Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

No Effect of Acupuncture as Adjunctive Therapy for Patients with Total Knee Replacement: A Randomized Controlled Trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Chronic Pain, Opioid Therapy, Sexual Desire, and Satisfaction in Sexual Life: A Population-Based Survey

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Association of Physical Fitness with Depression in Women with Fibromyalgia

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Contact Heat Evoked Potentials (CHEPs) in Patients with Mild-Moderate Alzheimer's Disease and Matched Control-A Pilot Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Effects of Mindfulness Meditation on Chronic Pain: A Randomized Controlled Trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Experimental knee pain evoke spreading hyperalgesia and facilitated temporal summation of pain

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Infographic. Therapeutic exercise relieves pain and does not harm knee cartilage nor trigger inflammation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Knee osteoarthritis risk is increased 4-6 fold after knee injury - a systematic review and meta-analysis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. When enough is enough - How to determine when the evidence for the effectiveness of a treatment is sufficient?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Infographic. Exercise therapy for meniscal tears: evidence and recommendations

    Publikation: Bidrag til tidsskriftKommentar/debatForskningpeer review

Vis graf over relationer

Objective: Acupuncture is a low risk option in pain management following total knee replacement as an alternative to opioid analgesics. Therefore, the benefit of acupuncture as adjunct to an exercise program was investigated. Furthermore, the modifying effect of previous benefit from acupuncture was explored.

Design: Three weeks postoperatively, eligible patients were randomized to acupuncture and exercises or exercises alone.

Setting: An outpatient rehabilitation centre in the municipality of Copenhagen, Denmark.

Subjects: A total of 172 patients were included.

Methods: Main outcome was proportion of patients that reported a clinically important change in pain at night following each treatment. Secondary outcomes were change in disability measured after termination of the course of treatment and at three months follow-up. Also consumption of medication and walking distance after termination of the course of treatment were assessed.

Results: No additional benefit of acupuncture was found on any of the main outcomes. Between-group differences were non-significant in proportions of patients with a clinically important reduction of night pain (Relative Risk: 0.98; 95% Confidence Interval (CI): 0.86-1.11) or evening pain (Relative Risk: 0.94; 95% CI: 0.81-1.0.

Conclusions: Our results do not support the addition of acupuncture to routine rehabilitation. Previous benefit from acupuncture was not able to identify those likely to respond to acupuncture. Future studies to investigate whether subgroups of patients would benefit from acupuncture are needed.

OriginalsprogEngelsk
TidsskriftPain medicine (Malden, Mass.)
ISSN1526-2375
DOI
StatusUdgivet - 27 dec. 2017

ID: 52352745