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Author Miller, E.; Maimon, Y.; Rosenblatt, Y.; Mendler, A.; Hasner, A.; Barad, A.; Amir, H.; Dekel, S.; Lev-Ari, S.
Title Delayed Effect of Acupuncture Treatment in OA of the Knee: A Blinded, Randomized, Controlled Trial Type of Study RCT
Year 2009 Publication Evidence-based complementary and alternative medicine : eCAM Abbreviated Journal Evid Based Complement Alternat Med
Volume Issue Pages -
Keywords Acu + Usual Care Versus Sham + Usual Care; Acupuncture; AcuTrials; Arthritis; Non Penetrating Sham, Mechanical; Osteoarthritis, Knee; Pain; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Sham Control; Symptom Based Point Selection; TCM Acupuncture Style; Verum Acupoint Control
Abstract To assess the efficacy in providing improved function and pain relief by administering 8 weeks of acupuncture as adjunctive therapy to standard care in elderly patients with OA of the knee. This randomized, controlled, blinded trial was conducted on 55 patients with OA of the knee. Forty-one patients completed the study (26 females, 15 males, mean age +/- SD 71.7 +/- 8.6 years). Patients were randomly divided into an intervention group that received biweekly acupuncture treatment (n = 28) and a control group that received sham acupuncture (n = 27), both in addition to standard therapy, e.g. NSAIDS, cyclooxygenase-2 inhibitors, acetaminophen, intra-articular hyaluronic acid and steroid injections. Primary outcomes measures were changes in the Knee Society Score (KSS) knee score and in KSS function and pain ratings at therapy onset, at 8 weeks (closure of study) and at 12 weeks (1 month after last treatment). Secondary outcomes were patient satisfaction and validity of sham acupuncture. There was significant improvement in all three scores in both groups after 8 and 12 weeks compared with baseline (P<0.05). Significant differences between the intervention and control groups in the KSS knee score (P = 0.036) was apparent only after 12 weeks. Patient satisfaction was higher in the intervention group. Adjunctive acupuncture treatment seems to provide added improvement to standard care in elderly patients with OA of the knee. Future research should determine the optimal duration of acupuncture treatment in the context of OA
Address Unit of Complementary Medicine, Tel Aviv Sourasky Medical Center, 6 Weizmann St., Tel Aviv 64239, Israel. compmed@tasmc.health.gov.il
Publisher
Language Number of Treatments 16
Treatment Follow-up 4 Weeks Frequency >1/WK Number of Participants 55
Time in Treatment 8 Weeks Condition Osteoarthritis, Knee
Disease Category Arthritis OCSI Score
Notes Approved no
Call Number Serial 872
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