Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Comparison of the Effects of Acupuncture and Physical Modality on Symptoms of Knee Osteoarthritis



Saleki M1 ; Ahadi T2 ; Razi M3 ; Raeisi GR2 ; Forough B2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Sport Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Physical Medicine and Rehabilitation, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Orthopedic Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Isfahan Medical School Published:2012

Abstract

Background: Osteoarthritis is the most common form of joint disease and a leading cause of disability in the elderly. The symptoms of osteoarthritis are pain, morning stiffness, and limited motion of the joint. Different treatments have been proposed for management of osteoarthritis but the results are not clear. We compared the effects of acupuncture and physical modalities on symptoms of knee osteoarthritis. Methods: In this study, 40 patients with knee osteoarthritis according to American College of Rheumatology (ACR) criteria were recruited using strict inclusion and exclusion criteria. The patients were randomly divided into two groups (A and B). The acupuncture group (A) only received acupuncture at selected acupoints for knee pain. On the other hand, the physical modality group (B) received transcutaneous electrical nerve stimulation (TENS), ultrasound (US), and hot pack at pain areas for 4 weeks. Treatment was performed 3 times weekly for 4 weeks (12 sessions) in both groups. Pain intensity was measured based on a visual analogue scale (VAS) while function was evaluated using knee injury and osteoarthritis outcome score with (KOOS). T-test was used to analyze the data in SPSS11. Findings: After treatment, acupuncture and physical modality groups reported significant improvements in symptoms. Compared to group A, group B reported a significantly higher level of improvement in subscale of everyday activity (P < 0.05). Based on VAS, pain intensity scores decreased in both groups but significantly more in group A (P < 0.05). Conclusion: According to the results of the present study, both acupuncture and physical modalities could efficiently reduce pain intensity and enhance daily activities and quality of life in patients with knee osteoarthritis. While acupuncture was more effective on pain reduction, physical modalities could better improve daily activity.
Related Docs
View other Related Docs
1. Comparative Steed of the Effects of Electro-Acupuncture and Sham Electro-Acupuncture on Pain and Function in Patients With Patellofemoral Pain Syndrome: A Randomized Clinical Trial Study, Journal of Isfahan Medical School (2020)
2. Effectiveness of High-Intensity Laser Therapy for Pain and Function in Knee Osteoarthritis: A Randomized Controlled Trial, Middle East Journal of Rehabilitation and Health Studies (2024)
3. Comparison of Postoperative Pain and Clinical Outcomes of Total Knee Arthroplasty Among Patients With Rheumatoid Arthritis and Osteoarthritis Referred to Clinic or Emergency Department, Advanced Biomedical Research (2023)
4. Does Changes in the Electrical Resistance of an Acupuncture Meridian Predict Pain Intensity Following Orthopedic Surgery?, Anesthesiology and Pain Medicine (2013)
5. Evaluation of the Effects of Ankle Foot Orthosis on the Performance of the Subjects With Knee Joint Osteoarthritis, Physical and Occupational Therapy in Geriatrics (2024)
6. Effect of Exercise Therapy and Physiotherapy on Patients With Chronic Low Back Pain, Journal of Isfahan Medical School (2011)
7. The Effect of Adductor Canal Block on Hemodynamic Variables and Pain After Total Knee Arthroplasty Under Spinal Anesthesia in Comparison With Control Group, Journal of Isfahan Medical School (2017)
8. The Effects of Various Kinds of Lateral Wedge Insoles on Performance of Individuals With Knee Joint Osteoarthritis, International Journal of Preventive Medicine (2012)
Experts (# of related papers)
View all Related Experts
Mehdi Motififard (6)
Zahra Sadat Rezaeian (4)
Other Related Docs
9. Effects of Foot Reflexology on Pain in Patients After Lower Limb Amputation, Journal of Mazandaran University of Medical Sciences (2016)
10. Evaluation of the Effectiveness of Topical Oily Solution Containing Frankincense Extract in the Treatment of Knee Osteoarthritis: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial, BMC Research Notes (2023)
11. Evaluation of the Effect of Elaeagnus Angustifolia Alone and Combined With Boswellia Thurifera Compared With Ibuprofen in Patients With Knee Osteoarthritis: A Randomized Double-Blind Controlled Clinical Trial, Clinical Rheumatology (2017)
12. The Reasons for and Satisfaction From Using Acupuncture in Isfahan, Journal of Isfahan Medical School (2012)
13. Pre-Emptive Injection of Peri-Articular-Multimodal Drug for Post-Operative Pain Management in Total Knee Arthroplasty: A Double-Blind Randomized Clinical Trial, International Orthopaedics (2017)
14. Does Knee Malalignment Predict the Efficacy of Realignment Therapy for Patients With Knee Osteoarthritis?, International Journal of Rheumatic Diseases (2017)
