Acupuncture, MTC & genou douloureux - GERA - …€¦ · indications de la méthode. ... Analyse de...
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groupe d groupe d’é ’é tudes et de recherches tudes et de recherches en acupuncture en acupuncture 192 chemin des c 192 chemin des cè dres dres F- 83130 La garde 83130 La garde France France [email protected] [email protected] Acupuncture, Acupuncture, MTC & genou douloureux MTC & genou douloureux bibliographie bibliographie Mars 2011 Acupuncture, Acupuncture, TCM & TCM & knee knee pain pain bibliography bibliography
Transcript of Acupuncture, MTC & genou douloureux - GERA - …€¦ · indications de la méthode. ... Analyse de...
groupe dgroupe d’é’études et de recherches tudes et de recherches en acupunctureen acupuncture
192 chemin des c192 chemin des cèèdresdresFF--83130 La garde83130 La garde
FranceFrance
[email protected]@gera.fr
Acupuncture, Acupuncture, MTC & genou douloureux MTC & genou douloureux
bibliographiebibliographie
Mars 2011
Acupuncture, Acupuncture, TCM & TCM & kneeknee pain pain
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1 -gera:6785/di/ra ACUPUNCTURE ANAESTHESIA: A REVIEW.
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SMALL TJ. american journal of acupuncture.1974,2(3), 147-3. (eng). réf:33
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1- gera: 126404/di/re OUTCOME MEASURES IN OSTEOARTHRITIS: RANDOMIZED CONTROLLED TRIALS. STRAND V, KELMAN A. curr rheumatol rep. 200;6(1):20-30. (eng). 2- gera: 10449/di/ra MASSAGES CHINOIS EN REEDUCATION. MENIEL. revue internationale d'acupuncture. 1951;4(2):77-8 (fra). Rapport de 2 cas de séquelles de fracture du tibia. 3- gera: 2551/di/ra TRAITEMENT D'UN CAS DE GONARTHROSE BILATERALE ACCOMPAGNEE DE DECHIRURE MENISCALE GAUCHE. VAN TOURS. acupuncture. 1972;33:41-7 (fra). Traitement d'un cas en 3 séances alors qu'un traitement chirurgical étant envisagé. Traitement principalement par points généraux. 4- gera: 14462/di/ra OBSERVATION CLINIQUE (GONALGIE). X. cliniques d'acupuncture. 1972;1: (fra). 5- gera: 14107/di/re PRELIMINARY CLINICAL STUDY OF ACUPUNCTURE IN RHEUMATOID ARTHRITIS WITH PAINFUL KNEE. MAN SC. arthritis and rhematism. 1973;16(4):558-9 (eng). 6- gera: 3451/di/re [THERAPEUTIQUE ACUPUNCTURALE]. LEUNG SJ ET AL. anesthesia and analgesia. 1974;53(6):942-50 (eng). Histoire et théorie de la médecine traditionnelle. Bilan d'un an de pratique d'acupuncture (2041 séances pour 357 patients) au Maimonides Medical Center de New York. Les meilleurs résultats sont obtenus en orthopédie, rhumatologie et neurologie. Présentation de trois traitements utilisés : Analgésie de cure de hernie (25E, 36E, 6Rt, 6VC, 14Rt), de névralgie de trijumeau (2E, 4E, 7E, 44E, 19G,4GI), de douleurs articulaires du genou 7- gera: 6383/nd/re [TRAITEMENT PAR ACUPUNCTURE). LEUNG SJ ET AL. anesthesia and analgesia. 1974;6:942 (eng). Névralgie faciale et gonalgie. Peu de malade ont une cédation totale des douleurs (15 %). Trois patients sont soumis à une hernioraphie inguinale sous anesthésie par acupuncture avec des résultats satisfaisants. 8- gera: 14472/nd/th LES DOULEURS DU GENOU ET ACUPUNCTURE, ETUDE CLINIQUE ET THEORIQUE. BOURREAU F. these medecine,paris 6. 1975;: (fra). 9- gera: 26114/di/el INJURY OF SOFT STRUCTURES OF THE KNEE. X. in the manual of china's current acupuncture therapy,medecine and health publishing. 1975;:212-213 (eng). 10- gera: 21760/di/ra GENOU. NOGIER P. auriculo medecine. 1976;2:27-8 (fra). 11- gera: 2552/di/ra DOULEUR DU GENOU ET TRAITEMENT PAR ACUPUNCTURE. 1ère PARTIE. BOURREAU. revue francaise d'acupuncture. 1977;10:5-19 (fra). Points et méridiens du genou. Choix des points selon les ouvrages principaux.
12- gera: 2553/nd/re AURICULOTERAPIA E PNEUMOARTROCENTESI NELLA CURA DELL'IDRARTO DEL GINOCCHIO. PRIVITERA P. minerva medica. 1977;68(56):3804-5 (ita). [AURICULOTHERAPIE ET PNEUMOARTHROCENTESE DANS LE TRAITEMENT DE L'HYDARTHROSE DU GENOUX]. 13- gera: 6126/di/re STAPHYLOCOCCAL SEPTICAEMIA WITH DISSEMINATED INTRAVASCULAR COAGULATION ASSOCIATED WITH ACUPUNCTURE. IZATT E ET AL. postgraduate medical journal. 1977;53(619):285-6 (eng). A case of disseminated intravascular coagulation due to staphylococcal septicemia is described in which the source of infection was likely to have been acupuncture therapy. 14- gera: 14465/di/el CRUSHING KNEE INJURY. X. in barefoot doctor's manual. 1977;425-6: (eng). 35E, 34E, ASHI. Une séance par jour associée à des compresses chaudes. Traitement par "nouvelle acupuncture" et phytothérapie. 15- gera: 14466/di/el INJURY OF SOFT STRUCTURE OF THE KNEE. X. in treatment of 100 common diseases by new acupuncture. 1977;:36. (eng). Protocoles de traitement par acupuncture, chimiopuncture, ventouses, flun de purrier et moxibustion. 16- gera: 17600/di/re ELECKTRO-OREAKUPUNKTURS EFFEKT PA LEDBEVAEGELSER OG SMERTER EFTER MENISKEKTOMI. STROM H. ugeskr laeger. 1977;139(39):2326-9 (dan*). Traduction anglaise disponible. [Controlled triple-blind investigation of the effect of electro-ear-acupuncture on movement and pain in knee after meniscectomy]. 21 patients with kneetroubles about 10 days after menisectomy were randomised into two groups: The group treated by "correct" acupuncture by 2 minutes electrostimulation at the "kneepoint" of the ipsciatoral ear and the control group which had the same treatment; but at the "shoulderpoint"`. The examiner and the patient did not know anything about the choice_of the acupuncturepoint and the acupuncturist did not know which point was presumed indicated in case of kneetroubles The statistical analysis proved. That among patients with limited extension of the operated knee a greater number obtained improvement of extension immediately after acupuncture. of the i.c. 5 out of 6 in the first group compared to 0 out of 7 in the control group (P<0.01). The average improvement. of the extension. As measured by a `goniometter, related to the maximum obtainable. was 46 % respectively. A week later these percentage were 82 % and 46% ; the two groups were however, too small to show a significant difference. There was also a tendency to a more pronounced improvement of flexion of the knee in the first group than in the control group; immediately afteracupuncture average improvement in flexion related to the maximum obtainable was 17% and 5% and a week later 56% and 30%. Since the two groups showed a significant difference in flexion ability of the knee before acupuncture statistical analysis of the results has been omitted. No significant difference could be proved between the groups regarding analgesia. This unbiased investigation indicates that electrostimulation of the "kneepoint " compared to the "shoulderpoint" at the ear resulted in a significant
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improvement of the extension of knees with postoperative limited extension. 17- gera: 109546/di/ra DOULEUR DU GENOU ET TRAITEMENT PAR ACUPUNCTURE. 2ÈME PARTIE. BOUREAU. revue francaise d'acupuncture. 1977;11:5-26 (fra). 18- gera: 14463/di/me ETUDE STATISTIQUE DE 30 CAS DE GONARTHROSE TRAITE PAR ACUPUNCTURE. CHON-SEN M. memoire d'acupuncture,cedat,marseille. 1978;117:14P (fra). Cette étude nous paraît confirmer l'intérêt du traitement par acupuncture compte-tenu de son efficacité marquée dans la douleur de la gonarthrose. Sur les 30 observations de gonarthrose, dans 22 cas les résultats furent bons ou très bons ; dans 8 cas, les résultats peu importants ou nuls : soit 70% de résultats bons ou très bons, soit 30% de résultats peu importants ou nuls. La plupart des auteurs paraissent admettre de bons résultats à l'acupuncture. Il faut souhaiter que la collaboration avec les services spécialisés permettra de préciser, outre les mécanismes en jeu, le spectre des indications de la méthode. Il nous semble que le champ d'action de l'acupuncture intéresse principalement en ce qui concerne les douleurs du genou : la douleur de gonarthrose, la douleur ligamentaire, les douleurs projetées d'origine articulaire, musculaire, viscérale. Dans le cas du rhumatisme inflammatoire chronique, on peut penser que des traitements mixtes (observation d'arthropathie goutteuse) permettraient de diminuer la posologie des médicaments et par là d'atténuer le risque de complications iatrogènes. Enfin, sous sa forme nouvelle, l'électropuncture nous paraît un procédé prometteur qui mérite d'avoir sa place parmi les 19- gera: 14464/nd/me DOULEUR DU GENOU EN ACUPUNCTURE. QUILLE P. memoire d'acupuncture,afa. 1978;50: (fra). 20- gera: 14478/di/ra DOULEUR DU GENOU ET TRAITEMENT PAR L'ACUPUNCTURE (3EME PARTIE). BOUREAU. revue francaise d'acupuncture. 1978;14:2-21 (fra). Analyse de 43 cas de douleur du genou mis en consultation au CHR et CHU de Nîmes. Séances de 15 à 30 minutes. 1 à 10 séances en fonction du résultat. Une séance tous les 7, 20 ou 30 jours. 65% de bons ou très bon résultats (amélioration de plus de 50%). Une amélioration peut être observée en cours de première séance dans la moitié des cas et est en partie prédictive du résultat final. 21- gera: 21778/di/ra AURICULOTHERAPIE ET PNEUMOARTHROCENTESE DANS LE TRAITEMENT DE L'HYDARTHROSE DU GENOUX. PRIVITERA P. auriculo medecine. 1978;10:21-2 (fra). (n =18). Points: Auriculothérapie: points des membres inférieurs, point de Darwin, genou (interne et externe), thalamus et point 0. Résultats: Avec auriculothérapie une seule ponction est nécessaire contre 3 en moyenne sans auriculothérapie. 22- gera: 652/di/ra LE GENOU DOULOUREUX. ROUSTAN C. revue francaise d'acupuncture. 1979;19:33-42 (fra). Etude des affections douloureuses, aiguës et chroniques selon la pathogénie traditionnelle chinoise. 23- gera: 653/di/ra LE PEI : APPLICATION AU GENOU DOULOUREUX
CHRONIQUE. GUILLAUME G. revue francaise d'acupuncture. 1979;18:63-8 (fra). Pei des os, Pei des muscles, Pei de la chair, étude clinique et thérapeutique. 24- gera: 2543/di/ra APPROCHE DU TRAITEMENT PAR L'ACUPUNCTURE DE LA COXARTHROSE ET DE LA GONARTHROSE. CASTRO P. acupuncture. 1979;62:26-45 (fra). 25- gera: 2549/di/cg TRAITEMENT DES GONARTHROSES, THEORIE, CONDUITE PRATIQUE, RESULTATS STATISTIQUES (A PROPOS DE 30 CAS). MICHEL D. conferences d'acupuncture,gera,toulon. 1979;4:87 (fra). (n = 30). Points: 9Rte, 34VB, 35E, XIYAN, 3Ru, 60V. Points secondaires en fonction de la localisation: 36E, 2Rte, 6Rte. Protocoles: Electroacupuncture. 2 séances par semaine au début puis 1 séance par semaine. Entre 10 et 16 séances. 26- gera: 14469/di/el [LESIONS DU MENISQUE ET DE LA ROTULE]. X. in modern chinese massotherapy. 1979;135-140: (eng). 27- gera: 18397/di/ra THE EFFECT OF ACUPUNCTURE ON THE HEALING PROCESS OF TRANSVERSE FRACTURE OF RABBIT FIBULA. SHU-YU W ET AL. acupuncture research quarterly. 1979;10:47-8 (eng). 28- gera: 14510/nd/re A CASE REPORT OF ACUPUNCTURE ANESTHESIA IN AMPUTATION OF THE KNEE. WONG PT. med j malaysia. 1980;34(4):347-8 (eng). 29- gera: 18404/di/ra THE HEALING EFFECT OF ACUPUNCTURE ON THE TRANSVERSE FRACTURE OF RABBIT FIBULA. WANG SY ET AL. acupuncture research quarterly. 1980;13:33-40 (eng). 30- gera: 650/di/ra [ACUPUNCTURE-MOXIBUSTION THERAPY FOR ARTHRALGIA USING DEFORMATIVE ARTHRALGIA OF THE KNEE AS OBJECT OF STUDY]. KUROSA Y. journal of the japan society of acupuncture and moxibustion. 1981;30(1):58 (jap*). It can be said that patients coming to the acupuncture-moxibustion clinic with complaints of arthralgia of the knee number second only to lumbago patients. The clinical reports on this subject are also numerous and generally speak of favorable results. In fact, although we call this problem arthralgia of the knee, the origin or underlyings diseases are various. At this time I performed a pilot experiment and compared results obtained with acupuncture and indirect moxibustion therapy administered to 20 cases each of deformative arthralgia of the knee, a disease which usually strikes after middle age. The treatment method involved stationary insertion of 1.3 TSUN No. 1 needles to a depth of 1-2 cm. for a period of 15 minutes. For indirect moxibustion I administered the garlic moxibustion methods I reported at the 24th Japan Acupuncture and Moxibustion Society Congress. Treatment points were selected from points of tenderness, induration or muscle tendon in the afflicted area. Results in the cases in which cure was obtained showed the number of acupuncture treatments averaged 8.3 and the number of moxibustion treatments 9.7 times. Also results compared from a patient questionnaire distributed after the 3rd treatment that is before the 4th treatment indicated in each of
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th 20 examples improvement in 18.11 cases in the acupuncture group and 17.17 cases in the moxibustion group. Thus there was no significant difference indicated between the two treatment groups. In both cases treatment could be considered similarly effective. 31- gera: 14470/di/re ETUDE RADIO-ISOTOPIQUE DE L'EFFET DE L'ACUPUNCTURE SUR LA VASCULARISATION ARTICULAIRE DU GENOU. MYHAL D ET AL. union medicale du canada. 1981;110(12):1046-48 (fra). [RADIOISOTOPE STUDY OF THE EFFECT OF ACUPUNCTURE ON THE ARTICULAR VASCULARIZATION OF THE KNEE]. Une étude isotopique de la vascularisation articulaire à l'aide de l'albumine marquée au Ic-99m n'a pas montré d'effet de l'acupuncture sur la vascularisation du genou chez 20 patients souffrant d'arthrite dégénératrice. L'étude était à double aveugle et comparait aux acupuncture vraie à une acupuncture simulée. Points: 2 yeux du genou et 4 points curieux associés à des points de l'oreille (Shen Moon, genou, sumenales et sub cortex), recherche de deqi et électro-acupuncture (G6805). Séance de 20 minutes, 10 séances en 3 semaines. 32- gera: 23721/di/re L'ACUPUNCTURE EN RHUMATOLOGIE. LEVERNIEUX J ET AL. concours medical. 1981;103(8):1084-91 (fra). L'acupuncture est un traitement antalgique. Les rechutes sont fréquentes. Un essai ouvert sur 130 malades atteints d'affections rhumatologiques nous a permis de soulager 46 % de nos patients. Les meilleurs indications semblent être : le syndrome du canal carpien, la coccygodynie, l'épaule douloureuse simple et la gonalgie. 33- gera: 117700/co/cg COMPARAISON OF ACUPUNCTURE WITH PHYSIOTHERAPY IN THE TREATMENT OF OSTEOARTHRITIS OF THE KNEES [ABSTRACT]. MILLIGAN JL ET AL. 15th international congress of rheumatology 1981, paris. 1981;: (eng). 34- gera: 651/di/ra [THE CLINICAL ANALYSIS OF THE EFFECT ON 82 CASES OF KNEE JOINT OSTEOARTHRITIS TREATED BY ACUPUNCTURE]. ZHANG TAO ET AL. chinese acupuncture and moxibustion. 1982;2(2):8 (chi*). Analyse clinique de l'effet du traitement par acupuncture de 82 cas d'arthrose du genou. De 1980 à 1981, le deuxième groupe de l'équipe médicale chinoise travaillant en Syrie a traité 82 cas d'ostéo-arthrite du genou avec des effets certains. Dans tous les cas les diagnostics ont été portés radiologiquement. Points principaux Dubi (35E) et Neiqiyan (oeil interne). Points associés Heding, Xue Mai (10 Rte), Zusanli (36E) et points ashi. Durant le traitement, le malade doit ressentir une sensation de distension, d'engourdissement. Les aiguilles sont laissées en place 15-20 minutes. En général 3 séances par semaine. Taux de guérison 29,27 %, amélioration 52,44 %, 35- gera: 827/di/ra [APPLICATIONS CLINIQUES DU POINT YANGLING QUAN (34VB)]. LU JINSHAN. chinese acupuncture and moxibustion. 1982;2(4):35 (chi*). Utilisé dans l'hémiplégie, les douleurs de l'hypochondre, douleur de l'épaule, les lumbago et douleurs des jambes. L'effet est remarquable dans les douleurs du genou et du coude.
36- gera: 2274/di/ra [ROLE DE LA CINETIQUE MUSCULAIRE DANS LE TRAITEMENT DE LA FRACTURE DU FEMUR PAR LA MEDECINE COMBINEE]. SHANG TIANYU ET AL. journal of traditional chinese medicine. 1982;23(6):65 (eng). 37- gera: 2275/di/ra [NOUVEAU TRAITEMENT DANS LA REDUCTION DES FRACTURES DE LA ROTULE]. MO YIWANG. journal of traditional chinese medicine. 1982;2(6):22 (eng). 38- gera: 4978/di/ra CHAMPS MAGNETIQUES POLARISES ET REPONSE THERMIQUE REFLEXE : UNE EVALUATION CONTROLEE. SANCHEZ ARAUJO M ET AL. auriculomedecine. 1982;27:5-9 (fra). L'objectif de cette étude a été la vérification expérimentale des effets produits sur la température du point réflexe du genou à l'oreille, par la projection de champs magnétiques simples et polarisés et d'un placebo sur les genoux d'individus sains et bien-portants. L'essai a porté sur dix sujets sains et seize malades du genou. L'application de telles stimulations à l'insu autant des individus que de l'observateur, n'a révélé aucune différence significative chez les sujets malades. Par contre, chez le bien-portant on a observé une tendance à une baisse thermique sous l'effet du magnétisme polarisé. La comparaison des moyennes de ce groupe et celle du placebo est très proche du seuil de signification statistique, mais insuffisante cependant par rapport à la taille réduite d'un tel échantillon. Ce fait semble justifier une nouvelle étude contrôlée portant exclusivement sur des 39- gera: 4985/di/ra COMPTE RENDU DE TRAVAUX DE THERMOGRAPHIE EFFECTUES SUR LE PAVILLON DE L'OREILLE. TARD-GEORGET. auriculomedecine. 1982;27:11-3 (fra). Une stimulation thermique d'une zone somatique (main ou genou), n'entraîne pas de modifications particulière localisée à la thermographie de l'oreille. De même une stimulation magnétique de la zone genou auriculaire n'entraîne pas de modification thermographique au niveau du genou. 40- gera: 14474/di/cg DOULEUR DU GENOU. DE L'HOMME G ET AL. congres national d'acupuncture,paris. 1982;:289 (fra). Une douleur du genou peut être isolée, le diagnostic est alors habituellement facile et le traitement efficace. Elle peut au contraire faire partie d'un tableau clinique complexe qu'il faut analyser avec le plus grand soin pour diagnostiquer le facteur local, la perturbation de fond, générale. Cette dernière pouvant toucher tout ce qui résonne sur les méridiens passant au genou : mouvements et mutations d'énergies, viscères, rythmes, grandes 41- gera: 2548/di/ra DOULEUR DU GENOU (OBSERVATION). DELFAU. auriculomedecine. 1983;30:19 (fra). 42- gera: 14468/di/ra [THE INFLUENCE OF ACUPUNCTURE STIMULATION ON THE BURSA AND SYNOVIUM OF KNEE JOINT IN RABBIT].ABSTRACT. SIM CB ET AL. acupuncture research quarterly. 1983;25:27 (eng). Il a été rapporté des cas de bursite après puncture répétée du 35E. 15 lapins sont répartis en 3 groupes avec puncture des yeux du genou, 34VB et 9RTE: soit 2 séances par jour, soit une séance par jour, soit une séance tous les 3 jours. Examen
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anatomopathologique des lésions à 15 jours, 30 jours, 60 et 120. Les lésions sont en rapport avec le nombre de séances. Il est conseillé pas plus d'une séance par jour et pas plus de 60 jours. 43- gera: 14473/di/ra [ACUPUNCTURE AND REHABILITATION (III) EFFECTS OF ACUPUNCTURE APPLIED TO THE NORMAL SIDE ON OSTEOARTHRITIS DEFORMANS AND RHEUMATOID ARTHRITIS OF THE KNEE AND ON DISORDERS IN MOTILITY OF THE KNEE*]. SHIGERU ARICHI ET AL. american journal of chinese medicine. 1983;11(1-4):146-9 (eng). In osteoarthritis deformans and rheumatoid arthritis of the knee and in disorders in motility of the knee joint after cerebral hemorrhage and thrombosis, acupuncture was applied to the normal side at the symmetrical part to the lesion and flection-extension exercise and massage on the affected joint were carried out as rehabilitation (Reha) during the time the needles were used. Amost remarkable cure rate was obtained in osteoarthitis deformans of the knee when treated with acupuncture on the normal side and flection-extension exercise and massage on the affected part. The cure rate was low in rheumatoid arthritis, and the therapy was non-effective concerning disorders in motility of the knee joint efter cerebral hemorrhage or thrombosis. The improvement rate, however, was extremely low in osteoarthritis deformans and rheumatoid arthritis of the knee after the acupuncture on the affected part of the affected side with Reha on the affected part of the affected side, or Reha on the lesion, and these means of therapy were completely non-effective concerning disorders in motility after cerebral hemorrhage or thrombosis. Our previous reports No. I and 2 accord with the evidence obtained in this study that the acupuncture on the normal side and Reha on the affected part of the affected side produced most remarkable effect in osteoarthritis deformans of the knee. The low improvement rate in rheumatoid arthritis and non-effectiveness concerning disorders in motility of the knee joint after cerebral hemorrhage or thrombosis may be explained by differences in morphology of the diseases. 44- gera: 14475/di/ra TRATTAMENTO CON AGOPUNTURA DELLA TENDINOPATIA ROTULEA. ORLANDO G. rivista italiana di agopuntura. 1983;48:27-31 (ita). Traitement de 17 cas de tendinite rotulienne chez le sportif. Traitement par acupuncture associée au streching et cryothérapie (1heure par jour). 34E, 41E, 3 points peri rotuliens douloureux (yeux du genou et sus rotulien), si forte contracture du quadriceps: 40E et 34 VB, et selon les cas 36E (Moxas sur aiguille). Dans 15 cas, amélioration de plus de 90%. 45- gera: 16789/di/cg LE GENOU. MUSSAT M. cours d'energetique des systemes vivants appliquee a l'acupuncture,3eme annee. 1983;:38-41 (fra). 46- gera: 22928/di/ra DOULEUR TRAUMATIQUE DE LA JAMBE. RAZAFITSALAMA D. auriculomedecine. 1983;30:9 (fra). 47- gera: 14030/di/ra [TRAITEMENT DE 1OOO CAS DE TRAUMATISME DES ARTICULATIONS PAR PUNCTURE DES "POINTS RELATIFS"]. BAI YUNHENG. chinese acupuncture and moxibustion. 1984;4(4):8 (chi*). Le point relatif doit être choisi selon la partie la plus douloureuse, 1) pour la hanche au coude, 2) pour le genou au
coude, 3) pour la tibio-tarsienne au poignet, 4) pour les tarsophalangienne aux doigts, 5) pour les lombaires 48- gera: 14467/di/el AFFECTIONS DES TISSUS MOUS DU GENOU. X. in roustan,traite d'acupuncture,masson,paris. 1984;3:389-90 (fra). Lésions traumatiques du genou traitées par yeux du genou, 40V et points Ashi. Les points douloureux sont les plus importants. 1 séance par jour ou tous les 2 jours. 10 à 15 séances. 49- gera: 14477/di/ra [THE PRELIMINARY CLINICAL OBSERVATION OF TREATMENT OF PATELLAR TENDON TERMINAL DISEASE BY ACUPUNCTURE]. WANG LIANQING ET AL. chinese acupuncture and moxibustion. 1984;4(2):14 (chi*). This paper deals with the treatment of 73 cases of 121 patellar tendon terminal diseases by acupuncture, microwave needle and laser, for which the total effective rate was 95.87%. Through the comparison observation of the therapeutic effects in three groups, the effect in acupuncture group was thought the best, the effective rate was 100%, showing that the effect of treatment of patellar tendon terminal disease by acupuncture was surely available, and acupuncture is a good treating method at present, which deserves recommendation and 50- gera: 14479/di/ra DIAGNOSTICO, ETIOLOGIA, PRONOSTICO Y TRATAMIENTO DE LA GONALGIAS. MATILLA MC ET AL. medicina tradicional china. 1984;0:11 (esp). 51- gera: 14480/di/ra [PATHOLOGIE DU LIGAMENT ROTULIEN CHEZ L'ATHLETE ET SON TRAITEMENT PAR ACU-MOXIBUSTION, ETUDE EXPERIMENTALE]. WANG LIANQING ET AL. journal of tcm. 1984;25(10):50 (chi). Voir traduction anglaise, réf gera [27677]. 52- gera: 26300/di/cg THE CLINICAL RESEARCH ON ANALGESIC EFFECT OF ACUPUNCTURE ANESTHESIA IN LATERAL MENISCECTOMY. GUO BANGFU ET AL. second national symposium on acupuncture and moxibustion,beijing. 1984;:202 (eng). 53- gera: 145367/di/ra TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN OSTEOARTHROSIS: A THERAPEUTIC ALTERNATIVE?. LEWIS D, LEWIS B, STURROCK RD. ann rheum dis. 1984;43(1):47-49 (eng). Thirty patients with chronic pain due to osteoarthrosis (OA) of the knee were enrolled in a randomised double-blind cross-over trial of self-administered transcutaneous electrical nerve stimulation (TENS) and placebo TENS. Medication was standardised to paracetamol tablets only. As measured on visual analogue scales for pain relief 46% of patients responded to active therapy and 43% to placebo. The length of pain relief during active therapy was significantly longer than that during placebo. At the end of the trial more patients wanted to continue using active TENS in preference to placebo or their original medication. Although most of the parameters observed favoured active TENS, it was not possible to establish its clear superiority over placebo, because the response rate to placebo TENS was high and sustained for at least 3 weeks. This trial suggests that a longer study is required to establish the role of TENS as a therapeutic agent in the treatment of the pain of chronic
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arthritis. 54- gera: 8313/di/ra [PROFIL STATISTIQUE D'UNE CLIENTELE D'ACUPUNCTURE AUX USA]. DUNG HC. chinese medical journal. 1985;98(11):835-840 (eng). Etude de 3691 nouveaux patients reçus pendant quatre ans, de 1981 à 1984, par un acupuncteur exclusif exercant au Texas et formé à Taïwan. 0,4 % des patients ont été adressés par un médecin, les autres viennent par le bouche à oreilles. 56,9 % sont des femmes. 74,2 % sont agés de 30 à 69 ans avec un pic autour de 50 ans. 1,9 % a moins de 19 ans. Les motifs de consultation sont : 1) Douleurs (70 %), d'abord lombaires (35 %) puis cou et épaules, suivies de genoux et céphalées. 2) Arrêt du tabac (17,5 %), hommes et femmes en proportion égales. 3) Réduction pondérale (6 %), avec une proportion de 77 % de femmes. 4) Autres (6,5 %), où se détachent asthme et emphysème, rhinite et sinusite, insomnie, acouphènes, troubles de la ménopause... L'étude montre que l'acupuncture est peu prise en compte par les professionnels de la santé alors qu'elle jouit d'une popularité croissante dans le public américain. 97,8 % des patients consultant pour douleurs ont été diagnostiqués et traités par un médecin diplomé sans résultats satisfaisants. Ce phénomène suggère que l'acupuncture est, sinon une réponse effective, du moins une alternative à certains problèmes mal résolus par la médecine aux USA dont 55- gera: 14481/di/ra [TRAITEMENT DE L'HYDARTHROSE DU GENOU PAR MANIPULATION ET PLANTES MEDICINALES]. WU ZIMING ET AL. journal of tcm. 1985;26(4):45 (chi). (n = 50). Points: PN177 ou xi ji. Protocoles: Phytothérapie et acupression. Résultats: - Guérison : 72%, - Amélioration : 24%. 56- gera: 14482/di/ra [INTRA-ARTICULAR GLYCOSAMINOGLYCAN VS ACUPUNCTURE IN THE TREATMENT OF GONARTHROSIS]. ABSTRACT. JUNNILA SYT. acupuncture and electrotherapeutics research. 1985;10(3):242 (eng). The aim of the study is to compare the effects of intraarticular glycosaminoglycanpolysylfat (Arteparon R) and acupuncture in the long time treatment of osteoarthrosis of the knees. 22 patients were randomized in two groups. Eleven patients were treated with intra-articular Arteparon R 50 mg two times a week during the first three weeks, then once a week for three weeks and still once after two weeks. After basic lo injections during two months the treatment was continued once in three months. Acupuncture was given six times at one week intervals and then once in three months. The results were estimated by a visual analogue scale. The time for walking 25 meters and getting up 20 stairs were measured at each contact. Before the treatment and after two years a x-ray was taken. Two patients in Arteparon R group withdrew after 3 months because of insufficient treatment result and 7 has been followedup for two years. One patient in acupuncture group was dropped out after one month because a traumatic femoral fracture and an other one after one year because of left side haemiplegia. 6 patients in this group have been followed-up for two years. The pain on VAS decreased by 54 % after one month, 28 % after six months, 36 % after 12 months and 34 % after two years in the Arteparon R group. In the acupuncture group the decrease was 53 %, 48 %, 41 % and 62 % respectively. The time for climbing up 20 stairs decreased by 19 % after one and by 9 % after two years in the Arteparon R group and by 16 % and 17 % in the acupuncture group. The time for walking 25 meters
decreased by 14 % after one year and by 3 % after two years in Arteparon R patients and increased by 4 % after one year and decreased by 5 % after two years in acupuncture patients. The radiologic changes progressed very considerably by 4/7 patients in Arteparon R group during two years and by 1/6 in the acupuncture group. 57- gera: 14755/di/ra [TRAITEMENT DE LA DOULEUR POST-OPERATOIRE PAR AIGUILLE A DEMEURE AURICULAIRE : PREMIERE EXPERIENCE CLINIQUE]. QUOB A. der akupunkturarzt aurikulotherapeut. 1985;4:105-6 (deu). Utilisation de la technique de Grammel dans 156 cas de chirurgie de la hanche ou du genou. Elle permet une diminution des doses d'antalgique en post-opératoire. 58- gera: 21322/di/ra UNE CURIEUSE DOULEUR DU GENOU. ROUAM F. revue francaise d'acupuncture. 1985;44:85 (fra*). Observation d'une douleur du genou chez une femme psycholigiquement assez immature, traitée par le Juliao 59- gera: 26270/di/ra [EFFECT OF ACUPUNCTURE ON DECREASED MUSCLE STRENGHT OF QUADRICEPS FEMORIS IN AN OSTEOARTHRITIC KNEE]. YANO T. journal of japan society of acupuncture. 1985;34(3-4):236-241 (jap*). 60- gera: 27677/di/ra CLINICAL ANALYSIS AND EXPERIMENTAL OBSERVATION ON ACUPUNCTURE AND MOXIBUSTION TREATMENT OF PATELLAR TENDON TERMINAL DISEASE IN ATHLETES. WANG LIANQING ET AL. journal of traditional chinese medicine. 1985;5(3):162-6 (eng). Tendon terminal disease is a degenerative disorder in the region where tendons and ligaments are attached to the bone. Its causes are multifarious. Most cases of patellar tendon terminal disease in athletes are due to improper training in which excessive running and jumping exert pulls on the patellar tendons exceeding the tissue structure tolerance and causing gradual damage. The condition seriously interferes with regular training and affects field performance. Prevention and treatment of the disease has been stressed for research in the area of athletic injuries in China as well as in other countries. Current management of the disorder includes physiotherapy, massage and medical injections, though results have not been satisfactory. The authors used acupuncture and moxibustion to treat the disease both clinically and in experiment tal rabbits. The patients were divided into three groups, as were the animals. Both the patients and the animals were treated separately by 1 ) regular acupuncture and moxibustion, 2) microwave through acupuncture needles, and 3) HeNe laser beam on the acupuncture points. The 61- gera: 40906/rd/ra [TREATMENT OF 34 CASES OF HYDRARTHROSIS WITH EXPANDED WULINGSAN DECOCTION]. WANG GUANG HUANG. shaanxi traditional chinese medicine. 1985;6(6):257-58 (chi*). Voir Abstract of Chinese Medicine, 1987, résumé n°235. 62- gera: 17945/di/el ON THE PROPOSED MECHANISM OF ANALGESIC EFFECT OF ACUPUNCTURE ANESTHESIA IN LATERAL MENISCECTOMY. GUO BANGFU ET AL. in research on acupuncture,moxibustion and acupuncture anesthesia,beijing. 1986;:1123-28 (eng).
