A pilot study on using acupuncture and transcutaneous electrical nerve stimulation (TENS) to treat knee osteoarthritis (OA)

Itoh, K.

Hirota, S.

Katsumi, Y.

Ochi, H.

Kitakoji, H.

Chinese medicine [electronic resource]

2008

3

2-

RCT

CAM Control

Acu Versus > 1 Control

Acupuncture

Arthritis

Fixed Acupuncture Protocol

Osteoarthritis, Knee

Pain

Pilot Study

RCT

Restricted Modalities, Acupuncture + Other

TCM Acupuncture Style

TENS

Transcutaneous Electric Nerve Stimulation

ABSTRACT: BACKGROUND: The present study tests whether a combined treatment of acupuncture and transcutaneous electrical nerve stimulation (TENS) is more effective than acupuncture or TENS alone for treating knee osteoarthritis (OA). METHODS: Thirty-two patients with knee OA were randomly allocated to four groups. The acupuncture group (ACP) received only acupuncture treatment at selected acupoints for knee pain; the TENS group (TENS) received only TENS treatment at pain areas; the acupuncture and TENS group (A&T) received both acupuncture and TENS treatments; the control group (CT) received topical poultice (only when necessary). Each group received specific weekly treatment five times during the study. Outcome measures were pain intensity in a visual analogue scale (VAS) and knee function in terms of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). RESULTS: The ACP, TENS and A&T groups reported lower VAS and WOMAC scores than the control group. Significant reduction in pain intensity (P = 0.039) and significant improvement in knee function (P = 0.008) were shown in the A&T group. CONCLUSION: Combined acupuncture and TENS treatment was effective in pain relief and knee function improvement for the sampled patients suffering from knee OA

Arthritis

1/WK

32

5 Weeks