Osteoarthritis, Knee
Conditions
Brief summary
To study the efficacy of laser acupuncture on osteoarthritis (OA) knee patients by magnetic resonance imaging (MRI), clinical evaluation and movement analysis.
Detailed description
The Kellgren-Lawrence (KL) grading scheme for OA knee Patient selecting flow Age: 20-70 year old Grade II-III knee OA Exlusion: Trauma history/ Space claustrophobia /Severe chronic disease/ Malignancy Pregnancy Study Cases 40 Randomize Pre-treatment MRI (to evaluate grade of OA knee/ the T2 signal of the cartilage), MRS (baseline glutamate), Movement analysis(sit to stand), Maximum strength ratio of Quadriceps/Hamstring WOMAC Post-treatment evaluation laser therapy Modality: LA-400 Treatment protocol of low level laser * 40mW, 50Hz, 808nm (invisible light) , 15min * The effect of laser acupuncture is dose dependent Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older SubjectsJ Lasers Med Sci. 2016 Spring; 7(2): 112-119 * 830nm is an effective form of treatment for chronic knee pain caused by knee osteoarthritis. Low Level Laser Therapy for chronic knee joint pain patientsLaser Ther. 2014 Dec 27; 23(4): 273-277 * Duration: 2 weeks Frequency: 3 times/week * Control group: no treatment Acupuncture point: EX- LE-5, EX-EL 2, SP10
Interventions
low level laser
Sponsors
Study design
Eligibility
Inclusion criteria
* Kellgren-Lawrence grade II \ III
Exclusion criteria
* Trauma history/ Space claustrophobia/ Severe chronic disease/Malignancy Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| difference on MRI post- versus pre- treatment | 2 weeks | compare the apparent diffusion coefficient (ADC) value post- and pre- treatment, suppose that the higher the value, the less inflammation in target tissue |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improve stability on movement analysis | 2 weeks | Calculate the area of center of posture (COP) during the movement. Suppose that the lower value, the higher stability. |
Other
| Measure | Time frame | Description |
|---|---|---|
| decreased WOMAC score | 2 weeks | The Western Ontario and McMaster Universities Osteoarthritis Index, pain(0-20), stiffness(0-8), functional limitation(0-68). The higher the score, the worse the pain, stiffness and limitation |
Countries
Taiwan