scholarly journals Effect of Electroacupuncture versus Sham Electroacupuncture in Patients with Knee Osteoarthritis: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Qi Wang ◽  
Hui Lv ◽  
Zhao-Tian Sun ◽  
Jian-Feng Tu ◽  
Yong-Wei Feng ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Dropout Rate ◽  
Flexor Muscle ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Pilot Randomized Controlled Trial

Objective. To explore the feasibility of evaluating the effectiveness and safety of electroacupuncture versus sham electroacupuncture for patients with knee osteoarthritis (KOA). Method. A pilot randomized controlled trial was conducted at a teaching hospital in Beijing. A total of 30 patients with KOA (Kellgren grade II or III) were randomly allocated to an eight-week treatment of either electroacupuncture or sham electroacupuncture. Patients and outcome assessors were blinded to group allocation. The primary outcome was the proportion of responders achieving at least 1.14 seconds decrease in the Timed Up and Go Test (TUG) at week eight compared with baseline. The secondary outcomes included the knee range of motion, the knee extensor and flexor muscle strength, Lequesne index, 9-step stair-climb test (9-SCT), and TUG. Results. Of 30 patients allocated to two groups, 27 (90%) completed the study. The proportion of responders was 53.3% (8 of 15) for electroacupuncture group and 26.7% (4 of 15) for sham electroacupuncture group by the intention-to-treat analysis (P=0.264). There was no statistically significant difference in TUG between the two groups at eight weeks (P=0.856). The compliance rate measured according to patients who conformed to the protocol and had received treatments ≥20 times was 93.3% (28 of 30). The dropout rate was 20% (3 of 15). Adverse effects were not reported in the study. Conclusion. Our research demonstrated that further evaluation of the effectiveness of electroacupuncture versus sham electroacupuncture was feasible and safe for patients with KOA. Whether or not the electroacupuncture can improve the physical functions of knee joint, expand the knee range of motion, and increase the extensor and flexor muscle strength more significantly than sham electroacupuncture, future studies can be designed with larger sample size, randomization design and less biases. This trial is registered with NCT03366363.

Effectiveness and feasibility of acupuncture for knee osteoarthritis: a pilot randomized controlled trial

2018 ◽  
Vol 32 (12) ◽  
pp. 1666-1675 ◽  
Author(s):  
Lu-Lu Lin ◽  
Yong-Ting Li ◽  
Jian-Feng Tu ◽  
Jing-Wen Yang ◽  
Ning Sun ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Response Rate ◽  
Controlled Trial ◽  
Womac Pain ◽  
Chinese Acupuncture ◽  
Randomized Controlled ◽  
Acupuncture Intervention ◽  
Significant Difference ◽  
And Function ◽  
Pilot Randomized Controlled Trial

Objective: To evaluate the effectiveness of acupuncture for pain relief and function improvement in patients with knee osteoarthritis and to determine the feasibility of an eight-week acupuncture intervention. Design: Pilot randomized controlled trial. Setting: Three teaching hospitals in China. Subjects: Patients with knee osteoarthritis (Kellgren grade II or III). Interventions: Patients were randomly assigned to an eight-week (three sessions per week) intervention of either traditional Chinese acupuncture or sham acupuncture. Main measures: The primary outcome was response rate—the proportion of patients achieving score ⩾36% decrease in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function at week 8 compared with baseline. Secondary outcomes included pain, function and quality of life. Results: Of 42 patients randomized, 36 (85.7%) completed the study. There was no significant difference in response rate between the traditional Chinese acupuncture and control groups: 61.9% (13 of 21) versus 42.9% (9 of 21) achieved score ⩾36% decrease in WOMAC pain and function at week 8 ( P = 0.217). The sum of WOMAC pain and function scores at week 8 was 11.6 (9.1) in the traditional Chinese acupuncture group compared with 16.3 (10.9) in the control group ( P = 0.183). There was no significant difference between groups. Three adverse events were recorded and were classified as mild. Conclusion: It showed that three sessions per week acupuncture intervention of knee osteoarthritis was feasible and safe. No difference was observed between groups due to small sample size. Larger (sample size ⩾ 296) randomized controlled trials of this intervention appear justified.

