knee osteoarthritis
Conditions
Interventions
It was performed a longitudinal case reports study, randomized, single-blinded, placebo-controlled design with an experimental and qualitative / quantitative character. The research protocol was carri
EV1 (3h after treatment)
EV2 (3 days after treatment)
and EV3 (30 days after treatment) where the patients answered the same questionnaires and the goniometry and perimetry were performed again.
Twelve male and female patients aged between 60-80 years wi
H02.004
Sponsors
Universidade Brasil
Centro de Especialidades e Reabilitação (CER) da Praia Grande- SP
Eligibility
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: The individuals included in study must have a diagnosis of bilateral knee Osteoarthritis documented, with or without indication of total knee prosthesis but who have not yet been prosthetic; aged 60 years or over and equal to or less than 80 years deity. Participating individuals must be able to walk (gait), with or without support, so that it is possible to carry out the physical tests relevant to the study.
Exclusion criteria
Exclusion criteria: Subjects who underwent acupuncture or physiotherapy treatment for the condition in question within less than 6 months; undergoing drug treatment with steroidal or non-steroidal anti-inflammatory drugs. Patients with communication and comprehension disorders; insulin-dependent or non-insulin-dependent diabetics; illiterate individuals will also be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presentation of primary outcomes: were used followed methods : Western Ontario and Pain and Functional Scores were evaluated to verify the primary effects - pain ( goniometry) relief and edema (perimetry). To evaluate this informations specifically were used : McMaster Universities Osteoarthrites index questionary (WOMAC); evaluation of goniometry, perimetry and VAS pain were used. Results : The control and convencional acupuncture groups obtained better results in the pain relief and short-term edema (up to 7 days after treatment) than Electro Acupuncture group. EA group was more effective in long-term for pain, edema and range of motion (30 days after treatment) (p <0.05). We could not find any statistically significant results in cytokine titration. Conclusions: The current study indicates that EA treatment combined to mixed frequencies promoted short-term and long-term pain reduction in elderly patients with KOA.;presentation of primary outcomes : Pain, stiffness, and physical functioning of the joints also were evaluated by The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used, proprietary set of standardized . questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints. The WOMAC has also been used to assess back pain, rheumatoid arthritis, juvenile rheumatoid arthritis, systemic lupus erythematosus, and fibromyalgia. It can be self-administered and was developed at Western Ontario and McMaster Universities in 1982. The WOMAC measures five items for pain (score range 0–20), two for stiffness (score range 0–8), and 17 for functional limitation (score range 0–68).[2] Physical functioning questions cover everyday activities such as stair use, standing up from a sitting or lying position, standing, bending, walking, getting in and out of a car, shopping, putting on or taking off socks, lying in bed, get | — |
Secondary
| Measure | Time frame |
|---|---|
| Presentation of Secondary outcomes : Cytokines Analysis Cytokines are important mediators of the immune response, acting on the regulation, duration and intensity of this response. In this study we did not find any statistical significance between the treatments, only in IL-6 cytokines we find a trend of association, but the variation between patients were very high leading a loss of significance when compare all the groups together. ;Presentation of Secondary outcome - Long term evaluation - The intervention consisted of 3 twenty-minutes acupuncture sessions (20 minutes each) in 3 different days: at the beginning of treatment, after 3 days (72hs) and after 30 days. After a month of treatment, all patients will report the symptoms mentioned in the previous evaluations. | — |
Countries
Brazil
Contacts
Public ContactUniversidade Brasil
Outcome results
None listed