Korean Journal of Acupuncture

  • 제26권4호
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  • Pages.53-66
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  • 2009
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  • 2287-3368(pISSN)
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  • 2287-3376(eISSN)
경락경혈학회 (Society for Meridian and Acupoint)
권호 표지

The Effect of Sa-am acupuncture on Knee Osteoarthritis

  • Min, Moo-Hong (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University) ;
  • Choi, Yeong-Gon (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University) ;
  • Kim, Yun-Ju (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University) ;
  • Park, Hi-Joon (Dept. Meridian & Acupoint, Graduate School of Basic Eastern Medical Science, Kyung Hee University) ;
  • Lee, Sam-Chool (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University) ;
  • Joo, Ho-No (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University) ;
  • Han, Seung-Moo (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University) ;
  • Lim, Sa-Bi-Na (WHO Collaborating Center, East West Medical Research Institute, Kyung Hee University)
  • 발행 : 2009.12.27
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초록

Objective : Acupuncture has been widely used throughout the world for the treatment of knee osteoarthritis (knee OA). This study investigated whether acupuncture, particularly Sa-am acupuncture, could be effective in relieving pain and improving the symptoms of knee OA. Method : This study was conducted as a prospective, randomized, controlled, and patient- and investigator-blinded clinical trial. Forty volunteers with knee OA participated in the study. All participants were screened through an inclusion and exclusion criteria. Thirty four participants completed the clinical trial. In total, forty subjects were randomly selected to receive Sa-am acupuncture. Eight sessions of acupuncture were given at the contralateral side of the problematic knee for 4 weeks. Korean translation of Western Ontario and McMaster Universities Osteoarthritis Index (KWOMAC) scores were measured twice: at the beginning and end of the clinical trial period. Both the Patient Global Assessment and physical health scores based on the 36-Item Short-Form Health Survey were also used to measure the results. Results : Compared to the pre-trial scores, the Sa-am acupuncture group (n=34) showed a significant decrease in KWOMAC total scores according to a paired t-test. The Sa-am acupuncture group also showed significant improvement in the Patient Global Assessment when compared to the pre-trial. Conclusions : Sa-am acupuncture for knee OA resulted in an improved KWOMAC total score. This was mostly driven by the function component score that was greatly affected by acupuncture. However, further studies with expanded designs are needed to solidify this finding with scientific rigor.

