Knee osteoarthritis Osteoarthritis of the knee Degenerative joint disease Joint pain Mobility limitation Tu Dieu Thang Herbal medicine Traditional medicine Electroacupuncture Shortwave therapy Integrative medicine Pain management Knee joint WOMAC score VAS pain scale
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 38 years or older diagnosed with primary knee osteoarthritis according to the American College of Rheumatology (1991) criteria. Radiographic grade I and II based on the Kellgren Lawrence classification. Visual Analogue Scale (VAS) pain score smaller than 6. Traditional medicine diagnosis of rheumatic fever with kidney deficiency.
Exclusion criteria
Exclusion criteria: Secondary knee osteoarthritis due to rheumatoid arthritis, gout, trauma, metabolic or endocrine disorders. Severe comorbidities (heart, liver, or kidney failure; malignancy; psychiatric illness). Contraindications to acupuncture or shortwave therapy. Use of NSAIDs within 10 days or corticosteroid injections within 3 months before enrollment. Pregnancy or breastfeeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in pain intensity measured by the Visual Analogue Scale (VAS) Baseline Day 0 and Day 21 Difference in 10 cm VAS pain score from baseline to Day 21,Change in functional status measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Baseline (Day 0) and Day 21 Total WOMAC score assessed by patient questionnaire including pain, stiffness, and physical function; lower scores indicate better function. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in knee joint range of motion (ROM) Baseline Day 0 and Day 21 Knee flexion angle measured in degrees using a goniometer; increased angle indicates improved joint mobility.,Change in stiffness subscore of WOMAC Baseline Day 0 and Day 21 WOMAC stiffness subscore assessed by patient questionnaire; lower score indicates reduced joint stiffness.,Change in laboratory safety parameters (ALT, AST, creatinine, hemoglobin, platelets) Baseline (Day 0) and Day 21 Serum ALT, AST, creatinine, hemoglobin, and platelet levels measured by standard automated laboratory assays.,Incidence of adverse events (bleeding, infection, shock, etc.) Continuous monitoring during 21-day treatment Number and type of adverse events recorded by clinician observation and patient report during treatment. | — |
Countries
Vietnam
Contacts
Faculty of Traditional Medicine, Phenikaa School of Medicine and Pharmacy, Phenikaa University