LI Jian-wei, ZHENG Shi-jiang, ZHANG Jing-chun, et al. Effect of Acupuncture plus Different Frequency Shock-wave Interventions on Pain Reactions and Motor Function in Knee Osteoarthritis Patients[J]. Acupuncture research, 2015, 40(4): 300-303.
LI Jian-wei, ZHENG Shi-jiang, ZHANG Jing-chun, et al. Effect of Acupuncture plus Different Frequency Shock-wave Interventions on Pain Reactions and Motor Function in Knee Osteoarthritis Patients[J]. Acupuncture research, 2015, 40(4): 300-303. DOI: 10.13702/j.1000-0607.2015.04.008.
Objective To observe the clinical effect of acupuncture plus shock-wave(SW)intervention for osteoarthritis(OA)
so as to explore its practicability in clinical practice.Methods A total of 120 cases of knee OA patients were randomly divided into 4groups
namely acupuncture(acupunct)+LFSW
acupunct+ MFSW
acupunct+HFSW and routine acupunct groups
with 30 cases in each group.Xuehai(SP 10)
Liangqiu(ST 34)
Yanglingquan(GB 34)
Xiyan(ST 35)and Ashi-point were punctured with filiform needles which were manipulated with uniform reinforcing-reducing techniques for 15-20 min
once every other day for 7times.In addition
these acupoints were also respectively stimulated with shock waves(10Hz
14 Hz and18Hz
pressure:1-4bar)delivered from a DolorClastEMS therapeutic apparatus for 600 times in 3acupunct+SW groups.The patients' pain response changes of the knee-joint were assessed by using visual analog scale(VAS)and the motility was evaluated by using a 0-3grade scale.Results After 7times of treatment
the patients' VAS scores and motility scores were significantly decreased in the acupunct+LFSW
acupunct+MFSW
acupunct+HFSW and routine acupunct groups compared with their own basic values before treatment(P<0.01)
and the therapeutic effect of the acupunct+MFSW group was significantly superior to those of the other 3groups in reducing both VAS and motility scores(P<0.05).Correspondingly
the Deqi sensation score of the acupunct+MFSW group was markedly higher than those of the other 3groups(P<0.05).Conclusion Shock wave acupuncture treatment is effective in relieving OA patients' knee-joint pain and functional activity
and the therapeutic effect of acupunct+14Hz-SW is better