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Title: | The effects of small-needle-knife therapy on pain and mobility from knee osteoarthritis: a pilot randomized-controlled study |
Authors: | External author(s) only |
Keywords: | Osteoarthritis Arthritis |
Issue Date: | Jun-2020 |
Citation: | Junchen Zhu, Zhiwen Zheng, Yaomeng Liu, Sophie Lawrie, Patrick Esser, Hooshang Izadi, Helen Dawes, Zhidao Xi, Chao Wang, Yingzong Xiong, Xingfu Ma, Derick T Wade.The effects of small-needle-knife therapy on pain and mobility from knee osteoarthritis: a pilot randomized-controlled study. Clinical Rehabilitaion First Published June 30, 2020 |
Abstract: | Objective:To investigate the effect of small needle-knife therapy in people with painful knee osteoarthritis. Design:Pilot randomised, controlled trial. Setting:Rehabilitation hospital. Subjects:In-patients with osteo-arthritis of the knee. Interventions:Either 1 to 3 small needle-knife treatments over seven days or oral Celecoxib. All patients stayed in hospital three weeks, receiving the same mobility-focused rehabilitation. Measures:Oxford Knee Score (OKS), gait speed and kinematics were recorded at baseline, at three weeks (discharge) and at three-months (OKS only). Withdrawal from the study, and adverse events associated with the small needle knife therapy were recorded. Results:83 patients were randomized: 44 into the control group, of whom 10 were lost by three weeks and 12 at 3 months; 39 into the experimental group of whom eight were lost at three weeks and three months. The mean (SE) OKS scores at baseline were Control 35.86 (1.05), Exp 38.38 (0.99); at three weeks 26.64 (0.97) and 21.94 (1.23); and at three months 25.83 (0.91) and 20.48 (1.14) The mean (SE) gait speed at baseline was 1.07 (0.03) m/sec (Control) and 0.98 (0.03), and at three weeks was 1.14 (0.03) and 1.12 (0.03) (P < 0.05). Linear mixed model statistical analysis showed that the improvements in the experimental group were statistically significant for total OKS score at discharge and three months Conclusions:Small needle-knife therapy added to standard therapy for patients with knee osteoarthritis, was acceptable, safe and reduced pain and improved global function on the Oxford Knee Score. Further research is warranted. |
Description: | Open Access |
URI: | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/543 |
ISSN: | 14770873 |
Appears in Collections: | Musculoskeletal Diseases |
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