DOI QR코드

DOI QR Code

Effect of Miniscalpel-Acupuncture for Hand Osteoarthritis: Case Report

도침 치료를 통한 손가락 관절염 치료: 증례 보고

  • Jeong, Ji-Cheol (Department of Korean Medicine, Imsil County Hospital) ;
  • Yoon, Sang-Hoon (Department of Research and Development, Chung-Yeon Medical Institute) ;
  • Kim, Shin-Ae (Department of Acupuncture and Moxibustion Medicine, Chung-Yeon Korean Medicine Hospital)
  • 정지철 (임실군보건의료원 한의과) ;
  • 윤상훈 (청연의학연구소 연구개발부) ;
  • 김신애 (청연한방병원 침구과)
  • Received : 2018.09.13
  • Accepted : 2018.10.01
  • Published : 2018.10.31

Abstract

This case report was conducted to introduce the use of miniscalpel-acupuncture for the treatment of hand osteoarthritis. A-76-year old female patient who had pain on both hands due to osteoarthritis was treated with miniscalpel-acupuncture for 7 weeks. The main outcome were the Numeral Rating Scale (NRS) and the grip strength by dynamometer. After miniscalpel-acupuncture treatment, NRS was decreased and the strength of grasp was increased. The result of this study suggests that the treatment of miniscalpel-acupuncture may be effectively used to decrease pain and increase grip strength of patients who suffer from hand osteoarthritis. Further research is necessary by the reason of the limited sample size of this study.