scholarly journals Effectiveness of Soft Tissue Massage for Nonspecific Shoulder Pain: Randomized Controlled Trial

2015 ◽  
Vol 95 (11) ◽  
pp. 1467-1477 ◽  
Author(s):  
Paul A. van den Dolder ◽  
Paulo H. Ferreira ◽  
Kathryn M. Refshauge
Keyword(s):  
Randomized Controlled Trial ◽  
Soft Tissue ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Controlled Trial ◽  
Study Objective ◽  
Randomized Controlled ◽  
Pain Disability ◽  
Significant Difference ◽  
Cessation Of Treatment

Background Soft tissue massage and exercise are commonly used to treat episodes of shoulder pain. Objective The study objective was to compare the effects of soft tissue massage and exercise with those of exercise alone on pain, disability, and range of motion in people with nonspecific shoulder pain. Design This was a randomized controlled trial. Setting The study was conducted in public hospital physical therapy clinics in Sydney, New South Wales, Australia. Participants The study participants were 80 people with an average age of 62.6 years (SD=12.2) who were referred to physical therapists for treatment of nonspecific shoulder pain. Intervention Participants were randomly assigned to either a group that received soft tissue massage around the shoulder and exercises (n=40) or a group that received exercise only (n=40) for 4 weeks. Measurements The primary outcome was improvement in pain, as measured on a 100-mm visual analog scale, 1 week after the cessation of treatment. Secondary outcomes were disability and active flexion, abduction, and hand-behind-back range of motion. Measurements were obtained at baseline, 1 week after the cessation of treatment, and 12 weeks after the cessation of treatment. Results The between-group difference in pain scores from the baseline to 12 weeks after the cessation of treatment demonstrated a small significant difference in favor of the group receiving exercise only (mean difference=14.7 mm). There were no significant differences between groups in any other variable. Limitations It was not possible to mask therapists or participants to group allocation. Diagnostic tests were not used on participants to determine specific shoulder pathology. Conclusions The addition of soft tissue massage to an exercise program for the shoulder conferred no additional benefit for improving pain, disability, or range of motion in people with nonspecific shoulder pain.

scholarly journals Randomized controlled trial of aquatic exercise for treatment of knee osteoarthritis in elderly people

2020 ◽  
Vol 11 (3) ◽  
pp. 161-167
Author(s):  
Sirous Azizi ◽  
Afsaneh Dadarkhah ◽  
Zahra Rezasoltani ◽  
Seyed Ahmad Raeissadat ◽  
Reza Kazempoor Mofrad ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Group Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
University Hospital ◽  
Aquatic Exercise ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Group Control

Aim The aim of this study is to assess the efficacy of aquatic exercise on pain, gait, and balance among elderly patients with knee osteoarthritis. Methods We performed a randomized controlled trial at a university hospital. Overall, 32 men with knee osteoarthritis, aged ≥ 60 years, were included. Pain, balance, and gait were evaluated before and 2 months after interventions. The group control used acetaminophen and followed lifestyle recommendations. The intervention group performed the aquatic exercise three sessions per week for 8 weeks. Results At the end of the study, mean pain scores were significantly different between the groups (p = 0.010). Within-group analyses showed that group intervention experienced significant pain relief (p = 0.019), whereas group control did not show the significant change (p = 0.493). There was significant improvement in favor of aquatic exercise with regard to static (p = 0.001) and dynamic (p = 0.001) balance, step length (p = 0.038), stride length (p < 0.001), and cadence (p < 0.001). However, we did not find a significant difference in step time and width between the two groups. Conclusions Aquatic exercise would be beneficial in decreasing subjective pain of osteoarthritis. There are some recognizable improvements in patients’ gait and balance as well.

