zhou, Xi-Dong Duan, Qian Wang, Xing-Hong Bing, Shan-Ping Tao

{"title":"Effect of acupotomy combined with electroacupuncture on knee function of patients with knee osteoarthritis.","authors":"Jie Ma, Xiao-Yan Chu, Huo-Sheng Liu, Ji-Ya Sun, Hong-Sheng Zhan, Jian-de Xu, Tian-Feng He, Jin-Lei Ding, Li-Yan Zhou, Xi-Dong Duan, Qian Wang, Xing-Hong Bing, Shan-Ping Tao","doi":"10.13702/j.1000-0607.20230087","DOIUrl":null,"url":null,"abstract":"Objectives: To compare the clinical effect of combined therapy of acupotomy and electroacupuncture (EA) with the simple application of EA on knee osteoarthritis (KOA), and their influence on knee function.Methods: Sixty-eight KOA patients were randomly divided into 2 groups, an acupotomy group and an EA group. In the acupotomy group, the combined therapy of acupotomy and EA was adopted. In the EA group, EA was simply used, delivered once every two days, 3 treatments a week；and the duration of treatment was 4 weeks. In the acupotomy group, besides the treatment as the EA group, acupotomy was combined once weekly, and the duration of treatment was 4 weeks. Separately, before and after treatment, and in 4 and 12 weeks after treatment completion (1-month and 3-month follow-up), the results of the timed up and go test (TUG), the 9-step stair climb test (9-SCT) and the knee function (Western Ontario and McMaster University osteoarthritis index visualization scale ［WOMAC］) were measured in the two groups.Results: By the intention-to-treat analysis, the results of TUG, 9-SCT and WOMAC scores were reduced after treatment and in 1-month and 3-month follow-up when compared with those before treatment in the patients of the two groups (P<0.05). Compared with the EA group at the same time point, TUG results were decreased after treatment and in 1-month follow-up, and WOMAC score was reduced after treatment in the acupotomy group. WOMAC score in 1-month follow-up was reduced when compared with that before treatment within the acupotomy group (P<0.05).Conclusions: Either the simple application of EA or the combined therapy of acupotomy and EA can improve knee function, but the combined therapy obviously increases the walking speed and relieves the symptoms such as joint pain and morning stiffness. The treatment with acupotomy and EA is safe and effective on KOA and the long-term effect is satisfactory.","PeriodicalId":34919,"journal":{"name":"针刺研究","volume":"49 4","pages":"398-402"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"针刺研究","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13702/j.1000-0607.20230087","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: To compare the clinical effect of combined therapy of acupotomy and electroacupuncture (EA) with the simple application of EA on knee osteoarthritis (KOA), and their influence on knee function.

Methods: Sixty-eight KOA patients were randomly divided into 2 groups, an acupotomy group and an EA group. In the acupotomy group, the combined therapy of acupotomy and EA was adopted. In the EA group, EA was simply used, delivered once every two days, 3 treatments a week；and the duration of treatment was 4 weeks. In the acupotomy group, besides the treatment as the EA group, acupotomy was combined once weekly, and the duration of treatment was 4 weeks. Separately, before and after treatment, and in 4 and 12 weeks after treatment completion (1-month and 3-month follow-up), the results of the timed up and go test (TUG), the 9-step stair climb test (9-SCT) and the knee function (Western Ontario and McMaster University osteoarthritis index visualization scale ［WOMAC］) were measured in the two groups.

Results: By the intention-to-treat analysis, the results of TUG, 9-SCT and WOMAC scores were reduced after treatment and in 1-month and 3-month follow-up when compared with those before treatment in the patients of the two groups (P<0.05). Compared with the EA group at the same time point, TUG results were decreased after treatment and in 1-month follow-up, and WOMAC score was reduced after treatment in the acupotomy group. WOMAC score in 1-month follow-up was reduced when compared with that before treatment within the acupotomy group (P<0.05).

Conclusions: Either the simple application of EA or the combined therapy of acupotomy and EA can improve knee function, but the combined therapy obviously increases the walking speed and relieves the symptoms such as joint pain and morning stiffness. The treatment with acupotomy and EA is safe and effective on KOA and the long-term effect is satisfactory.

查看原文本刊更多论文

穴位切开术联合电针对膝关节骨性关节炎患者膝关节功能的影响

目的比较穴位切开术和电针（EA）联合疗法与单纯应用 EA 对膝关节骨性关节炎（KOA）的临床疗效及其对膝关节功能的影响：方法：将68名KOA患者随机分为两组，即穴位切除组和EA组。穴位切除术组采用穴位切除术和 EA 联合疗法。EA 组仅使用 EA，每两天一次，每周 3 次；疗程为 4 周。穴位切开术组除采用 EA 组的治疗方法外，还结合使用穴位切开术，每周一次，疗程为 4 周。分别在治疗前、治疗后、治疗结束后4周和12周（1个月和3个月随访）测量两组患者的定时起立行走试验（TUG）、9级爬楼梯试验（9-SCT）和膝关节功能（西安大略和麦克马斯特大学骨关节炎指数可视化量表［WOMAC］）：结果：通过意向治疗分析，两组患者在治疗后、1个月和3个月随访中的TUG、9-SCT和WOMAC评分结果均比治疗前有所下降（PPC结论：无论是单纯应用EA还是EA治疗，两组患者在治疗后、1个月和3个月随访中的TUG、9-SCT和WOMAC评分结果均比治疗前有所下降：单纯应用EA或穴位切开术与EA联合治疗均可改善膝关节功能，但联合治疗可明显提高行走速度，缓解关节疼痛和晨僵等症状。穴位切开术和 EA 对 KOA 的治疗安全有效，远期疗效令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

针刺研究 Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture. The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.