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Article: Clinical decisions in the use of acupuncture as an adjunctive therapy for osteoarthritis of the knee

TitleClinical decisions in the use of acupuncture as an adjunctive therapy for osteoarthritis of the knee
Authors
Issue Date2001
PublisherInnoVision Communications. The Journal's web site is located at www.alternative-therapies.com
Citation
Alternative Therapies In Health And Medicine, 2001, v. 7 n. 4, p. 58-65 How to Cite?
AbstractObjective • To determine whether demographic, medical history, or arthritis assessment data may influence outcome and rate of decay for patients with osteoarthritis treated with acupuncture. Design • Seventy-three persons with symptomatic osteoarthritis of the knee were recruited for this randomized controlled trial. Both treatment and crossover control groups received acupuncture treatments twice weekly for 8 weeks. Patients self-scored on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Lequesne Algofunctional Index at baseline and 4, 8, and 12 weeks. Sample size for this outcomes analysis was 60 patients at 4 weeks, 58 at 8 weeks, and 52 at 12 weeks. Results • Patients' scores on both indexes improved at 4, 8, and 12 weeks. Scores were stable regardless of the baseline severity of the osteoarthritis. Despite some decay in outcomes at week 12, measures were significantly improved over baseline. With WOMAC scores partitioned into equal quartiles, a strong effect on outcome was apparent at 12 weeks (4 weeks after treatment) related to initial WOMAC scores. The group with the least disability and pain rebounded to original levels to a greater degree than did those who initially were more disabled. The more disabled groups retained the benefits of acupuncture treatment through the 12-week period. Conclusion • Acupuncture for patients with osteoarthritis of the knee may best be used early in the treatment plan, with a methodical decrease in frequency in treatment once the acute treatment period is completed to avoid a rebound effect. Demographic and medical history data were not mediating variables.
Persistent Identifierhttp://hdl.handle.net/10722/188538
ISSN
2015 Impact Factor: 1.329
2015 SCImago Journal Rankings: 0.497
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSingh, BBen_US
dc.contributor.authorBerman, BMen_US
dc.contributor.authorHadhazy, Ven_US
dc.contributor.authorBareta, Jen_US
dc.contributor.authorLao, Len_US
dc.contributor.authorZarow, FMen_US
dc.contributor.authorHochberg, Men_US
dc.date.accessioned2013-09-03T04:10:10Z-
dc.date.available2013-09-03T04:10:10Z-
dc.date.issued2001en_US
dc.identifier.citationAlternative Therapies In Health And Medicine, 2001, v. 7 n. 4, p. 58-65en_US
dc.identifier.issn1078-6791en_US
dc.identifier.urihttp://hdl.handle.net/10722/188538-
dc.description.abstractObjective • To determine whether demographic, medical history, or arthritis assessment data may influence outcome and rate of decay for patients with osteoarthritis treated with acupuncture. Design • Seventy-three persons with symptomatic osteoarthritis of the knee were recruited for this randomized controlled trial. Both treatment and crossover control groups received acupuncture treatments twice weekly for 8 weeks. Patients self-scored on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Lequesne Algofunctional Index at baseline and 4, 8, and 12 weeks. Sample size for this outcomes analysis was 60 patients at 4 weeks, 58 at 8 weeks, and 52 at 12 weeks. Results • Patients' scores on both indexes improved at 4, 8, and 12 weeks. Scores were stable regardless of the baseline severity of the osteoarthritis. Despite some decay in outcomes at week 12, measures were significantly improved over baseline. With WOMAC scores partitioned into equal quartiles, a strong effect on outcome was apparent at 12 weeks (4 weeks after treatment) related to initial WOMAC scores. The group with the least disability and pain rebounded to original levels to a greater degree than did those who initially were more disabled. The more disabled groups retained the benefits of acupuncture treatment through the 12-week period. Conclusion • Acupuncture for patients with osteoarthritis of the knee may best be used early in the treatment plan, with a methodical decrease in frequency in treatment once the acute treatment period is completed to avoid a rebound effect. Demographic and medical history data were not mediating variables.en_US
dc.languageengen_US
dc.publisherInnoVision Communications. The Journal's web site is located at www.alternative-therapies.comen_US
dc.relation.ispartofAlternative Therapies in Health and Medicineen_US
dc.subject.meshAcupuncture Therapyen_US
dc.subject.meshAgeden_US
dc.subject.meshCross-Over Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOsteoarthritis, Knee - Therapyen_US
dc.subject.meshPain Managementen_US
dc.subject.meshPain Measurementen_US
dc.subject.meshSeverity Of Illness Indexen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleClinical decisions in the use of acupuncture as an adjunctive therapy for osteoarthritis of the kneeen_US
dc.typeArticleen_US
dc.identifier.emailLao, L: lxlao1@hku.hken_US
dc.identifier.authorityLao, L=rp01784en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid11452568-
dc.identifier.scopuseid_2-s2.0-0034946414en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034946414&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume7en_US
dc.identifier.issue4en_US
dc.identifier.spage58en_US
dc.identifier.epage65en_US
dc.identifier.isiWOS:000172536500015-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridSingh, BB=7405639769en_US
dc.identifier.scopusauthoridBerman, BM=35458606800en_US
dc.identifier.scopusauthoridHadhazy, V=8728816500en_US
dc.identifier.scopusauthoridBareta, J=6602461100en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridZarow, FM=6507791452en_US
dc.identifier.scopusauthoridHochberg, M=7202565737en_US

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