키워드

참고문헌

  1. Lewith GT, White PJ, Pariente J. Investigating acupuncture using brain imaging techniques: The current state of play. Evid Based Complement Alternat Med 2005 ; 2 : 315-9. https://doi.org/10.1093/ecam/neh110
  2. Cho Z, Chung S, Jones J, Park J, Park H, Lee H, et al. New findings of the correlation between acupoints and corresponding brain cortices using functional MRI. Proc Natl Acad Sci USA. 1998 ; 95 : 2670-3. https://doi.org/10.1073/pnas.95.5.2670
  3. Lee JD, Park HJ, Chae Y, Lim S. An overview of bee venom acupuncture in the treatment of arthritis. Evid Based Complement Alternat Med. 2005 ; 2 : 79-84. https://doi.org/10.1093/ecam/neh070
  4. Yan B, Li K, Xu J, Wang W, Li K, Liu H, et al. Acupoint‐specific fMRI patterns in human brain. Neurosci Lett. 2005 ; 383 : 236-40. https://doi.org/10.1016/j.neulet.2005.04.021
  5. Kim HW, Roh DH, Yoon SY, Kang SY, Kwon YB, Han HJ, et al. The anti-inflammatory effects of low- and high-frequency electroacupuncture are mediated by peripheral opioids in a mouse air pouch inflammation model. J Altern Complement Med. 2006 ; 12 : 39-44. https://doi.org/10.1089/acm.2006.12.39
  6. Hui KK, Liu J, Kakris N, Gollub RL, Chen AJ, Moore CI, et al. Acupuncture modulates the limbic system and subcortical gray structures of the human brain: evidence from fMRI studies in normal subjects. Hum Brain Mapp. 2000 ; 9 : 13-25. https://doi.org/10.1002/(SICI)1097-0193(2000)9:1<13::AID-HBM2>3.0.CO;2-F
  7. Wu CW, Kalunian KC. New developments in osteoarthritis. Clin Geriatr Med. 2005 ; 21 : 589-601. https://doi.org/10.1016/j.cger.2005.02.008
  8. Burks K. Osteoarthritis in older adults: current treatments. J Gerontol Nurs. 2005 ; 31 : 11-9.
  9. Compiled by Departments of Meridian & Acupuncture, Colleges of Korean Medicine, Korea. Acupointology (2). GipMoonDang. 1991 ; 1169-75. (Korean).
  10. Kim DH, Kim JH. The literary study on the written date of and the background of Sa-am's 5 element acupuncture method. J Korean Med Classics Med History. 1993 ; 7 : 113-60. (Korean).
  11. Compiled by Kim DH. Sa-am acupuncture (Illustrated). SoGang. 2001. (Korean).
  12. Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AM, Hochberg MC. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med. 2004 ; 141 : 901-10. https://doi.org/10.1001/archinte.141.7.901
  13. Lee SW, Lim SK, Lee SH. A case study of Sa‐am acupuncture in knee pain caused by traffic accident. The Journal of the Spine & Joint Korean Medicine. 2008 ; 5(1) : 35-44.
  14. Hong KE, Park YC, Jo JH, Jo HG, Jeong IC, Kang WC, et al. Effect of Sa-am Acupuncture Method for Chronic Tension‐type Headache: A Randomized Controlled Trial. The Journal of Korean Acupuncture and Moxibustion Society. 2007 ; 24 : 13-28. (Korean).
  15. Park J, White A, Stevinson C, Ernst E, James M. Validating a new non-penetrating sham acupuncture device: two randomized controlled trials. Acupunct Med. 2002 ; 20 : 168-74. https://doi.org/10.1136/aim.20.4.168
  16. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Cross‐cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis Cartilage. 2001 ; 9 : 746-50. https://doi.org/10.1053/joca.2001.0471
  17. Berman BM, Singh BB, Lao L, Langenberg P, Li H, Hadhazy V, et al. A randomized trial of acupuncture as an adjunctive therapy in osteoarthritis of the knee. Rheumatology (Oxford). 1999 ; 38 : 346-54. https://doi.org/10.1093/rheumatology/38.4.346
  18. Vas J, Mendez C, Perea‐Milla E, Vega E, Panadero MD, Leon JM, et al. Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: randomised controlled trial. BMJ. 2004 ; 329 : 1216. https://doi.org/10.1136/bmj.38238.601447.3A
  19. Tukmachi E, Jubb R, Dempsey E, Jones P. The effect of acupuncture on the symptoms of knee osteoarthritis - an open randomised controlled study. Acupunct Med. 2004 ; 22 : 14-22. https://doi.org/10.1136/aim.22.1.14
  20. Takeda W, Wessel J. Acupuncture for the treatment of pain of osteoarthritic knees. Arthritis Care Res. 1994 ; 7 : 118-22. https://doi.org/10.1002/art.1790070304
  21. Singh BB, Berman BM, Hadhazy V, Bareta J, Lao L, Zarow FM, et al. Clinical decisions in the use of acupuncture as an adjunctive therapy for osteoarthritis of the knee. Altern Ther Health Med. 2001 ; 7 : 58-65.
  22. Witt C, Brinkhaus B, Jena S, Linde K, Streng A, Wagenpfeil S, Hummelsberger J, Walther HU, Melchart D, Willich SN. Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Lancet 2005 ; 366 : 136-43. https://doi.org/10.1016/S0140-6736(05)66871-7
  23. Scharf HP, Mansmann U, Streitberger K, Witte S, Kramer J, Maier C, Trampisch HJ, Victor N. Acupuncture and knee osteoarthritis: a three‐armed randomized trial. Ann Intern Med. 2006 ; 145 : 12-20. https://doi.org/10.7326/0003-4819-145-1-200607040-00005
  24. Ammer K, Petschnig R. Comparison of the effectiveness of acupuncture and physical therapy in ambulatory patients with gonarthrosis. Wien Med Wochenschr. 1988 ; 138 : 566-9. (German).
  25. Christensen BV, Luhl IU, Vilbek H, Bulow HH, Dreijer NC, Rasmussen HF. Acupuncture treatment of severe knee osteoarthritis, A long term study. Acta Anaesthesiol Scand. 1992 ; 36 : 519-25. https://doi.org/10.1111/j.1399-6576.1992.tb03511.x