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The purpose of this study was to explore the wisdom and to document the knowledge of massage for knee osteoarthritis (KOA) of Isan folk healers in Ubon Ratchathani and Si Sa Ket provinces, which have Thai-Lao and Khmer cultures, respectively. This qualitative research deployed in-depth interviews, observations, notes, and video/audio recording for collecting data from folk healers who had experiences in healing and were accepted by local residents. Content analyses were undertaken and then the data were returned to the folk healers for review and comments, based on which the data were revised as per folk healers’ wishes to disclose. The comparative data on anatomy positions were analyzed by an applied Thai traditional medicine practitioner and physical therapists. The results showed that, among 12 folk healers who treated KOA with massage, 6 were from Ubon Ratchathani and 6 were from Si Sa Ket – 9 male and 3 female, mostly elderly. The folk healers from both provinces revealed similar procedures for treating KOA, demonstrating a cultural mix that had slightly different combinations of treatment patterns, treatment methods, beliefs and pre-treatment rituals. The steps of KOA treatment consisted of (1) setting up a bowl of worship, (2) history taking, (3) physical examination, (4) massage, (5) post-massage assessment, and (6) advice on self-care. The folk healers emphasize holistic healing that includes the physical, mental, and spiritual aspects. Folk massage relaxes the ligaments and muscles involved in knee movement, improves blood circulation, increases joint flexibility, relieves pain, and improves the quality of life. This study also aimed to conserve folk wisdom and the information obtained can be used as a guide for the people or medical personnel to understand the folk medicine wisdom and apply it in providing integrated health care for KOA patients.
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