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Efficacy of acupuncture plus Tuina in agriculturists with knee osteoarthrosis in Phayao,Thailand:a randomized controlled trial

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Journal of Acupuncture and Tuina Science 2025年第1期23卷 82-88页

作者： Poonyaphat SIRITEERATHITIKUL Monticha KUNYALUE Yaowasak YAOWAPANKUL Punyisa PUDPONG Namngern CHANTARAMANEE Sasivimol BOOTSIKEAW taweewun srisookkum Department of Traditional Chinese Medicine School of Public HealthUniversity of PhayaoPhayao 56000Thailand Giwon Clinic Chonburi 20150Thailand Department of Occupational Health and Safety School of Public HealthUniversity of PhayaoPhayao 56000Thailand Doctor of Public Health Program School of Public HealthUniversity of PhayaoPhayao 56000Thailand

Objective:To study the efficacy of acupuncture combined with Tuina(Chinese therapeutic massage)compared to acupuncture alone and sham acupuncture in aspects of symptom control and mobility functions in farmers suffering from knee osteoarthrosis(KOA).Methods:Individuals enrolled at a community hospital in Thailand were extended invitations to take part in the research *** who volunteered provided informed consent and were then randomly assigned to one of three groups,namely the combined group,the acupuncture group,and the control ***-four cases in the combined group received acupuncture and Tuina treatments;32 cases in the acupuncture group received acupuncture alone;and 30 cases in the control group received sham acupuncture *** group underwent therapeutic sessions once daily for 10 *** the main outcome measured,the Western Ontario and McMaster Universities osteoarthritis index(WOMAC)was used to assess pain,stiffness,and *** secondary outcomes included movement angles measured with a goniometer and balance function evaluated by the timed up and go ***:A total of 96 patients were *** the intervention,WOMAC total score and pain,stiffness,and function scores were significantly reduced and the joint range of motion was improved in both the combined group and the acupuncture group when compared to the control group(P<0.05);there were no significant differences between the combined group and the acupuncture *** to the acupuncture group,a lowered balance score was observed in the combined group(P<0.05).Conclusion:After once-daily interventions for 10 consecutive days in KOA patients,both the combination of acupuncture and Tuina and acupuncture alone proved effective in alleviating pain and improving the range of motion compared to the control group.

关键词： Acupuncture Tuina Massage Alternative Medicine Osteoarthritis,Knee Randomized Controlled Trial

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