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Author (up) Taechaarpornkul, W.; Suvapan, D.; Theppanom, C.; Chanthipwaree, C.; Chirawatkul, A. url  openurl
  Title Comparison of the effectiveness of six and two acupuncture point regimens in osteoarthritis of the knee: a randomised trial Type of Study RCT
  Year 2009 Publication Abbreviated Journal Acupunct Med  
  Volume 27 Issue 1 Pages 3-8  
  Keywords Arthritis; Osteoarthritis, Knee; RCT; Acu Versus CAM Control; Acu Versus Acu; Electroacupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; CAM Control; AcuTrials  
  Abstract BACKGROUND: Although substantial data have supported the effectiveness of acupuncture for treating knee osteoarthritis (OA), the number of points used has varied. The objective of this study was to compare the effectiveness of six and two acupuncture points in the treatment of knee OA. METHODS: A randomised trial of knee OA patients was conducted. Patients were randomly allocated into two groups of 35. The “six point group” received treatment at six acupuncture points, ST35, EX-LE4 (Neixiyan), ST36, SP9, SP10 and ST34, while the “two point group” received treatment at just the first pair of points, ST35 and EX-LE4. Both groups received twice weekly electroacupuncture on 10 occasions. Electrical stimulation was carried out at low-frequency of 3 Hz to all points, with the intensity as high as tolerable. Both groups were allowed to take a 200 mg celecoxib capsule per day for intolerable pain. Patients were assessed at baseline, week 5, week 9 and week 13, using a Thai language version of the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Global assessment of change after 10 treatments was also recorded. RESULTS: Acupuncture at both six and two acupuncture points was associated with significant improvement. Mean total WOMAC score at weeks 5 and 13 of patients in both groups showed no significant difference statistically (p = 0.75 and p = 0.51). Moreover, the number of celecoxib capsules taken, global assessment of global change and body weight change of both groups also showed no statistical difference. CONCLUSION: This evidence suggests that electroacupuncture to two local points may be sufficient to treat knee OA, but in view of some limitations to this study further research is necessary before this can be stated conclusively  
  Address Sirindhorn National Medical Rehabilitation Center, 88/26 Soi Bamrasnaradura, Tiwanon Road, Nonthaburi 11000, Thailand; wiratt@health.moph.go.th  
  Publisher
  Language Number of Treatments 10  
  Treatment Follow-up 8 Weeks Frequency >1/WK Number of Participants 70  
  Time in Treatment 5 Weeks Condition Osteoarthritis, Knee
  Disease Category Arthritis OCSI Score  
  Notes Approved no  
  Call Number Serial 1142  
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