Keywords

References

  1. Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden NK, Bijlsma JW, Dincer F, Dziedzic K, Hauselmann HJ, Herrero-Beaumont G, Kaklamanis P, Lohmander S, Maheu E, Martin-Mola E, Pavelka K, Punzi L, Reiter S, Sautner J, Smolen J, Verbruggen G, Zimmermann-Gorska I. EULAR evidence based recommendations for the diagnosis of hand osteoarthritis-report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2007;66(3):377-88. https://doi.org/10.1136/ard.2006.062091
  2. Dillon CF, Hirsch R, Rasch EK, Gu Q. Symptomatic hand osteoarthritis in the United States: prevalence and functional impairment estimates from the third US National Health and Nutrition Examination Survey, 1991-1994. Am J Phys Med Rehabil. 2007;86(1):12-21. https://doi.org/10.1097/PHM.0b013e31802ba28e
  3. Kohn MD, Sassoon AA, Fernando ND. Classifications in brief: Kellgren-Lawrence classification of osteoarthritis. Clin Orthop Relat Res. 2016;474(8):1886-93. https://doi.org/10.1007/s11999-016-4732-4
  4. Dahaghin S, Bierma-Zeinstra SM, Ginai AZ, Pols HA, Hazes JM, Koes BW. Prevalence and pattern of radiographic hand osteoarthritis and association with pain and disability (the Rotterdam study). Ann Rheum Dis. 2005;64(5):682-7. https://doi.org/10.1136/ard.2004.023564
  5. Bagis S, Sahin G, Yapici Y, Cimen OB, Erdogan C. The effect of hand osteoarthritis on grip and pinch strength and hand function in postmenopausal women. Clin Rheumatol. 2003;22(6):420-4. https://doi.org/10.1007/s10067-003-0792-4
  6. Kloppenburg M, Kroon FP, Blanco FJ, Doherty M, Dziedzic KS, Greibrokk E, Haugen IK, Herrero-Beaumont G, Jonsson H, Kjeken, Maheu E, Ramonda R, Ritt MJ, Smeets W, Smolen JS, Stamm TA, Szekanecz Z, Wittoek R, Carmona L. 2018 update of t he EULAR recommendations for the management of hand osteoarthritis. Ann Rheum Dis. 2018 Aug 28. doi: 10.1136/annrheumdis-2018-213826 [E-pub ahead of print]
  7. Dickens W, Lewith GT. A single-blind, controlled and randomised clinical trial to evaluate the effect of acupuncture in the treatment of trapezio-metacarpal osteoarthritis. Complementary Medical Research. 1989;3(2):5-8.
  8. Li H, Zhang FH, Wang YC. Observation on the efficacy of acupuncture and fire needle therapy for hand osteoarthritis. Zhongguo Zhen Jiu. 2013;33(10):885-8.
  9. Ding Y, Yuan XL, Wang YC, Wang A, Shi X, Wang L, Daniela L, Ingrid G, Irmgard T, Gerhard L. Acupotomy versus sodium hyaluronate for treatment of knee osteoarthritis in rabbits. Journal of Traditional Chinese Medicine. 2017;37(3):404-11. https://doi.org/10.1016/S0254-6272(17)30078-X
  10. Ma SN, Xie ZG, Guo Y, Yu JN, Lu J, Zhang W, Wang LJ, Xu J, Zhao RL, Zhou S, Guo CQ. Effect of Acupotomy on FAK-PI3K Signaling Pathways in KOA Rabbit Articular Cartilages. Evid Based Complement Alternat Med. 2017;2017:4535326.
  11. Tan AL, Toumi H, Benjamin M, Grainger AJ, Tanner SF, Emery P, McGonagle D. Combined high-resolution magnetic resonance imaging and histological examination to explore the role of ligaments and tendons in the phenotypic expression of early hand osteoarthritis. Ann Rheum Dis. 2006;65(10):1267-72. https://doi.org/10.1136/ard.2005.050112
  12. McGonagle D, Tan AL, Grainger AJ, Benjamin M. Heberden's nodes and what Heberden could not see: the pivotal role of ligaments in the pathogenesis of early nodal osteoarthritis and beyond. Rheumatology (Oxford). 2008;47(9):1278-85. https://doi.org/10.1093/rheumatology/ken093
  13. Jones G, Cooley HM, Bellamy N. A cross-sectional study of the association between Heberden's nodes, radiographic osteoarthritis of the hands, grip strength, disability and pain. Osteoarthritis Cartilage. 2001;9(7):606-11. https://doi.org/10.1053/joca.2001.0460
  14. Altman RD, Dreiser RL, Fisher CL, Chase WF, Dreher DS, Zacher J. Diclofenac sodium gel in patients with primary hand osteoarthritis: a randomized, double-blind, placebo-controlled trial. J Rheumatol. 2009;36(9):1991-9. https://doi.org/10.3899/jrheum.081316
  15. Wise J. NICE keeps paracetamol in UK guidelines on osteoarthritis. BMJ. 2014;348:g1545. https://doi.org/10.1136/bmj.g1545
  16. Meenagh GK, Patton J, Kynes C, Wright GD. A randomised controlled trial of intra-articular corticosteroid injection of the carpometacarpal joint of the thumb in osteoarthritis. Ann Rheum Dis. 2004;63(10):1260-3. https://doi.org/10.1136/ard.2003.015438
  17. Wajon A, Vinycomb T, Carr E, Edmunds I, Ada L. Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev. 2015;(2):CD004631.
  18. Lin M, Li XH, Liang W, Liu JH, Guo JH, Zheng JX, Liu XX. 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. https://doi.org/10.3892/etm.2014.1516
  19. Rossignol M, Leclerc A, Allaert FA, Rozenberg S, Valat JP, Avouac B, Coste P, Litvak E, Hilliquin P. Primary osteoarthritis of hip, knee, and hand in relation to occupational exposure. Occup Environ Med. 2005;62(11):772-7. https://doi.org/10.1136/oem.2005.020057

Cited by

  1. 한방재활의학과학회지에 게재된 증례보고의 CARE (CAse REport) 지침 준수에 대한 평가: 2016년 이후 발표된 논문들을 중심으로 vol.29, pp.3, 2018, https://doi.org/10.18325/jkmr.2019.29.3.75
  2. Quality Assessment and Implications for Further Study of Acupotomy: Case Reports Using the Case Report Guidelines and the Joanna Briggs Institute Critical Appraisal Checklist vol.38, pp.2, 2018, https://doi.org/10.13045/jar.2021.00024