Rheumatology, Vol 38, 346-354, Copyright © 1999 by British Society for Rheumatology
BM Berman, BB Singh, L Lao, P Langenberg, H Li, V Hadhazy, J Bareta and M Hochberg
OBJECTIVE: The purpose of this study was to investigate the efficacy of
acupuncture as an adjunctive therapy to standard care for the relief of
pain and dysfunction in elderly patients with osteoarthritis (OA) of the
knee. METHODS: Seventy-three patients with symptomatic OA of the knee were
randomly assigned to treatment (acupuncture) or standard care (control).
Analysis was performed on last score carried forward to account for
patients who dropped out before completion. Patients self- scored Western
Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Lequesne
indices at baseline and at 4, 8 and 12 weeks. Patients in the control group
were offered acupuncture treatment after 12 weeks. The data for these
patients are pooled with those from the original acupuncture group for
within-group analysis. RESULTS: Patients randomized to acupuncture improved
on both WOMAC and Lequesne indices compared to those who received standard
treatment alone. Significant differences on total WOMAC Scale were seen at
4 and 8 weeks. There appears to be a slight decline in effect at 4 weeks
after cessation of treatment (12 weeks after first treatment). No adverse
effects of acupuncture were reported. CONCLUSION: These data suggest that
acupuncture is an effective and safe adjunctive therapy to conventional
care for patients with OA of the knee.
ORIGINAL PAPERS
A randomized trial of acupuncture as an adjunctive therapy in osteoarthritis of the knee
Complementary Medicine Program, University of Maryland School of Medicine, Baltimore 21207-6697, USA.
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