Skip to main content

Research Repository

Advanced Search

Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial.

Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. Thumbnail


Abstract

Objective
To investigate the benefit of adding acupuncture to a course of advice and exercise delivered by physiotherapists for pain reduction in patients with osteoarthritis of the knee.

Design
Multicentre, randomised controlled trial.

Setting
37 physiotherapy centres accepting primary care patients referred from general practitioners in the Midlands, United Kingdom.

Participants
352 adults aged 50 or more with a clinical diagnosis of knee osteoarthritis.

Interventions
Advice and exercise (n=116), advice and exercise plus true acupuncture (n=117), and advice and exercise plus non-penetrating acupuncture (n=119).

Main outcome measures
The primary outcome was change in scores on the Western Ontario and McMaster Universities osteoarthritis index pain subscale at six months. Secondary outcomes included function, pain intensity, and unpleasantness of pain at two weeks, six weeks, six months, and 12 months.

Results
Follow-up rate at six months was 94%. The mean (SD) baseline pain score was 9.2 (3.8). At six months mean reductions in pain were 2.28 (3.8) for advice and exercise, 2.32 (3.6) for advice and exercise plus true acupuncture, and 2.53 (4.2) for advice and exercise plus non-penetrating acupuncture. Mean differences in change scores between advice and exercise alone and each acupuncture group were 0.08 (95% confidence interval -1.0 to 0.9) for advice and exercise plus true acupuncture and 0.25 (-0.8 to 1.3) for advice and exercise plus non-penetrating acupuncture. Similar non-significant differences were seen at other follow-up points. Compared with advice and exercise alone there were small, statistically significant improvements in pain intensity and unpleasantness at two and six weeks for true acupuncture and at all follow-up points for non-penetrating acupuncture.

Conclusion
The addition of acupuncture to a course of advice and exercise for osteoarthritis of the knee delivered by physiotherapists provided no additional improvement in pain scores. Small benefits in pain intensity and unpleasantness were observed in both acupuncture groups, making it unlikely that this was due to acupuncture needling effects.

Acceptance Date Jul 8, 2007
Publication Date Aug 30, 2007
Publicly Available Date Mar 28, 2024
Journal BMJ
Print ISSN 0959-8138
Publisher BMJ Publishing Group
Pages 436 - ?
DOI https://doi.org/10.1136/bmj.39280.509803.BE
Keywords arthritis, acupuncture
Publisher URL http://www.bmj.com/content/335/7617/436

Files

Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee - randomised controlled trial (NFoster).pdf (439 Kb)
PDF




Downloadable Citations