Effectiveness and safety of polydioxanone thread-embedding acupuncture (TEA) and electroacupuncture (EA) treatment for knee osteoarthritis (KOA) patients with postoperative pain
“…Different wave types had different therapeutic effects, alternative waves can cause an inhibitory effect on motor nerves, with a good analgesic effect and lasting for a long time [13]. Previous studies [14][15][16] had shown that alternative waves could promote energy and metabolism, improved the flow of qi and blood, and had been widely used in the treatment of cervical spondylosis and other diseases [17,18]. One of the main features of Chinese medicine was syndrome differentiation and treatment, and naprapathy was a common Chinese rehabilitation therapy.…”
Objective. We aim to explore the clinical therapeutic effect of alternative wave electroacupuncture combined with Lee’s naprapathy therapy on knee osteoarthritis (KOA) (blood stasis due to qi stagnation). Method. 122 patients with KOA treated in our hospital from January 2018 to October 2021 were randomly grouped into a combined group (n = 61) and a control group (n = 61). The combined group was treated with alternative wave electroacupuncture combined with Lee’s naprapathy, while the control group was treated with alternative wave electroacupuncture alone. Clinical efficacy of the two groups was observed. The Visual Analogue Scale (VAS), Lysholm Scale, Indexes of Severity for Osteoarthritis (ISOA), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were compared before and after treatment, followed up for 3 months and 6 months. The adverse reactions of the two groups were observed. Result. The overall response rate of the combined group (96.72%) was higher than that of the control group (81.97%), and the difference was statistically significant (
P
<
0.05
). After treatment and follow-up for 3 months and 6 months, the Lysholm score of the combined group was higher than that of the control group, while the VAS, ISOA, and WOMAC scores were lower than those of the control group, and the difference between the two was statistically significant (
P
<
0.05
). There were no serious adverse reactions in both groups (
P
>
0.05
). Conclusion. The alternative wave electroacupuncture combined with Lee’s naprapathy is effective and safe in treating KOA (blood stasis due to qi stagnation).
“…Different wave types had different therapeutic effects, alternative waves can cause an inhibitory effect on motor nerves, with a good analgesic effect and lasting for a long time [13]. Previous studies [14][15][16] had shown that alternative waves could promote energy and metabolism, improved the flow of qi and blood, and had been widely used in the treatment of cervical spondylosis and other diseases [17,18]. One of the main features of Chinese medicine was syndrome differentiation and treatment, and naprapathy was a common Chinese rehabilitation therapy.…”
Objective. We aim to explore the clinical therapeutic effect of alternative wave electroacupuncture combined with Lee’s naprapathy therapy on knee osteoarthritis (KOA) (blood stasis due to qi stagnation). Method. 122 patients with KOA treated in our hospital from January 2018 to October 2021 were randomly grouped into a combined group (n = 61) and a control group (n = 61). The combined group was treated with alternative wave electroacupuncture combined with Lee’s naprapathy, while the control group was treated with alternative wave electroacupuncture alone. Clinical efficacy of the two groups was observed. The Visual Analogue Scale (VAS), Lysholm Scale, Indexes of Severity for Osteoarthritis (ISOA), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were compared before and after treatment, followed up for 3 months and 6 months. The adverse reactions of the two groups were observed. Result. The overall response rate of the combined group (96.72%) was higher than that of the control group (81.97%), and the difference was statistically significant (
P
<
0.05
). After treatment and follow-up for 3 months and 6 months, the Lysholm score of the combined group was higher than that of the control group, while the VAS, ISOA, and WOMAC scores were lower than those of the control group, and the difference between the two was statistically significant (
P
<
0.05
). There were no serious adverse reactions in both groups (
P
>
0.05
). Conclusion. The alternative wave electroacupuncture combined with Lee’s naprapathy is effective and safe in treating KOA (blood stasis due to qi stagnation).