15. Acupuncture in Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial Study, Journal of Research in Medical Sciences (2012)
16. Sound Side Joint Contact Forces in Below Knee Amputee Gait With an Esar Prosthetic Foot, Gait and Posture (2017)
17. The Effect of Proximal Tibial Osteotomy in Correction of Lower Limb Alignment in Patients With Medial Compartment Knee Osteoarthritis, Journal of Isfahan Medical School (2012)
18. Effects of Total Knee Replacement on Quality of Life in 60-70 Year-Old Patients With Advanced Knee Osteoarthritis, Journal of Isfahan Medical School (2012)
19. Effects of Dry Needling on Pain in Patients With Knee Osteoarthritis: A Preliminary Study, Advanced Biomedical Research (2022)
20. Comparison of the Effects of Preoperative Celecoxib and Gabapentin on Pain, Functional Recovery, and Quality of Life After Total Knee Arthroplasty: A Randomized Controlled Clinical Trial, Journal of Research in Medical Sciences (2023)
21. Effect of Pulsed Electromagnetic Fields on Clinical Signs and Quality of Life in Patients With Hemophilic Arthropathy of the Knee Joint: A Randomized Controlled Trial, Advanced Biomedical Research (2020)
22. Comparing the Effectiveness of Kinesio Taping and Hand Exercise on Pain, Range of Motion and Grip Strength in Patients With Hand Osteoarthritis, Journal of Mazandaran University of Medical Sciences (2018)
23. Cross-Cultural Adaptation and Validation of the Persian Version of the Intermittent and Constant Osteoarthritis Pain Measure for the Knee, Iranian Journal of Nursing and Midwifery Research (2016)
24. Comparison of the Effects of 3-Point Valgus Knee Support and Lateral Wedge Insoles in Medial Compartment Knee Osteoarthritis, Iranian Red Crescent Medical Journal (2011)
25. Predictors of Persistent Post-Surgical Pain Following Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Observational Studies, Pain Medicine (United States) (2023)
26. Analgesic Effects of Intra-Articular Fentanyl, Pethidine and Dexamethasone Arter Knee Arthroscopic Surgery, Journal of Research in Medical Sciences (2006)
27. Effects of Curcuma, Black Pepper, and Ginger on the Pain and Performance of Patients With Chronic Knee Osteoarthritis, Journal of Health System Research (2020)
28. The Immediate Effects of Orthoses on Pain in People With Lateral Epicondylalgia, Pain Research and Treatment (2013)
29. Therapeutic Electrical Stimulation Currents in Chronic Non-Specific Low Back Pain: Designing a Systematic Review, Muscles, Ligaments and Tendons Journal (2020)
30. Evaluation of Ground Reaction Forces in Patients With Various Severities of Knee Osteoarthritis, Journal of Mechanics in Medicine and Biology (2016)
31. The Therapeutic Effect of Acupuncture on Trigger Finger Disease, Journal of Isfahan Medical School (2018)
32. The Effect of Skin Traction on Pain Relief in Patients With Isolated Intertrochanteric Fractures, a Randomized Clinical Trial, BMC Musculoskeletal Disorders (2023)
33. Effects of Adjunct Glucosamine Sulfate on Relapsing-Remitting Multiple Sclerosis Progression: Preliminary Findings of a Randomized, Placebo-Controlled Trial, Neurological Research (2010)
34. Evaluation of Effects of Acupancture in Reduces Pain After, Journal of Isfahan Medical School (2011)
35. The Effect of Mulligan Mobilization Technique on Static and Dynamic Balance in Patients With Moderate to Severe Knee Osteoarthritis: A Randomized Controlled Clinical Trial, Journal of Rehabilitation Sciences and Research (2023)
36. Responsiveness and the Minimal Important Change of Knee Injury and Osteoarthritis Outcome Score in Persian Patients With Knee Osteoarthritis Following Physiotherapy Intervention, Physiotherapy theory and practice (2022)
37. Reduced Morphine Consumption and Pain Severity With Transdermal Fentanyl Patches Following Total Knee Arthroplasty, Knee Surgery, Sports Traumatology, Arthroscopy (2014)
38. Comparison of the Effect of Disease: Modifying Antirheumatic Drugs Alone or in Combination With Biologic Drugs in the Outcome of Patients With Rheumatoid Arthritis, Advanced Biomedical Research (2019)
39. The Home-Based Mirror Therapy in the Reduction of Phantom Limb Pain in Unilateral Below-Knee Amputees, Journal of Neurosciences in Rural Practice (2024)
40. The Effectiveness of a Newly Designed Orthosis on Knee Contact Forces in Subjects With Knee Osteoarthritis, Ortopedia Traumatologia Rehabilitacja (2015)
41. Effectiveness of Acupuncture in Reducing Pain and Improving Shoulder Function in Patients With Rotator Cuff Tendinopathy: A Clinical Trial Study, Middle East Journal of Rehabilitation and Health Studies (2022)
42. Comparison of Performance and Pain Intensity After Total Knee Arthroplasty Using General or Regional Anesthesia, Journal of Isfahan Medical School (2012)
43. The Effects of Hand Exercise on Function and Physical Impairments in Patient With Hand Osteoarthritis, Journal of Isfahan Medical School (2018)
44. Osteoarthritis Patients' Experiences of Pharmacotherapy for Pain Management in Iran: A Qualitative Study, Drug Research (2017)