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In reviewing the results of 385 cases of lateral meniscectomy under acupuncture anesthesia, we analyze the way of Point selection under the guidance of the Channel Theory and the relation between the Channels and the nerves, so as to explore the nature of the Channel. Our preliminary concept is that Channels represent in a broard sense various physiological functions, including the nerve system. It is incorrect to put an equal symbol between the two. The conductive functions of the nerve can be accomplished by stimulating the Point to activate the nervous activities and to produce the antagonisti action towards the pain-producing factor and finally to reach the goal of the alleviation of pain. This might be the mechanism of the acupunctural analgesic effect. As to analgesic effect of acupuncture in meniscectomy, it might be the activation of the Point receptor, with the impulse transmitted to the brain to make the pain threshold of the operation field elevated. We are convinced that the Channel and the 63- gera: 20734/di/ra A PREMILINARY STUDY ON THE MECHANISM OF REPAIRING MENISCUS INJURIES BY USING CHINESE MEDICAL HERBS : AN EXPERIMENTAL INVESTIGATION*. HU ETAL. international journal of chinese medicine. 1986;:17-25 (eng). 64- gera: 31527/di/ra [MASSAGE FOR POPLITEAL FOSSA INJURY : A REPORT OF 41 CASES]. LU FENGLOU. shaanxi journal of tcm. 1986;7(9):419 (chi). 65- gera: 32347/di/ra [TREATMENT OF DEFORMATIVE ARTHRITIS OF KNEE JOINT : ANALYSIS OF 102 CASES]. JIN CHUNMIN. journal of new chinese medicine. 1986;18(5):29 (chi). 66- gera: 33056/di/ra [EFFECTIVE OBSERVATION ON FIXING PATELLA FRACTURE IN 47 CASES APPLYING BARK CHINA FIR]. ZHANG PEI-QIANG ET AL. zhejiang journal of traditional chinese medicine. 1986;21(6):269 (chi). 67- gera: 20200/di/ra [32 CASES OF IPSILATERAL FRACTURES OF FEMUR AND TIBIA TREATED WITH TCM-WM]. MINGXUAN J ET AL. chinese journal of integrated traditional and western medicine. 1987;7(6):352-3 (chi). 68- gera: 21277/di/cg BIO-ENERGETIC-LEVEL-DETECTOR (BELD) AND APPLICATION IN VALGUS-VARUS GENU. GAI G. in compilation of the abstracts of acupuncture and moxibustion papers, beijing. 1987;:234 (eng). 69- gera: 22062/di/cg THE EXPERIENCE OF DR. GUO XIAOZONG IN TREATMENT OF HYDRARTHROSIS BY ACUPUNCTURE AT EFFECTIVE POINTS (WITH ANALYSIS OF 30 CASES). ABSTRACT. XUE LIGONG ET AL. in selections from article abstracts on acupuncture and moxibustion, beijing. 1987;:204 (eng). 37V, Heding, yeux du genou, 30VB...selon la forme clinique. En cas de syndrôme froid: tonification avec induction de sensation de chaleur. En cas de syndrôme chaleur: dispersion avec induction de sensation de froid. Obtention du deqi avec diffusion dans les 4 directions: haut, bas, gauche, droite. 1 séance par jour, 12 séances constituent une série. En moyenne 24 séances. Dans tous les cas, amélioration clinique et fonctionnelle. A 6 mois, dans un tiers
des cas, on observe une rechute modérée à minime. 70- gera: 22505/di/cg AIGUILLES CHAUDES ET GENOU RHUMATISMAL. FABRE J. 16ème congres national d'acupuncture,paris. 1987;:187-195 (fra). Nous avons traité depuis 4 ans une centaine de patients atteints de gonarthrose avancée par la méthode des aiguilles chauffées appliquée à deux points d'acupuncture du genou (39V et 34VB). Il s'agit d'interventions simples, requérant tout au plus des aiguilles traditionnelles chinoises, de l'armoise, quelques allumettes. Chez plus de la moitié des patients, les résultats ont été spectaculaires, rapides (1,2, ou 3 séances), durables, permettant parfois dans certains cas limites d'éviter le recours à la chirurgie. (n = 94). Points: 2 Xiyan. Protocoles: Aiguilles chaudes avec moxas. Résultats: Bons résultats : 64%. 71- gera: 22507/di/cg LE GENOU AU PLAN SYMBOLIQUE, MECANIQUE ET MUSCULAIRE, LE GENOU ARTHROSIQUE, LE GENOU INFLAMMATOIRE. STAAL. 16ème congres national d'acupuncture,paris. 1987;:205-215 (fra). 72- gera: 22626/di/ra [TO TREAT THE LATE COMPLICATION OF THE FACTURES OF THE TIBIAL AND FIBULA]. MING-XUAN JIANG. chinese journal of traditional medicine traumatology and orthopedics. 1987;3(3):18-20 (chi). 73- gera: 22631/di/ra [THERAPY OF TRADITIONAL CHINESE MEDICINE IN TREATMENT OF TIBIAL PLATEFORM FRACTURE: REPORT OF 20 CASES]. PEI-JI SU ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1987;3(3):31-8 (chi). 74- gera: 22648/di/ra [EXPERIENCE OF THE COMBINATION OF CHINESE TRADITIONAL MEDICINE AND WESTERN MEDICINE FOR FRACTURE OF FIBULA]. JIAN-FU ZHANG ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1987;3(1):30-50 (chi). 75- gera: 22650/di/ra [CONGENITAL DOUBLE PATELLAE. A CASE REPORT]. YI-MOU LIANG. chinese journal of traditional medicine traumatology and orthopedics. 1987;3(1):52-5 (chi). 76- gera: 22814/di/ra [ELECTROMYOGRAPHIC STUDY OF ACUPUNCTURE AND MOXIBUSTION THERAPY FOR KNEE PAIN (2)]. EITARO NOGUCHI. journal of the japan society of acupuncture. 1987;37(2):94-104 (jap*). Introduction: In my studies (Journal of The Japan Society of Acupuncture 35 (3, 4) ), the muscular activity of the quadricepes femoris was studied while the subjects were descending stairs. The present study, therefore, was designed to evaluate the tibialis anterior, gastrocnemius medial head, gastrocnemius lateral head. Materials and Methods: The subjects consisted of a group of 7 patients with knee pain (7 females, 61. 14 years in mean age) and a normal group of 10 healthy persons (9 males, 3 females, 39. 70 years in mean age). Electromyography was performed on the tibial anterior, gastrocnemius medial head and gastrocnemius lateral head during ascending and descending stairs. The examinations were performed pre- and post acupuncture and moxibustion
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treatment over a mean of the subsequent 4.5 weeks. Results: 1) The muscular activity of the quadriceps femoris showed an overt pattern with two peaks in the normal group, but a random pattern was shown in the knee pain group. 2) The tibial anterior and gastocnemius showed higher and longerlasting muscular activity than the normal group during descending stairs. 3) The results indicated that electromyography of the quadriceps femoris and gastrocnemius is useful for objective evaluation of knee joint function, and that the quadriceps femoris and gastrocnemius are important subjects for acupuncture and moxibustion treatment. 77- gera: 23778/di/me DOULEURS DU GENOU ET ACUPUNCTURE. GOUSSEBAIRE-DUPIN M. memoire d'acupuncture, bordeaux 2. 1987;:26P (fra). Etude proposant de juger des effets de l'acupuncture sur les douleurs du genou, et portant sur un ensemble de 30 patients. Le protocole standardisé comprenait 5 séances. Les résultats étaient évalués selon des critères objectifs et subjectifs. Ceux-ci ont montré une certaine efficacité de l'acupuncture puisqu'on notait dans l'immédiat 43 % de résultats satisfaisants sur la douleur et 40 % de bons résultats sur la mobilité articulaire. 78- gera: 24300/di/ra TREATMENT OF ADHESIVE RIGIDITY OF THE KNEE JOINT BY TUINA. DUAN SHENGRU ET AL. international conference on tcm and pharmacology,shanghai. 1987;:569-70 (eng). 79- gera: 24311/di/ra APPLICATION OF THE PRESSING FIXATOR IN REPOSIONING THE PATELL. XU HONGZHAO. international conference on tcm and pharmacology,shanghai. 1987;:594-6 (eng). 80- gera: 24314/di/ra APPLICATION OF PATELLAR HOLDER FOR PATELLA FRACTURE. JIN HONGBIN ET AL. international conference on tcm and pharmacology,shanghai. 1987;:601-2 (eng). 81- gera: 24318/di/ra TREATMENT OF ARTHROPATHY OF THE KNEE BY POINT PRESSING AND TENDON RELAXING MANIPULATION. WEI YIZONG ET AL. international conference on tcm and pharmacology,shanghai. 1987;:611-2 (eng). Traitement par massage, acupression et mobilisation. 82- gera: 24474/di/ra [THE HISTORY AND PERSPECTIVE OF THE KNEE PAIN GROUP OF JSA RESEARCH COMMITEE]. TOSHIKATSU KITADE ET AL. journal of the japan society of acupuncture. 1987;37(4):248-9 (jap). 83- gera: 24475/di/ra [AN INTERIM REPORT ON RESULT OF KNEE PAIN CHART ACCUMULATION]. TOSHIKATSU KITADE ET AL. journal of the japan society of acupuncture. 1987;37(4):250-6 (jap). 84- gera: 24936/di/cg A CLINICAL OBSERVATION ON THE BLOOD-LETTING TREATMENT OF THE LATERAL LIGAMENTS STRAIN OF KNEE IN 50 CASES. YU XICHAN. selections from article abstracts on acupuncture and moxibustion, beijing. 1987;:211 (eng).
[Observation clinique du traitement de 50 cas d'entorse des ligaments latéraux du genou par saignées]. 50 cas d'entorse des ligaments latéraux du genou sont traités par la méthode de saignée dans une population d'alpinistes de 22 à 70 ans. La méthode est simple et soulage rapidement ; recherche d'un point douloureux exquis dans la zone du ligament, puis massage léger pendant 3-5mn pour rendre la peau hyperhémique, piquer 3 fois pour obtenir 3 brèches vasculaires avec une aiguille triangulaire, faire sortir 0,5-1ml de sang en pressant. 42 cas soulagés immédiatement, 8 cas nécessitent une 2ème séance, et 2 cas résistent au traitement. En médecine traditionnelle chinoise, la distention ligamentaire correspond à une stagnation d'énergie et de sang dans les méridiens tendino-musculaires, la saignée rompt les microvaisseaux de la peau, puis active et draine la 85- gera: 23025/di/ra [CLINICAL OBSERVATION AND EXPERIMENTAL STUDY ON SYNOVITIS GRANULES IN TREATING GENUAL HYDROARTHROSIS]. ZHOU PEI ET AL. chinese journal of integrated traditional and western medicine. 1988;8(4):210 (chi*). The genual hydroarthrosis and synovitis are commonly seen in sport injuries and orthopedical diseases. Chronic inflammation usually results from malpractice at the acute stage and may cause chondromalacia patellae and genual osteoarthritis. At present, its treatment still remains unsolved. The synovitis granules is a granular drug composed of Chinese medicinal herbs, which is based on the clinical experience and basic theory of TCM. From 1979 to 1985, 290 cases were treated, the rate of cure was 62,41%, and the total effective rate was 97,23%. This drug has no side-effect and untoward effect. It consists of Spica Prunellae vulgaris, Ligusticum lucidum, Mahonia fortunei, Salvia miltiorrhiza, Stephania tetrandrae, Coix lacryma-jobs, Achyranthes bidentatae and Astragalus membranaceus, etc. The granule could clear up the heat and eliminate the dampness, activate the blood circulation and remove the blood stasis, it had the sedative and analgesic effect, and it also had the anti- inflammatory effect. This drug was able to treat all types of effusion of the knee joint, such as traumatic synovitis, rheumatic synovitis, etc. It had wonderful effect for effusion of knee joint due to sport injuries. The result of animal experiment showed that the inflammation was less severe in the test group as compared with the control and had less mucin in the effusion fluid as well. Both in the animal experiment and clinical practice the effect was markedly significant. 86- gera: 23098/di/ra [THERAPY OF MANIPULATION REPLACEMENT PLUS NAIL EXTERNAL FIXATION IN THE TREATMENT OF PATELLAR FRACTURE]. CHEN LIAN-YUAN ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1988;4(1):19 (chi). 87- gera: 23998/di/ra LE GENOU. STAAL D. acupuncture. 1988;97:40-5 (fra). Analyse selon le graphe de Fuxi. 88- gera: 25464/di/re VERGLEICH DER WIRKSAMKEIT VON AKUPUNTUR UND PHYSIKOTHERAPIE BEI AMBULANTEN GONARTHROSE-PATIENTEN. AMMER K ET AL. wiener medizinische wochenschrift. 1988;138(22):566-9 (deu*). [Comparative study between acupuncture and physical therapy in patients with gonarthrosis]. A comparative study between acupuncture and physical therapy in patients with
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gonarthrosis is reported. Patients treated with physical therapy showed 4 parameters significantly reduced after a treatment duration of 2 weeks, and 7 out of 10 parameters after 4 weeks of therapy. Acupuncture could better 2 parameters but only after 4 weeks of treatment. Although physical therapy was superior in most of the objective measurements, the subjective judgement by the patients of the efficacy of both treatments found no significant difference. In summary acupuncture is thought to be only an additional form of treatment in gonarthrosis. 89- gera: 25696/di/ra [COMBINED THERAPY IN THE TREATMENT OF TRAUMATIC SYNOVITIS OF KNEE JOINT]. SUN SHENG-JU. chinese journal of traditional medicine traumatology and orthopedics. 1988;4(4):17-19 (chi*). Author have treated 38 cases of patients suffering from traumatic synovitis of knee joint by means of combining oral administration with external application and "motion" with "quiet". The result is successful. According to the patients' conditions and different types, author cured them with different methods. The author proposed the main method for the treatment should be oral administration. The fixation with base support gypsum appropriate immobilization and early stage exercise of the muscle may play an important role in shortening of the course of the treatment. This is an important and effective therapy to prevent muscular astrophy and joint stiffness. In the author's opinion, the case should be treated in the shortest possible time so that chronic traumatic knee joint 90- gera: 25723/di/ra TREATMENT OF HYDRARTHROSIS OF THE KNEE WITH MANUAL MANIPULATION AND HERBS. WU ZIMING. journal of tcm (english edition). 1988;8(4):251-253 (eng). [Traitement de l'hydarthrose du genou par phytothérapie et manipulations]. 50 patients sont répartis en 2 groupes selon le diagnostic : groupe I : 42 cas avec syndrôme humidité-glaires (arthrosique) : difficulté à la marche, atrophie musculaire, peau normale ou blanchâtre, enduit lingual gras, pouls glissant ou fuyant ; groupe II : 8 cas avec stagnation du sang (post-traumatique) difficulté à se mouvoir, peau rougeâtre ou bleu foncé et chaude, enduit lingual fin, jaune, pouls en corde, en surface ou rapide. Un traitement par technique manipulatoire de "pression", puis de "sédation", ainsi que des exercices fonctionnels à executer sont pratiqués pour les deux groupes, une formule de plantes est prescrite, adaptée à chaque groupe. Le traitement dure de 2 semaines à 3 mois, 72% de guérison, 24% d'amélioration, 4% d'échec dans le groupe I; 100% de guérison dans le groupe II. 91- gera: 33276/di/ra [REPORT ON TREATMENT OF 36 CASES OF TRAUMATIC SYNOVITIS OF KNEE JOINT]. CHEN JIAN ET AL. acta medica sinica. 1988;3(4):38 (chi). 92- gera: 33460/di/ra [TREATMENT OF TRAUMATIC SYNOVITIS OF KNEE JOINT BY WESTERN MEDICINE COMBINED WITH TCM : A STUDY OF 35 CASES]. LI KE ET AL. journal of new chinese medicine. 1988;20(4):27 (chi). 93- gera: 48440/di/ra [APPLICATION OF SIMPLE AND EASY INTERNAL FIXATION OF FRACTURE TO TREAT FEMORAL OR TIBIAL COMMINUTED FRACTURE: 4 CASES]. WANG CAI. liaoning journal of traditional chinese medicine. 1988;12(7):27 (chi). 94- gera: 53190/di/ra
[MEDICAL TREATMENT FOR FEMORAL OR TIBIAL FRACTURE 336 CASES WITH THE BARE-HANDED REDUCTION AND THE "BI SHI" EXTERNAL *]. SU YU XING ET AL. liaoning journal of traditional chinese medicine. 1988;12(7):26. (chi). 95- gera: 53191/di/ra [APPLICATION OF SIMPLE AND EASY INTERNAL FIXATION OF FRACTURE TO TREAT FEMORAL OR TIBIAL COMMINUTED FRACTURE 4 CASES]. WANG KAI. liaoning journal of traditional chinese medicine. 1988;12(7):27-30 (chi). 96- gera: 53580/di/ra [CLINICAL AND EXPERIMENTAL STUDIES ON MOXIBUSTION FOR FINGER OSTEOMYELITIS OF 54 CASES]. YE CHUNMEI ET AL. shanghai journal of acupuncture and moxibustion. 1988;2:7-8 (chi). 97- gera: 64602/di/re DOUBLE-BLIND TRIAL TO EVALUATE THE EFFECT OF ACUPUNCTURE TREATMENT ON KNEE OSTEOARTHROSIS. PETROU P ET AL. scand j acupunct. 1988;3:113-6 (eng). Randomisation en deux groupes: 1) Acupuncture (16 patients): 35E, oeil interne, Heding, 43E, 40V. Recherche du deqi, séance de 20 minutes, 3 séances par semaine, 8 séances. 2) Acupuncture placebo: puncture superficielle, sans recherche du deqi de non points d'acupuncture. Amélioration significative dans le groupe acupuncture. 98- gera: 83015/di/ra [EFFECTS OF ACUPUNCTURE THERAPY COMBINED WITH INTERNAL MEDICATION AGAINST HEMODIALYSIS PATIENTS]. HIROSHI OMATA ET AL. journal of the japan society of acupuncture. 1988;38(3):288-94 (jap*). Twelve patients with chronic renal diseases who underwent hemodialysis in the Oriental Medicine Outpatient Clinic of a general hospital were analyzed. The ratio of female to male patients was high, and patients' ages ranged from 31 to 71 years, with a mean age of 53,3 years. Many patients had been receiving hemodialysis for a relatively long time at a frequency of three times a week in most cases. They thus had to maintain a fixed posture for 4-5 h per day several times a week. Underlying diseases were chronic glomerulonephritis, diabetic nephropathy, polycystic kidney and nephrosclerosis. Blood biochemical examination revealed high levels of BUN, CRE and UA, while K, Na, Ca and Pi electrolytes were almost normal. The drug therapy consisted mainly of urate biosynthesis inhibitors and electrolyte metabolism amelioraters. Symptoms resulting from long-term maintenance of a fixed posture and abnormalities in K, Na, Ca and Pi electrolytes included headache, stiffness in the neck and shoulder, pain in the arms, low back pain, pain in the legs and pain in the knee joint. Acupuncture was slightly effective or 99- gera: 26379/di/el ENTORSES DES GENOUX ET DES CHEVILLES. INSTITUT DE MTC DE TIANJIN. in seca et al, acupuncture en medecine clinique, decarie, montreal. 1989;:318-320 (fra). Deux yeux du genou, 39VB, 6Rte, 40V. Aiguilles et Moxas en l'absence de phénomène chaleur. 100- gera: 27121/di/ra THE EFFECT OF ACUPUNCTURE IN TREATMENT 186 CASES OF ELBOW JOINT AND JOINT AND KNEE JOINT PAIN. ZHEN JUN. acupuncture research.
