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Effects of Electromagnetic Acupuncture Combined with Integrative Korean Medicine Treatment on Pain and Dysfunction in a Patient with Knee Osteoarthritis: A Case Report

  • Jihun Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Taewook Lee (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Sookwang An (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Geun Hyeong, An (Dasan Haniwon) ;
  • Yoona Oh (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Gi Young Yang (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital)
  • Received : 2024.05.14
  • Accepted : 2024.05.21
  • Published : 2024.05.31

Abstract

Knee osteoarthritis (KOA) is a prevalent degenerative joint disease causing significant pain and dysfunction. This case report presents the use of electromagnetic acupuncture utilizing a Whata 153 device generating a magnetic field to enhance acupuncture stimulation for the treatment of KOA. A 69-year-old female diagnosed with KOA experienced a reduction in pain (numerical rating scale score from 7 to 4), improved gait, and decreased stiffness and swelling after daily electromagnetic acupuncture treatments during hospitalization. In addition, the Korean Western Ontario and McMaster Universities Osteoarthritis Index scoreimproved from 20 to 14, and the patient rated her overall improvement as "significantly improved" on the patient's global impression of change scale. Although these findings suggest potential benefits of electromagnetic acupuncture for KOA, the case report design limits its generalizability. More controlled trials are warranted to confirm the efficacy and safety of electromagnetic acupuncture as a treatment of KOA.

Keywords

Acknowledgement

This work was supported by a 2-year research grant of Pusan National University.

References

  1. Sharma L. Osteoarthritis of the knee. N Engl J Med 2021;384:51-59. doi: 10.1056/NEJMcp1903768
  2. Katz JN, Arant KR, Loeser RF. Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA 2021;325:568-578. doi: 10.1001/jama.2020.22171
  3. Kolasinski SL, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken) 2020;72:149-162. doi: 10.1002/acr.24131
  4. Chen J, Liu A, Zhou Q, Yu W, Guo T, Jia Y, et al. Acupuncture for the treatment of knee osteoarthritis: an overview of systematic reviews. Int J Gen Med 2021;14:8481-8494. doi: 10.2147/IJGM.S342435
  5. Lee JH, Min BI, Hwang BG, Jang J, Hong MC. The effect of acupuncture with magnetic ring on pain threshold using algometer. J Korean Acupunct Moxib Soc 2002;19:77-87.
  6. Kim SB, Park SW, Ahn SJ, Lee NR, Lee SW, Min SE, et al. Evaluation of muscle fatigue recovery effect and meridian potential change using magnetic acupuncture system. Korean J Acupunct 2012;29:83-92.
  7. Lee NR, Kim JY, Park SW, Kim SB, Lee HY, Ahn SJ, et al. The analysis of the muscle fatigue recovery effect on LR9 by compound stimulation of the PEMFs and LED. Korean J Acupunct 2011;28:13-23.
  8. Nuruki A, Tsujimura S, Furuichi H, Takenaka T, Yunokuchi K. Application of pulsed magnetic stimulation for recovery from muscle fatigue in hypokalemic and normal wistar rats. Trans Jpn Soc Med Biol Eng 2009;47:57-63.
  9. Smania N, Corato E, Fiaschi A, Pietropoli P, Aglioti SM, Tinazzi M. Therapeutic effects of peripheral repetitive magnetic stimulation on myofascial pain syndrome. Clin Neurophysiol 2003;114:350-358. doi: 10.1016/s1388-2457(02)00367-x
  10. Yun GW, Lee H, Kim YJ, Kang JH. A report on 6 cases of abdominal obesity using electroacupuncture combined with magnetic acupuncture. J Acupunct Res 2015;32:213-226. doi: 10.13045/acupunct.2015076
  11. Oh SY, Lee H, Kang JH. Clinical observations of complex therapy, including electroacupuncture and magnetic-acupuncture, for treating peripheral facial nerve palsy. J Acupunct Res 2016;33:117-127. doi: 10.13045/acupunct.2016039
  12. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: visual analog scale for pain (VAS Pain), numeric rating scale for pain (NRS Pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63(Suppl 11):S240-S252. doi: 10.1002/acr.20543
  13. 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;9:746-750. doi: 10.1053/joca.2001.0471
  14. Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont) 2007;4:28-37.
  15. Korea Disease Control and Prevention Agency. Osteoarthritis. Korea Disease Control and Prevention Agency [Internet]. (Cheongju): 2024 [cited 2024 May 5]. Available from: https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do?cntnts_sn=1988
  16. da Costa BR, Reichenbach S, Keller N, Nartey L, Wandel S, Juni P, et al. Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis. Lancet 2017;390:e21-e33. doi: 10.1016/S0140-6736(17)31744-0
  17. Nissen SE, Yeomans ND, Solomon DH, Luscher TF, Libby P, Husni ME, et al. Cardiovascular safety of celecoxib, naproxen, or ibuprofen for arthritis. N Engl J Med 2016;375:2519-2529. doi: 10.1056/NEJMoa1611593
  18. Brophy RH, Fillingham YA. AAOS clinical practice guideline summary: management of osteoarthritis of the knee (nonarthroplasty), third edition. J Am Acad Orthop Surg 2022;30:e721-e729. doi: 10.5435/JAAOS-D-21-01233
  19. Nakagawa M. [Changes of the cardiovascular system of rabbits subjected to static magnetic field of 600 Oe (author's transl)]. Sangyo Igaku 1978;20:112-113. Japanese.
  20. Raji AR, Bowden RE. Effects of high-peak pulsed electromagnetic field on the degeneration and regeneration of the common peroneal nerve in rats. J Bone Joint Surg Br 1983;65:478-492. doi: 10.1302/0301-620X.65B4.6603461