拔火罐治疗膝关节骨性关节炎的疼痛管理和改善生活质量:1例报告。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Hayder Ali Shah, Ajay Kumar Tikoo, Sabiha Khan
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引用次数: 0

摘要

背景:骨关节炎是最常见的肌肉骨骼疾病之一,可导致疼痛、功能恶化和生活质量下降。膝骨关节炎被认为是世界范围内造成残疾最多的疾病。现有的骨关节炎药物治疗方法引起了对安全性的担忧。在乌干达医学中,建议在治疗疼痛性肌肉骨骼疾病时采用几种称为Ilāj bi'l tadb r(方案疗法)的非药物方案。在所有这些做法中,干拔罐(Hijāmah bilā Shart)是独特的,在大多数经典的Unani文献中被推荐为治疗膝关节骨关节炎疼痛最有效的方法之一。本文报告一例用拔火罐治疗膝骨关节炎。病例介绍:一名57岁的女性患者,有3年的右膝疼痛、僵硬和日常活动困难史。患者在干预前进行了临床检查,诊断为右膝骨关节炎,放射检查进一步证实了这一点。拔火罐治疗膝关节4周。每2天共进行10次坐诊。患者症状逐渐改善,在4周治疗期后症状逐渐减轻。具体而言,数值疼痛评定量表(NPRS)评分从8分下降到2分,西安大略和麦克马斯特大学骨关节炎指数(WOMAC)僵硬和功能能力评分从50分下降到25分,36项简短健康调查(SF-36)测量的生活质量评分从35分提高到75分。结论:本病例研究确立了火罐治疗作为一种安全、无创的治疗选择的有效性,并为其在膝关节骨关节炎治疗中的应用开辟了新的可能性。然而,进一步的研究,以确定拔火罐治疗的疗效和效果是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cupping Therapy for Pain Management and Improving the Quality of Life in Knee Osteoarthritis: A Case Report.

Background: As one of the most prevalent musculoskeletal diseases, osteoarthritis, causes pain, deterioration in functioning, and reduction in quality of life. The condition that is thought to contribute most to disability worldwide is knee osteoarthritis. Existing pharmacological treatments for osteoarthritis raise safety concerns. In Unani medicine, several non-pharmacological regimens known as Ilāj bi'l Tadbīr (Regimenal therapies) are advised in the management of painful musculoskeletal disorders. Among all these practices, dry cupping (Hijāmah bilā Shart) is unique and recommended as one of the most effective methods for knee osteoarthritis pain management in the majority of classical Unani literature. This report presents a case of knee osteoarthritis treated using cupping therapy.

Case presentation: A 57-year-old female patient presented with a 3-year-long history of right knee pain, stiffness, and difficulty in daily activities. The patient was examined clinically before intervention and was diagnosed with right knee osteoarthritis which was further supported by radiological investigations. Cupping therapy was administered over the affected knee joint for 4 weeks. A total of 10 sittings were carried out every 2 days. The patient's symptoms gradually ameliorated, ultimately becoming minimal following the 4-week treatment period. Specifically, the Numerical Pain Rating Scale (NPRS) score decreased from 8 to 2, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score for stiffness and functional ability improved with a decrease from 50 to 25, and the quality of life score measured by 36-Item Short Form Health Survey (SF-36) improved from 35 to 75.

Conclusion: Our case study established cupping therapy's effectiveness as a secure, non-invasive treatment option and opened new possibilities for its application in the management of knee osteoarthritis. However, further research is imperative to establish the efficacy and effectiveness of cupping therapy.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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