scholarly journals Effect of Warm Epsom Salt Pack over Knee Osteoarthritis-A Randomized Controlled Trial

2021 ◽  
pp. 7-15
Author(s):  
Ranjini Rajasekharan ◽  
Sujatha Dinesh ◽  
Prashanth Shetty
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Weight Bearing ◽  
Control Group ◽  
Randomized Controlled ◽  
Epsom Salt

Aims: Osteoarthritis, the most common form of arthritis which commonly affects weight-bearing joints like the knee, hip, spine, and joints.  Since the effectiveness of conventional medicine on severe types of osteoarthritis is surgical intervention, the patients are seeking alternative medicine. A warm Epsom salt pack is used commonly for pains over joints. Hence this study is undertaken. Study Design: Randomized Controlled Trial. Place and Duration of Study: Department of Naturopathy, SDM College of Naturopathy and Yogic Sciences, between November 2019 and January2020. Methodology: From the inpatient department of Shri Dharmasthala Yoga and Nature cure Hospital Shanthivana, hundred subjects diagnosed with osteoarthritis belonging to the age groupof35to75yearswererecruitedandwererandomlyallocated to case (Warm Epsom salt pack) and control group. Subjects were assessed for Goniometry, Visual analog scale (VAS), Shortform-12(SF-12), Western Ontario and McMaster Osteoarthritis Index Scale (WOMAC) before and after the intervention of 20 minutes. Results: The study was done to evaluate the effect of Warm Epsom salt on Knee Osteoarthritis. There were 100 subjects in the sample. Shapiro-Wilk’s test/Quantile-Quantile (QQ) plot was used to check the normality of variables. In study group there was a significant decrease in Goniometry (p=<0.0001), SF 12 (p=<0.0001), WOMAC (P=<0.0001).  In the control group, other than VAS there were no significant changes in other variables (Goniometry, WOMAC, SF-12). Conclusion: Our study indicates that a warm Epsom salt pack may reduce pain, stiffness, range of motion, and improves the quality of life. The study revealed that Warm Epsom salt reduced Range of motion from 172.94 to 134.5, WOMAC from 65.94 to 26.38, and Quality of life from 33.98 to 31.22. Results reveal with significant improvement (p<0.001) in pain, swelling, and quality of life.

scholarly journals The evaluation of the long-term influence of the Kinesio Taping method on the selected parameters in patients with rotator cuff lesions: a randomized controlled trial

2020 ◽  
Author(s):  
Magdalena Wróbel ◽  
Aneta Bac ◽  
Katarzyna Ogrodzka-Ciechanowicz ◽  
Mateusz Zalewski ◽  
Edyta Michalik ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Rotator Cuff ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Control Group ◽  
Randomized Controlled ◽  
Kinesio Taping

Abstract BackgroundThe aim of our study was to assess the influence of KT on the pain, range of motion and muscle strength of the rotator cuff during long-term rehabilitation process. Methods In pre post treatment randomized controlled trial took part sixty outpatients with the rotator cuff injury. Thirty participants were assigned into a researched group in which Kinesio Taping was combined with a six-week rehabilitation program and a control group (30 patients) in which only rehabilitation program was employed. Patients underwent functional testing according to the protocol of Orthopaedic Medicine Cyriax and were subjected to the measurement of muscle strength using Biodex System 4 dynamometer. ResultsThe therapy brought positive results in both groups when it comes to the increase of their muscle strength and the improvement of the upper limb functionality. Better effects were achieved by the therapy that used Kinesio Taping method, although the differences were not statistically significant. ConclusionsThe use of the Kinesio Taping method combined with the rehabilitation program gave the same results as the employment of the rehabilitation program alone in reference to the pain, range of motion and muscle strength of the rotator cuff. Trail Registration This study was registered prospectively in the Australian New Zealand Clinical Trials Registry (ANZCTR). ACTRN12617000624381.https://www.anzctr.org.au/ ACTRN12617000624381.

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