Effect of Acupuncture on Knee Function in Advanced Osteoarthritis of the Knee: A Prospective, Non-Randomised Controlled Study

Tillu, Abhay; Tillu, Sumedha; Vowler, Sarah L.

doi:10.1136/aim.20.1.19

Cited by 27 publications

(16 citation statements)

References 7 publications

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“…When individual CAM modalities were analyzed, significant reduction in pain was still realized for acupuncture, chiropractic, and naturopathy. Prior evaluations of pain in acupuncture and chiropractic using analogue scales have been carried out by a number of researchers with varied results (Bulow et al, 1992;David et al, 1999;Leibing et al, 2002;McMorland and Suter, 2000;Molsberger et al, 2002;Nyiendo et al, 2000Nyiendo et al, , 2001Pellow and Brantingham, 2001, Tillu et al, 2002Wood et al, 2001). Molsberger et al (2002) demonstrated a significant reduction in back pain using acupuncture when comparing three groups of patients; real acupuncture and orthopedic care, sham acupuncture and orthopedic care, and orthopedic care alone.…”

Section: Discussionmentioning

confidence: 96%

Implementation of Outcome Measures in a Complementary and Alternative Medicine Clinic: Evidence of Decreased Pain and Improved Quality of Life

Secor

Markow²,

Mackenzie³

et al. 2004

The Journal of Alternative and Complementary Medicine

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Section: Discussionmentioning

confidence: 96%

Implementation of Outcome Measures in a Complementary and Alternative Medicine Clinic: Evidence of Decreased Pain and Improved Quality of Life

Secor

Markow²,

Mackenzie³

et al. 2004

The Journal of Alternative and Complementary Medicine

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“…There was also insufficient evidence for the authors to determine whether the efficacy of acupuncture was similar to that of other treatments. Since the completion of the systematic review a non-rondomized trial has been published [13], in which the acupuncture group showed improved pain and function in patients with osteoarthritis of the knee.…”

Section: State Of Research On Acupuncture For Osteoarthritis Of the Kneementioning

confidence: 99%

Acupuncture Randomized Trials (ART) in Patients with Chronic Low Back Pain and Osteoarthritis of the Knee – Design and Protocols

et al. 2003

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Background: We report on the study design and protocols of two randomized controlled trials (Acupuncture Randomized Trials = ART) that investigate the efficacy of acupuncture in the treatment of chronic low back pain and osteoarthritis of the knee, respectively. Objective: To investigate whether acupuncture is more efficacious than (a) no treatment or (b) minimal acupuncture in the treatment of low back pain and osteoarthritis. Design: Two randomized, controlled, multicenter trials with three treatment arms and a total follow-up time of 52 weeks. Setting: 30 practitioners and outpatient units in Germany specialized in acupuncture treatment. Patients: 300 patients will be included in each study. In the low back pain trial, patients will be included according to clinical diagnosis. In the osteoarthritis pain trial, patients will be included according to the American College of Rheumatology criteria. Interventions: Patients are randomly assigned to receive either (1) semi-standardized acupuncture (150 patients), (2) minimal acupuncture at non-acupuncture points (75 patients), or (3) no treatment for two months followed by semi-standardized acupuncture (75 patients, waiting list control). Acupuncture treatment consists of 12 sessions per patient over a period of 8 weeks. Main Outcome Measure: The main outcome measure is the difference between baseline and the end of the 8-week treatment period in the following parameters: pain intensity as measured by a visual analogue scale (VAS; 0–100 mm) in the low back pain trial and by the Western Ontario and McMaster Universities Osteoarthritis Score (WOMAC) in the osteoarthritis trial. Outlook: The results of these two studies (available in 2004) will provide health care providers and policy makers with the information needed to make scientifically sound assessments of acupuncture therapy.

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“…[3][4][5][6][7] Many patients suffering from OA of the knee, who have not been helped by one or more Western therapy regimes, find relief from alternative medical approaches, including acupuncture. [8][9][10][11][12][13][14][15][16][17][18][19] A survey in 1996 showed that more than 50% of all cases treated by acupuncturists in the UK had OA. 20 It has been suggested that acupuncture, with its good safety record, [21][22][23] can be used to manage OA in patients for whom conventional Western treatments are inadequate or contraindicated.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Acupuncture on the Symptoms of Knee Osteoarthritis - An Open Randomised Controlled Study

Tukmachi¹,

Jubb²,

Dempsey

et al. 2004

Acupunct Med

120

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Background Using an open randomised controlled study, we examined the effectiveness of manual and electroacupuncture on symptom relief for patients with osteoarthritis of the knee. Methods Patients with symptomatic osteoarthritis of the knee were randomised to one of three treatment groups. Group A had acupuncture alone, group B had acupuncture but continued on their symptomatic medication, and group C used their symptomatic medication for the first five weeks and then had a course of acupuncture added. Patients receiving acupuncture were treated twice weekly over five weeks. Needles were inserted (with manual and electrical stimulation) in acupuncture points for pain and stiffness, selected according to traditional acupuncture theory for treating Bi syndrome. Patients were assessed by a blinded observer before treatment, after five weeks’ treatment and at one month follow up, using a visual analogue pain scale (VAS) and the Western Ontario McMaster (WOMAC) questionnaire for osteoarthritis of the knee. Results The 30 patients in our study were well matched for age, body mass index, disease duration, baseline VAS pain score and baseline WOMAC scores. Repeated measure analyses gave a highly significant improvement in pain (VAS) after the courses of acupuncture in groups A (P=0.012) and B (P=0.001); there was no change in group C until after the course of acupuncture, when the improvement was significant (P=0.001). Similarly significant changes were seen with the WOMAC pain and stiffness scores. These benefits were maintained during the one month after the course of acupuncture. Patients’ rating of global assessment was higher than that of the acupuncturist. Conclusion We conclude that manual and electroacupuncture causes a significant improvement in the symptoms of osteoarthritis of the knee, either on its own or as an adjunct therapy, with no loss of benefit after one month.

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Effect of Acupuncture on Knee Function in Advanced Osteoarthritis of the Knee: A Prospective, Non-Randomised Controlled Study

Cited by 27 publications

References 7 publications

Implementation of Outcome Measures in a Complementary and Alternative Medicine Clinic: Evidence of Decreased Pain and Improved Quality of Life

Implementation of Outcome Measures in a Complementary and Alternative Medicine Clinic: Evidence of Decreased Pain and Improved Quality of Life

Acupuncture Randomized Trials (ART) in Patients with Chronic Low Back Pain and Osteoarthritis of the Knee – Design and Protocols

The Effect of Acupuncture on the Symptoms of Knee Osteoarthritis - An Open Randomised Controlled Study

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