Clinical observation of acupuncture combined with sitting-position knee-adjustment manipulations for patellofemoral arthritis

• Published in: Journal of acupuncture and tuina science Vol. 20; no. 6; pp. 476 - 481
• Main Authors: Zhang, Kaiyong, Liu, Peng, Xu, Siwei, Zhang, Bimeng, Zhan, Hongsheng
• Format: Journal Article
• Language: English
• Published: Singapore Springer Nature Singapore 01.12.2022; Springer Nature B.V
• Subjects: Acupuncture; Arthritis; Clinical Study; Medicine; Medicine & Public Health; Osteoarthritis; R246.2; Patellofemoral Osteoarthritis; A; Visual Analog Scale; Acupuncture Therapy; 按摩; 视觉模拟量表; Manual Therapies; 手法治疗; 髌股关节炎; 骨关节炎, 膝; 疼痛测评; Osteoarthritis, Knee; 针刺疗法; 推拿; Pain Measurement; Tuina: Massage
• ISSN: 1672-3597; 1993-0399
• DOI: 10.1007/s11726-022-1348-y

Objective To observe the efficacy of acupuncture combined with sitting-position knee-adjustment manipulations in treating patellofemoral osteoarthritis. Methods Ninety-two patients with patellofemoral osteoarthritis were randomized into an observation group and a medication group, with 46 cases in each group. The observation group received acupuncture and sitting-position knee-adjustment manipulations, and the medication group received oral celecoxib capsules. After 8-week treatment, changes in the short-form McGill pain questionnaire (SF-MPQ) and Lysholm knee scoring scale (LKSS) scores were observed, and the clinical efficacy was compared. Results The total effective rate was 87.0% in the observation group and 63.0% in the control group; the between-group difference was statistically significant. Before treatment, there were no significant differences in the SF-MPQ score or LKSS score ( P >0.05). After 8-week treatment, the SF-MPQ [including pain rating index (PRI), visual analog scale (VAS), and present pain intensity (PPI)] and LKSS scores showed notable changes in both groups ( P <0.05); the SF-MPQ and LKSS scores in the observation group were significantly different from those in the control group ( P <0.05). Conclusion Combining acupuncture and sitting-position knee-adjustment manipulations can reduce pain and ameliorate joint function in patients with patellofemoral osteoarthritis, producing more significant efficacy than oral celecoxib capsules.