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1989;14(1-2):271-272 (eng). 101- gera: 27317/di/ra [A PRELIMINARY STUDY ON THE MECHANISM OF REPARING THE MENISCUS INJURIES BY USING CHINESE MEDICAL HERBS (ANIMAL EXPERIMENT)]. HU SHENG-YU ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1989;5(2):3-6 (chi*). Through the preliminary study of healing meniscus injuries on rabbits, it is believed that chinese medical herbs can promote and accelerate the regional blood circulation, regenerate blood vessels and effectively curing 102- gera: 27329/di/ra [ON PATELLAR FRACTURE AND ITS TREATMENT]. SU BAO-HENG ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1989;5(2):44-50 (chi). 103- gera: 27826/di/ra AQUAPRESSURE TREATMENT FOR MEDIAL PATELLAR LUXATION. X. veterinary acupuncture newsletter. 1989;15(3):7-8 (eng). 104- gera: 29681/di/el THE KNEE AND LEG REGION. SUN SHUCHUN. in atlas of therapeutic motion for treatment and health. 1989;:105-12 (eng). Description des techniques de massages pour l'articulation du genou et du membre inférieur. 105- gera: 29690/di/el EXERCISES FOR THE KNEE. SUN SHUCHUN. in atlas of therapeutic motion for treatment and health. 1989;:165-68 (eng). Description d'exercises de base pour le patient. 106- gera: 34738/nd/re [MANIPULATIVE THERAPY FOR 21 CASES OF PATELLA CHONDROMALOCIS]. QINGLIN M. shanghai journal of tcm. 1989;5:18-9 (chi). 107- gera: 50271/di/ra [SELF-PREPARED No.1 EASING SOFT TISSUE CREAM FOR 52 CASES OF SOFT TISSUE STRAIN OF KNEE JOINTS]. XU ZHAOXIAN ET AL. shanghai journal of traditional chinese medicine. 1989;11:10-1 (chi). 108- gera: 50598/di/ra [ACUPUNCTURE THERAPY IN THE TREATMENT OF STRAIN PAIN OF SUBPATELLAR FAT PAD]. LEI JU. chinese journal of traditional medicine traumatology and orthopedics. 1989;5(4):15. (chi). 109- gera: 50601/di/ra [TRAUMATIC SYNOVITIS OF KNEE JOINT : CLINICAL SUMMARY OF 128 CASES]. PEN QI-QUN. chinese journal of traditional medicine traumatology and orthopedics. 1989;5(4):20-37 (chi). 110- gera: 80052/di/ra [EFFECTIVE OBSERVATION ON 1000 CASES WITH ACUTE JOINT INJURY TREATED BY EAR-NEEDLE]. LIU SHENZHONG ET AL. chinese acupuncture and moxibustion. 1989;9(4):7-8 (chi*). This article introduced acute join injury treated by earneedle. Shoulder pain: subcortex, Xiapinjan. Lumbago: Shenmen, subcortex, brain, liver, and kidney. Knee joint pain: sympathetic, Xiajiaoduan, Shenmen. Angle: Suprarenne,
Shenmen, angle. Combining with Points should be due to Zang Fu. Experience Points, sensitive, painful Points, ear-needle or ear-been can be used. Out of 1000 cases, cured rate: 905 cases (90.5%) and the total 111- gera: 80197/di/ra EFECTOS DE LA ELECTROACUPUNTURA EN LAS FASES AGUDAS DE LA GONARTROSIS. ALCAZAR CREVILLEN ET AL. medicina holistica. 1989;15:38-40 (esp). Se ha realizado el tratamiento con electroacupunctura en enfermos con gonartrosis en fase de agudizacion. Todos los pacientes presentaban dolor espontaneo y a la explosion de la movilidad pasiva. Tras 10 sesiones de electroacupunctura se ha obtenido una remision total del dolor en un 43,7% de los casos y una clara mejoria del mismo en igual porcentaje. Solo un paciente de los 19 tratados no presento ningun tipo de mejoria. Respecto a la movilidad mejoro en los casos en que habia remitido el dolor cuando la limitacion era inferior al 50%. 112- gera: 80251/di/ra PATHOLOGIE DES GROSSES ARTICULATIONS EPAULE - HANCHE - GENOU. DEGUET JP. acupuncture. 1989;102:33-6 (fra). 113- gera: 80680/di/ra TREATMENT OF PAIN BY LASER IRRADIATION. A REPORT OF 76 CASES. HU GUANGZHI. journal of traditional chinese medicine. 1989;9(4):256-58 (eng). During the last two years, the author had treated 76 cases of pain syndrome due to various etiological factors by laser irradiation, with satisfactory results. Of the 76 cases in this series, 21 were males and 55 females. The age range was 1-20 years in 5 cases, 21-40 years in 28 cases, 41-60 years in 37 cases, and over 60 years in 6 cases. The youngest patient was 4 years of age and the oldest 70 years old. The etiological diagnoses in this series were herpes zoster in 11 cases, inflammation of nervi occipitalis major in 2 cases, trigeminal neuralgia in 3 cases, parotitis in 3 cases, osteochodritis of ribs in 5 cases, frozen shoulder in 6 cases, oral cavity ulcer in 20 cases, cholecystitis and cholelithiasis in 13 cases, ureteral calculus in 5 cases, and sciatica in 8 cases. All cases in this series were treated with BXS-1 model He-Ne laser therapeutic machine (manufactured by Chongqing Optical Instrument Research Institute), with a wave length of 6328 A, a light spot of 2mm in diameter, an output potential of 3mW a working current of 1-10 mA, an irradiation distance of about 30-50 cm from exit of laser light to the skin. Focal irradiation was combined with acupoint irradiation. If the focal lesion was large, irradiation might be performed separately, section by section. For acupoint irradiation, acupoints were selected according to TCM differentiation. 1-3 acupoints were selected for each session of treatment once daily, with 10 sessions constituting a therapeutic course. A seven day interval was allowed between courses. It was shown that the analgesic effect was better in oral cavity ulcer and herpes zoster, but less effective in abdominal pain due to cholecystitis, the chief reason being that it was difficult for the calculi to be expelled. 114- gera: 81034/di/ra AKUPUNKTURTHERAPIE DER GONALGIE. PERSCHKE O. akupunktur theorie und praxis. 1989;2:110-13 (deu). 115- gera: 60125/di/ra [THE CLINICAL SUMMATION OF 38 CASES OF SYNOVITIS OF THE KNEE JOINT TREATED BY TCM]. LI JIANPING. jiangsu journal of traditional
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chinese medicine. 1990;11(7):27-9 (chi). 116- gera: 60959/di/ra [TREATMENT OF CHILD'S FRACTURES OF TIBIA AND FIBULA]. ZHANG WEN TAI ET AL. journal of traditional chinese medicine and chinese materia medica of jilin. 1990;3:17-29 (chi). 117- gera: 61093/di/ra [SELF-MADE BELT-TYPE HARD BOARD SPLINT IN THE TREATMENT OF PATELLAR FRACTURE]. HOU WEI LIN. chinese journal of traditional medicine traumatology and orthopedics. 1990;6(3):27-34 (chi). 118- gera: 61097/di/ra [AN IMPORTANT SIGN OF MENISCUS INJURY]. WU LIN SHENG. chinese journal of traditional medicine traumatology and orthopedics. 1990;6(3):59. (chi). 119- gera: 61106/di/ra [FRACTURE OF TIBIA AND FIBULA : THERAPEUTIC ANALYSIS OF 143 CASES]. JIANG SHOU GUO ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1990;6(2):28-31 (chi). 120- gera: 61183/di/ra [IMMOBILIZATION OF FRACTURED PATELLA BY EMBRACING RING DEVICE]. ZHOU ZHIHUA ET AL. chinese journal of integrated traditional and western medicine. 1990;10(6):351-52 (chi*). 48 cases of fractured patella treated by embracing ring device from 1976-1988 were reported. Among the group, there were 31 males and 17 females aged 20-80 years. The types of fractures were transverse 28 cases, comminuted 8 cases, fissure or stellate 12 cases; closed 43 cases, opened 5 cases. The methods were adopted, namely: (1) Simple immobilization with embracing ring device. (2) Cylinder plaster cast combined with embracing ring device. (3) Open-reduction with internal fixation combined with embracing ring device. According to the holistic concept the authors adopted both external and topical application of paste to relieve local swelling and oral administration of traditional Chinese medicine. After bone-union the embracing ring device was removed in conjunction with external lotion and active exercises. The 48 cases were followed up ranging from 5 months to 6 years. Satisfactory results were obtained in 41 cases (85,42%). Finally the authors emphasized that the preservation of patella plays an important role in maintening the extensor mechanism of the knee from physiological and biomechanic views, if the articular surface can be perfectly restored. The nature of embracing ring device and 121- gera: 61376/di/ra [AMELIORATIVE KNEE-HOLDING SNARE AND ELASTIC BAND IN THE TREATMENT OF PATELLAR FRACTURE]. ZHANG JIANG XIN ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1990;6(4):32-3 (chi). 122- gera: 61377/di/ra [FOUR NEEDLES THERAPEUTIC METHOD IN THE TREATMENT OF PATELLAR FRACTURE]. HE ZAN ZHUANG ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1990;6(4):34-9 (chi). 123- gera: 62102/di/ra [CURATIVE EFFECT OF 280 CASES OF FRACTURE OF TIBIA AND FIBULA]. WANG ZHAOLI ET AL. shandong journal of traditional chinese medicine.
1990;2:11-2 (chi). 124- gera: 62187/di/ra [METHOD OF PUSHING, SQUEEZING AND SEPARATING TENDONS FOR 54 CASES OF SUBPATELLAR FAT PAD STRAIN]. ZHANG DUNKE ET AL. shanghai journal of traditional chinese medicine. 1990;3:9-13 (chi). 125- gera: 62256/di/ra [128 CASES OF TRAUMATIC SYNOVITIS ON KNEE POINT TREATMENT WITH ACUPUNCTURE AND INJECTION IN ACUPOINT]. PENG QIQIONG. shanxi journal of traditional chinese medicine. 1990;6(1):38. (chi). 126- gera: 63822/di/ra [BU SHEN HUO XUE THERAPY FOR EPIPHYSES STRAIN OF KNEE JOINT IN CHILDREN]. MIAO PENG. shaanxi traditional chinese medicine. 1990;11(1):18 (chi). 127- gera: 80916/di/ra [ANATOMICAL CONSIDERATION OF KNEE JOINT (III). ON THE INNERVATION OF JOINT CAPSULE]. X. journal of the japan society of acupuncture. 1990;40(1):81. (jap). 128- gera: 80952/di/ra [ACUPUNCTURE TREATMENT WITH THERAPEUTIC EXERCISE FOR GONARTHROSIS (4TH REPORT)]. X. journal of the japan society of acupuncture. 1990;40(1):117. (jap). 129- gera: 80953/di/ra [ACUPUNCTURE TREATMENT FOR OSTEOARTHRITIS OF THE KNEE JOINT (II)]. X. journal of the japan society of acupuncture. 1990;40(1):118. (jap). 130- gera: 80954/di/ra [THE ACUPUNCTURE TO THE MUSCLE HARDENING FOR OSTEOARTHRITIS OF THE KNEE JOINT]. X. journal of the japan society of acupuncture. 1990;40(1):119. (jap). 131- gera: 80955/di/ra [EFFECT OF ACUPUNCTURE ON KNEE PAIN. OSTEOARTHRITIS AND OSTEOPOROSIS]. X. journal of the japan society of acupuncture. 1990;40(1):120. (jap). 132- gera: 81001/di/ra [ACUPUNCTURE TREATMENT FOR OSTEOARTHRITIS OF THE KNEE JOINT]. X. journal of the japan society of acupuncture. 1990;40(1):166. (jap). 133- gera: 81679/di/el INJURY OF THE LATERAL COLLATERAL LIGAMENT OF THE KNEE JOINT. WANG GUOCAI ET AL. in chinese massage, publishing house of shanghai college of tcm, shanghai. 1990;:352-56 (eng). Traitement par massage. 134- gera: 81990/di/ra FRACTURE OF PATELLA. ZHAO CHUNYIN ET AL. in clinic of tcm (2), publishing house of shanghai college of tcm, shanghai. 1990;:656-62 (eng). 135- gera: 81991/di/ra FRACTURE OF TIBIA AND FIBULA. ZHAO
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CHUNYIN ET AL. in clinic of tcm (2), publishing house of shanghai college of tcm, shanghai. 1990;:662-72 (eng). 136- gera: 82005/di/ra MENISCUS INJURY OF KNEE. ZHAO CHUNYIN ET AL. in clinic of tcm (2), publishing house of shanghai college of tcm, shanghai. 1990;:754-57 (eng). 137- gera: 82006/di/ra LIGAMENTOUS INJURY OF KNEE JOINT. ZHAO CHUNYIN ET AL. in clinic of tcm (2), publishing house of shanghai college of tcm, shanghai. 1990;:758-63 (eng). Traitement par phytothérapie traditionnelle. 138- gera: 82884/di/ra 34 CASES OF EFFUSION OF KNEE BURSITIS TREATED BY ACUPUNCTURE AND CUPPING. WU HENGMING. chinese journal of acupuncture and moxibustion. 1990;3(4):260-1 (eng). 10Rte, 34E, 32E, 34VB et 6Rte. 4 points sont utilisés à chaque séance, une séance par jour, mi-tonification, mi- dispersion. Associer à mise en place de ventouse: puncture du point légèrement au-dessus de l'angle supéro- interne de la rotule. Sensation de vide sous l'aiguille. Retrait de l'aiguille et ventouse 20 minutes. Il peut y avoir un petit écoulement journalier. Dans les cas avec inflammation importante: ponction, aspiration. 80% de guérison 139- gera: 83071/di/ra [COMPARISON OF THE EFFECTS BETWEEN LOW ENERGY LASER THERAPY AND ACUPUNCTURE IN GONARTHROSIS]. HIROMITSU TANIMURA ET AL. journal of the japan society of acupuncture. 1990;40(3):243-46 (jap*). Comparing the effects of low energy laser and acupuncture was conducted in 14 patients with gonarthrosis. Effectiveness on the pain on going up or down stairs, range of motion (ROM) of knee joint and tenderness were examined. After acupuncture treatment, the pain on going up or down stairs, and ROM of knee joint were significantly improved. Laser therapy showed the same significant effects both on the pain on going up or down stairs and ROM of knee joint. In addition, laser therapy showed a significant effect on tenderness. In the statistical evaluation, no remarkable difference was shown between acupuncture therapy and laser therapy. Present data suggest that the laser therapy is as effective as acupuncture therapy in gonarthrosis. 140- gera: 83072/di/ra [ACUPUNCTURE WITH THERAPEUTIC EXERCISE FOR THE OSTEOARTHRITIS OF THE KNEE JOINT]. HIDEKI OCHI ET AL. journal of the japan society of acupuncture. 1990;40(3):247-53 (jap*). The osteoarthritis of knee joints in early stage were treated with acupuncture, SSP and therapeutic exercise. The clinical effect of this treatment was evaluated by the our original score method for osteoarthritis of knee joints, and the muscle strength of extensors of knee joint were measured. Symptoms of the osteoarthritis of knee joints were improved significantly and the power of the extensors increased by these treatments. 141- gera: 29175/di/ra [EVALUATION OF ACUPUNCTURE TREATMENT ON THE SHINSPLINTS (MEDIAL TIBIAL STRESS SYNDROME). X. journal of the japan society of acupuncture. 1991;41(1):53. (jap). 142- gera: 29177/di/ra [CLINICAL EFFECTS OF THE HOT SPIKE
STIMULATION AT THE YUSEN (K-1) AND SANINKO (SP-6) FOR KNEE JOINT OSTEOARTHRITIS (OA). X. journal of the japan society of acupuncture. 1991;41(1):55. (jap). 143- gera: 29223/di/ra [SUMMARIZATION OF KNEE JOINT PAIN RESEARCH GROUP. X. journal of the japan society of acupuncture. 1991;41(1):15. (jap). 144- gera: 29234/di/ra [ACUPUNCTURE TREATMENT ALONG WITH THERAPEUTIC EXERCISE FOR GONARTHROSIS (PART 6). A LIMITATION AND ADAPTATION OF ACUPUNCTURE FOR GONARTHROSIS. X. journal of the japan society of acupuncture. 1991;41(1):26. (jap). 145- gera: 29258/di/ra [PIA THERAPY USING LASER RADIATION FOR PAINFUL KNEE (PART 4). ABOUT THE SELECTIVENESS OF WAVE LENGTH. X. journal of the japan society of acupuncture. 1991;41(1):98. (jap). 146- gera: 29265/di/ra [ANATOMICAL CONSIDERATION OF KNEE JOINT (PART 4). ON THE INNERVATION OF JOINT CAPSULE. X. journal of the japan society of acupuncture. 1991;41(1):105. (jap). 147- gera: 29310/di/ra [A CASE STUDY OF KNEE ARTHROSIS DEFORMANS. X. journal of the japan society of acupuncture. 1991;41(1):152. (jap). 148- gera: 29312/di/ra [A CASE STUDY OF KNEE ARTHROSIS DEFORMANS COMBINED WITH SYNOVITIS ON SUPRAPATELLARIS REGION. X. journal of the japan society of acupuncture. 1991;41(1):154. (jap). 149- gera: 37151/di/re EVALUATION AND MANIPULATIVE THERAPY OF PATELLAR MALALIGNMENT : A CLINICAL REVIEW AND PRELIMINARY REPORT. WU LINSHENG MD. journal of manipulative and physiological therapeutics. 1991;14(7):428-35 (eng). 150- gera: 62415/di/ra [MANUAL THERAPY AND SELECTION OF ANESTHESIA IN ADHESION OF KNEE JOINT : A REPORT OF 60 CASES]. ZHOU YUNXIA. beijing journal of traditional chinese medicine. 1991;1:34. (chi). 151- gera: 63403/di/ra [CLINICAL SUMMARY ON THE TREATMENT OF FRACTURE OF TIBIA AND FIBULA WITH SMALL SPLINTS COMBINED BY INTERNAL FIXATION WITH RECTANGLE FORM NEEDLE]. SONG HUARONG ET AL. jiangsu journal of traditional chinese medicine. 1991;12(5):28 (chi). 152- gera: 63653/di/ra [USE OF SELF PRESCRIBED RELAXING ADHESION DECOCTION FOR RIGIDITY OF KNEE JOINT AFTER INJURY]. DU NING ET AL. shanghai journal of traditional chinese medicine. 1991;6:27 (chi). 153- gera: 63991/di/ra [A COMMON MUSCULAR INJURY AROUND THE KNEE JOINT. INJURY OF THE POPLITEUS]. BAI LI-
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HE ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1991;7(2):15 (chi*). This paper presents 150 cases with injury of the popliteus treated with massage, the total curative rate being 98. 00%. Besides, by animal experiment the more effective method of massage has been found. The mechanism of etiology of the popliteus has been discussed too. 154- gera: 64120/di/ra EFFECTIVE OBSERVATION OF 80 CASES OF KNEE SPRAIN TREATED BY ACUPUNCTURE AND MASSAGE. (abstract). MO XIAORONG ET AL. acupuncture research. 1991;16(3-4):254 (eng). 80 cases of knee sprain were treated by acupuncture and massage in this paper. The result is as follows : marked improvement 80%, improvement 13,75%, total effective rate: 93,75%. Selecting points: Painful points on knee joint were treated with Acupuncture and Massage. 7-8 points were embedded each time. The treatment is given once daily. It is considered that the best effective treatment should be got for the patients whose age is younger, whose course of disease is shorter and whose treatment is more timely. 155- gera: 64264/di/ra [REDUCTION FIXATOR OF FRACTURE IN THE TREATMENT OF UNSTABLE FRACTURE OF TIBIA AND FIBULA : REPORT OF 36 CASES]. YANG HU-LIN ET AL. chinese journal of traditional medicine traumatology and orthopedics. 1991;7(3):29 (chi). 156- gera: 65415/di/ra [THREE NEEDLES OF KNEE THERAPY FOR RHEUMATOID ARTHRITIS]. FANG YONGYAN. shaanxi traditional chinese medicine. 1991;12(6):275 (chi). 157- gera: 83470/di/ra ANALYSIS OF THE THERAPEUTIC EFFECT OF 366 CASES OF CHRONIC LUMBAR. BACK PAIN AND ARTHRALGIA TREATED BY MERIDIAN COMPREHENSIVE THERAPY. LEI LUN ET AL. chinese journal of acupuncture and moxibustion. 1991;4(2):84-6 (eng). The author treated 336 cases of chronic lumbar and back pain with comprehensive therapy, i. e. choosing tenderness according to different affected area for point injection of Radix Ledebouriellae. The cure rate was 40%, total effective rate 96%. The author considered that point injection therapy by preparation of medical guide drug had played double-effect in acupuncture and drug and had good result according to differentiation of meridian. This paper introduced main and subordinate points for treating lumbar and back pain. 158- gera: 84618/di/ra [CLINICAL EFFECTS OF THE HOT SPIKE STIMULATION AT THE YUSEN (K-1) AND SANINKO (SP-6) FOR KNEE JOINT OSTEOARTHRITIS (OA)]. KENICHI MIHARA ET AL. journal of the japan society of acupuncture. 1991;41(4):374-6 (jap*). We compared the results of heating the joint and of applying the Hot-spike and electric stimulus to the YUSEN (1Rn) and SANINKO (6Rte) points to disperse the fluid at the Knee. The tests with the points resulted in little change in the fluid level at the Knee. This time we measured the circumference of the Knee. A therapist established the standard measuring method, and tried to make the error decrease. While they were observing the circumference of the Knee, they would not allow any other medical treatments or any movement by the patient. 159- gera: 35766/di/ra
OSTEOARTHRITIS. TWO CASES. WEN JIAN MIN ET AL. australian journal of acupuncture. 1992;18:9-10 (eng). 160- gera: 35872/di/ra SHORT THRUST WITH WARMING TO THE NEEDLE IN TREATING 54 CASES OF KNEE PAIN. WU QINGMING. international journal of clinical acupuncture. 1992;3(2):197-9 (eng). Xiyan, Heding, 34VB, 8F. Puncture selon la technique de traitement des Bi des os du Ling Shu: enfoncement progressif de l'aiguille avec tremblements suivi d'enfoncements, retraits. Moxas sur aiguilles (2 à 3cm de rouleau Taiyin sont fixés sur le manche). Une séance par jour, 10 séances constituent une série. Guérison dans 70% des cas, avec 15 à 47 séances (moyenne 31). rapport de 3 cas. 161- gera: 35927/di/ra PREDICTIVE VALUE OF SUBJECTIVE AND OBJECTIVE EVALUATION BEFORE ACUPUNCTURE TREATMENT. BULOW HH. american journal of chinese medicine. 1992;20(1):17-23 (eng). To evaluate if it is possible to predict the outcome of acupuncture treatment in patients with knee osteoarthrosis, six treatments were given during a 3 week period. Follow-up time was 9-17 weeks. Seven parameters were evaluated to examine if they had any influence on the outcome of treatment: Age, duration of disease, pain, range of knee movement, analgesic consumption, knee score (an objective and subjective evaluation of the knees) and x-ray changes. Twenty-nine patients were included with a total of 42 osteoarthritic knees waiting for a total knee replacement. The median age was 69. 2 years, and median duration of disease was 4. 2 years. 85% of the participants reported a subjective effect, and in 88% an objective effect was found. Although there were some significant differences when you looked at the 7 parameters above, the pattern was not a consistent one. Follow up results also indicated that those with the best immediate results, not necessarily were the ones with the best long- term effect. It is not possible to predict the outcome of acupuncture treatment of osteoarthritic knees. Immediate results are not a guide-line for long-term results, which indicate that acupuncture research must include a follow-up period. (n = 29). Points: 34E, 35E, XIYAN, 36E, 10Rte, 4GI. Protocoles: Recherche du deqi, séance de 20 minutes avec stimulation intermittente. 2 séances par semaine sur 3 semaines (6 séances) suivi moyen sur 11 semaines. Résultats: 85% des patients décrivent une amélioration subjective. 162- gera: 35965/di/ra ACUPUNCTURE-LIKE STIMULATION WITH CODETRON FOR REHABILITATION OF PATIENTS WITH CHRONIC PAIN SYNDROME AND OSTEOARTHRITIS. FARGAS-BABJAK A ET AL. acupuncture and electrotherapeutics research. 1992;17(2):95-105 (eng). Acupuncture is one of the oldest healing methods which is used in traditional medicine. In the modern medicine, we are witnessing a renaissance of this ancient treatment applied mainly in the management of chronic pain. A number of modern technological changes are being applied to replace, or modify, the classical needle treatment. Among many modalities used today is the novel addition in Transcutaneous Electrical Nerve Stimulation (TENS) called CODETRON which delivers acupuncture-like stimulation in a random order. CODETRON was developed by a Canadian Scientist and had been evaluated in a clinical trial in a multidisciplinary pain clinic on patients who came for acupuncture therapy over a period of two years. Indications, effectiveness and experiences with this form of treatment are
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presented. In addition, results obtained from a six week double-blind randomized placebo controlled pilot trial of osteoarthritis of the hip/knee with CODETRON which was conducted later. The results were highly suggestive of the beneficial effect of this nonhabituating mode of therapy and confirmed our initial 163- gera: 36096/di/ra [ACUPUNCTURE TREATMENT WITH THERAPEUTIC EXERCISE FOR GONARTHROSIS (7TH REPORT) -THE IMPORTANCE OF THE COMBINATION OF ACUPUNCTURE TREATMENT AND THERAPEUTIC EXERCISE-]. X. journal of the japan society of acupuncture. 1992;42(1):29. (jap). 164- gera: 36097/di/ra [EVALUATION OF ACUPUNCTURE TREATMENT ON JUMPER'S KNEE (PATELLAR TENDINITIS)]. X. journal of the japan society of acupuncture. 1992;42(1):30. (jap). 165- gera: 36211/di/ra [THE PYONEX THERAPY FOR THE TENSION OF TRACTUS ILIOTIBIALIS (PART 2)]. X. journal of the japan society of acupuncture. 1992;42(1):144. (jap). 166- gera: 36392/di/ra ACUPUNCTURE IN GONARTHROSIC PAIN "BACHMANN'S KNEE PROGRAM". ZWOLFER W ET AL. american journal of chinese medicine. 1992;20(3-4):325-9 (eng). 35 patients avec douleur de gonarthrose. Deux yeux du genou, 36E, Heding et point au centre de la rotule. Séance de 20 minutes, 1 séance par semaine, 10 séances éventuellement prolongées. 60% des patients ont répondu au questionnaire, parmi eux 70% avec de bons résultats. 167- gera: 36412/di/ra OSTEOARTHRITIS OF THE KNEE. JI XIAOPING. international journal of clinical acupuncture. 1992;3(4):375-7 (eng). Présentation et discussion autour d'un cas d'arthrose du genou: diagnostic traditionnel, indications de la moxibustion, choix des points et justification, localisation. 168- gera: 36413/di/ra ACUPUNCTURE IN THE TREATMENT OF SPRAIN. LI SHUREN ET AL. international journal of clinical acupuncture. 1992;3(4):379-83 (eng). Rapport d'un cas clinique pour chaque articulation (cou, hanche, genou, cheville, épaule, coude et poignet). Genou (atteinte ligament latéral externe): 34VB, 33VB, 35E et ASHI, recherche du Deqi, puncture en mi- tonification, mi-dispersion 15 minutes. Puis ventouse 10 minutes. Guérison en 20 séances (un mois). 169- gera: 36667/di/cg EXPERIENCE ON THE TREATMENT OF HYDRARTHOSIS OF THE KNEE JOINT. ABSTRACT. LEGEIN WFC. wfas international symposium on the trend of research in acupuncture, roma. 1992;:209 (eng). Traitement par acupuncture, phytothérapie et massage sans description des protocoles. 170- gera: 36670/di/cg LASER ACUPUNCTURE FOR PAINFUL KNEE USING BONE REFLEX POINTS ON SKULL. ITOHO PIA. wfas international symposium on the trend of research in acupuncture, roma. 1992;:210 (eng). Traitement de 20 patients par Irradiation Laser (60 secondes,
830nm) au "point osseux réflexe". Situé au niveau de la Mastoïde. 70% de bons résultats. 171- gera: 37370/di/re ACUPUNCTURE TREATMENT OF SEVERE KNEE OSTEOARTHROSIS. A LONG-TERM STUDY. CHRISTENSEN BV ET AL. acta anaesthesiol scand. 1992;36(6):519-25 (eng). PURPOSE : Acupuncture treatment of patients waiting for arthroplasty surgery. METHODS : 29 patients with a total of 42 osteoarthritic knees were randomized to two groups. Group A was treated while Group B served as a no- treatment control group. After 9 weeks Group B was treated too. Analgesic consumption, pain and objective measurements were registered. All objective measures were done by investigators who were "blinded" as to Group A & B. In the second part of the study 17 patients (26 knees) continued with treatments once a month. Registration of analgesic consumption, pain and objective measurements continued. Total study period 49 weeks. RESULTS : Comparing Group A to B there was a significant reduction in pain, analgesic consumption and in most objective measures. In Group A + B combined there was an 80% subjective improvement, and a significantly increased knee range movement - an increase mainly in the worst knees. Results were significantly better in those who had not been ill for a long time. In the second part of the study, it was shown that it was possible to maintain the improvements. CONCLUSIONS : Acupuncture can ease the discomfort while waiting for an operation and perhaps even serve as an alternative to surgery. Seven patients have responded so well that at present they do not want an operation. (USD 9000 saved per operation). 172- gera: 37653/di/ra ACUPUNCTURE OF THE KNEE. CAMP V. acupuncture in medicine. 1992;10(2):57-62 (eng). 173- gera: 44679/di/ra [RECONSTRUCTED MODEL OF OSTEOARTHRITIS OF KNEE IN RABBITS AND THE EFFECT OF JIANGU TANG ON THIS MODEL]. SHEN LIN ET AL. traditional chinese medicinal research. 1992;5(2):18 (chi*). This experiment presents a model of osteoarthritis of in rabbits, in which the mechanical changes in the right knee were created by the operative method in 55 rabbits. The model showed many signs such as degeneration and attrition of cartilage, eburnation and cystic degeneration in the subchondral bone and the osteophyte formation in the joint margins, etc. Then rabbits with osteoarthritis were divided two groups. Group A, Jiangu Tang was given oral; Group B, saline was used. The comparative observation of two groups have taken through radiographic examination, histological manifestations, etc. The results showed that Jiangu Tang might obviously accelerate the repair of the cartilage and the bone in osteoarthritis. 174- gera: 44930/di/ra [OBSERVATION ON THE THERAPEUTIC EFFECT OF ELECTRO-ACUPUNCTURE WITH TDP FOR GONITIS]. XIE CHENG-LU ET AL. chinese acupuncture and moxibustion. 1992;12(6):19 (chi*). In this article, 100 cases of gonitis were treated by electro-acupuncture with TDP irradiation, among which, 69 cured, 18 remarkably improved, 11 improved, and 2 without improvement. The effective rate was 98 %. Compared with the group treated by electro-acupuncture only and by TDP irradiation, there was a marked difference in the curative rate statistically (P<0.001). The main points selected were Neixiyan (extra), Waixiyan (ST35), Yanglingquan (GB34),
