Effectiveness and Safety of Knee Massage and Herbal Poultice for Patients with Lom Jab Pong Haeng Khao (Osteoarthritis of the Knee)
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Abstract
This research studies the effectiveness and safety of the herbal poultice on knee-osteoarthritis patients in public health service facilities. The research is a randomized controlled trial, aiming to inquire about the historical background, clinical assessment, and safety against adverse effects from the massage and knee poultice. Methodologically, 300 volunteers who matched the inclusion criteria were recruited from nine pilot areas in four regions of Thailand. The participants were randomly assigned into two groups: the control group (massage only) and the experimental group (massage and poultice). Both groups had 150 participants, equally. The tools for data collection were the historical background, the knee-osteoarthritis clinical-assessment form WOMAC, and the safety assessment form for adverse effects. The data were statistically analyzed using percentages, mean, standard deviations, and ANOVA tests.
Results : The majority were female patients. mainly 60-69 years old, with a weight of 51-70 kg and a BMI of 25-29.9 kg/m2. The osteoarthritis symptoms of the patients (identified by X-rays film) were majorly in stages 2-3. The clinical assessment of the osteoarthritis symptom (before and after the intervention) was done for five repeats. The experimental group receiving massage and poultice treatment had significantly less pain, stiffness, and better knee function (P < 0.05). The clinical assessment of the osteoarthritis stage (stages 0-4) revealed that participants in the experimental group of every stage had milder symptoms after receiving herbal poultice. In addition, the mild-symptom (stages 0-2) had a decrease in the average score of pain and stiffness ang had higher knee function scores than stages 3-4. After completing five repeats of the treatment, the statistical analysis significantly in the experimental group compared to the control group (P<0.05). The both groups were safe and no Adverse Drug Event (ADE)
Sugestion, this research project should propose to the National Health Security Office that “Pok Khao” is Thai traditional operation and will be information for determining the benefits package of patient who have knee osteoarthritis. The DTAM should develop the herbal poultice treatment for instant product to be used as a self-care eg herbal patch,spray,gel
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References
Nootim P, Chuenjai M, Sawangwong P, Pongchaichanon P, Rachderm A. Effectiveness of Herbal Steam Bath for Pain Relief in Patients with Lom Jab Pong Haeng Khao (Osteoarthritis of the Knee) Thai Traditional and
Integrated Medicine Hospital, Department of Thai Traditional
and Alternative Medicine. 2022;20(1):17-28. (in Thai)
Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H. Global, regional prevalence, incidence, and risk factors of knee osteoarthritis in population-based studies. E Clinical Medicine. 2020; Dec 29-30.100597.
Inkaew C. The Effectiveness of Using the Program to Reduce Osteoarthritis Problems in the Elderly. Chang Sai Subdistrict Health Promoting Hospital, Kanchanadit District, Surat Thani Province. Regional 11 Medical Journal. 2019;33(2):293-302. (in Thai)
Poonsuk P, Songphasuk S, Jantha M, Nimpitakpong N, Jiraratsatit. Effective of Herbal Poultice for Knee Pain Relief in Patients with Osteoarthritis of Knee. Thammasat Medical Journal. 2018;18(1):104-111. (in Thai)
Wanna M, Khamphaeng M, Bunsit P, Phongsiphaladsai A, Suankul T, Tiabkham C, Samuhiran S. Effectiveness of Massage Combined with Herbal Compresses in Patients With Osteoarthritis. Muang Suang Hospital, Mueang Suang District, Roi Et Province. Koch Cha Sarn
Journal of Science. 2018;1(1):120-130. (in Thai)
Karaket S, Suyarat K, Jaidee P, Kasamek S, Promphao S, Praruang P. Comparative study of Pain level before and after Cool Herbal Mmud Treatment with Thai massage in Elderly with Knee pain. Chiang Rai Journal. 2017;9(2):115-124. (in Thai)
Pongporn P. Effective of Relieve Knee Pain used Thai Royal Massage Combined with Hot-Compressed Herbal Ball and Herbal Knee Poultice in Knee Pain Patients or Osteoarthritis, Si Prachan District, Suphanburi Province. The Journal of Boromararjonani College of Nursing,
Suphanburi. 2022;5(2):32-45. (in Thai)
Julius A. Steven. Sample Sizes for Clinical Trials. NY. CRC;2009.
Holland K. Stages of Osteoarthritis (OA) of the Knee. [Internet] 2023. [cited 2024 Jan 20]. Available from: https://www.healthline.com/health/osteoarthritis/
advanced-osteoarthritis#treatment
Thai Rheumatism Association. Osteoarthritis. [Internet] 2023. [cited 2024 Jan 20]. Available from: https://thairheumatology.org/phocadownload/36/Guideline_
pdf (in Thai)
Kupniratisaikul S. Anatomy of Knee. [Internet] [cited 2024 Jan 20]. Available from: http://ortho.md.chula.ac.th/student/SHEET/somsak/3016610.html (in Thai)
Ozaki Y, Kawahara N, Harada M. Anti-inflammatory effect of Zingiber cassumunar Roxb. And its active principles. Chem Pharm Bull. 1991;39(23):53–56.
Wong YF, Luo P, Ge L, Zhang ZF, Liu L, Zhou H. Anti-inflammatory, and analgesic effect plumbagin through inhibition of nuclear factor-kB activation. Journal of PharmacologyandExperimental Therapeutics. 2010;335(3):735-42.
Ali HB, Blunden G, Tanira OM, Nemmar A. Some phytochemical,
pharmacological and toxicological properties of ginger (Zingiberofficinale Roscoe): a review of recent research. Food and Chemical. 2008;45(2):409-420.
Altman DR, Marcussen CK. Effects of a ginger extract on knee pain in patients with osteoarthritis. National Library of Medicine. 2001 Nov;44(11):2531-8.
Asmawi MZ, Arafat OM, Amirin S, Eldeen IM. In vivo Antinociceptive Activity of Leaf Extract of Crinum asiaticum and Phytochemical Analysis of the Bioactive Fractions International and Journal of Pharmacology. 2011;7(4):125-129.
Wichit A. Absorption into the skin. [Internet] [cited 2022
Nov 10]. Available from: https://ccpe.pharmacycouncil. org/showfile.php?file=398%3B. (in Thai)
Damnoensawat W, Buntuchai G, Namboon S. Comparative study on the Effectiveness of Lampang Model Herbal Clay Knee Mask and standard Treatment for the Lom-Jab-Pong-Haeng-Khao signs. Journal of Thai
Traditional & Alternative Medicine. 2023;21(3): 543-556. (in Thai)
Juntaramano S, Swangareeruk J, Khunboonchan T. The Wisdom of Thai Indigenous Massage: Case study of 5 Indigenous Healers. Journal of Thai Traditional & Alternative Medicine. 2019;7(1): 26-41. (in Thai)