JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Efficacy and Safety of Miniscalpel Acupuncture in Knee Degenerative Osteoarthritis Patients: A Study Protocol for a Randomized Controlled Pilot Trial
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Korean Journal of Acupuncture
  • Volume 33, Issue 2,  2016, pp.67-74
  • Publisher : Society for Meridian and Acupoint
  • DOI : 10.14406/acu.2016.010
 Title & Authors
Efficacy and Safety of Miniscalpel Acupuncture in Knee Degenerative Osteoarthritis Patients: A Study Protocol for a Randomized Controlled Pilot Trial
Jun, Seungah; Park, Mu Seob; Oh, Se Jung; Lee, Jung Hee; Gong, Han Mi; Choi, Seong Hun; Hwangbo, Min; Lee, Hyun-Jong; Kim, Jae Soo;
  PDF(new window)
 Abstract
Objectives : The Knee degenerative osteoarthritis patients are not satisfied with the conventional therapies of KDOA, which results in the use of alternative therapies. The miniscalpel acupuncture is effective in treating chronic soft tissue, releasing contractures. However, there is little scientific evidence supporting the use of miniscalpel acupuncture in knee degenerative osteoarthritis. This study was designed to obtain basic data for a further large-scale trial as well as provide information about the feasibility of miniscalpel acupuncture in knee degenerative osteoarthritis patients. Methods : We describe the protocol for a randomized controlled pilot clinical trial of 5 weeks duration. Twenty patients will be recruited and randomly allocated to two treatment groups: miniscalpel acupuncture treatment(experimental group); and acupuncture and electro-acupuncture treatment(control group). Miniscalpel acupuncture will be performed once with a 1-week interval for 3 weeks. Electro-acupuncture will be administered twice per week for a period of 3 weeks. The primary outcomes will be measured by visual analogue scale and range of motion. The secondary outcomes will be short-form McGill Pain Questionnaire and Western Ontario and McMaster Universities Osteoarthritis Index. Both primary and secondary outcomes will be measured at baseline and at 1, 2, 3 and 5 weeks(i.e. 2 weeks after treatment completion). Conclusions : This pilot study will provide a basic foundation for a future large-scale trial as well as information about the feasibility of miniscalpel acupuncture in knee degenerative osteoarthritis.
 Keywords
miniscalpel acupuncture;knee degenerative osteoarthritis;pilot study;
 Language
English
 Cited by
 References
1.
Manek NJ. Medical management of osteoarthritis. Mayo Clin Proc. 2001 ; 76(5) : 533-9. crossref(new window)

2.
Bjordal JM, Ljunggren AE, Klovning A, Slordal L. Non-steroidal anti-inflammatory drugs, including cyclo-oxygenase-2 inhibitors, in osteoarthritic knee pain: Meta-analysis of randomised placebo controlled trials. Bmj. 2004 ; 329(7478) : 1317. crossref(new window)

3.
McConnell S, Kolopack P, Davis AM. The western ontario and McMaster universities osteoarthritis index(WOMAC): A review of its utility and measurement properties. Arthritis Care & Research. 2001 ; 45(5) : 453-61. crossref(new window)

4.
Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, et al. OARSI recommendations for the management of hip and knee osteoarthritis, part I: Critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis and Cartilage. 2007 ; 15(9) : 981-1000. crossref(new window)

5.
McGettigan P, Henry D. Cardiovascular risk and inhibition of cyclooxygenase: A systematic review of the observational studies of selective and nonselective inhibitors of cyclooxygenase 2. Jama. 2006 ; 296(13) : 1633-44. crossref(new window)

6.
Blower A, Brooks A, Fenn G, Hill A, Pearce M, Morant S, et al. Emergency admissions for upper gastrointestinal disease and their relation to NSAID use. Aliment Pharmacol Ther. 1997 ; 11(2) : 283-91. crossref(new window)

7.
Corbett M, Rice S, Madurasinghe V, Slack R, Fayter D, Harden M, et al. Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: Network meta-analysis. Osteoarthritis and Cartilage. 2013 ; 21(9) : 1290-8. crossref(new window)

8.
Park S, Kim S, Kim J, Kim S, Lee G. The comparative study of effects between acupotomy and its cotreatment with spine decompression therapy on HIVD patients. The Acupuncture. 2012 ; 29(3) : 29-39.