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Yinlinquan (SP9), and Zusanli (ST36). 175- gera: 45054/di/ra [100 CASES OF PROLIFERATIVE GONARTHRITIS TREATED BY GUO'S LOWER LIMB WASHING METHODS]. GUO FUCHENG ET AL. traditional chinese medicinal research. 1992;5(4):19 (chi). 176- gera: 84308/di/ra QI GONG ET GONARTHROSE. X. lettre de l'institut europeen de qi gong. 1992;1:8. (fra). 177- gera: 1842/di/ra NEEDLING XIAOGUKONG IN TREATING COLD-PAIN OF KNEE. TAO HONGYOU. international journal of clinical acupuncture. 1993;4(4):423-4 (eng). Xiaogukong (Extra 6) is an extra-channel point wich, as noted in A great Compendium of Acupuncture and Moxibustion, is located at the tip of the second joint of the little finger, and is indicated for arresting pain in the hand joints and eyes. Clinically, needling the point has been employed for relieving pain, cold feeling and soreness of the knee joint. The results proved satisfactory. XIAGIUKONG (point de la face dorsale de la main au niveau de l'auriculaire), au niveau de l'interphalengienne distale. - En cas de douleurs unilatérales: point homolatéral, sinon puncture bilatéral. - Aiguille de 0,5 à 1 cun implantée perpendiculairement sur 0,1 cun. Rotation 1 minute, aiguille laissée en place 15 minutes, rejetée 2 à 3 fois durant la séance. - 3 séances constituent une série. Un résultat net est obtenu en général avec une série. Rapport d'un cas. Sensation de chaleur et cédation de la douleur en deux minutes. Après 5 minutes la sensation de chaleur est identique à celle que l'on peut obtenir avec la moxibustion. Deux autres 178- gera: 2104/di/ra ACUPUNCTURE TREATING 32 CASES OF MUSCULUS QUADRICEPS FEMORIS INJURY CAUSED BY QUINIMAX. RAN JINLI. world journal of acupuncture-moxibustion. 1993;3(4):13-4 (eng). Quinimax injection causes side infect characterized by pain and atrophy in musculus quadriceps femoris. Pain predominates in acute stage and corresponds to the Bi Syndrome, while atrophy is seen in chronic stage, and refers to the Wei Syndrome. The pain should be treated by activating Qi and blood circulation. The atrophy should be treated on the principle of tonifying blood and nourishing tendons. The points of the stomach meridian are mostly selected for the treatment purpose because they are abundant in Qi and blood. My try is successful. The cured rate is 61.76% and all 34 179- gera: 4674/di/cg ACUPUNCTURE TREATMENT IN THE RELIEF OF GONARTHROSIS PAIN - A CONTROLLED CLINICAL TRIAL. ABSTRACT. MOLSBERGER A ET AL. third world conference on acupuncture. 1993;:208. (eng). (n = 97). Points: Patients répartis en deux groupes: 1) Acupuncture vraie (points non précisés, n=71). 2) Fausse acupuncture (n=26). Protocoles: 2 séances par semaine. 10 séances. Résultats: Amélioration significative de la douleur dans le groupe acupuncture. Introduction: many patients suffer from pain of gonarthrosis. Common therapies are not very successful. Therefore Acupuncture treatment of gonarthrosis pain was studied. Method: The analgesic effect of acupuncture in chronic gonarthrosis pain was studied in a placebo-controlled trial completed by 97 patients. Each patients was treated twice a week, alltogether recieving 10 acupuncture treatments. Before and after the course of
treatment all patients were examined by an unbiased independent examiner and the overall pain score was measured over 10 days using Vas-scales; functional parameters (resilience) were measured with a modified Lysholm questionnaire. Patients of the verum group (n=71) were treated according to generally accepted acupuncture treatment recommendations. Patients of the placebo group (n=26) were treated with sham acupuncture, using non- acupuncture points on the homolateral leg. A follow-up examination was carried out after 3 months. Results: After ten treatments the overall reduction in pain score was 47,5% in the verum group (follow-up 48,2%), and in the placebo group (follow-up 26,1%). The results are statistically significant (P<0,05). Discussion and conclusion: The study shows that in gonarthrosis pain the analgesic effect of verum acupuncture exceeds that of placebo acupuncture. The measurement of the functional parameters according to the Lysholm score showed no significant change. This indicates that the VAS pain score is more sensitive for pain measurement than the Lysholm score. Further studies about acupuncture concerning pain treatment should be carried out. 180- gera: 4814/di/cg EVALUATION ON THE EFFECTS OF ACUPUNCTURE TREATMENT ON JUMPER'S KNEE. ABSTRACT. AMANO K ET AL. third world conference on acupuncture. 1993;:213. (eng). Points douloureux rotuliens. - Puncture 5 minutes, suivie de 10 minutes de stimulation électrique transcutanée du point. - Allègement de l'entraînement suivi de glaçage. Amélioration pour 22 tendons sur 31 traités. Amélioration du débit sanguin au niveau rotulien mesuré par Doppler. Introduction: Recently, many athletes have received acupuncture treatments for care and prevention of sports disorders, and conditioning. These are many reports deals with the effect of acupuncture on sports disorder. However, in the majority of these reports, the definite diagnosis was not made. So, we treated the patients diagnosed as Jumper's knee (patellar tendnitis) by sports doctors using acupuncture and examined it's clinical effect. Method: Twenty two patients with patellar tendinitis (31 legs) were studied. Acupuncture were performed several points of patellar tendons, and a leaving needle of the most tenderness point was made for 5 minutes, and them, TEAS (transcutaneous electrical acupuncture point stimulation) were performed for 10 minutes. Moreover, we gave guidance about alleviation of the amount of training, icing therapy immediate after training, and stretching. The effects of acupuncture treatment were evaluated on the basis of pain scale, degree of tenderness on the patellar tendons, change of the symptoms. We also examined that effects of acupuncture stimulation to the patellar tendons on subcutaneous blood flow on the patellar tendons of 12 normal adults. The blood flow was measured with laser Doppler flow meter. Result and Discussion: In 22 of 31 legs the symptoms were improved by the acupuncture treatments. The subcutaneous blood flow was increased by an average of 59% after acupuncture stimulations. The increment of the blood flow by acupuncture treatments was supposed to be due to somatic- 181- gera: 4962/di/cg PIA LASER ACUPUNCTURE FOR PAINFUL KNEE USING BONE REFLEX POINTS ON SKULL. ABSTRACT. ITOH O. third world conference on acupuncture. 1993;:217. (eng). Point osseux réflexe "PM" à la pointe de la mastoïde. Irradiation laser au DIOTRON-PIA. 60 ou 120 secondes et longueur d'onde 790 ou 830 nm. Efficacité dans 70% des cas. Introduction: Low power laser are widely used to treat pain, however local therapy, that is the laser administered at the
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afflicted area, is most of ten administered. At this time we would like to report about our studies concerning the quick relief of knee joint pain obtained using PIA Laser Acupuncture in which laser therapy for painful knee was administered not locally but rather at bone reflex points "PM" at the tip of the mastoid process of the temporal bone. Subject and Method: The subject in this study included 5 male and 15 female patients for whom previously administered PIA system therapy using various metal magnets (ITOH-MAG) had proven ineffective in relieving painful knee. Laser treatment was administered at bone reflex points "PM" for 60 to 120 seconds using the Diotron- PIA semiconducter laser developed by author and associates. The wave length was 790-830nm. Results: Laser therapy at bone reflex points "PM" was effective in 70% of the cases. In most of these cases 60 seconds laser treatment was effective. Also laser therapy was effective only when administered on the side of the patients shorter leg. Interpretation and Conclusion: It is unclear whether or not laser therapy at the distant bone reflex points "PM" relieves painful knee. Also it was very interesting to note that wave length of 830nm only were effective. 790 nm waves were not effective. 182- gera: 4993/di/cg CLINICAL EFFECTS OF ELECTRICAL HEAT ACUPUNCTURE ON CHRONIC LOW BACK AND KNEE JOINT PAIN (III). IWA M ET AL. third world conference on acupuncture. 1993;:219. (eng). 183- gera: 8892/di/cg ACUPUNCTURE WITH QUADRICEPS EXERCISE FOR THE OSTEOARTHRITIS OF THE KNEE JOINT. ABSTRACT. OCHI H ET AL. third world conference on acupuncture. 1993;:406. (eng). Introduction: It is generally believed that quadriceps exercise is an effective method for osteoarthritis (OA) of the knee joint. The purpose of this study is to clarify the importance of quadriceps exercise in acupuncture treatment. Method: Forty eight patients with OA of the knee joint in early or middle stage radiographically were treated in our hospital. They were 12 males and 36 females whose are ranged from 53 to 85 years with the average age of 64 years. They were divided into 3 groups. In group-A, 18 patients were treated acupuncture and silver spike point (SSP) therapy; in group-B, 20 patients, the combination of acupuncture and SSP therapy and quadriceps exercise; in group-C, 10 patients, quadriceps exercise only. The clinical effect of these treatments was evaluated by our original evaluation score, and the strength of extensors of the knee joint was measured. The average follow-up period was 18 months. Results: In the group-A and -B, symptom improved significantly but in the group-C it did not. In the group-B and -C, the strength of the extensors increased immediately after the treatment. In the group-B, the relief of symptoms had continued during the follow-up period. Conclusion: The combination of acupuncture, SSP therapy and quadriceps exercise was very useful in conservative treatment for OA of the knee joint. 184- gera: 9616/di/cg A NEW ACUPOINT IN THE AREA OF SACRUM DETECTED IN THE PATIENTS WITH KNEE PAIN. ABSTRACT. HONDA T ET AL. third world conference on acupuncture. 1993;:444. (eng). Background: We have repeatedly observed a novel acupoint of lower back specific to knee pain in the patients treated for knee pain in our clinic. Thus, we investigated the correlation between knee pain and the pain threshold in this region as well as the effectiveness of acupuncture therapy utilizing this point. Methods: 31 healthy college students with knee pain and 30 non-symptomatic college students without knee pain
were chosen as subjects. Markes placed 1 cm intervals from the lower part of L4 extending 10 cm toward the tip of coccyx. Pain thresholds up to 5 kg were measured by algometer about 1 cm on both sides of mideline of the spine at these lateral marks. The lowest threshold of each subject was defined as the most sensitive point (MSP). Needle stimulations on MSP were made in a sub-group patients in order to evaluate the effect of decreasing knee pain. Results: In the knee pain group, MSP were detected in the 28 among 31 subjects at either 6,7 or 8 cm from the lower part of L4. On the other hand, MSP's of control group were detected at this position in only 10 of 30 subjects. Moreover, MSP's in knee pain group were detected at lower pressure than controls (1,9 ± 0,2 kg vs 3,5 ± 0,2 kg, mean ± SEM). In addition, prominent analgesic effects were observed by stimulations of MSP in the knee pain group. Conclusion: A new acupoint specific for the knee pain was detected in the area of sacrum. Stimulation of this point shows prominent analgesic effects for knee pain. 185- gera: 9645/di/cg TREATMENT OF 22 CASES AFFECTED BY GONARTHROSIS WITH TRADITIONAL CHINESE MASSAGE ON ACUPUNCTURE POINTS COMBINED WITH THE PLUM BLOSSOM NEEDLE THERAPY AND MOXIBUSTION. ABSTRACT. CONTI S ET AL. third world conference on acupuncture. 1993;:445. (eng). The authors report the treatment, carried out in the period November 1991-April 1992, of 22 cases (17 female, 5 male), ranging in age between 52 and 64, affected by mono-bilateral gonarthrosis, differentiated in three syndromes according to TCM diagnosis: a - Cold-wind syndrome (9 cases); b - Cold-dampness syndrome (10 cases); c - Qi and blood stagnation syndrome (3 cases). The combination of the techniques of massage on acupoints (circular pressure with the tumb, vibration) with the Plum Blossom needle therapy and moxibustion with moxa-stick, proved especially useful in the treatment of this disease, because it has determined in most treated cases, the disappearance or the clear reduction of pain and the recovery of the articular mobility. In particular, the resolution of the "positive masses" detectable on palpation in the area of affected joints by means of Plum Blossom needle therapy, was determined for the best therapeutic achievements. The results were as follows: - 10 cases markedly improved; - 8 cases improved; - 4 cases with a poor result. 186- gera: 45100/di/ra TREATMENT OF STRAIN OF THE INFRAPATELLAR FAT PAD BY MANIPULATION. OBSERVATION OF THERAPEUTIC EFFECT IN 117 CASES. . GUO XIAODONG. journal of traditional chinese medicine. 1993;13(4):294-8 (eng). The present group comprises 117 cases of strain of the infrapatellar fat pad. The treatment effected a 100% cure in the mild and moderate types of the cases. In the severe cases suffering from such accompanying conditions as traumatic arthritis, the rate of effectiveness reached 100%, with all symptoms and signs becoming markedly alleviated. The treatment is considered a method of the first choice in handling strain of the infrapatellar fat pad, and also a good method for treating traumatic arthritis of the knee and malacia of the patella. 187- gera: 45686/nd/re [ACUPUNCTURE TREATMENT OF KNEE ARTHROSIS. A LONG-TERM STUDY]. CHRISTENSEN BV ET AL. ugeskr laeger. 1993;155(49):4007-11 (dan*). The purpose of this study was to examine acupuncture
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treatment of patients with osteoarthrosis of the knee. Twenty-nine patients with a total of 42 osteoarthritic knees were randomized to two groups. Group A was treated while group B served as a no treatment control group for nine weeks. Analgesic consumption, pain and objective measurements were registered. In the second part of the study 17 patients (26 knees) continued with treatments once a months. Registrations were continued for a total study period of 49 weeks. Comparing group A with B, there was a significant reduction in pain, analgesic consumption and in most objective measures. In group A + B combined there was an 80% subjective improvement, and a significantly increased range of movement of the knee. Results were significantly better in those who had not been ill for a long time. The second part of the study 188- gera: 47913/di/ra [ANALYSIS ON 121 CASES OF OSTEO-ARTHRITIS OF KNEE JOINTS TREATED BY MANIPULATION PLUS TRADITIONAL DRUGS]. WU LINSHENG ET AL. journal of traditional chinese medicine. 1993;34(12):742 (eng*). By using Chinese materia medica on the basis of differentiation by Zheng and manipulation therapy, together with topical application of medicines and functional exercise, we obtained a total effective rate of 87,6% in which 39 were excellent; 46, good; 21, fair; 15, ineffective. Voir traduction anglaise, réf gera [56866]. 189- gera: 48087/di/ra [ADHESIVE RIGIDITY OF KNEE JOINT TREATED BY TUINA UNDER ANESTHESIA]. BAI SHAOJIA ET AL. journal of traditional chinese medicine. 1993;34(10):614 (eng). This paper reports 60 cases of adhesive ankylosis of the knee treated by manuduction under anesthesia. Excellent and good effects were achieved in 50 cases (83%), and normal function of the knee joint was maintained in 35 of the 40 cases followed up for more than one year. Voir traduction anglaise, réf gera [85344]. 190- gera: 48841/di/ra TRATAMIENTO COMPARATIVO DE LAS GONARTHROSIS CON ONDA CORTA, LASER Y ELECTRO- ACUPUNCTURA. VILLAROYA APARICIO A ET AL. medicina holistica. 1993;35:13-8 (esp). Se ha realizado un estudio comparativo de los resultados obtenidos en cuanto al dolor y movilidad articular en la gonartrosis tratada con onda corta, laserpuntura y electroacupunctura. La electroacupunctura mostro los mejores resultados. 191- gera: 12771/di/ra APPLICATION OF PUNCTURING THE POINTS OPPOSITE TO THE DISEASE SIDE IN THE TREATMENT OF TRAINING INJURY IN TROOPS - A REPORT OF 2560 CASES. WENYUAN W. world journal of acupuncture-moxibustion. 1994;4(4):3-4 (eng). Puncturing points opposite to the diseased side was used to treat injuries in 2560 soldiers during their training. The instant effective rate and curative rate of the therapy was up to 96.25% and 38.44% respectively. Puncture à l'opposé. Atteinte du membre supérieur: Jiatong opposé (1,5 cun au dessous du 36E et légèrement en dehors). Membre inférieur: Tuntong (1 cun au dessus du 9IG) pour la fesse, Xitong (1 cun en dedans du 11GI) pour le genou. Tête et cou: Toutong (0,5 cun au dessus du 3F) pour la tête et Jintong ou Yemen (2TR) pour le cou. Abdomen-thorax: Xiontong (1 cun au dessus du 5TR) pour les traumatismes thoraciques et Jifuzheng (1 cun au dessus du 36E) pour les atteintes
abdominales. Dos et lombes: Yaotong (au milieu de la ligne unissant Yintang au 24VG) pour les lombes et Jianbei (1 cun en dedans du 30VB) pour le dos. Rapport d'un cas d'épaule 192- gera: 16631/di/ra TRATTAMENTO DELLO STIRAMENTO DEL CUSCINETTO ADIPOSO INFRAPATELLARE PER MEZZO DELLA MANIPOLAZIONE. OSSERVAZIONE DELL'EFFETO TERAPEUTICO IN 117 CASI. GUO XIAODONG. rivista italiana di medicina tradizionale cinese. 1994;58(4):75-7 (ita). Traduction italienne, réf gera [45100]. 193- gera: 20853/di/ra [ABOUT THE KNEE JOINT PAIN THINKING FROM THE ALIGNMENT OF LOWER EXTREMITY (ESPECIALLY, TOWARD THE PATIENTS WITH CHRONIC KNEE JOINTS PAINS)]. TAKEUCHI Y ET AL. journal of the japan society of acupuncture. 1994;44(4):329-32 (jap*). About some knee joint pains we treat at clinic every day, toward the old people who have been in knee joint pain for a long time, I considered about the alignment of lower extremity, and the connection between the mobility of patella and knee joint pains. I had three kinds of ways to measure the alignment of lower extremity. F-T angle means degrees of genu-varum and genu-valgum about lower extremity. Q angle means the deviation of patella at the frontal plane. E angle means the extension Iimited of the knee. I measured each angle. I examined the mobility of patella up and down, left and right. In addition, I selected two points from six points where knee joint pains often happened, after that I made these two points. As a result, only the worse of F-T angle had an influence on the continuance of pains and mainly the pain place tended to gather in Nai-shitugan and Kyokusen. The change in Q angle and E angle didn't participate in a continuance of pains. I could suppose that the limitation about the mobility of patella also had an 194- gera: 47804/di/ra [DIFFERENTIATION ZHENG AND TREATMENTS OF KNEE ARTHRALGIA]. HE LING ET AL. shaanxi traditional chinese medicine. 1994;15(11):519 (chi). 195- gera: 48993/di/ra TREATING OSTEOARTHRITIS OF THE KNEE JOINT BY TRADITIONAL CHINESE MEDICINE. CHEN WEIHENG ET AL. journal of traditional chinese medicine. 1994;14(4):279-82 (eng). Traitement par phytothérapie traditionnelle et acupression. 196- gera: 53707/nd/re THE USE OF SURFACE EMG IN KNEE EXTENSOR MOMENT PREDICTION. . CHENG CK ET AL. proc natl sci counc repub china b. 1994;18(4):179-86 (eng). A systematic method of EMG quantification is developed to estimate the isometric muscle moment directly from quantified surface EMG. This method includes the EMG Signals acquired from an acupuncture point Fu-Tu located on the quadriceps muscle group, an EMG smoothing scheme, an electromechanical time lag estimation, and a mathematical model with the polynomial regression function to quantify the EMG. Three subjects were asked to be tested on the CYBEX II dynamometer with a knee joint angle of 90 degree flexion and hip joint angle of also 90 degrees. They were asked to perform "two" trials of maximal voluntary contraction and "three" trials of free voluntary contraction of the isometric exercise. The first two trials were used to build up the quantification model, and the latter three trials served as data for the validation of the method. A Medelec MS92
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EMG system with surface EMG electrodes was used to acquire the EMG Signals. In the determination of the regression order of the polynomial equations, the threshold value 0. 0001 of the difference of the coefficient of determination values was used. The results of the polynomial regression orders are all 6 for three subjects, which reflects a tendency of nonlinear behavior of the EMG/moment relationship. A validation scheme was proposed to calculate the root mean square difference (RMSD) of the measured knee extensor moments from the CYBEX II dynamometer and estimated moments from the EMG quantification. The mean values of the RMSD of the three subjects were 0. 0597, 0. 0679 and 0. 1080. These results demonstrate that the present approach can estimate the isometric muscle moment exerted by the quadriceps muscle group. 197- gera: 53821/di/re ACUPUNCTURE FOR THE TREATMENT OF PAIN OF OSTEOARTHRITIC KNEES. . TAKEDA W ET AL. arthritis care and research. 1994;7(3):118-22 (eng). OBJECTIVE. The purpose of this study was to determine whether acupuncture was more effective than sham acupuncture in the reduction of pain in persons with osteoarthritis (OA) of the knee. METHODS. Forty subjects (20 men, 20 women) with radiographic evidence of OA of the knee were stratified by gender and randomly assigned to either the experimental (real acupuncture) or control (sham acupuncture) groups. Subjects were treated three times per week for 3 weeks and evaluated at three test sessions. Outcome measures were: 1) the Pain Rating Index of the McGill Pain Questionnaire, 2) the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, and 3) pain threshold at four sites at the knee. RESULTS. The analyses of variance showed that both real and sham acupuncture significantly reduced pain, stiffness, and physical disability in the OA knee, but that there were no significant differences between groups. CONCLUSIONS. Acupuncture is not more effective than sham 198- gera: 53948/di/ra [OBSERVATION ON THE ANALGESIC AND ANTISPASMODIC EFFECT OF NEEDLING HANDACUPOINT "FEICHANGDIAN" (GASTROCNEMIUS POINT). CHEN JIN. chinese acupuncture and moxibustion. 1994;14(6):9 (chi*). The author is good at hand acupuncture and often punctures hand-acupoint "Feichangdian" (Gastrocnemius Point), which is located at the mid-point, halfway between the 2 transverse creases of the 1st middle segment of the 5th finger on the palmer aspect, The point has remarkable antispasmodic and analgesic effect on the acute injury or just the spasm occuring in the triceps muscle of the lower legs, in athelets. twenty two cases of spasm in that muscle here treated and the cure rate was 100%, and 38 cases of acute injury of the muscle were also treated and the effectiveness of 199- gera: 53954/di/ra [INFLUENCE OF ACUPUNCTURE ON INTRACELULLAR CALCIUM ION ACTIVITY IN EXTRA-KINETIC SKELETAL MUSCLES OF RABBITS]. LI PENGTAO ET AL. chinese acupuncture and moxibustion. 1994;14(6):30 (chi*). Same breed of healthy violet rabbits were selected and divided at random into acupuncture group, controlled group and free group. The former two underwent the repeated passive tetanic contraction of the musculus quadriceps femoris induced by electric stimulation with superficial electrodes and the effect of acupuncture was observed by means of determining the activity of intracellular calciums ions in skeletal muscles with specific ion electrodes. The
result showed that acupuncture is able to reduce quickly the raised activity value of calcium ions in skeletal muscles in duced by extra-kinesis. It is held that this result is contributory to the understanding of the mechanism that acupuncture recovers the delayed muscular soreness caused by kinesis. 200- gera: 56043/di/ra OBLIQUE ACUPUNCTURE IN THE TREATMENT OF SKELETAL MUSCLE INJURY : AN EXPERIMENTAL AND CLINICAL STUDY. LU DING-HOU ET AL. international journal of clinical acupuncture. 1994;5(2):123-7 (eng). Puncture oblique au niveau des points Ashi dans les lésions musculaires notamment chez les sportifs. Ala biopsie, amélioration hitopathologique. Ces résultats avec la puncture oblique sont meilleurs qu'avec la puncture verticale. 201- gera: 56060/di/ra NEEDLING OF CORRESPONDING SPOTS IN TREATING ACUTE SPRAIN AND/OR CONTUSION. MI SHUGUANG. international journal of clinical acupuncture. 1994;5(2):207-11 (eng). A chaque articulation correspond un point sur une autre articulation controlatérale: par exemple, le point de traitement du genou est situé au coude...Séance de 30 minutes avec stimulation intermittente et automobilisation de l'articulation atteinte. Une séance par jour, 2 séries de 3 séances au maximum. Rapport d'un cas d'entorse de 202- gera: 56123/di/ra ACUPUNCTURE OF CONTRALATERAL COLLATERAL POINTS IN TREATING SOFT TISSUE INJURIES : A CLINICAL STUDY OF 1000 CASES. CUI YUN-MENG. international journal of clinical acupuncture. 1994;5(4):491-5 (eng). En fonction de la localisation de la lésion, le méridien atteint est déterminé. Pour chaque méridien un point est puncturé à l'opposé: 7P, 6GI, 40E, 4RTE, 5C, 7IG, 58V, 4RN, 6MC. Recherche du deqi et séance de 30 minutes. Présentation de cas: atteinte du pouce, du coude, des lombes, du genou, du gros orteil. 203- gera: 86701/di/re PUBLISHED TRIALS OF NON-MEDICINAL AND NON-INVASIVE THERAPIES FOR HIP AND KNEE OSTEOARTHRITIS. PUETT DW ET AL. annals internal med. 1994;121(2):133-40 (eng). Purpose: To review the efficacy of non-medicinal, noninvasive therapies in hip and knee osteoarthritis. Data sources: exercise, acupuncture, transcutaneous electrical nerve stimulation, topically applied capsaicin, low-energy laser, and pulsed electromagnetic fields were found. No experimental studies of superficial heat and cold, orthotic devices, vibration, or weight loss were identified. Results: Exercise reduces pain and improves function in patients with osteoarthritis of the knee. No support exists in the literature for pre-exercise ultrasound treatment. Single, well- designed studies suggest that topically applied capsaicin and laser treatment reduce pain associated with knee osteoarthritis. Data on the other three therapies was sparse (transcutaneous electrical nerve stimulation, pulsed electromagnetic fields) or inconsistent (acupuncture). Conclusions: More data is needed to determine the optimal 204- gera: 109406/di/cg ANALGESIA POSTOPERATORIA CON AURICULOTERAPIA EN ARTROSCOPIA DE RODILLA. D ASIS. annales du premier symposium international d ' auriculotherapie et d' auriculomedecin.
