Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial

Abstract Background Knee osteoarthritis (KOA) is one of the most common musculoskeletal disorders. Although the available evidence for its efficacy is inconclusive, acupuncture is used as an alternative therapy for KOA. The aim of this trial is to determine the efficacy of electro-acupuncture and ma...

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Main Authors: Jian-Feng Tu, Jing-Wen Yang, Lu-Lu Lin, Tian-Qi Wang, Yu-Zheng Du, Zhi-Shun Liu, Hui Hu, Jing-Jie Zhao, Xiao-Gang Yu, Chun-Sheng Jia, Jun Wang, Tong Wang, Ya-Quan Hou, Xuan Zou, Yu Wang, Jia-Kai Shao, Li-Qiong Wang, Zhang-Sheng Yu, Cun-Zhi Liu
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-018-3138-x
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author Jian-Feng Tu
Jing-Wen Yang
Lu-Lu Lin
Tian-Qi Wang
Yu-Zheng Du
Zhi-Shun Liu
Hui Hu
Jing-Jie Zhao
Xiao-Gang Yu
Chun-Sheng Jia
Jun Wang
Tong Wang
Ya-Quan Hou
Xuan Zou
Yu Wang
Jia-Kai Shao
Li-Qiong Wang
Zhang-Sheng Yu
Cun-Zhi Liu
author_facet Jian-Feng Tu
Jing-Wen Yang
Lu-Lu Lin
Tian-Qi Wang
Yu-Zheng Du
Zhi-Shun Liu
Hui Hu
Jing-Jie Zhao
Xiao-Gang Yu
Chun-Sheng Jia
Jun Wang
Tong Wang
Ya-Quan Hou
Xuan Zou
Yu Wang
Jia-Kai Shao
Li-Qiong Wang
Zhang-Sheng Yu
Cun-Zhi Liu
author_sort Jian-Feng Tu
collection DOAJ
description Abstract Background Knee osteoarthritis (KOA) is one of the most common musculoskeletal disorders. Although the available evidence for its efficacy is inconclusive, acupuncture is used as an alternative therapy for KOA. The aim of this trial is to determine the efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for KOA. Methods/design This is a study protocol for a randomised, three-arm, multicentre, clinical trial. A total of 480 patients with KOA will be randomly assigned to the electro-acupuncture group, the manual acupuncture group or the sham acupuncture group in a 1:1:1 ratio. All patients will receive 24 sessions over 8 weeks. Participants will complete the trial by visiting the research centre at week 26 for a follow-up assessment. The primary outcome is the success rate: the proportion of patients achieving a minimal clinically important improvement, which is defined as ≥2 points on the numerical rating scale and ≥6 points on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function score at week 8 compared with baseline. Secondary outcomes include the numerical rating scale, WOMAC score, global patient assessment and quality of life at weeks 4, 8, 16 and 26 after randomisation. Discussion This trial may provide high-quality evidence for the efficacy of acupuncture in the treatment of KOA. The results of this study will be published in peer-reviewed journals. Trial registration ClinicalTrials.gov, NCT03274713. Registered on 20 November 2017.
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spelling doaj.art-452e469a6fda4431ac3795c92aed04812022-12-22T03:05:04ZengBMCTrials1745-62152019-01-0120111010.1186/s13063-018-3138-xEfficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trialJian-Feng Tu0Jing-Wen Yang1Lu-Lu Lin2Tian-Qi Wang3Yu-Zheng Du4Zhi-Shun Liu5Hui Hu6Jing-Jie Zhao7Xiao-Gang Yu8Chun-Sheng Jia9Jun Wang10Tong Wang11Ya-Quan Hou12Xuan Zou13Yu Wang14Jia-Kai Shao15Li-Qiong Wang16Zhang-Sheng Yu17Cun-Zhi Liu18School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineDepartment of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese MedicineDepartment of Acupuncture and Moxibustion, Guang’an Men Hospital, China Academy of Chinese Medical SciencesDepartment of Acupuncture and Moxibustion, Dongfang Hospital, Beijing University of Chinese Medicine, Fengtai DistrictDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital, Capital Medical UniversityDepartment of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese and Western MedicineHebei University of Chinese MedicineDepartment of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of Chinese MedicineDepartment of orthopedics, Institute of Acupuncture and Moxibustion, China Academy Of Chinese Medicine SciencesSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineDepartment of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical UniversityDepartment of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical UniversitySchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineDepartment of Bioinformatics and Biostatistics, SJTU-Yale Joint Center for Biostatistics, Shanghai Jiao Tong UniversitySchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese MedicineAbstract Background Knee osteoarthritis (KOA) is one of the most common musculoskeletal disorders. Although the available evidence for its efficacy is inconclusive, acupuncture is used as an alternative therapy for KOA. The aim of this trial is to determine the efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for KOA. Methods/design This is a study protocol for a randomised, three-arm, multicentre, clinical trial. A total of 480 patients with KOA will be randomly assigned to the electro-acupuncture group, the manual acupuncture group or the sham acupuncture group in a 1:1:1 ratio. All patients will receive 24 sessions over 8 weeks. Participants will complete the trial by visiting the research centre at week 26 for a follow-up assessment. The primary outcome is the success rate: the proportion of patients achieving a minimal clinically important improvement, which is defined as ≥2 points on the numerical rating scale and ≥6 points on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function score at week 8 compared with baseline. Secondary outcomes include the numerical rating scale, WOMAC score, global patient assessment and quality of life at weeks 4, 8, 16 and 26 after randomisation. Discussion This trial may provide high-quality evidence for the efficacy of acupuncture in the treatment of KOA. The results of this study will be published in peer-reviewed journals. Trial registration ClinicalTrials.gov, NCT03274713. Registered on 20 November 2017.http://link.springer.com/article/10.1186/s13063-018-3138-xKnee osteoarthritisElectro-acupunctureManual acupunctureSham acupunctureRandomised controlled trial
spellingShingle Jian-Feng Tu
Jing-Wen Yang
Lu-Lu Lin
Tian-Qi Wang
Yu-Zheng Du
Zhi-Shun Liu
Hui Hu
Jing-Jie Zhao
Xiao-Gang Yu
Chun-Sheng Jia
Jun Wang
Tong Wang
Ya-Quan Hou
Xuan Zou
Yu Wang
Jia-Kai Shao
Li-Qiong Wang
Zhang-Sheng Yu
Cun-Zhi Liu
Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial
Trials
Knee osteoarthritis
Electro-acupuncture
Manual acupuncture
Sham acupuncture
Randomised controlled trial
title Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial
title_full Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial
title_fullStr Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial
title_full_unstemmed Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial
title_short Efficacy of electro-acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis: study protocol for a randomised controlled trial
title_sort efficacy of electro acupuncture and manual acupuncture versus sham acupuncture for knee osteoarthritis study protocol for a randomised controlled trial
topic Knee osteoarthritis
Electro-acupuncture
Manual acupuncture
Sham acupuncture
Randomised controlled trial
url http://link.springer.com/article/10.1186/s13063-018-3138-x
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