9.
Guo C, Liu N, Li X, Sun H, Hu B, Lu J, et al. Effect of acupotomy on nitric oxide synthase and beta-endorphin in third lumbar vertebrae transverse process syndrome model rats. Journal of Traditional Chinese Medicine. 2014 ; 34(2) : 194-8. crossref(new window)

10.
Ma C, Wu S, Li G, Xiao X, Mai M, Yan T. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain. 2010 ; 26(3) : 251-7. crossref(new window)

11.
Lee G, Kim D, Kim H, Yeom S, Kim H, Kim D. The study on the effect of acupotomy in lumbar HIVD. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2008 ; 25(4) : 183-90.

12.
Kim S. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. The Acupuncture. 2008 ; 25(4) : 117-25.

13.
Lee GM, Kim DH, Kim HW, Cho NG, Choi YS, Kim HS, et al. The clinical study on the effect of acupotomy osteoarthritis on knee using "five-finger placed to marking postion". The Acupuncture. 2008; 25(4) : 197-202.

14.
Lin M, Li X, Liang W, Liu J, Guo J, Zheng J, et al. Needle-knife therapy improves the clinical symptoms of knee osteoarthritis by inhibiting the expression of inflammatory cytokines. Experimental and Therapeutic Medicine. 2014 ; 7(4) : 835-42.

15.
The Acupuncture Compilation Committee. The Acupuncture and Moxibustion(Sang). Seoul. In: :JipMoonDang. 2008 : 441-83.

16.
Shin SY, Seo DK, Kim SY, Seo JC, Seo YJ, Lee YJ, et al. The effect of Chinemys reevesii Gray pharmacopuncture for women with knee osteoarthritis . 2015 ; 32(3) : 163-73.

17.
Min W, Yeo S, Kim E, Song HS, Koo S, Lee J, et al. Comparison of warm-needling and acupuncture for knee osteoarthritis: A randomized controlled trial. Korean Journal of Acupuncture. 2013 ; 30(1) : 64-72. crossref(new window)

18.
Jung HC, Jeong SH. A Clinical Study of Knee Joint Osteoarthritis Patients on the Effect of Korean Traditional Medicine Treatment with Acupuncture, Cupping, Physical Therapy and Ganghwalijetong-yeum(Qianghuochutong-yin): Case Series. The Korea Institute of Oriental Medical Diagnostics. 2015 ; 19 : 125-32.

19.
Revill S, Robinson J, Rosen M, Hogg M. The reliability of a linear analogue for evaluating pain. Anaesthesia. 1976 ; 31(9) : 1191-8. crossref(new window)

20.
Carlsson AM. Assessment of chronic pain. I. aspects of the reliability and validity of the visual analogue scale. Pain. 1983 ; 16(1) : 87-101. crossref(new window)

21.
Melzack R. The short-form McGill pain questionnaire. Pain. 1987 ; 30(2) : 191-7. crossref(new window)

22.
Burckhardt CS. The use of the McGill pain questionnaire in assessing arthritis pain. Pain. 1984 ; 19(3) : 305-14. crossref(new window)

23.
Roos, M Klässbo, LS Lohmander, EM. WOMAC osteoarthritis index: Reliability, validity, and responsiveness in patients with arthroscopically assessed osteoarthritis. Scand J Rheumatol. 1999 ; 28(4) : 210-5. crossref(new window)

24.
Food and Drug Administration. Guidance for industry: E9 statistical principles for clinical trials. Food and Drug Administration: Rockville, Maryland, USA. 1998.

25.
Witt C, Brinkhaus B, Jena S, Linde K, Streng A, Wagenpfeil S, et al. Acupuncture in patients with osteoarthritis of the knee: A randomised trial. The Lancet. 2005 ; 366(9480) : 136-43. crossref(new window)

26.
Lee SM, Ji YS, Jeon JH, Kim JH, Kim YI. Effect of needle-embedding & acupuncture therapy on shoulder pain in behcet disease patient: A case report. The Acupuncture. 2013 ; 30(4) : 219-24.

27.
Park OJ, Kim SG, Lee JJ, Lee SM, Kim SJ, Cho NG. The effect of and bee venom pharmacopuncture in treating lumbar disc herniations. The Acupuncture. 2013 ; 30(5) : 41-50. crossref(new window)

28.
Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A review of trends for acupotomy. The Acupuncture. 2014 ; 31(3) : 35-43.

29.
Yoon S, Lee G, Kang S, Lee E, Han J. Effects of wonli acupuncture procedure in patients with LSS: A clinical, retrospective study. Integrative Medicine Research. 2015 ; 4(1) : 109.

30.
Yuk D, Sung I, Song D, Kim M, Hong K. Clinical study of lumbar spine stenosis treated by using acupotomy combined with oriental medical treatments. Journal of Pharmacopuncture. 2013 ; 16(3) : 46.