A randomized trial of acupuncture as an adjunctive therapy in osteoarthritis of the knee
| Autor: | H Li, Brian Berman, Victoria Hadhazy, Lixing Lao, Bareta J, Betsy B Singh, Patricia Langenberg, Marc C. Hochberg |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty WOMAC Osteoarthritis Severity of Illness Index law.invention Disability Evaluation Rheumatology Randomized controlled trial law Arthropathy medicine Acupuncture Humans Pharmacology (medical) Acupuncture Analgesia Longitudinal Studies Aged business.industry Standard treatment Age Factors Middle Aged Osteoarthritis Knee Acupuncture treatment medicine.disease Clinical trial Treatment Outcome Linear Models Physical therapy Female business Follow-Up Studies |
| Zdroj: | Rheumatology. 38:346-354 |
| ISSN: | 1460-2172 |
| DOI: | 10.1093/rheumatology/38.4.346 |
| Popis: | Objective. The purpose of this study was to investigate the eYcacy of acupuncture as an adjunctive therapy to standard care for the relief of pain and dysfunction in elderly patients with osteoarthritis (OA) of the knee. Methods. Seventy-three patients with symptomatic OA of the knee were randomly assigned to treatment (acupuncture) or standard care (control ). Analysis was performed on last score carried forward to account for patients who dropped out before completion. Patients selfscored Western Ontario and McMaster Universities Osteoarthritis Index ( WOMAC ) and Lequesne indices at baseline and at 4, 8 and 12 weeks. Patients in the control group were oVered acupuncture treatment after 12 weeks. The data for these patients are pooled with those from the original acupuncture group for within-group analysis. Results. Patients randomized to acupuncture improved on both WOMAC and Lequesne indices compared to those who received standard treatment alone. Significant diVerences on total WOMAC Scale were seen at 4 and 8 weeks. There appears to be a slight decline in eVect at 4 weeks after cessation of treatment (12 weeks after first treatment). No adverse eVects of acupuncture were reported. Conclusion. These data suggest that acupuncture is an eVective and safe adjunctive therapy to conventional care for patients with OA of the knee. |
| Databáze: | OpenAIRE |
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