“…2020 saw the burstness of the term “osteoarthritis”, indicating that in the last two years acupuncture analgesic techniques have started to be used in osteoarthritis surgery more often and intensive research has been conducted. 47 , 48 …”
Section: Discussionmentioning
confidence: 99%
“…2020 saw the burstness of the term "osteoarthritis", indicating that in the last two years acupuncture analgesic techniques have started to be used in osteoarthritis surgery more often and intensive research has been conducted. 47,48 The citation status of the references also manifests a distinctly evidence-based medical color. The most influential literatures in this field are of a variety which is dominated by RCTs and systematic reviews of clinical studies.…”
The purpose of this study is to analyze and visualize the research trends on acupuncture therapy for postoperative pain over the past 20 years to identify hotspots and frontiers, and provide new research ideas. Methods: A search of the Web of Science database, with a time frame of 2001-01-01 to 2022-02-28, was conducted to collect literatures related to acupuncture therapy for postoperative pain. A bibliometric analysis and visualization of results was performed using CiteSpace software for the volume of annual publications, journals, countries, institutions, authors, keywords, and references. Results: A total of 840 literatures were eventually included in the analysis. The number of publications has fluctuated upwards each year over the past 20 years and reached a peak in the latest three years. Evidence-Based Complementary and Alternative Medicine was the journal with the most relevant publications and Pain was the most frequently cited journal. The country with the highest volume of publications was China, and the USA contributed most to the international collaboration. The most prolific and influential authors were Inhyunk Ha and Han JS respectively. The most frequent keyword was "acupuncture". References with highest frequency or centrality were both systematic evaluations focusing on different acupuncture therapies for postoperative pain relief.
Conclusion:The field of acupuncture therapy for postoperative pain is currently in a period of high growth. China and the USA have made the largest contribution to the volume of publications. The most influential institutions and authors are mainly from China and South Korea. The overall collaborative network needs to be strengthened. Electroacupuncture and auricular acupuncture (therapeutic techniques), low back surgery (types of surgery), and "postoperative pain, nausea and vomiting" are research hotspots in this field. Improvement of postoperative life quality, proof of clinical efficacy and evidence-based evaluation are the current research trends and frontiers.
“…In this study, the acupuncture points were selected to relieve pain in the knee joint as described in related previous studies. [7,19] Nine points were identified on the affected side: SP10, ST34, ST35, EX-LE5, SP9, GB34, GB33, ST36, and KI10. In case of pain in both knees, acupuncture points were considered from both sides.…”
Section: Experimental Group and Control Groupmentioning
Background:
We aimed to comparatively analyze the effect of integrative medicine treatments (lifestyle change education, use of anti-inflammatory drugs, acupuncture, manual therapy-type massage) and conventional medical treatments (lifestyle change education and use of anti-inflammatory drugs) on pain control, knee function improvement, and quality of life improvement in patients with degenerative knee arthritis.
Methods:
In this study, 30 patients were randomly divided into the control group (n = 15) and the experimental group (n = 15). Both groups were prescribed anti-inflammatory drugs and lifestyle change education for 12 weeks. The experimental group underwent acupuncture including electroacupuncture, moxibustion, and manual therapy-type massage 12 times during the first 6 weeks. Evaluations were performed at 3 visits: visit 1 (before treatment), visit 2 (6 weeks after initial treatment), and visit 3 (12 weeks after initial treatment). The effect of each treatment was measured using Visual Analog Scale (VAS, 0–10), Western Ontario and McMaster Universities index (WOMAC), and SF-36.
Results:
From visit 1 to visit 2, the mean value of VAS decreased by 0.72 and 3.17 in the control and experimental groups, respectively. From visit 2 to visit 3, the mean VAS value decreased by 0.25 in the control group but increased by 0.87 in the experimental group. Among the sub-area of SF-36, the physical role restriction area and mental health area showed significant differences between the 2 groups over time (P = .024, P = .006).
Conclusion:
Integrative medicine treatment has superior effects in pain control over conventional medical treatment. In integrative medicine treatment, pain control tends to decrease with time, but still superior over conventional medical treatment up to 6 weeks after treatment (12 weeks after initial treatment).
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