Research: HOU and COLLEAGUES,

Listed in Issue 283

Abstract

HOU and COLLEAGUES, 1 Department of TCM, General Hospital of Guangzhou Military Region, Guangzhou 510010, Guangdong Province, China; •         PMID: 30672254 set out to observe the efficacy difference between fan-needle radiofrequency guided by meridians-muscles theory and oral administration of medication for knee osteoarthritis (KOA).

Background

The authors set out to observe the efficacy difference between fan-needle radiofrequency guided by meridians-muscles theory and oral administration of medication for knee osteoarthritis (KOA).

Methodology

One hundred patients with KOA were randomly divided into an acupuncture group and a medication group, 50 cases in each one. The patients in the acupuncture group were treated with fan-needle radiofrequency guided by meridians-muscles theory at tendon nodes around knee joints (ashi points), 4 points per treatment, once every two weeks and two treatments were given. The patients in the medication group were treated with oral administration of celecoxib capsules, 1 capsule every day for 4 weeks. The visual analogue scale (VAS) and Western Ontario and McMaster Universities (WOMAC) in the two groups were observed before treatment, after treatment and during 4-week follow-up visit. The clinical efficacy was evaluated.

Results

Compared before treatment, the VAS was reduced in the two groups after treatment and during 4-week follow-up visit (all P<0.05), and the VAS score in the acupuncture group was lower than that in the medication group (both P<0.05). Compared before treatment, the pain score, stiffness score, activity function score and total score of WOMAC were reduced in the two groups after treatment and during 4-week follow-up visit (all P<0.05), and the scores in the acupuncture group were lower than those in the medication group (all P<0.05). After treatment, the total effective rate was 80.0% (40/50) in the acupuncture group, which was superior to 56.0% (28/50) in the medication group (P<0.05). During 4-week follow-up visit, the total effective rate was 76.0% (38/50) in the acupuncture group, which was superior to 40.0% (20/50) in the medication group (P<0.05).

Conclusion

The efficacy of fan-needle radiofrequency guided by meridians-muscles theory is superior to oral administration of celecoxib capsules for KOA, which could relieve joint pain and stiffness, improve joint mobility, and has long effective duration.

References

Chun-Fu Hou  1 , Song Wei  1 , Hui Li  1 , Zhi-Huang Chen  1 , Xiao-Hao Li  1 , Jing Guo  1.[Efficacy of fan-needle radiofrequency for knee osteoarthritis guided by meridians-muscles theory]. Zhongguo Zhen Jiu;39 (1):37-41. doi: 10.13703/j.0255-2930.2019.01.008. Jan 12 2019.

Comment

The above research demonstrated that the efficacy of fan-needle radiofrequency guided by meridians-muscles theory was superior to medication for the relief of symptoms of  knee osteoarthritis (KOA).

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