A Study of the Effectiveness for Osteoarthritis with Acupuncture and Tuina Massage in the Elderly People in Bang Phli District, Samut Prakan
Keywords:
Osteoarthritis of the knee, Elderly, Acupuncture, Tui Na massageAbstract
The objective of this study was to determine the effectiveness of acupuncture and acupuncture combined with Tui Na massage for elderly patients with knee osteoarthritis. 61 patients from Bangphli district, Samutprakarn province were using SPSS 21.0 program randomly divided into two groups: 30 cases of the control group were treated by acupuncture alone once a week, for 20 minutes per time, while 31 cases of the treatment group were treated by acupuncture for 20 minutes and TuiNa massage for 10-15 minutes, once a week. The duration of treatment in both groups was 8 weeks. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) was assessed before and at 0, 3, 5 and 8 weeks after treatment. SPSS 21.0 program was used to analyze the result. The average age of the treatment group was 66.09 years, body mass index (BMI) was 25.93 kg/m2, duration of symptoms was 4.64 years; in the control group, average age was 64.86 years, BMI 26.48 kg/m2, and duration of symptoms was 4.00 years, and the result showed there was not a statistically significant difference between the two groups (P>0.05) on average age, BMI, and duration of symptoms. The result also showed the treatment in two groups improved pain and function (P<0.001); the WOMAC score of pain relief showed a statistically significant difference between the treatment group and control group (P<0.001); the treatment group could significantly improve knee function and total WOMAC score after treatment compared with the control group (P<0.001); but there was no statistically significant difference on joint stiffness symptom (P>0.05). The result also showed the WOMAC score in the treatment group was significantly decreased (P<0.001) compared with the control group. Conclusion: Acupuncture combined with Tui Na massage in the treatment of knee osteoarthritis was the most effective treatment option and had a better therapeutic effect than acupuncture alone.
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