Acupuncture versus Homeopathy as A Complementary Therapy in Patients with Knee Osteoarthritis
Notice bibliographique
Résumé
Background: Osteoarthritis of the knee is a major cause of disability with treatment focused only on control of symptoms.Despite the popularity of both acupuncture and homeopathy, evidence of their efficacy for treatment of osteoarthritis remainscontroversy. Aim of the Work: To assess the efficacy of Acupuncture compared with Homeopathy and with the usualconservative treatment (analgesics and physiotherapy) in patients with knee osteoarthritis. Patients and Methods: Seventy-fivepatients who had had chronic pain for at least 6 months due to osteoarthritis of the knee (American College of Rheumatology[ACR] criteria and Kellgren-Lawrence score of 2), all continue on their conservative therapy remained unchanged all-throughthe study. They were divided into three groups; Group I (Acupuncture group): Included 25 patients who were subjected toacupuncture at the standardized acu-point stimulation treatment without electrical stimulation. Sessions were done twice weeklyfrom base line visit to week six. Group II (Homeopathy group): Included 25 patients who were given oral doses of homeopathicremedies that were commonly used for the treatment of osteoarthritis (Arnica Montana, Ruta graveolans and Rhustoxicodendron). Group III (Control group): Included 25 patients who continued only on their pre-study medications .Painintensity on visual analog scale (VAS), the Health Assessment Questionnaire (HAQ) score and the Western Ontario andMcMaster Universities Osteoarthritis Index (WOMAC) score were recorded for each patient before the beginning of treatment,during each visit and at the end of the sessions. The results were statistically analyzed. Results: Pain has improved statisticallyon both VAS and pain subscale of the WOMAC in group I. Also, the number of tender points decreased significantly and therewas significant decrease in the number of patients receiving analgesics for pain control at the end of the study (p<0.05). Inaddition, a statistically significant improvement in knee function was detected (p<0.05) on the total WOMAC score for kneeosteoarthritis and both the function and stiffness subscales of the WOMAC, in addition a statistically significant decrease in kneeswelling (knee circumference) was detected in this group, as well as the patient quality of life assessed by the HAQ score incomparison to the control group. There was a statistically significant improvement in the total WOMAC score, both VAS andpain subscale of the WOMAC, number of tender points in group II. Moreover, a significant decrease in the number of patientsreceiving analgesics for pain control was reported in this group (p<0.05).However, the decrease in knee swelling assessed by theknee circumference was statistically insignificant in this group. In addition, we found that the improvement of pain and functionwas statistically significant (p<0.05) in comparison to the control group (group III). Conclusions: Both Acupuncture andHomeopathy were effective in reducing pain and improving function of the knee but acupuncture was significantly moreeffective than homeopathy. Moreover, Acupuncture significantly decreased the knee circumference while homeopathy did notdecrease it significantly.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».