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1994;:8 (esp*). Two groups of twenty patients (groups A and B), ages ranging from 19 to 39, all male, with previous diagnosis of unilateral meniscus syndrome. Both groups had been medicated in the immediate postoperative period, with usual pharmacological postoperative treatment. Only group B was treated with EAT; previously to the regional anaesthesia , we detected the auricular point for the knee where we inserted a needle and another one was inserted in point 0. Epidural anaesthesia was made with lidocaine 2%, and we used diacepan 10 mg. We used electrical stimulation with HF during 30 minutes. The analgesia was evaluated with the VAS and the requirement of analgesic drugs. According to our evaluation we could observe better reactions in group B; only 6 patients 205- gera: 117699/di/re SCHMETZTHERAPIE MIT AKUPUNKTUR BEI GONARTHROSE : EINE KONTROLLIERTE STUDIES ZUR ANALGETISCHEN WIRKUNG DER AKUPUNKTUR BEI GONARTHROSE. MOLSBERGER A ET AL. der schmerz. 1994;8:37-42 (deu). 206- gera: 7101/di/ra [OBSERVATION ON THE THERAPEUTIC EFFECT OF ONE HUNDRED AND THIRTY-EIGHT CASES OF STRAIN OF SUBPATELLAR FAT PAD TREATED WITH THREE KNEE POINTS]. SHU HONGWEN. chinese acupuncture and moxibustion. 1995;15(3):21 (chi*). 138 cases of strain of subpatellar fat pad were treated with acupuncture on Neixiyan ( EX-LE4) , Dubi ( ST35 ) and Zusanli ( ST36 ) ( known as 3 knee points). 68 cases were cured (68. 0%), 25 improved (25.0%) and 7 unchanged (7.0%). The total effective rate was up to 93.0%. The comparison between this method and the combination of this method with the infrared irradiation found no difference statistically (P<0.05). It is suggested that the application of infrared may be given according to the need of the specific condition. Voir traduction anglaise, réf gera [85686]. 207- gera: 37810/di/ra OBSERVATION CLINIQUE. KESPI JM. revue francaise d'acupuncture. 1995;81:69-70 (fra). Nous présentons ici l'observation d'une gonalgie gauche multi-traitée sans succès pendant 2 ans, puis guérie par un traitement général agissant sur vésicule biliaire et rate, par les points de la branche externe de vessie et le 208- gera: 40963/di/ra [SIXTY CASES OF RETROGRADE GONARTHRITIS TREATED WITH POINT-INJECTION OF DRUG]. FAN SONGLING. chinese acupuncture and moxibustion. 1995;15(6):15 (chi). 209- gera: 54254/di/ra ELECTROACUPUNCTURE AND EXERCISE IN BODY WEIGHT REDUCTION AND THEIR APPLICATION IN REHABILITATING PATIENTS WITH KNEE OSTEOARTHRITIS. . SHAFSHAK TS . american journal of chinese medicine. 1995;23(1):15-25 (eng). The efficacy of ear electroacupuncture on appetite and weight control was investigated in 3 separate studies. Part I: The Stomach, Hunger, or placebo ear points were stimulated in three different groups. Stimulating the Stomach, or Hunger, points was significantly more effective in appetite control than stimulating the placebo points. Part II: Stimulation of 3 pairs of ear points (Stomach, Hunger, and Shen Men) was performed on 61 obese subjects for 8 weeks.
Only 43 subjects engaged, in addition, in an exercise program. 79% of the subjects succeeded to follow a low calorie diet for 8 weeks with subsequent weight reduction. Active exercises significantly increased weight loss. Part III: 19 obese patients with knee osteoarthritis participated in electroacupuncture, diet, and exercise program 210- gera: 54511/di/re EFFICACY OF TRADITIONAL CHINESE ACUPUNCTURE IN THE TREATMENT OF SYMPTOMATIC KNEE OSTEOARTHRITIS : A PILOT STUDY. . BERMAN BM ET AL. osteoarthritis and cartilage. 1995;3(2):139-42 (eng). Traitement de 12 patients avec arthrose du genou: 35E, Xiyan, 36E, 9Rte, 60V, 3Ru, 6Rn, 6 Rte et 39VB. Electroacupuncture au niveau du 35E et Xiyan. Recherche du Deqi. Séance de 20 minutes, 2 séances par semaine, 8 semaines. Un mois après le traitement: amélioration du Womac, du lequesne et du temps de marche sur 50 pieds. Cette amélioration s'est prolongée à 2 et à 3 mois. 211- gera: 66747/di/ra [200 CASES OF PROLIFERATIVE GONITIS TREATED WITH BOTH ACUPUNCTURE AND MEDICINE OF LU'S TRAUMATOLOGY DEPARTMENT]. LU ANQI. liaoning journal of traditional chinese medicine. 1995;22(8):354 (chi*). The writer has used his ancestral silver needle to treat the disease externally with the cross warm needling therapy. Beside, the patient should take orally the decoction of warming the meridians and replenishing the pith (Lu's recipe). The therapeutic effect is pronounced in two hundred cases of hyperplastic knee arthritis. Therapeutic Effect: In 135 cases,therapeutic effect is acquired after one course of treatment. In sixty-five cases,it is obtained after two courses of treatment. Marked effect is got in 150 cases accounting for 75%. In 46 cases, there is no effect , accounting for 20%. The total rate of efficacy takes up 98%. 212- gera: 84744/di/ra "FENG QI AI" HOT COMPRESS TREATMENT. HONGSHENG Z ET AL. world journal of acupuncture-moxibustion. 1995;5(2):32-5 (eng). Hot medicated compress treatment belongs to an external treatment and is a kind of moxibustion. "Feng Qi Ai" prescription was recorded in Yi Fang Lei Ju, Zhu Xu Men, Rui Zhu Tang Fang. In the treatment, pain in the loin and the knees, cold-pain around the navel and in the abdomen, diarrhea due to deficiency and cold and other diseases are treated by combination of drugs with hot compress. We have improved the treatment and extended the range of its indication. It was used for treatment of menorrhalgia due to cold uterine, gastralgia due to cold of middle-jiao, sciatica, 213- gera: 84944/di/ra TRATTAMENTO DELL'OSTEOARTRITE DEL GINOCCHIO IN MTC. CHEN WEIHENG ET AL. rivista italiana di medicina tradizionale cinese. 1995;62(4):60-2 (ita). L'osteoartrite del ginocchio è una delle patologie più comuni nelle cliniche ortopediche. E una lesione di natura degenerativa che si verifica per lo più negli ultraquarantenni e che segue un processo di graduale peggioramento. Di solito il paziente ha una storia di logorio cronico dell' articolazione. In MTC, questa patologia rientra nella sindrome "bi" (dolore reumatico) e si pensa sia dovuta a deficit di yin di rene e fegato, stasi di qi che provoca la stasi del sangue, cui si sovrappone un' invasione di vento, freddo e umidita. Negli ultimi anni gli Autori hanno utilizzato la MTC per somministrazioni orali unite a vaporizzazioni, lavaggi e
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manipolazioni, ottenendo risultati piuttosto soddisfacenti come riportato qui di seguito. Voir traduction anglaise, réf gera [48993]. 214- gera: 91305/di/ra [THE TIBIAL FRACTURE IS CURED BY CHINESE WITH MODERN MEDICINE IN 24 CASES]. WU XIN ET AL. practical journal of integrating chinese with modern medicine. 1995;8(6):344 (chi). 215- gera: 136280/di/ra TRATAMIENTO DE LA OSTEOARTHRITIS DE LA RODILLA MEDIANTE MEDICINA TRADICIONAL CHINA. CHENG WEIHENG ET AL. revista de la medicina tradicional. 1995;5(2): 51-53 (esp). 216- gera: 136284/di/ra TRATAMIENTO DE LA OSTEOARTHRITIS DE LA RODILLA MEDIANTE MEDICINA TRADICIONAL CHINA. CHEN WEIHENG, LI ZUOXU. revista de la medicina tradicional. 1995;5(2):51-53 (esp). 217- gera: 55188/di/ra [PROLIFERATIVE ARTHRITIS OF KNEE JOINT TREATED BY TOPICAL APPLICATION OF XIAOTONGLING, OBSERVATION OF 49 CASES]. WANG QIFANG ET AL. journal of tcm. 1996;37(6):357 (chi). 218- gera: 55642/di/ra INTERET DE L'ACUPUNCTURE DANS LA GONARTHROSE. GORET O. 37°2 le magazine. 1996;32:16-9 (fra). Analyse de l'article de Petrou paru en 1988, réf gera [64602]. 219- gera: 56357/di/ra ACUPUNCTURE PLUS ELECTROMAGNETIC SPECTRUM TREATMENT OF 172 CASES OF SPRAIN. GAO QING WEI. international journal of clinical acupuncture. 1996;7(3):361-3 (eng). Acupuncture 30 minutes associée à irradiation électromagnétique. Choix des points en fonction de la lésion: poignet: 4GI, 6MC, 8P et 6P. Coude: 5P, 6MC, 4GI, 10GI. Epaule: 4GI, 15GI, 14TR, 9IG. Genou: 35E, 34E, 36E, 38E, Ashi. Cheville: 41E, 3RN et Ashi. Lombes: 3VG, Ashi, 40V et 6RTE. Rapport d'un cas d'entorse de la cheville et d'un cas de lumbago aigu. 220- gera: 57014/di/ra [TREATING 33 CASES OF TRAUMATIC SYNOVITIS OF KNEE JOINT BY COMBINED THERAPY OF TCM]. CUI LIANGUANG. journal of shandong college of tcm. 1996;20(4):245 (chi). 221- gera: 85344/di/ra MANUDUCTION OF ADHESIVE ANKYLOSIS OF THE KNEE UNDER ANESTHESIA. BAI SHAOJIA ET AL. journal of tcm. 1996;16(1):44-7 (eng). This paper reports 60 cases of adhesive ankylosis of the knee treated by manuduction under anesthesia. Excellent and good effects were achieved in 50 cases (83%), and normal function of the knee joint was maintained in 35 of the 40 cases followed up for more than one year. 222- gera: 85686/di/ra NEEDLING THREE POINTS AROUND THE KNEE-JOINT FOR TREATMENT OF 138 CASES OF INTRAPATELLAR FAT PAD STRAIN. SHU HONGWEN. world journal of acupuncture-moxibustion. 1996;6(3):51-3 (eng).
Infrapatellar fat pad strain is a common disease and is referred to the chronic cumulative lesion of the knee joint, manifested mainly as arthralgia. The author treated 100 cases of this disease by needling Neixiyan (EX-LE4), Waixiyan and Zusanli (ST36) and other 38 cases with combined therapies of acupuncture(of the same three points) and infrared radiation, achieving cure rates of 68% and 71.1 %, and total effective rates of 93.0 % and 92.1 % respectively. Comparison between the two groups in cure rate shows no statistical difference (P>0. 05). 223- gera: 139480/di/re PRESSURE ON ACUPOINTS DECREASES POSTOPERATIVE PAIN. FELHENDLER D, LISANDER B. clin j pain. 1996;12(4):326-9 (eng*). Our objective was to study the analgesic effect of acupoint pressure on postoperative pain in a controlled single- blind study. Forty patients undergoing knee arthroscopy in an ambulatory surgery unit in a university-affiliated hospital were randomized to receive either an active stimulation (AS) or a placebo stimulation (PS) 30 min after awakening from anesthesia. We stimulated 15 classical acupoints in the AS group, on the side contralateral to surgery, with a firm pressure and a gliding movement across the acupoint. In the PS group, 15 nonacupoints were subjected to light pressure in the same areas as the acupoints in the AS group. We assessed pain using a 100-mm visual analog scale (VAS) before sensory stimulation, after 30 and 60 min, and after 24 h. We recorded heart rate, systolic arterial pressure, and skin temperature before stimulation and after 30 and 60 min. We assessed skin blood flow with laser Doppler before stimulation and after 1 and 30 min. Sixty minutes and 24 h after AS, VAS pain scores were lower than in the placebo group (p < 0.05 and 0.0001, respectively). There were no significant changes in the autonomic variables. The results indicate that pressure on acupoints can decrease postoperative 224- gera: 56758/di/ra [OBSERVATION ON THERAPEUTIC EFFECTS OF 16 CASES OF INFLAMMATION OF SUBPATELLAR FAT PAD TREATED BY MULTIPLE NEEDLING IN ALIGNMENT]. WANG YINPING. chinese acupuncture and moxibustion. 1997;17(5):283 (chi). 225- gera: 56866/di/ra TREATMENT OF BONY GONARTHRITIS WITH HERBAL MEDICINE AND BY MASSOTHERAPY - ANALYSIS OF 121 CASES. WU LINSHENG ET AL. journal of tcm. 1997;17(1):32-6 (eng). Traitement en fonction de 7 formes cliniques: 1) arthralgies migratoires, 2) fixées, 3) aggravées par le froid, 4) chaleur, 5) stase du sang, 6) humidité-glaire, 7) vide (vide Qi du foie et vide Rein et foie associé). Traitement par phytothérapie et massage. 226- gera: 56868/di/ra A REPORT OF 76 CASES OF CHONDROMALACIA PATELLAE TREATED WITH AN OINTMENT. WANG LINYUAN. journal of tcm. 1997;17(1):40-3 (eng). Mise en place d'un emplatre de plantes médicinales (10cm x 6cm) gardé 48 heures et renouvelé 10 fois. 227- gera: 57416/di/ra QI GONG Y GONARTROSIS. REQUENA Y. medicina holistica, medicinas complementarias. 1997;47:151 (esp ). Rapport d'un cas de gonarthrose traité par Qi Gong. 228- gera: 57492/di/ra TRATAMIENTO DE LA ARTRITIS EN LA RODILLA
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CON TERAPIA HERBAL Y MASAJE ANALISIS DE 121 CASOS. WU LINSHENG. journal of traditional chinese medicine. 1997;11:7-10 (eng ). 229- gera: 57504/di/ra 110 CASOS DE SINOVITIS TRAUMATICA DE LAS ARTICULACIONES DE LAS RODILLAS, SU TRATAMIENTO CON MASAJE Y FITOTERAPIA CHINA. DING JIAN ZHONG. journal of traditional chinese medicine. 1997;11:49-53 (eng ). 230- gera: 57742/di/ra MANIPOLAZIONE DELL'ANCHILOSI ADESIVA DEL GINOCCHIO SOTTO ANESTESIA. BAI SHAOJIA ET AL. rivista italiana di medicina tradizionale cinese. 1997;67(1):58-60 (ita ). L'anchilosi adesiva del ginocchio risulta spesso da un trattamento improprio di fratture intrarticolari o dei dintorni articolari o da danni gravi dei tessuti molli. Abbiamo trattato questa malattia attraverso questa manipolazione (chiamata in cinese tui na che letteralmente significa spingere ed afferrare) sotto anestesia, dal giugno 1976 all'ottobre 1992, ottenendo risultati soddisfacenti. Voir traduction anglaise, réf gera [85344]. 231- gera: 59013/nd/re A RANDOMIZED TRIAL COMPARING AEROBIC EXERCISE AND RESISTANCE EXERCISE WITH A HEALTH EDUCATION PROGRAM IN OLDER ADULTS WITH KNEE OSTEOARTHRITIS. ETTINGER WH ET AL. jama. 1997;277:25-31 (eng ). 232- gera: 87072/di/ra WARMING ACUPUNCTURE IN TREATING ARTHRALGIA OF KNEE. ZHOU FANG-JUN. international journal of acupuncture. 1997;8(4):425-26 (eng). 233- gera: 58062/di/ra [TREATMENT OF GONALGIA CAUSED BY LESION OF INFRAPATELLAR FAT PAD WITH WARMING SILVER NEEDLES IN 28 CASES]. CHEN DALONG. shanghai journal of acupuncture and moxibustion. 1998;17(2):23-4 (chi*). The author treated 28 cases of gonalgia caused by lesion of infrapatellar fat pad with warming silver needles and compared with common acupuncture therapy. The result showed that the former one was better. Chi-Square test showed P < 0.01. Warming silver needles have strong effect of warmth and heat, so it can accelerate the blood supply of tissues, promote local metabolism and have therapeutic action. 234- gera: 58368/di/re TERAPIA DEL DOLORE ARTICOLARE E PERIARTICOLARE DEL GINOCCHIO CON ANESTETICI LOCALI (NEURALTERAPIA SEC. HUNEKE). BARBAGLI P ET AL. minerva anestesiologica. 1998;64(1-2):35-43 (ita ). [Therapy of articular and periarticular pain of the knee with local anesthetics (neuraltherapy of Huneke). Long and short term results]. Objective: Assessment of the outcomes on the articular and periarticular pain of the knee, by a reflexotherapy with local anesthetics, denominated also neuraltherapy. Experimental disegn: Retrospective observational study with 3 years' follow-up. Environment: An Ambulatory Center for Pain Management. Patients: All the patients (N = 115) with knee pain treated with neuraltherapy in the period 1982-31 August 1996 (retired patients 2, mean age 68 ± 15.2 years in the remaining). Interventions: The
employed reflexotherapy, denominated also neuraltherapy by Huneke, uses a local anesthetic (prevalently lidocaine) in 0.5-1% concentration and small quantity (0.5-1 ml for point) on tender/trigger and/or acupuncture points, as well as in anatomical structures like articulations, nerves, arteries or veins. The number of sessions has been of 7.03 ± 3.3. Outcome measu Outcomes are evaluated in terms of percentage subjective improvement of the pain at the end of the therapy and at 1-3-6 months, 1-2-3 years, and then divided in 5 groups (no improvement-fair-good-very good-excellent). Results: At the end of the therapy the improven cases were the 91.2%, the 83.7% at 1 month, the 64.6% at 3 months, the 41.3% at 6 months, the 22.5% at 1 year, the 12.1% at 2 years and the 7.9% at 3 years. Conclusions: These outcomes suggest a good effectiveness of this treatment in the painful diseases of the knee, but further randomised double- blind trials are necessary. 235- gera: 59012/nd/re THE EFFECTS OF A PHYSICAL TRAINING PROGRAM ON PATIENTS WITH OSTEOARTHRITIS OF THE KNEES. ROGIND H ET AL. archives of physical medicine and rehabilitation. 1998;79(11):1421-27 (eng ). 236- gera: 59053/di/re [THE USE OF ACUPUNCTURE REFLEX THERAPY IN THE COMBINED TREATMENT OF OSTEOARTHROSIS PATIENTS]. ZHEREBKIN VV. lik sprava. 1998;8:149-51 (rus*). As many as 40 patients with osteoarthrosis of the hip and knee joints were followed up. Of these, 20 subjects received nonsteroidal antiinflammatory drugs together with intraarticular administration of glucocorticosteroids and inhibitors of proteases. The other 20 patients were exposed, apart from the above measures, to acupuncture treatments. Indicators of articular pains and tenderness of joints in palpation got significantly lower by the end of the course of treatment in those patients having received, in addition to drugs, acupuncture treatments. 237- gera: 67141/di/ra CLINICAL APPLICATION OF THE TONIFICATION METHOD IN ORTHOPEDICS AND TRAUMATOLOGY. NI LING. journal of traditional chinese medicine. 1998;18(2):115-7 (eng). Tarification de l'énergie pour lever la stase. Traitement par phytothérapie avec rapport de trois cas: épaule douloureuse, oedème résiduel post-traumatique de la cheville et rétention urinaire après lésion médullaire. 238- gera: 67882/di/ra REGARDING KNEE PAIN AND MOXIBUSTION. YASUYUKI MISHIMA. north american journal of oriental medicine. 1998;5(13):18-9 (eng). Méthode d'examen et recherche des points douloureux au niveau de la rotule. Traitement par Moxas en cones. 239- gera: 68759/di/ra [60 CASES OF RHEUMATIC GONARTHRITIS TREATED WITH MAGNETIC THERAPY]. XIA XIAOHONG. acupuncture research. 1998;22(3):217 (chi). 240- gera: 69539/di/ra [58 CASES OF BONE ARTHRITIS OF KNEE JOINT TREATED ACCORDING TO BLOOD STASIS AND PHLEGM- DAMPNESS]. CHEN GUANGZHENG ET AL. journal of shandong university of traditional chinese medicine. 1998;22(1):30 (chi). 241- gera: 69800/di/ra
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TRATTAMENTO DELLA GONARTRITE CON FITOTERAPIA E MASSOTERAPIA: ANALISI DI 121 CASI. WU LINSHENG ET AL. rivista italiana di medicina tradizionale cinese. 1998;71(1):48-51 (ita). L'artrite del ginocchio presenta un' incidenza maggiore nella media e tarda età. Si manifesta principalmente con dolore, rigonfiamento, disfunzione e deformità del ginocchio; secondo la MTC, appartiente alla categoria della Sindrome Bi. Dal gennaio 1988 al luglio 1990, gli Autori hanno trattato tale patologia con fitoterapia e massoterapia, associate ad esercizi funzionali, ottenendo risultati terapeutici soddisfacenti. Di seguito sono 242- gera: 72249/di/ra EFFECT OF ACUPUNCTURE TREATMENT ON HEEL PAIN DUE TO PLANTAR FASCIITIS. TILLU A ET AL. acupuncture in medicine. 1998;16(2):66-8 (eng). Eighteen patients attending an orthopaedic outpatient clinic with a year or more's history of heel pain due to planter fasciitis were studied. All had had conservative treatment of physiotherapy and shoe-support without significant pain relief before acupuncture was offered, and thus acted as their own controls for the purposes of the study. The following traditional points were needled: Taixi (Kl.3), Kunlun (EL.60) and Sanyinjiao (SP.6). Pain was assessed by a 100mm visual analogue scale (VAS) before treatment was started and after four, weekly sessions of acupuncture treatment. If complete pain relief was not obtained by the initial four-week treatment, a further two, weekly sessions of the above mentioned acupoints, with the addition of trigger point acupuncture in the gastro- soleus and planter fascia, was carried out and pain assessed. Patients were also assessed with a verbal rating score to indicate the percentage improvement after acupuncture compared to before treatment. The mean duration of heel pain was 25.11 months (SD 10.6~3). The VAS data obtained at 4 and 6 weeks of acupuncture treatment showed a statistically highly significant improvement compared to the VAS before acupuncture (p< 0.0009 and p < 0.0001 respectively). Using the Mann-Whitney test, there was a statistically significant difference in VAS obtained at 6 weeks, after trigger point acupuncture had been added for poor responders, compared to that obtained after the first 4 weeks of acupuncture treatment (p < 0.047). Our study demonstrates that acupuncture is effective in treating patients with chronic heel pain due to planter fasciitis and that the addition of trigger point acupuncture in poor or non-responders may be useful. 243- gera: 72717/di/ra TRATAMENTO DAS GONALGIAS PELA TECNICA"AO OPOSTO" : ESTUDO SOBRE A DOR RELATADA E A DIFICULDADE DE ANDAR. SAIDAH R. revista paulista de acupuntura. 1998;4(1):1-8 (por*). [Knee pain treatment using "the opposite side technique": study of the reported pain and difficulty to walk]. The aim of the present study is to evaluate the result of the knee pain treatment using "the opposite side technique" from the Traditional Chinese Medicine. Material - Thirty-six patients with unilateral gonalgia were studied: 44.44% (16) with osteOarthrosis, 30.55% (11) with patella femoral ostecarthrosis, 11.11% (4) with severe osteoarthrosis, 11. 11% (4) with patella chondromalacia, and 2. 77% (1) with synovial plica. Methods - Patients were divided into two groups: Group I (Acupuncture) was formed by eighteen patients, who were submitted to 20 acupuncture sessions, in which the authors used points of counter to lateral acupuncture to the affected knee and distance acupuncture points according to the Traditional Chinese Medicine and to the acupuncture neurophysiologic action. Group II (Phisiotherapy) was also formed by eighteen patients, who
were submitted to 20 physiotherapeutic sessions and given antiinflammatory non-steroid (AINS) medicines. According to the results of the non-parametric statistical analysis of subjective data (intensity of reported pain, difficulty in walking) there was a significant improvement in 244- gera: 72718/di/ra (TRATAMENTO DAS GONALGIAS PELA TECNICA AO OPOSTO : ESTUDO SOBRE AS CARACTERISTICAS ENERGETICAS DAS GONALGIAS). RASSEN SAIDAH. revista paulista de acupuntura. 1998;4(1):9-13 (por*). [KNEE PAIN TREARMENT BY ACUPUNCTURE USING "THE OPPOSITE SIDE TECHNIQE": STUDY ABOUT THE ENERGETIC CHARACTERISTICS OF THE GONALGIA.The aim of th]e present study is to evaluate the energetic characteristics of the knee pain treatment using "the opposite side technique" from the Traditional Chinese Medicine.Material - Thirty-six patients with unilateral gonalgia were studied: 44.44% (16) with ostecarthrosis, 30.55% (11) with patella femoral osteoarthrosis, 11.11% (4) with severe ostecarthrosis, 11. 11% (4) with patella chondromalacia, and 2. 77% (1) with synovial plica. Results- The Jue Yin (Liver) energetic channel of the foot was the most affected (22.22%), followed by the association of the Jue Yin (Liver) and the Tae Yang (Bladder) energetic channel of the foot (22.22%), the Jue Yin (Liver) with the Yang Ming (Stomach) (16.66%), and the Jue Yin (Liver) with the Shao Yang (Gall Bladder) (11.11%), and other associations (16 66%). The false-Yang (52. 77%) characteristics of disorders were predominant in relation to the energetic ones followed by the Yin (33.33%) 245- gera: 72728/di/ra GONALGIA TREATMENT USING THE "OPPOSITE SIDE" TECHNIQUE : STUDY ON CLINICAL PARAMETERS OF KNEE PAIN. SAIDAH R ET ELL. revista paulista de acupuntura. 1998;4(2):61-7 (por*). The aim of this study is to evaluate the results of knee pain treatment using the "Opposite Side Technique" of the Traditional Chinese Medicine. Thirty-six patients with unilateral gonalgia were studied. 44.44% (16) with osteoarthrosis, 30.55% (11) with patella-femoral ostecarthrosis, 11.11% (4) with severe osteoarthrosis, 11.11% (4) with patellar chondromalacia, and 2.77% (1) with synovial pli ca.Methods: Patients were divided into two groups. Group I (Acupuncture) comprised 18 patients who were submitted to 20 acupuncture sessions using acupuncture points in the non-affected knee, and distance acupuncture points, following the criteria of Traditional Chinese Medicine and neurophysiologic criteria of acupuncture action in choosing such treatment points. Group II (Physical Therapy) comprised 18 patients submitted to 20 sessions of physical therapy and administration of non-steroid anti-inflammatory medication.Results: Non-parametric statistical analysis of results with subjective data (difficulty in crouching, in going up and down stairs, in running, in jumping, claudicant gait, use of walking support), and with objective data (limited flexion and extension movements of the knee, and movement arc of the knee) showed significant improvement with the acupuncture treatment in all parameters studied. The parameters that responded the least to treatment were the objective parameters listed above. 246- gera: 72912/di/ra EFFETTI TERAPEUTICI DI GUI ZHI ZAI SHENG WAN NEL TRATTAMENTO DELLA NECROSI ASETTICA DELLA TESTA DEL FEMORE-OSSERVAZIONE CLINICA. WANG LULIN. rivista italiana di medicina tradizionale cinese. 1998;72(2):67-8
