Author/Authors :
Saleki، Mohammad نويسنده Department of Sport Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan , , Ahadi، Tannaz نويسنده Department of Physical Medicine and Rehabilitation, School of Medicine, Tehran University of Medical Sciences, Tehran , , Razi، Mohammad نويسنده Department of Orthopedic Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran , , Raeisi، Gholam Reza نويسنده Department of Physical Medicine and Rehabilitation, School of Medicine, Tehran University of Medical Sciences, Tehran , , Forough، Bijan نويسنده Department of Physical Medicine and Rehabilitation, School of Medicine, Tehran University of Medical Sciences, Tehran , , Mehrabi Koushki، Ali نويسنده Department of Sport Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan ,
Abstract :
Background: The investigation and comparison of the effects of
acupuncture and isometric exercises on pain and quality of life in
patients suffering from knee osteoarthritis (OA).
OA is the most common form of joint disease and one leading cause of
disability in the elderly. The symptoms of OA are pain, morning stiffness,
and joint limited motion. Different treatments have been proposed for
management of OA, but the results are not clear. We studied the effects
of acupuncture and isometric exercises on symptoms of the knee OA.
Methods: Forty patients with knee OA according to, American college
of rheumatology criteria were recruited using strict inclusion and
exclusion criteria. All the patients were randomly divided into two
groups (A and B).The acupuncture group (A) received only acupuncture
at selected acupoint for knee pain. The exercise group (B) received
isometric exercise of the knee. Each group received treatment 12
sessions for 4 weeks. Evaluating measuring tools were pain intensity and
function was measured with knee injury and OA outcome score (KOOS)
questionnaire.
Results: After treatment, acupuncture and in isometric exercise groups
reported that KOOS increased significantly (improvement) in Quality of
Life score as shown (P value < 0.05). VAS of acupuncture group changed
from 7.25 ± 0.91 to 5.41 ± 1.23.In additions, VAS in isometric exercise
group changed from 7.85 ± 1.35 to 5.34 ± 1.26. Total KOOS scores
have not shown significant difference in comparative with exercise
group (P value > 0.11).
Conclusions: Both acupuncture and isometric exercises decrease pain
and increase quality of life in patients who suffer from OA.