The effects of localized thermal therapy on acupuncture points in the management of knee osteoarthritis: an evaluation from a randomized controlled trial
Refereed conference paper presented and published in conference proceedings



摘要Introduction: Application of heat therapy in Western Medicine, and application of acupuncture and moxibustion in Traditional Chinese Medicine are common treatments to reduce knee pain and relieve joint stiffness.

Methodology: 76 KOA patients of age over 40 were recruited randomly into Thermal Gun Group (as intervention) and Heat Pack Group (as control). Each subject received 30 minutes treatment in each session, twice a week for 4 weeks. All subjects were taught home knee exercises. The Western Ontario and McMasters Universities OA Index (WOMAC), 12-Item Short Form Health Survey (SF-12), Visual Analog Scale (VAS) for pain intensity, muscle power, and knee range of motion (ROM) were measured.

Results and Analysis: VAS showed significant decrease in both groups (p≤0.05). In the Thermal Gun Group, WOMAC index decreased from 52.47±17.58 to 41.64 ±16.61, physical component of SF-12 improved from 28.88±6.41 to 31.71±5.04, ROM of knee extension lack decreased from 16.89±8.06 to 12.44±5.54, and Hamstring strength increased from 4.56±0.50 to 4.78±0.42 (p<0.01). In the Heat Pack Group, the quadriceps strength increased from 4.54±0.51 to 4.71±0.46 (p<0.01).

Discussion and Conclusion: Heat therapy in both groups gave pain relief. Thermal Gun on acupuncture points had positive effects in reducing joint stiffness, improved physical health component of quality of life, decreased knee extension lack and increased hamstrings muscle strength; whereas the heat pack increases the strength of the quadriceps muscles in KOA patients.
著者AWL Kwok, SM Xia, YL Wang, KKW Ho
會議名稱The 38th Annual Congress of the Hong Kong Orthopaedic Association
會議地點Room S221-S230, Hong Kong Convention and Exhibition Centre, Wan Chai, Hong Kong

上次更新時間 2019-12-02 於 09:54