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(ita). Nella medicina tradizionale cinese (TCM) la necrosi asettica della testa del femore rientra nella categoria del "gushi" (osso corroso). La patogenesi è dovuta a fattori patogeni che invadono i canali, a reumatismi che ostruiscono i canali e stasi di sangue che danneggia le riserve midollari, portando ad aplasia midollare ed atrofia dell'osso. Utilizzando dong chong xia coo (Cordyceps) e dang gui (radix Angelicae sinensis) quali ingredienti principali, le pillole di gu zhi zai sheng (GZZS, pillole ad azione rigenerante dell'osso), stimolano la circolazione del sangue, eliminano la stasi di sangue e rimuovono il tessuto necrotico, favorendo in tal modo la crescita di nuovo tessuto. Dal 1991 sono stati trattati con pillole GZZS 1286 casi; in questo lavoro sono riportati i 247- gera: 73920/di/ra TRATAMENTO DAS GONALGIAS PELA TECNICA AO OPOSTO: ESTUDO SOBRE AS CARACTERISTICAS ENERGETICAS DAS GONALGIAS. SAIDAH R ET AL. revista paulista de acupuntura. 1998;4(1):9-13 (por*). [Knee pain treatment by acupuncture using "the opposite side technique": study about the energetic characteristics of the gonalgia].The aim of the present study is to evaluate the energetic characteristics of the knee pain treatment using "the opposite side technique" from the Traditional Chinese Medicine. Material - Thirty-six patients with unilateral gonalgia were studied: 44.44% (16) with osteoarthrosis, 30.55% (11) with patella femoral osteoarthrosis, 11.11% (4) with severe ostecarthrosis, 11. 11% (4) with patella chondromalacia, and 2. 77% (1) with synovial plica. Results- The Jue Yin (Liver) energetic channel of the foot was the most affected (22.22 %), followed by the association of the Jue Yin (Liver) and the Tae Yang (Bladder) energetic channel of the foot (22.22%), the Jue Yin (Liver) with the Yang Ming (Stomach) (16.66%), and the Jue Yin (Liver) with the Shao Yang (Gall Bladder) (11.11%), and other associations (16.66%). The false-Yang (52. 77%) characteristics of disorders were predominant 248- gera: 74036/di/ra TENDINITE DE LA PATTE D'OIE,FIBROMYALGIE ET YIN QIAO MAI. PETITPIERRE M. la gazette. 1998;5:57-9 (fra). Trois cas de tendinite de la patte d'oie (TPO) traités avec une étonnante facilité par Yin Qiao Mai nous rappellent l'intérêt des deux vaisseaux "agilité " Yin et Yang Qiao Mai dans le traitement des tendinites courantes ( TPO, périarthrite de hanche, épicondylite, épitrochléite). Par ailleurs, au-delà de son utilité dans le traitement de la TPO, Yin Qiao pourrait être une des clés du traitement de la fibromyalgie, affection dont les symptômes réunissent la plupart des indications de ce merveilleux vaisseau. 249- gera: 142579/di/ra [TREATMENT OF GONALGIA CAUSED BY LESION OF INFRAPATELLA FAT PAD WITH WARMING SILVER NEEDLES IN 28 CASES]. CHEN DALONG. shanghai journal of acupuncture and moxibustion. 1998;17(2):24 (chi*). The author treated 28 cases of gonalgia caused by lesion of infrapatellar fat pad with warming silver needles and compared with common acupuncture therapy. The result showed that the former one was better. Chi-Square test showed P<0. 01. Warming silver needles have strong effect of warmth and heat , so it can accelerate the blood supply of tissues, promote local metabolism and have therapeutic ac-tion. 250- gera: 27334/nd/re
ARE PSYCHOSOCIAL FACTORS RELATED TO RESPONSE TO ACUPUNCTURE AMONG PATIENTS WITH KNEE OSTEOARTHRITIS?. CREAMER P ET AL. altern ther health med. 1999;5(4):72-6 (eng). CONTEXT: Acupuncture has been found to be beneficial in the treatment of patients with knee osteoarthritis. However, response among such patients is highly variable. Identification of subjects with greater response would facilitate a more rational use of acupuncture. OBJECTIVE: To examine the relationship between demographic and psychosocial variables and response to acupuncture as defined by reduction in pain and disability at the end of an 8-week course of treatment. DESIGN: Retrospective study. SETTING: Outpatients attending rheumatologists or primary care physicians. PATIENTS: 37 patients with symptomatic knee osteoarthritis who had previously participated in a controlled trial using acupuncture were recalled for an interview approximately 1 year later. INTERVENTION: Structured interview, questionnaire completion, and an examination. MAIN OUTCOME MEASU Depression, anxiety, helplessness, self-efficacy, and fatigue were measured by standard instruments. Knee examination and assessment of pain threshold were measured by dolorimetry. RESULTS: Response at 8 weeks was significantly related to duration of symptoms. A statistically nonsignificant trend was found for older and more educated subjects to have a better response; anxiety and fatigue were found to be inversely related to response (also statistically nonsignificant). Subjects with localized medial pain had significantly better response in terms of pain and disability than did subjects with generalized knee pain. CONCLUSION: Other than a weak relationship with anxiety (at 8 weeks only), no evidence of a link between psychosocial variables and response to acupuncture was found. Prospective studies are needed to confirm these results. 251- gera: 59094/nd/re [KNEE OSTEOARTHRITIS AND ACUPUNCTURE. LETTER]. HEYERDAHL O. tidsskr nor laegeforen. 1999;119(1):845 (nor ). 252- gera: 59763/di/ra ARTHRALGIA TREATED BY ACUPUNCTURE WITHIN "CHIFU" AREA. FANG ZONGCHOU. journal of tcm. 1999;19(3):207 (eng ). 253- gera: 69521/di/ra [TREATMENT OF 33 CASES OF BONY ARTHRITIS OF KNEE JOINT MAINLY WITH AUTONOMIC ACTIVITIES]. CHEN GUANGZHENG ET AL. journal of shandong university of traditional chinese medicine. 1999;23(1):50 (chi). 254- gera: 70033/di/re A RANDOMIZED TRIAL OF ACUPUNCTURE AS AN ADJUNCTIVE THERAPY IN OSTEOARTHRITIS OF THE KNEE. BERMAN BM ET AL. rheumatology. 1999;38(4):346-54 (eng). Objective: The purpose of this study was to investigate the efficacy of acupuncture as an adjunctive therapy to standard care for the relief of pain and dysfunction in elderly patients with osteoarthritis (OA) of the knee. Methods: Seventy-three patients with symptomatic OA of the knee were randomly assigned to treatment (acupuncture) or standard care (control). Analysis was performed on last score carried forward to account for patients who dropped out before completion. Patients self-scored Western Ontario and McMaster Universities Osteoarthritis Index (Womac) and Lequesne indices at baseline and at 4, 8 and 12 weeks.
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Patients in the control group were offered acupuncture treatment after 12 weeks. The data for these patients are pooled with those from the original acupuncture group for within-group analysis. Results: Patients randomized to acupuncture improved on both Womac and Lequesne indices compared to those who received standard treatment alone. Significant differences on total Womac Scale were seen at 4 and 8 weeks. There appears to be a slight decline in effect at 4 weeks after cessation of treatment (12 weeks after first treatment). No adverse effects of acupuncture were reported. Conclusion: These data suggest that acupuncture is an effective and safe adjunctive therapy to conventional care for patients with OA of the knee. 255- gera: 70264/di/ra QUEL EST VOTRE DIAGNOSTIC?. KESPI JM. revue francaise d'acupuncture. 1999;97:57-8 (fra). M.P. consulte pour une douleur traumatique du genou droit, survenue après un accident de moto. Le genou est chaud et gonflé. La douleur est localisée à la face interne de l'articulation; elle se répercute à l'aine. Intense, invalidante, aggravée par la fatigue et le repos, améliorée par la pression et la chaleur, elle est accompagnée d'une sensation "d'élastique trop lâche" avec perte de force du genou. 256- gera: 70280/di/ra OBSERVATION (DOULEUR DU GENOU DROIT). KESPI JM. revue francaise d'acupuncture. 1999;100:63-4 (fra). Mme P., 71 ans, consulte en décembre 1998 pour une intense douleur du genou droit apparue après une chute ayant entraîné une entorse de la cheville droite. En fait, la chute n'a été qu'un facteur déclenchant car déjà par deux fois, il y a un an et quatre ans, elle a présenté cette même algie. La douleur est profonde, articulaire, irradiant au creux poplité, aggravée par certains mouvements et la descente des escaliers. Le genou est gonflé, chaud avec une hydarthrose. Il a déjà été ponctionné par deux fois mais cela récidive. Par ailleurs, elle ressent une ankylose du bassin; elle est constipée et urine peu. Elle digère lentament et a beaucoup grossi ces derniers mois "sans avoir changé son alimentation". Les pouls des pieds sont en vide. 257- gera: 70467/di/ra ACUPUNCTURE TREATMENT OF PATELLOFEMORAL PAIN SYNDROME. JENSEN R ET AL. j altern complement med. 1999;5(6):521-7 (eng). OBJECTIVE: To evaluate the effect of acupuncture treatment in patellofemoral pain syndrome. DESIGN: A controlled trial where patients were randomly assigned either to acupuncture treatment or no treatment. Evaluation of the result was blinded. SETTING: An acupuncture/physiotherapy treatment practice in Bergen, Norway. SUBJECTS: A total of 75 patients with patellofemoral pain syndrome were included, of whom 44 were female. INTERVENTION: Individualized acupuncture treatment twice weekly for 4 weeks. MAIN OUTCOME MEASURE: Patients were followed for 1 year with the Cincinnati Knee Rating System (CKRS) scale as the main outcome measure. Other tests used were the Stairs-Hopple test, quadriceps atrophy, and evaluating level pain after activity by a visual analogue scale. RESULTS: At inclusion patients, aged 18-45 (mean 31.0) years, reported persistent pain on activity (mean 6.6 years) and at rest (mean 4.3 years). CRS scores at baseline were similar (acupuncture group 58.0 versus no treatment group 56.1). At 12 months there was a significant difference in the CRS score between the groups (acupuncture 75.2 versus no treatment 61.7, p = 0.005). When analyzing for worst case, the difference persisted (68.1 versus 54.4, p = 0.03). Results were then dichotomized as to whether the patient was cured or not at 12
months. A patient was defined as cured if he/she scored "slight" or "none" on the "pain" or "limitation to activity" subscales. The Number Necessary to Treat (NNT) to cure one patient was NNT = 3.0 for the CRS pain subscale and NNT = 3.7 for the CRS function subscale. CONCLUSION: We conclude that acupuncture may be an alternative treatment for patellofemoral pain syndrome. 258- gera: 70890/di/re THE EFFECT OF PRE-EMPTIVE ACUPUNCTURE TREATMENT ON ANALGESIC REQUIREMENTS AFTER DAY-CASE KNEE ARTHROSCOPY. GUPTA S ET AL. anaesthesia. 1999;54(12):1204-7 (eng). The role of acupuncture analgesia in the management of postoperative pain is yet to be clearly evaluated. We conducted a prospective, double-blind, randomised controlled study to evaluate the effect of acupuncture pretreatment on the analgesic requirement after knee arthroscopy. Forty-two patients presenting for unilateral knee arthroscopy were randomly allocated to receive a standard anaesthetic with or without acupuncture (given after the induction of anaesthesia). Visual analogue pain scores, time to first postoperative analgesia and total analgesia requirement in the first 24 h were recorded. There was no significant difference between the two groups in any of the outcome measures. We conclude that acupuncture analgesia has no additional effect when given under anaesthesia to patients undergoing knee 259- gera: 70976/di/ra TENS, ELECTROACUPUNCTURE AND ICE MASSAGE: COMPARISON OF TREATMENT FOR OSTEOARTHRITIS OF THE KNEE. YURTKURAN M ET AL. american journal of acupuncture. 1999;27(3-4):133-40 (eng). The purpose of this study was to compare the effectiveness of transcutaneous nerve stimulation (TENS), electroacupuncture (EA), and ice massage with placebo treatment for the treatment of pain. Subjects (n=100) diagnosed with osteoarthritis (OA) of the knee were treated with these modalities. The parameters for evaluating the effectiveness of treatment include pain at rest, stiffness, 50 foot walking time, quadriceps muscle strength, and knee flexion degree. The results showed (a) that all three methods could be effective in decreasing not only pain but also the objective parameters in a short period of time; and (b) that the treatment results in TENS, EA and ice 260- gera: 72152/di/ra AKUPUNKTUR IM REHABILITATIVEN KRAFTTRAINING: SPONTANE STEIGERUNG VON KRAFT-UND EMG- WERTEN DER QUADRIZEPSMUSKULATUR NACH VORDERER KREUZBANDPLASTIK). LUDWIG M. deutsche zeitschrift fur akupunktur. 1999;42(3):144-8 (deu*). After orthopedic injuries disordered proprioception and reduced capability to recruit neuromuscular structure are essential limiting factors of rehabilitation. Adaption to pathologic patterns, clear bilateral muscle deficit of 30-50% over a long period and acute as well as chronic secondary injuries are frequently the consequences. In a randomized controlled single-blind study al group of rehab-patients after ACL-reconstruction were examined in two isometric strength tests of the knee joint extensors (test-retest within 30 minutes) on an isokinetic system linked up with EMG. 12 patients received actual acupuncture. After tonifying stimulation of two acupuncture points (St 32 - Futu- and St 36 -Zusanli-) the involved atrophic M. quadriceps femoris showed highly significant increased EMG- amplitudes of 46% and strength values of 25% in the retest. A second group receiving placebo acupuncture and a control group without
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acupuncture treatment of each 8 patients did not show any differences in the retest.The use of acupuncture in rehabilitative strength training effects a better excitability in tonifying muscle function. Acupuncture enables the inhibited neuromuscular structures to reach the training threshold and ensures the 261- gera: 72307/di/cg LE GENOU DOULOUREUX. LEPRON PA. in actes du iiieme congres de la faformec, paris. 1999;:1-8 (fra). 262- gera: 72452/di/ra A PILOT STUDY TO COMPARE ACUPUNCTURE VERSUS TENOXICAM FOR SYMPTOMATIC KNEE OSTEOARTHRITIS IN ASIANS. ABSTRACT. SWEE CHENG NG ET AL. akupunktur theorie und praxis. 1999;27(4):249-50 (eng). 263- gera: 73415/di/ra [TREATMENT OF 47 CASES OF EFFUSION OF KNEE JOINT BY ACUPUNCTURE WITH THE NEEDLE WARMED BY BURNING MOXA PLUS CUPPING]. TAN LINGLING ET AL. chinese acupuncture and moxibustion. 1999;19(9):535 (chi). 264- gera: 73591/di/ra OBSERVATION. KESPI JM. revue francaise acupuncture. 1999;100:63 (fra). Mme P., 71 ans, consulte en décembre 1998 pour une intense douleur du genou droit apparue après une chute ayant entraîné une entorse de la cheville droite. En fait, la chute n 'a été qu'un facteur déclenchant car déjà par deux fois, il y a un an et quatre ans, elle a présenté cette même algie. La douleur est profonde, articulaire, irradiant au creux poplité, aggravée par certains mouvements et la descente des escaliers. Le genou est gonflé, chaud, avec une hydarthrose. Il a déjà été ponctionné par deux fois mais cela récidive.Par ailleurs, elle ressent une ankylose du bassin constipée et urine peu. Elle digère lentement et a beau- coup grossi ces derniers mois « sans avoir changé son alimentation ». Les pouls des pieds sont en vide. 265- gera: 74151/di/ra [THE THERAPY OF BONY GONARTHROSIS WITH GUZHI ZHENGSHENG YETIELING]. LU YUBIN ET AL. traditional chinese medicinal research. 1999;12(6):17 (chi). 266- gera: 74814/di/ra ACUPUNCTURE TREATMENT OF PATELLOFEMORAL PAIN SYNDROME. JENSEN R ET AL. journal of alternative and complementary medicine. 1999;5(6):521-27 (eng). Objective: To evaluate the effect of acupuncture treatment in patellofemoral pain syndrome. Design: A controlled trial where patients were randomly assigned either to acupuncture treatment or no treatment. Evaluation of the result was blinded. Setting: An acupuncture/physiotherapy treatment practice in Bergen, Norway. Subjects: A total of 75 patients with patellofemoral pain syndrome were included, of whom 44 were female. Intervention: Individualized acupuncture treatment twice weekly for 4 weeks. Main Outcome Measure: Patients were followed for 1 year with the Cincinnati Knee Rating System (CKRS) scale as the main outcome measure. Other tests used were the Stairs-Hopple test, quadriceps atrophy, and evaluating level pain after activity by a visual analogue scale. Results: At inclusion patients, aged 18-45 (mean 31.0) years, reported persistent pain on activity (mean 6.6 years) and at rest (mean 4.3 years). CRS scores at baseline were similar (acupuncture group 58.0 versus no
treatment group 56.1). At 12 months there was a significant difference in the CRS score between the groups (acupuncture 75.2 versus no treatment 61.7, p = 0.005). When analysing for worst case, the difference persisted (68.1 versus 54.4, p = 0.03). Results were then dichotomised as to whether the patient was cured or not at 12 months. A patient was defined as cured if he/she scored "slight" or "none" on the "pain" or "limitation to activity" subscales. The Number Necessary to Treat (NNT) to cure one patient was NNT = 3.0 for the CRS I pain subscale and NNT = 3.7 for the CRS function subscale. Conclusion: We conclude that acupuncture may be an alternative treatment for patellofemoral pain syndrome. 267- gera: 75420/di/ra [TREATING 50 CASES OF BONY ARTHROSIS IN KNEE JOINTS WITH ORAL TAKING CHINESE DRUGS COMBINED FUMIGATION]. ZHOU YUEJUN ET AL. journal of zhejiang college of tcm. 1999;23(6):27 (chi). 268- gera: 76538/di/ra [CLINICAL EXPERIENCE ON 75 CASES OF KNEE OSTEOARTHRITIS TREATED BY SELF-DRAFT ZHUANGJINGLING AND FUNCTIONAL EXERCISES]. YU YUFENG ET AL. hunan journal of tcm. 1999;15(5):10 (chi). 269- gera: 76904/di/ra [TREATMENT OF 96 CASES OF KNEE PAINS IN THE ELDERLY WITH AMSSAGE]. TAN SHICAI. jiangsu journal of tcm. 1999;20(1):39 (chi). 270- gera: 87905/di/ra [TREATMENT OF GONITIS BY ACUPUNCTURE AND CHINESE HERBAL DRUG THERAPY: A REPORT OF 47 CASES]. YANG WENHE. new journal of tcm. 1999;31(3):18 (chi). 271- gera: 139695/di/ra INFLAMACIÓN DE LA ARTICULACIÓN DE LA RODILLA. X. revista mexicana de medicina tradicional china. 1999;2(3): (esp). 272- gera: 71493/di/ra [A SUMMARY ON 40 CASES OF FRACTURE OF BOTH TIBIA AND FIBULA TREATED BY TRACTION FRAME AND SMALL SPLINT FIXATION]. SHAO XIANFANG. hunan journal of tcm. 2000;16(1):19 (chi). 273- gera: 71602/di/ra [A REVIEW ON TCM TREATMENT OF OSTEOARTHRITIS OF KNEE JOINT]. LI GUANGDE. journal of tcm. 2000;41(2):116 (chi). 274- gera: 72329/di/ra TREATMENT OF GENUAL OSTEOARTHRITIS BYMASSOTHERAPY. CHEN YUANGE. journal of traditional chinese medicine. 2000;20(3):191-4 (eng). 275- gera: 72478/di/ra ACUPUNCTURE TREAMENT FOR KNEE OSTEOARTHRITIS. DONG JIANGTAO. pacific journal of oriental medicine. 2000;16:30-2 (eng). Knee osteoarthritis is also known as knee proliferating arthritis, regressive arthritis or senile arthritis. It is a commonly seen knee problem in elderly people. This degenerative joint disease is one of the main reasons for knee pain and some form of limitation in movement or activities! In the present study, 128 cases of knee osteoarthritis were selected and treated with acupuncture. This paper is a report
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in which acupuncture treatment was introduced and its effectiveness was evaluated. 276- gera: 72544/di/ra [TREATMENT OF FRACTURE OF SHAFT OF TIBIA AND FIBULA BY TCM COMBINED WITH WESTERN MEDICINE: A REPORT OF 127 CASES]. LUO SHIDONG. new journal of tcm. 2000;32(3):28 (chi). 277- gera: 72649/di/ra [SYNTHETICAL THERAPY FOR BONY GONITIS-ATTACHED: ANALYSIS OF 98 CASES IN CLINIC]. ZHANG YUN. yunnan journal of tcm and materia medica. 2000;21(1):9 (chi*). The good curative effect of 93.86% was gotten in 98 cases of bony gonitis treated by the synthetical therapeutic ways from Prof. Li Yongkang. The report indicated that the doctors should consider and test the physical sign of the patient with bony gonitis and the effect of the synthetical therapy was better than the simple therapy. 278- gera: 72799/di/ra [THE TREATMENT OF RABBIT OSTEOARTHRITIS OF THE KNEE BY KIDNEY-REINFORCING AND BLOOD- CIRCULATION-ACTIVATING METHODS. A COMPARATIVE STUDY OF HOMORPHOLOGY]. GAO WENXIANG ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(6):5 (chi*). Rabbit models of osteoarthritis were made by injecting papain into rabbit knees and treated by transgastrically- given kidneys-reinforcing (KR) and blood-circulation-activating (BCA) traditional Chinese drugs. respectively. `and the influence of the KR and BCA drugs on the cartilage and synovium of the models were observed as to explore whether the therapeutic effects of KR and BCA methods are related to the onset time of osteoarthritis or not. Six and ten weeks after the modelling. The specimens were taken and observed by optical and transmission electron microscopes. The results showed a lower synovium injury severity in BCA group 6 weeks after the modelling than that in KR group (P < 0. 05) and a midler cartilage destruction in KR group 10 weeks after the modelling than that of BCA group (P < 0. 05). From this it can be seen that BCA drugs have a better therapeutic effect at the early stage of osteoarthritis. while KR drugs have an advantage in the therapeutic effect with progress of the disease 279- gera: 72947/di/ra EFFICACITE DEMONTREE DE L'ACUPUNCTURE EN TANT QUE TRAITEMENT ADJUVANT DANS LA GONARTHROSE DU SUJET AGE. GORET O. revue francaise de mtc. 2000;186-187:122-3 (fra). Résumé et commentaire de l'article de: Berman BM et al. A randomized trial of acupuncture as an adjunctive therapy in osteoarthritis of the knee. Rheumatology. 1999, 38(4), 346-54. 280- gera: 72948/di/ra EFFICACITE DEMONTREE DE L'ACUPUNCTURE DANS LE SYNDROME FEMORO-PATELLAIRE. GORET O. revue francaise de mtc. 2000;186-187:124-5 (fra). Résumé et commentaire de l'article de: Jensen R et al. Acupuncture treatment of patellofemoral pain syndrome. Journal of alternative and complementary medicine. 1999, 5(6), 521-7. 281- gera: 74020/di/ra PARA-PATTELLAR ACUPUNCTURE FOR SUBPATELLAR FAT PAD INJURIES. DONG CHANG-
YONG. international journal of clinical acupuncture. 2000;11(3):237 (eng). Chronic strain to the subpatellar fat pad is a common cause of pain around the knee. The author has found very slow relief by using the conventional method of performing acupuncture to this disease. However, after shifting to acupoints located at the sides of the patella, rapid recovery was observed and findings in this area is presented in 282- gera: 74125/di/ra ACUPUNTURA REAL VERSUS ACUPUNTURA FALSA Y TRATAMIENTOS CLINICOS CONVENCIALES DE MEDICINA DEL DEPORTE PARA EL DOLOR POR FASCITIS PLANTAR: UN ESTUDIO DOBLE-CIEGO Y CONTROLADO. VRCHOTA KD ET AL. revista argentina de acupuntura. 2000;94:21-4 (esp*). Traduction espagnole de: International Journal of Clinical Acupuncture, 1991; 2(3). Réf gera: [84223].Forty-three patients with planter fascitis were randomly assigned to receive true acupuncture, sham acupuncture, or conventional sports medicine (salsalate therapy, reduction in activity, stretching exercises, and icing after exercise). True acupuncture or sham acupuncture was given weekly for four weeks. Response to treatment was evaluated through pain and tenderness grading by physicians blinded to group assignment and through the patient s daily pain log. True acupuncture produced greater improvement than conventional sports medicine in pain log records at the end of the treatment period (P=0.010) end at the end of the follow-up period (P=0.016), and in the physicians assessment of pain at week 4 (P=0.014). Tenderness scores were not significantly different. 283- gera: 74253/di/ra BI SYNDROME OF THE KNEE TREATED WITH ACUPUNCTURE WITH PATELLOFEMORAL PAIN SYNDROME AS A CASE. JENSEN R ET AL. journal of chinese medicine. 2000;64:13-6 (eng). 284- gera: 74619/di/ra [THE INFLUENCE OF TRADITIONAL CHINESE DRUGS ON THE METABOLISM OF OXYGEN FREE RADICAL IN EXPERIMENTAL RABBIT KNEE OSTEOARTHRITIS]. MA JIANBING ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(1):8 (chi*). In order to explore the infitrence of traditional Chinese drugs ('I`CD) on the metabolism of oxygen free radical in osteoarthritis rabbit models of knee osteoarthritis were made by Hulth's method arid randomly divided into three groups: Groups I, II and III, which were treated by nothing, Fenbid and "ZHUYU TANG" (ZYT, TCD Decoction Activating Blood Flow and Removing Blood Stasis), respectively. One month after the treatment, the erythrocytic SOD activities and the plasma LPO levels of the three groups were measured and statistically analysed. The results showed that the SOD activity of Group III was much higher while the LPO level was much lower than those of the other two groups (P < 0. 01) and there was no significant difference between Group I and Group II (P<0.05). It was considered that ZYT functions to improve SOD activity anal to lower LPO level significantly and thus to delay the degeneration of joint cartilage and to accelerate the cartilage repair. 285- gera: 76250/di/ra [CLINICAL RESEARCH ON THE POINT INJECTION AND MOTOR THERAPY TO TREAT KNEE OSTEOARTHRITIS]. HE CHENGQI ET AL. acupuncture research. 2000;25(3):230 (chi*).
