A Pilot Study of Acupuncture Treatment for the Osteoarthritis of the Knee Joint on the EBM(Evidence Basement Medicine)

근거중심의학에 근거한 퇴행성 슬관절염에 관한 침치료 임상선행연구

  • Lim, Jeong-A (Dept. of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital, KwangJu) ;
  • Lee, Jong-Deok (Dept. of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital, KwangJu) ;
  • Lee, Sang-Kwan (Dept. of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital, KwangJu) ;
  • Lee, Sung-Young (Dept. of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital, KwangJu) ;
  • Moon, Hyung-Cheol (Dept. of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital, KwangJu) ;
  • Choi, Sun-Mi (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Chung, Young-Hae (Dept. of Nursing, Dong-Shin University) ;
  • Kim, Sung-Chul (Dept. of Acupuncture & Moxibustion, Won-Kwang University Oriental Medical Hospital, KwangJu)
  • 임정아 (원광대학교 부속광주한방병원) ;
  • 이종덕 (원광대학교 부속광주한방병원) ;
  • 이상관 (원광대학교 부속광주한방병원) ;
  • 이성용 (원광대학교 부속광주한방병원) ;
  • 문형철 (원광대학교 부속광주한방병원) ;
  • 최선미 (한국한의학연구원) ;
  • 정영해 (동신대학교 간호학과) ;
  • 김성철 (원광대학교 부속광주한방병원)
  • Published : 2006.02.20

Abstract

Objectives : To determine whether the pragmatic acupuncture treatment provides more effective pain relief than treatment using the same acupuncture point to the all patients. Methods : We randomly allocated participants to treatment group 1 and 2. The group 1 is the pragmatic treatment group and the group 2 is using the same acupuncture point to the all patients. Primary outcomes were measured by the Western Ontario and McMaster Universities Osteoarthritis index(WOMAC) pain and function scores at 4, 8, and 14 weeks. Secondary outcomes were measured by 100mm VAS(Visual Analog Scale), ROM(Range of Motion) using Goniometer, and pain threshold using pressure algometer. Results : When patients were extension of the knee, they were statistically significant in improvement of the ROM in 14 weeks. Whole body condition and pain rate through VAS measurement were improved significantly in 14 weeks. Also pain score and function score of WOMAC were improved significantly in 14 weeks. We could get difference in pain score of two acupuncture groups significantly in 14 weeks. But we could not get difference in whole score of two acupuncture groups significantly. Local temperature using T.C thermometer was changed significantly in 14 weeks. But we could not get difference in whole score of two acupuncture groups significantly. Excluding above item, DITI, pain threshold, and ROM of the knee flexion were no difference in before and after treatment.

Keywords