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Objectives: To research on the clinical effect of the point injection and motor therapy to treat knee osteoarthritis (KOA) by means of contrast patient's trail so as to seek a new effective therapy, because of no better therapy yet in our country. Subjects and Methods: 50 patients with KOA (26 men and 24 women, aged 41-76 years, mean 59.6 ± 6.2) were divided randomly into trail group 30 cases and control group 20 cases. The former was treated with Salviae Miltiorrhizae Radix point injection (salviae Miltiorrhizae radix injection 4ml, injected in Yang Lingquan and Dubi of the affected leg, one time every other day * 4 weeks) and motor therapy (the leg muscle power training without joint movement: 10min/ a time/ a day * 4 weeks; the same leg stress training: 10min/ a time/ a day * 4 weeks), but the latter was done with Ultrashortwve therapy (wave type: continuous wave 100mA, treating dose: micro heat, 20min/ a time/ a day * 4 weeks). Then, the clinical symptoms and function activities of being before and after treatment were assessed and managed with statistics. Results: The active and pressed pain of the knee joint in the two group were relieved significantly (P<0.001), but the function improvement of the former surpassed the latter markedly (P<0.001). Conclusion: Point injection and motor therapy can not only relieve the pain caused by KOA, but also improve the function activity significantly, and is a new effective therapy for KOA. 286- gera: 76307/di/ra [22 FOREIGNERS WITH PAIN OF KNEE JOINT TREATED WITH ACUPUNCTURE AND VENTOUSE]. SUI SU-HUA. journal of chengdu university of tcm. 2000;23(3):26 (chi). 287- gera: 76682/di/ra [A CLINICAL OBSERVATION OF 76 CASES WITH REGRESSIVE GONITIS TREATED BY ACUPUNCTURE AND IONTOPHORESIS].]. SUN LIYING ET AL. journal of clinical acupuncture and moxibustion. 2000;16(2):21 (chi). 288- gera: 78165/di/ra [OBSERVATION ON CHONDROMALCACIA (44 CASES) TREATED BY COMPLEX TREATMENT]. LI AIPING ET AL. journal of practical tcm. 2000;16(4):6 (chi). 289- gera: 78172/di/ra [CHONDROMALACIA PATELLAE (38 CASES) TREATED BY METHOD OF REIFORCING QI OF KIDNEY AND PROMOTING BLOOD CIRCULATION]. LI XIANG. journal of practical tcm. 2000;16(5):22 (chi). 290- gera: 78262/di/ra INJURY OF MEDIAL COLLATERAL LIGAMENT OF THE KNEE. JI XIAO-PING. international journal of clinical acupuncture. 2000;11(4):311-3 (eng). Ms. L, an Italian lady aged 38, presented on July. 30, 1998, complained of pain and motor disturbance of the right knee which had lasted for 12 days. Twelve days earlier, while touring in a mountainside in Italy, she put her legs into a rapid stream, which rushed downward very forcefully. Suddenly she felt as if something was displaced in the joint and experienced excruciating pain along the medial and posterior aspects of the right knee. Being unable to extend her right knee any longer, she had to walk with a limp. Massage, traction and analgesic given by an Italian hospital produced some improvement, which led to the decision to tour China. The pain recurred, however, when she arrived in Beijing on July 28. The pain was more intense this time, preventing her even from walking. Two treatments given by a
Chinese massager did not relieve the symptom and the medial aspect became even more swollen. This led her to come to us for acupuncture treatment. Examination revealed a right knee frozen in a flexed position which could not be extended, marked tenderness and swelling at the site of the medial ligament of the knee, and tender nodules in the medial half of the popliteal fossa. Only with the support of others could she manage to walk with a limp and with great difficulty. Passive abduction of the right lower leg caused great pain. A roentgenogram revealed widening of the joint space on the medial side and a diagnosis of injury of medial collateral ligament was given though the impossibility of simultaneous injury of the medial crucial ligament could not be ruled out. The pulses were found to be taut, with a normal appearance of the tongue. 291- gera: 78285/di/ra INFLUENCE OF ACUPUNCTURE ON MUSCLE STRENGTH. LINDE K. focus on alternative and complementary therapies. 2000;5(4):264-5 (eng). Analyse et commentaire de l'article de: Ludwig M. Einfluss der akupunktur auf die leistungsfahigkeit der quadrizepsmuskulatur. Dtsch Z Akup 2000; 43(2): 104-7. Réf gera: [72158]. 292- gera: 78672/di/ra [THE TREATMENT OF HYDROPS OF KNEE JOINTS WITH WARM-ACUPUNCTURE 150 CASES REPORTED]. CAI DEFENG. journal of clinical acupuncture and moxibustion. 2000;16(10):6 (chi). 293- gera: 79352/di/ra [TREATMENT OF 45 CASES WITH SYNOVITIS OF KNEE JOINT MODIFIED SIMIAOSAN DECOCTION]. ZHANG MANCHEN ET AL. shaanxi journal of traditional chinese medicine. 2000;21(7):297 (chi). 294- gera: 86275/di/ra [EFFUSION OF KNEE JOIN (50 CASES) TREATED WITH DECOCTION FOR DETUMESCENCE AND DIURESIS]. SUN ZHISHENG. journal of practical tcm. 2000;16(2):14 (chi). 295- gera: 87668/di/ra [THE TREATMENT OF KNEE CARTILAGE RETROGRADE DISEASE BY ZHANG'S MASSAGE MANIPULATION: A THERAPEUTIC EFFECT EVALUATION]. XIE LIMIN ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(4):8 (chi*). In order to evaluated the clinical therapeutic effect of Zhang's massage manipulation on retrograde disease of knee Cartage, 303 Cases of the disease were randomly divided into two groups the massaged (n=152) and the control (n=151), which were treated by Zhang's massage manipulation aria by physiotherapy, acupuncture, moxibustion, anti-inflammatory and analgesic agents, etc. respectively and the clinical therapeutic effects were evaluated by the modified scoring method of the knee joint. The results showed that the effective arid excellent- good rates of the massaged and control grow pa leached 89% and 60%. and 79/ arid 15%. respectively with a very significant difference hi the therapeutic-effect comparison of the two groups (P < 0. 01), suggesting that Zhang's massage manipulation has proved itself to be a good method for treating knee cartilage retrograde diseases as the 296- gera: 87670/di/ra [OPEN TIBIAL FRACTURE COMPLICATED WITH COMPARTMENT SYNDROME]. FENG FENG. journal
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of traditional chinese orthopedics and traumatology. 2000;12(4):11 (chi*). In 113 cases of open tibia fracture reviewed, the author found 21 cases 5 % completed with compartment syndrome including 17 cases of comminuted tibia fracture and 19 cases complicated with moderate or severe soft- tissue injury. The incidence of compartment syndrome was directly proportion to the severity of the fracture and the soft-tissue injury Early diagnosis, thorough and timely compartment ciecol1lpression and prevention of infection are the effective therapeutic measures for the disease. Open tibia fracture complicated with compartment syndrome is not seldom encountered and should be taken seriously in clinical practice. 297- gera: 87671/di/ra [AN ANALYSIS ON THE TREATMENT OF 130 CASES OF ADULT TIBIAL AND FIBULAR FRACTURES]. HONG MINGFEI ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(4):13 (chi*). One hundred and thirty cases of tibia and fibular fractures were divided into Group A (n=74 cases) and Group B (n=56 cases), and two of them were treated by open reduction and internal fixation and by manipulative reduction and splints or plaster external fixation or calcaneal traction and splints external fixation, respectively. The results showed that the excellent-good rates of groups A and B reached 89.18 % and 75. 00 %, respectively. The therapeutic effects of the two groups were Statistically treated and had a significant difference (P < 0. 05). It was believed that the general steel plate is suitable for the internal fixation of all types of tibia diaphyseal fracture in arty level retains the blood supply to the periosteum slid thus has an important significance to fracture healing; compressing plate is suitable only for the transverse fracture of the segment front the upper third to the lower third; unilateral external fixator-brace is suitable for open seriously polluted transverse or spiral fracture; locked intramedullary nail offers strong and reliable fixation and allows early postoperative off-bed exercises; splints or plaster external fixation, and calcaneal traction are suitable for stable tibia and fibular fractures with a little displacement. It was concluded that various fixating methods have their advantages and disadvantages, and the indication o each should be strictly selected in the clinical application. 298- gera: 87672/di/ra [THE FORMATION OF TIBIAL STRESS FRACTURE: A MECHANICAL ANALYSIS]. DING ZHIQIANG ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(4):15 (chi*). Through summing up the clinical data of 30 cases of tibia stress fracture it was found that all of tibia stress fractures resulting from recruit training occurred after large-load training. 'I'he anteroposterior X ray films showed that most of the fracture sites were located in the medial bone cortex of the middle or upper third tibia, which crosses with the extended line of the femoral longitudinal axis, suggesting that tibia stress fracture may be related try the normal slight values of the knee. The forces that travel down from the femoral longitudinal axis to the medial bone cortex of the middle or upper tibia may be divided into two forces, one of which travels down along the tibia longitudinal axis and the other is a horizontal shear that moves the tibia inward. 'Ihe long-term accumulation of the shear Nay be related to the occurrence of tibia stress fracture. In addition, the upper and middle tibia is the transitional zone of the cancerous and cortical bones, which may be a relative weak and thin site of the tibia with 299- gera: 88029/di/ra
[TREATMENT OF FRACTURE OF SURGICAL NECK OF HUMERUS IN AGED MAINLY BY PHYSICAL TRAINING: A CLINICAL OBSERVATION OF 116 CASES]. LIANG HUILIN ET AL. new journal of tcm. 2000;32(1):19 (chi). 300- gera: 91428/di/ra [EFFECT OF SHENGGUZAIZAO POWDER ON HEMORRHEOLOGY IN HORMONE-INDUCE RABBIT FEMORAL HEAD NECROSIS]. ZHANG XIAOGANG ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(10):3 (chi*). To study the effect of Shengguzaizao powder on hemorheology in hormone-induced rabbit femoral head. necrosis. Methods: Rabbit femoral head necrosis model were made by glucocorticoid induction Shengguzzaizac, powder was given continuously for five weeks, and the changes of hemorheology indexes were determined before and after treatment respectively. Results. The Shengguzaizao powder can significantly decrease the whole blood viscosity, plasma viscosity and hematocrit. Conclusion: The curative effect of Shengguzaizao powder on femoral head necrosis may be related to its adjusting effect function to hemorheology. 301- gera: 91429/di/ra [CLINICAL STUDY ON TREATMENT OF ADDUCTIVE FEMORAL NECK FRACTURE BY AMPUTATION OF LONG ADDUCTOR MUSCLE AND OBTURATOR NERVE]. SUN GUANGSHENG ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(10):7 (chi*). 302- gera: 91431/di/ra [THE REPAIR OF COMPOUND INJURIES OF THE KNEE LIGAMENTS BY THE LONG PERONEAL MUSCULAR TENDON]. GUO LONGQUAN ET AL. journal of traditional chinese orthopedics and traumatology. 2000;12(10):11 (chi*). 303- gera: 91726/di/ra [PRESENT RESEARCH SITUATION ON TRAUMATIC FIBROUS STIFFNESS OF KNEE JOINT]. CHENG YAN. journal of shaanxi college of tcm. 2000;23(2):51 (chi). 304- gera: 91901/di/ra [TREATMENT OF OSSEOUS GONARTHRITIS BY BOTH ACUPUNCTURE AND TAKING MEDICINE]. WU DONGYIN ET AL. traditional chinese medicinal research. 2000;13(6):53 (chi). 305- gera: 92341/di/ra [80 CASES OF REGRESSIVE OSTEOARTHITIS IN KNEE JOINT TREATED BY CHINESE MEDICINE]. XU LI-ZHONG ET AL. shanghai journal of tcm. 2000;34(9):31 (chi). 306- gera: 92364/di/ra [TREATMENT OF GONITIS BY CHINESE HERBAL PENETRATION AT COMPUTERIZED MID-FREQUENCY]. ZHENG HUA ET AL. shanghai journal of tcm. 2000;34(8):36 (chi). 307- gera: 93100/di/ra [TREATMENT OF BONY ARTHRALGIA OF KNEE JOINT BY INTERNAL AND EXTERNAL TREATMENT: A REPORT OF 89 CASES]. MO SHAOYONG. new journal of traditionnal chinese medicine. 2000;32(6):28 (chi).
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308- gera: 93114/di/ra [TREATMENT OF BONY ARTHRITIS OF KNEE BY TCM COMBINED WITH WESTERN MEDICINE A REPORT OF 63 CASES]. LIANG ZHAOMING. new journal of traditionnal chinese medicine. 2000;32(10):27 (chi). 309- gera: 93180/di/ra [THE TREATMENT OF KNEE PAIN WITH WARM ACUPUNCTURE AND CUPPING 42 CASES REPORTED]. LI XULING ET AL. journal of clinical acupuncture and moxibustion. 2000;16(9):31 (chi). 310- gera: 94694/di/ra [TREATING 57 CASES OF FRACTURE OF TIBIA WITH THE METHOD. OF UNILATERAL EXOPEXY AND SKELETAL FIXATION]. QIN SUANG-AN. journal of henan college of tcm. 2000;15(6):34 (chi). 311- gera: 96021/di/cg ACUPUNCTURE IN RELATION TO THE REPORTED PAIN IN THE POSTOPERATIVE OF THE ARTHROSCOPIC SURGERIES IN THE KNEE. SAIDAH R ET AL. colloque international d'acupuncture nguyen van nghi, marseille. 2000;18-19No:27 (eng). 312- gera: 146062/di/ra L'ACUPUNCTURE EN PREOPERATOIRE ET SOUS ANESTHESIE N'A PAS D'EFFET ANALGESIQUE APRES ARTHROSCOPIE AMBULATOIRE DU GENOU. GORET O. revue francaise de medecine traditionnelle chinoise. 2000;188:36 (fra). Résumé et commentaire de l'article de: Gupta S et al. The effect of pre-emptive acupuncture treatment on analgesic requirements after case-day knee arthroscopy. Anaesthesia 1999; 54(12): 1204-7. Réf Gera: [70890]. 313- gera: 89308/di/ra [SCANNING ELECTRON MICROSCOPIC STUDY OF OSTEOARTHRITIS OF RATS WITH MANIPULATIVE TREATMENT]. TAN XUSHENG ET AL. journal of traditional chinese orthopedics and traumatology. 2001;13(1):3 (chi*). To observe the effect of knee joint osteoarthritis by manipulation through scanning electron microscope. Twenty four Whistar rats were ligated in both femoral veins, the randomized three groups, the group without treatment, the manipulation group and the sodium hyaluronate injection group. Other three rats without operation consist the normal group. The manipulation group and the sodium hyaluronate injection group were treated 4 weeks after operation. The animals were sacrificed at 8,16 and 20 weeks postoperatively. The external femoral condyle was excised and prepared for the scanning elecron microscopic study. The result reveals the degenerative changes of articular cartilage in the manipulation group and the sodium hyaluronate group are lesser than that in the group without treatment. This confirms manipulation is effective to prevent and treat knee joint osteoarthritis. 314- gera: 89792/di/ra [GONALGIA (24 CASES) TREATED BY MANIPULATION AND INITIATIVE PRACTICE OF QI-GONG]. CHEN XIAOWEI ET AL. journal of practical tcm. 2001;17(2):32 (chi). 315- gera: 93432/di/ra [68 CASES OF KNEE OSTEOARTHRITIS TREATED WITH HYALURONATE SODIUM COMBINED WITH REGULATED "DU-HUO-JI-SHENG" DECOCTION].
WANG YA-QIANG ET AL. journal of chengdu university of tcm. 2001;24(1):23 (chi). 316- gera: 93433/di/ra [CLINICAL OBSERVATION OF KNEE OSTEOARTHITIS TREATED WITH OUTSIDE AND INTERNAL TREATMENT- ATTACHING WITH CLINICAL REPORT OF 66 CASES]. CHEN JIAN-ZONG ET AL. journal of chengdu university of tcm. 2001;24(1):24 (chi). 317- gera: 93473/di/ra THE ROLE OF ACUPUNCTURE IN POSTOPERATIVE REHABILITATION AFTER TOTAL KNEE ARTHROPLASTY. AVERY P. medical acupuncture. 2001;12(2):44-6 (eng). 318- gera: 94419/di/ra [108 CASES OF GONITIS TREATED BY FOMENTATION WITH TONGBI MEDICINE BAG]. HONG ZHURUI ET AL. journal of external therapy of tcm. 2001;10(2):13 (chi). 319- gera: 94812/di/re A SYSTEMATIC REVIEW OF PHYSICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN SYNDROME. CROSSLEY K ET AL. clin j sport med. 2001;11(2):103-10 (eng). OBJECTIVE: Physical interventions (nonpharmacological and nonsurgical) are the mainstay of treatment for patellofemoral pain syndrome (PFPS). Physiotherapy is the most common of all physical interventions and includes specific vastus medialis obliquus or general quadriceps strengthening and/or realignment procedures (tape, brace, stretching). These treatments appear to be based on sound theoretical rationale and have attained widespread acceptance, but evidence for the efficacy of these interventions is not well established. This review will present the available evidence for physical interventions for PFPS. DATA SOURCES: Computerized bibliographic databases (MEDLINE, Current Contents, CINAHL) were searched, including the keywords "patellofemoral," "patella," and "anterior knee pain," combined with "treatment," "rehabilitation," and limited to clinical trials through October 2000. STUDY SELECTION: The critical eligibility criteria used for inclusion were that the study be a controlled trial, that outcome assessments were adequately described, and that the treatment was a nonpharmacological, nonsurgical physical intervention. RESULTS: Of the 89 potentially relevant titles, 16 studies were reviewed and none of these fulfilled all of the requirements for a randomized, controlled trial. Physiotherapy interventions were evaluated in eight trials, and the remaining eight trials examined different physical interventions. Significant reductions in PFPS symptoms were found with a corrective foot orthosis and a progressive resistance brace, but there is no evidence to support the use of patellofemoral orthoses, acupuncture, low-level laser, chiropractic patellar mobilization, or patellar taping. Overall the physiotherapy interventions had significant beneficial effects but these interventions were not compared with a placebo control. There is inconclusive evidence to support the superiority of one physiotherapy intervention compared with others. CONCLUSIONS: The evidence to support the use of physical interventions in the management of PFPS is limited. There appears to be a consistent improvement in short-term pain and function due to physiotherapy treatment, but comparison with a placebo group is required to determine efficacy, and further trials are warranted for the other interventions.
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320- gera: 94842/di/re ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE: A SYSTEMATIC REVIEW. EZZO J ET AL. arthritis and rheumatism. 2001;44(4):819-25 (eng). OBJECTIVE: To evaluate trials of acupuncture for osteoarthritis (OA) of the knee, to assess the methodologic quality of the trials and determine whether low-quality trials are associated with positive outcomes, to document adverse effects, to identify patient or treatment characteristics associated with positive response, and to identify areas of future research. METHODS: Eight databases and 62 conference abstract series were searched. Randomized or quasi-randomized trials of all languages were included and evaluated for methodologic quality using the Jadad scale. Outcomes were pain, function, global improvement, and imaging. Data could not be pooled; therefore, a best-evidence synthesis was performed to determine the strength of evidence by control group. The adequacy of the acupuncture procedure was assessed by 2 acupuncturists trained in treating OA and blinded to study results. RESULTS: Seven trials representing 393 patients with knee OA were identified. For pain and function, there was limited evidence that acupuncture is more effective than being on a waiting list for treatment or having treatment as usual. For pain, there was strong evidence that real acupuncture is more effective than sham acupuncture; however, for function, there was inconclusive evidence that real acupuncture is more effective than sham acupuncture. There was insufficient evidence to determine whether the efficacy of acupuncture is similar to that of other treatments. CONCLUSION: The existing evidence suggests that acupuncture may play a role in the treatment of knee OA. Future research should define an optimal acupuncture treatment, measure quality of life, and assess acupuncture combined with other modalities. 321- gera: 95015/di/ra FORTY-SEVEN CASES OF GONITIS TREATED BY A COMBINED THERAPY OF CHINESE DRUGS AND ACUPUNCTURE. YANG WENHE. journal of tcm. 2001;21(2):127-9 (eng). 322- gera: 95022/di/ra COMPLEMENTARY THERAPIES FOR OSTEOARTHRITIS. LONG L. focus on alternative and complementary therapies. 2001;6(2):103-7 (eng). 323- gera: 95439/di/ra [EXPERIMENTAL STUDY ON THE EFFECT OF THE METHOD OF REMOVINC,HEAT AND DISPERSING DAMPNESS ON THE LEVELS OF IL - 1ß AND NO IN ACUTE URARTHRITIS OF KNEE JOINTS IN RABBITS]. WANG XIUHUA. journal of traditional chinese orthopedics and traumatology. 2001;13(4):3 (chi). 324- gera: 95441/di/ra [PUISED ELECTROMAGNETIC FIELDS ON BONE BIONOECHANICS PROPERTIES OF TIBIA IN RABBITS AFTER FIRM INTERNAL FIXATION: AN EXPERIMENTAL STUDY]. GUO XIAOWEI ET AL. journal of traditional chinese orthopedics and traumatology. 2001;13(4):9 (chi). 325- gera: 95815/di/ra [AN ANALYSIS OF 102 OF KNEE JOINT OSTEOARTHRITIS TREATED BY COMBINATION OF TCM WITH WESTEM MEDECINE]. HAN WEI ET AL. journal of guiyang college of tcm. 2001;23(2):20 (chi). 326- gera: 95954/di/ra [CLINICAL OBSERVATION OF SENILE
GONARTHROSIS TREATED BY "TIAOZHONG BAOYUAN DECOCTION"]. WANG AO-MING. shanghai journal of tcm. 2001;35(7):34 (chi*). 327- gera: 96606/di/ra [INJURY OF ANTERIOR CRUCIATE LIGAMENT OF KNEE JOINT (86 CASES) TREATED BY MASSAGE AND TRADITIONAL CHINESE DRUGS]. HUANG SONG. journal of practical tcm. 2001;10(17):13 (chi). 328- gera: 96611/di/ra [RETROGRADE GONITIS (60 CASES) TREATED BY NEEDLE WARMING THROUGH MOXIBUSTION]. ZHANG HONGRONG, LL XIAOTANG. journal of practical tcm. 2001;10(17):33 (chi). 329- gera: 96624/di/ra [EXPERIMENTAL STUDY OF NEEDLE LOOSENING THERAPY FOR DEGENERATION OF RABBIT KNEE JOINTS]. ZHANG YIN, ZHOU JINGCAI. journal of hunan college of traditional chinese medicine. 2001;21(3):56 (chi*). To explore the needle loosening therapy for chronic soft tissue injuries. Method: We made rabbit models with degeneration of the knee joints by immobilizing the rabbit's knee joints for six weeks. We loosened the periarticular tissues of the knees of the rabbits with loosen ing-needles and observed their knee joints' mobility and determined the superoxide (SOD) and MDA contents of peripheral tissue homogenate around the knees in both the treatment group and the model group. Results: The rabbit's knee joints' mobility and the superoxide contents (SOD) of peripheral tissue homogenate around the knee joints in the treatment group were much higher than those of the model group without treatment. 'Me differences were significant ( P < 0. 05). Conclusion: Loosening needle therapy can loosen adhesion of tissues mechanically, and alao improve the activity of SOD. 330- gera: 96950/di/ra [103 CASES OF KNEE - OSTEOARTHROPATHY TREATED WITH HUA - SHANG - XI I]. GAO XIANG,WU TAO, TENG SONGMAO, ET AL. journal of external therapy of traditional chinese medicine. 2001;10(5):6 (chi). 331- gera: 97209/di/ra [RETROGRADE GONARTHROSIS (100 CASES) TREATED BY FUMIGATION AND LOTION]. PENG YOUBIN, CHEN JINXIONG. journal of practical traditional chinese medicine. 2001;9(17):37 (chi). 332- gera: 98041/di/ra [BONY ARTHRITIS OF KNEE JOINT (63 CASES) TREATED BY SWORD-LIKE NEEDLE]. ZHANG XIAOJUN. journal of practical traditional chinese medicine. 2001;7(17):15 (chi). 333- gera: 98524/di/ra CLINICAL EFFECT OF ACUPUNCTURE TREATMENT IN 109 CASES OF KNEE OSTEOARTHRITIS. JIANG AIPING ET AL. journal of tcm (english edition). 2001;21(4):282 (eng). 334- gera: 98710/di/ra [TREATMENT OF RETROGRADE OSTEOARTHROPATHY OF KNEE JOINTS WITH MANUDUCTION AND CHINESE DRUGS : A CLINICAL REPORT OF 156 CASES]. DUAN HAI-CHAO ET AL. journal of shaanxi college of traditional
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chinese medicine. 2001;24(5):32 (chi). 335- gera: 98789/di/ra [SYNTHETICAL THERAPY WITH MANIPULATION FOR PATELLA OSTEOCHNDRITIS]. WANG KUI ET AL. chinese manipulation and qi gong therapy. 2001;18(6):12 (chi). 336- gera: 98982/di/ra [OBSERVATION ON LOWER-BIMB' S WASHING SOLUTION FOR POST-FRACTURE OPERATION OF AROUND KNEE JOINT]. XIA RONG HUA. journal of practical traditional chinese medicine. 2001;12(17):33 (chi). 337- gera: 99023/di/ra [REVIEW ON THE TREATMENT OF KNEE JOINT OSTEOARTHRITIS WITH TRADITIONAL CHINESE MEDICINE]. CHEN GEGI. zhejiang journal of traditional chinese medicine. 2001;36(12):538 (chi). 338- gera: 99251/di/ra [CLINICAL OBSERVATION ON TREATMENT OF FEMALE GONARTHRITIS FROM LIVER THESIS: A REPORT OF 90]. WANG YUMING ET AL. beijing journal of traditional chinese medicine. 2001;20(6):29 (chi). 339- gera: 99462/di/ra [THE CHANGES AND SIGNIFICANCE OF BLOOD RHEOLOGY IN ALCOHOLIC NECROSIS OF THE FEMORAL BEAD]. HE WEI ET AL. journal of traditional chinese orthopedics and traumatology. 2001;13(10):8 (chi*). 340- gera: 99464/di/ra [THE THERAPEUTIC EFFECT OF THE THERAPY OF LAVATION WITH TCM ON THE TREATMENT OF KNEE OSTEOARTHRITIS]. SHI WEIDONG ET AL. journal of traditional chinese orthopedics and traumatology. 2001;13(10):12 (chi*). To explore the therapeutic effect of the therapy of lavation with traditional Chinese Drug (TCD) on Lhe treatment of knee arthritis, 71cases (98 knee joints) with knee arthritis were divided into 2 groups equally: TCD group (treated with the therapy of lavation. with Chinese traditional drug) , Control group (treated with western medicine) The results showed that the therapeutic effect of TCD group was more significant than that in Control group, TCD also could dilute joint fluid, promote the metabolism of synovia, 'improve the disturbed environment of the knee and symptoms. Key words: knee joint osteoarthritis/ therapy of lavation traditional Chinese drug 341- gera: 99606/nd/re [EFFECTS OF ACUPUNCTURE THERAPY ON LOW BACK PAIN AND/OR KNEE PAIN IN ELDERLY PATIENTS]. WASHIO M, TAKASUGI S ET AL. nippon ronen igakkai zasshi. 2001;38(4):523-7 (jap). In April 1999, 75 elderly patients (mean age: 79 years old) with low back pain and/or knee pain visited an acupuncture and physical therapy unit in a geriatric hospital. A cross-sectional study was carried out in order to evaluate the effects of acupuncture therapy on low back pain and/or knee pain in elderly patients. Among them, 60 patients answered that their pain diminished following their therapy. The proportion of patients who were treated with acupuncture therapy were higher in these 60 patients than the other 15 patients (55.5% vs. 26.7%, p = 0.05). The result suggests that acupuncture therapy may be able to relieve low back pain and/or knee
pain in elderly patients. However, 46% of the patients with acupuncture therapy were also treated with other types of physical therapy. Further studies should be recommended to confirm the effects of acupuncture therapy on low 342- gera: 99625/di/re CLINICAL DECISIONS IN THE USE OF ACUPUNCTURE AS AN ADJUNCTIVE THERAPY FOR OSTEOARTHRITIS OF THE KNEE. SINGH BB, BERMAN BM ET AL. altern ther health med. 2001;7(4):58-65 (eng). OBJECTIVE: To determine whether demographic, medical history, or arthritis assessment data may influence outcome and rate of decay for patients with osteoarthritis treated with acupuncture. DESIGN: Seventy-three persons with symptomatic osteoarthritis of the knee were recruited for this randomized controlled trial. Both treatment and crossover control groups received acupuncture treatments twice weekly for 8 weeks. Patients self- scored on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Lequesne Algofunctional Index at baseline and 4, 8, and 12 weeks. Sample size for this outcome analysis was 60 patients at 4 weeks, 58 at 8 weeks, and 52 at 12 weeks. RESULTS: Patients' scores on both indexes improved at 4, 8, and 12 weeks. Scores were stable regardless of the baseline severity of the osteoarthritis. Despite some decay in outcomes at week 12, measures were significantly improved over baseline. With WOMAC scores partitioned into equal quartiles, a strong effect on outcome was apparent at 12 weeks (4 weeks after treatment) related to initial WOMAC scores. The group with the least disability and pain rebounded to original levels to a greater degree than did those who initially were more disabled. The more disabled groups retained the benefits of acupuncture treatment through the 12-week period. CONCLUSION: Acupuncture for patients with osteoarthritis of the knee may best be used early in the treatment plan, with a methodical decrease in frequency in treatment once the acute treatment period is completed to avoid a rebound effect. Demographic and medical history data were not mediating variables. 343- gera: 99814/di/ra [TREATMENT OF RETROGRADE OSTEOARTHROPATHY OF KNEE JOINTS WITHMANUDUCTION AND CHINESE DRUGS :A CLINICAL REPORT OF 156 CASES]. DUAN HAI-CHAO ET AL. journal of shaanxi college of traditional chinese medicine. 2001;24(5):32 (chi). 344- gera: 99893/di/ra [SYNTHETICAL THERAPY WITH MANIPULATION FOR PATELLA OSTEOCHNDRITIS]. WANG KUI ET AL. chinese manipulation and qi gong therapy. 2001;18(6):12 (chi). 345- gera: 100086/di/ra [OBSERVATION ON LOWER-BIMB' S WASHING SOLUTION FOR POST-FRACTURE OPERATION OF AROUND KNEE JOINT]. XIA RONG HUA. journal of practical traditional chinese medicine. 2001;12(17):33 (chi). 346- gera: 100127/di/ra [REVIEW ON THE TREATMENT OF KNEE JOINT OSTEOARTHRITIS WITH TRADITIONAL CHINESE MEDICINE]. CHEN GEGI. zhejiang journal of traditional chinese medicine. 2001;36(12):538 (chi). 347- gera: 100355/di/ra [CLINICAL OBSERVATION ON TREATMENT OF
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FEMALE GONARTHRITIS FROM LIVER THESIS: A REPORT OF 90]. WANG YUMING ET AL. beijing journal of traditional chinese medicine. 2001;20(6):29 (chi). 348- gera: 100566/di/ra [THE CHANGES AND SIGNIFICANCE OF BLOOD RHEOLOGY IN ALCOHOLIC NECROSIS OF THE FEMORAL BEAD]. HE WEI ET AL. journal of traditional chinese orthopedics and traumatology. 2001;13(10):8 (chi*). 349- gera: 100568/di/ra [THE THERAPEUTIC EFFECT OF THE THERAPY OF LAVATION WITH TCM ON THE TREATMENT OF KNEE OSTEOARTHRITIS]. SHI WEIDONG ET AL. journal of traditional chinese orthopedics and traumatology. 2001;13(10):12 (chi*). To explore the therapeutic effect of the therapy of lavation with traditional Chinese Drug (TCD) on Lhe treatment of knee arthritis, 71cases (98 knee joints ) with knee arthritis were divided into 2 groups equally: TCD group (treated with the therapy of lavation. with Chinese traditional drug ) , Control group (treated with western medicine ) The results showed that the therapeutic effect of TCD group was more significant than that in Control group, TCD also could dilute joint fluid, promote the metabolism of synovia, 'improve the disturbed environment of the knee and symptoms. Key words: knee joint osteoarthritis/ therapy of lavation traditional Chinese drug 350- gera: 103776/di/ra [CLINICAL OBSERVATION ON DAJ MULTI-FUNCTION MOXIBUSTION APPARATUS FOR TREATMENT OF KNEE JOINT OSTEOARTHRITIS]. LE XIAOYAN. chinese acupuncture and moxibustion. 2001;21(11):687 (chi). Methods : Moxibustion-warmed needling with DAJ multi-Function Moxibustion Apparatus substituted fortraditional moxibustion-warmed needling to treat knee joint osteoarthritis, and it was compared with electroacupuncture and traditional moxibustion-warmed needling. Results : The therapeutic effect of the moxibustion apparatus group or the traditional moxibustion group was superior to that of the electroacupuncture group, but there was no significant difference between the moxibustion apparatus group and the traditional moxibustion group in therapeutic effect. Conclusion : The moxibustion-warmed needling with DAJ Multi-Function Apparatus can substitute for traditional moxibustion-warmed needling, with safety and convenient manipulation. 351- gera: 104298/di/ra [CLINICAL TREATMENT OF OSSEOUS ARTHRITIS OF KNEE JOINT WITH PROGRAMMED FUMIGATING THERAPY]. SONG XIAO-GUANG, WANG YAN-QUAN, YANG HAO ET AL. henan traditional chinese medicine. 2001;21(3):27 (chi*). 352- gera: 104452/di/ra [ANALYSIS OF THE THERAPEUTIC EFFECT OF ACUPUNCTURE PLUS SPECTROGRAP IRRADIATION ON TREATING GONITIS]. SONG WEN-GE WU HUN LIU MING ET AL . shanghai journal of acupuncture and moxibustion. 2001;20(4):22 (chi*). 353- gera: 104643/di/ra [OBSERVATION ON THERAPEUTIC EFFECT OF OSTEOARTHRITIS OF KNEE JOINT TREATED WITH LASER RADIATION ON XIYAN POINT.].
ZHANG YUE, WANG PENG. chinese acupuncture and moxibustion. 2001;21(6):339 (chi*). 354- gera: 110901/di/ra TREATMENT OF SENILE GONARTHROSIS WITH COMBINATION OF ACUPUNCTURE-MOXIBUSTION AND MASSAGE [ABSTRACT].. TANG DONYUE. world journal of acupuncture-moxibustion. 2001;11(3):40 (eng*). Objective : To observe the clinical effect of acupuncture-moxibustion combined with massage in the treatment of senile arthrosis of the knee. Methods: Warming needle technique combined with massage. (1) Warming needle technique: Ahshi points are used as the main points combined with Dubi (ST 35), Xiyan (EX-LE 5), Liangqiu (ST 34), Xuehai (SP 10) and Dazhui (GV 14) for excessive wind type, with Fengshi (GB 31), Fengfu (GV 16), and with Zusanli (ST 36) for excessive cold and damp type, 4 to 8 points are used in every treatment. The patient is asked to take a supine position and to expose the knee. After needling, place a moxa box on the knee joint and perform moxibustion for 30 minutes. The treatment is given once every other day. 10 sessions constitute one therapeutic course. (2) Operation: After acupuncture treatment, the practitioner performs massage at the distal end of the femoral quadriceps muscle by kneading, pressing, lifting and holding them repeatedly, and twists and squeezes the medial and lateral aspects of knee joint with both hands. These manipulations are applied repeatedly 6 times. The knee is flexed at 90 degrees and the manipulation of pulling the knee is applied for 1 to 2 minutes. The patella of the patient is rubbed and slid in various directions and moved clockwise and counterclockwise like grinding so as to increase the movement of the patella. The patella is then grasped with the finger tips to be pulled up 5 to 10 times, pressed and kneaded repeatedly for 10 to 20 times. The knee joint is stretched and flexed to the maximal extent with a pause at each direction, finally the muscles of the lower limbs are lifted, kneaded and pressed repeatedly 5 times by both hands. Criteria for assessing the therapeutic effect : The cured is referred to that the patients' pain disappears, joint functions resume and their symptoms have no relapse in 3 months. Remarkable effect is referred to that the patients' principal symptoms and signs disappear basically and joint functions are improved. No effect is referred to those whose symptoms and signs have no any improvement. Results : After treatment, of the 60 gonarthrosis patients, 38 are cured and 22 have remarkable improvement. Comments: After application of acupuncture, moxibustion is added to the local region, the capillaries of the local region are dilated, blood circulation and absorption of the inflammation promoted, the metabolism of the local region is accelerated, and absorption of the non-bacterial inflammation and metabolism of pain produced substances are 355- gera: 111870/di/ra ACUPUNCTURE WITH THE NEEDLE WARMED BY BURNING-MOXA FOR TREATMENT OF 50 CASES OF KNEE- JOINT OSTEOARTHRITIS. CHEN HULLING. world journal of acupuncture-moxibustion. 2001;11(1):55 (eng). 356- gera: 112197/di/ra EFECTO TERAPEUTICO DE¡ TRATAMIENTO CON ACUPUNTURA EN 109 CASOS DE OSTEOARTRITIS DE LA RODILLA. JIANG AI PING. journal of tcm. 2001;30:31 (esp*). 357- gera: 113850/di/ra [RELATIONSHIPS BETWEEN PRESSURE PAIN
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THRESHOLDS AND CLINICAL SYMPTOMS IN ACUPUNCTURE AND MOXIBUSTION THERAPY -A CASE OF OSTEOARTHRITIS OF THE KNEE JOINTS.]. ITOH KAZUNORI, ET AL. journal of the japan society of acupuncture and moxibustion. 2001;51(5):604 (70) (jap). 358- gera: 113851/di/ra [A CASE OF A COMBINATION OF OSTEOARTHRITIS OF THE KNEE JOINT AND IDIOPATHIC SPONTANEOUS OSTEONECROSIS THAT SHOWED RESISTANCE TO ACUPUNCTURE AND MOXIBUSTION.]. OCHI HIDEKI, ET AL. journal of the japan society of acupuncture and moxibustion. 2001;51(5):611 (77) (jap). 359- gera: 115494/di/ra ENFLUSS DER AKUPUNKTUR AUF DIE LEISTUNGSFAHIGKEIT DER QUADRIZEPSMUSKULATUR. LUDWIG M. deutsche zeitschrift fur akupunktur. 2001;44(2a):232 (deu). Ziele: Der Einsatz der Akupunktur im rehabilitativen Krafttraining von Patienten nach Kreuzbandrupturen bewirkt eine Steigerung der motorischen Erregbarkeit durch Aktivierung gehemmter neuromuskulärer Strukturen. Es stellt sich die Frage, ob gesunde neuromuskulare Strukuren durch Akupunktur stimulierbar sind, Methoden: In einer randomisierten, kontrollierten Einfach-Blind-Studie wurden 42 Sportler zwei isometrischen Krafttests der Kniegelenksextensoren (Test-Retest binnen 30 Minuten) am isokinetischen System gekoppelt mit EMG unterzogen. Ergebnis: Eine Verum-Akupunkturgruppe von 14 Probanden zeigte nach tonisierender Stimulierung zweier Akupunkturpunkte (M 32-Futu- und M 36-Zusanli-) statistisch hoch signifikante Steigerungen der Maximalkraftwerte um 10 % und der myoelektrischen Aktivität durchschnittlich um 29 %. Eine Kontrollgruppe und eine Placebo- Akupunkturgruppe von je 14 Probanden zeigten keine Verbesserung im Retest. Schlussfolgerung: Der Einsatz der Akupunktur bewirkt eine Steigerung der rnotorischen Erregbarkeit durch Akti-vierung vorhandenen neuromuskulären Potenzials. ( INFLUENCE OF ACUPUNCTURE ON THE PERFORMANCE OF THE QUADRICEPSMUSCLES) 360- gera: 118546/di/ra UN GENOU DOULOUREUX. ANDRES G. revue francaise d' acupuncture. 2001;106:65 (fra). 361- gera: 119052/di/ra LES MALADIES LAO. LUONG-SI JC. revue francaise d' acupuncture. 2001;107:65 (fra). 362- gera: 99524/di/ra [CLINICAL RESEARCH OF LOUTIANJI PILL'S TREATMENT ON TIBIA FRACTURE]. ZHU HAI ET AL. journal of traditional chinese orthopedics and traumatology. 2002;14(1):13 (chi*). 363- gera: 100970/di/ra ECHANGES : QUESTION ET REPONSES - REPONSE (1). STEPHAN JM. acupuncture & moxibustion. 2002;1(1-2):54 (fra). 364- gera: 100971/di/ra ECHANGES : QUESTION ET REPONSES - REPONSE (2). GORET O. acupuncture & moxibustion. 2002;1(1-2):54 (fra). 365- gera: 101284/di/ra
[RELATIONSHIP BETWEEN KIDNEY DEFICIENCY, BLOOD - STASIS AND BONY ARTHRITIS OF KNEE]. XU CHUANYI ET AL. new journal of traditional chinese medicine. 2002;34(3):7 (chi*). To explore TCM therapeutical principle for bony arthritis of knee, The internal relationship between kidney deficiency, blood - stasis and the disease is analysed. In the cases with kidney deficiency, oxygen free radical, trace element, enzyme, sexual hormone affect the occurrence of the disease, and in those with blood - stasis, blood rheology, intraosseous high pressure and oxygen free radical affect its occurrence. Invigorating kidney and activating blood circulation attain a satisfactory result in its treatment clinically and experimentally. It was shown that kidney deficiency and blood - stasis are present in bony arthritis of knee joint, so that inrigorating kidney and activating blood circulation are applicable for the treatment. 366- gera: 101678/di/ra [VALUATION OF CURATIVE EFFECTS OF APPLYING NERVE BLOCK THERAPY AT 5 POINTS TO TREAT OBSTINATE PAIN OF KNEE JOINT]. MA LIPING ET AL. xinjiang journal of traditional chinese medicine. 2002;20(1):14 (chi). 367- gera: 101737/di/ra [THE OBSERVATION OF 53 CASES OF THE FRACTURE OF THE TIBIAS OR THE FIBLAS BY INTEGRATION OF TRADIATION AND WESTERN MEDICINE]. LI XIN-JUN ET AL. liaoning journal of traditional chinese medicine. 2002;29(2):98 (chi*). 368- gera: 102073/di/ra [THE TREATMENT OF FRACTURE OF TIBIAL PLATEAU WITH CALCANEUS TRACTION]. WANG SHOULIN, ZHAO LIWEI. acta chinese medicine and pharmacology. 2002;30(1):16 (chi). 369- gera: 102092/di/ra [CLINICAL RESEARCH OF CHINESE MEDICINE FOR KNEE OSTEOARTHRITIS]. ZHOU YUEJUN ET AL . china journal of tcm and pharmacy. 2002;17(2):97 (chi). 370- gera: 102173/di/ra [OBSERVATION OF THERAPEUTIC EFFECT OF KNIFE - SHAPED NEEDLE WITH SIMPLIFIED MANIPULATION FOR TREATING INFLAMMATION OF SUBPATELLAR FAT PAD]. LIN LIANGZI, MALAYSIA. tianjin journal of traditional chinese medicine. 2002;19(2):56 (chi*). Objective : To observe the therapeutic effect of knife - shaped needle with simplified technique for treating inflammation of subpatellar fat pad. Methods: 152 cases (male 37, female 115) were enrolled in this study. A modified, simplified technique of knife - shaped needle was used in the treatment. Results : 91 patients were cured and 38 improved. The total effective rate was 84. 87% . Conclusion: This therapeutic method was better than 371- gera: 102221/di/ra [INFLUENCE OF PROMOTING BLOOD CIRCULATION TO REMOVE STASIS MEDICINE AND CLEARING AWAY HEAT AND REMOVING TOXIC SUBSTANCES MEDICINE ON IL-8 IN RABBIT KNEE JOINT]. LI KE-DA, LIU YUAN-LU. liaoning journal of traditional chinese medicine. 2002;29(4):244 (chi*). 372- gera: 102255/di/ra
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[152 CASES OF OSSEOUS GONARTHRITIS TREATED BY ARTICULAR CAVITY INJECTION COMBINED WITH ACUPUNCTURE]. REN BIN, ET AL. chinese journal of information on traditional chinese medicine. 2002;9(5):72 (chi). 373- gera: 102283/di/ra [APPROACHING THE MECHANISM FOR TREATING PRIMARY OSTEOARTHRITIS KNEE JOINT BY MANIPULATION.]. WEI SENMIAO . chinese manipulation and qi gong therapy. 2002;18(2):39 (chi). 374- gera: 102443/di/ra [RESEARCHING AND ANALYSIS ON POINTS RELATED WITH THE KNEE]. WANG PIN. journal of clinical acupuncture and moxibustion. 2002;18(5):1 (chi). 375- gera: 103631/di/ra [OBSERVATION OF CURATIVE EFFECTIVENESS OF 50 PATIENTS WITH GONITIS TREATED WITH SEAR- PRODUCING MOXIBUSTION]. HUANG JING. journal of clinical acupuncture and moxibustion. 2002;18(3):44 (chi). 376- gera: 103704/di/ra [Observation on the Therapeutic Effect of Alternate Acupuncture and TDP Irradiation Treatment of 89 Cases of Proliferous Knee Arthritis]. ZHAO Lixin, GUO Xia. acupuncture research. 2002;27(1):71 (chi*). Objective: To observe the therapeutic results of acupuncture and TDP irradiation in treating proliferous knee arthritis. Methods : 89 Cases of proliferous, knee arthritis were treated by alternately puncturing and TDP-irradiating Neixiyan (EX LE 4), Dubi (ST 35), Heding (EX-LE 2) and the point 3 cun above Weizhong (BL 40). These acupoints were stimulated with uniform reinforcing- reducing manipulation with the needles retained for 30 min. The treatment was conducted once daily, 4 times every week, with 10 times being a therapeutic course. The interval between two courses was one week. Results: Following two courses of treatment, of the 89 cases, 51 (57. 3 % ) were cured, 32 (36 % ) had improvement and 6 (6. 7 % ) had no apparent changes. Conclusion : Alternate acupuncture and TDP irradiation can be used to effectively treat proliferous knee arthritis. 377- gera: 104153/di/ra [THE INFLUENCE OF "BUSHEN QIANGXI FANG " OF POSTMENOPAUSAL WOMEN FOR KNEE OSTEOARTHRITIS]. HUANG FENG, TANG YONG, ZHENG XIAOHUI, ET AL. journal of chinese orthopedics and traumatology. 2002;14(4):12 (chi*). 378- gera: 104688/di/ra [THE EXTERNAL TREATMENT OF KNEE OSTEOARTHRITIS AT EARLY STAGE IN RABBITS WITH MEDICATED MALLET IMMERSED IN FENGSHI GUTONG MEDICAL LIQUOR: AN EXPERIMENTAL STUDY]. ZHANG JIE, ZHANG WENSHENG ZOU JI. journal of traditional chinese orthopedics and traumatology. 2002;13(7):9 (chi*). 379- gera: 104691/di/ra [THE CLINICAL APPLICATION AND THERAPEUTIC EFFECT OBSERVATION OF TOTAL KNEE REPLACEMENT WITH PROSTHESIS MADE IN CHINA]. SONG SHUCHUN, LIU JIANMIN, DUAN ZHIXIA, ET AL. journal of traditional chinese orthopedics and traumatology. 2002;13(7):15 (chi*). 380- gera: 104927/di/ra
[THE CLINICAL OBSERVATION OF COMBINATION OF CHINESE TRADITIONAL AND WESTERN MEDICINE TO TREAT KNEE JOINT OSTEOARTHRITIS]. ZHOU PLQI, SHEN LIN, YANG YANGPING, ET AL. chinese journal of traditional medicine traumatology and orthopedics. 2002;10(4):23 (chi*). 381- gera: 105124/di/ra [CLINICAL OBSERVATION ON THE EFFECT OF QUTONG OINTMENT IN TREATING RETROGRADE GONARTHROSIS]. CAO YU, YAO JU-PING, JIANG NING-DONG, ET AL. liaoning journal of traditional chinese medicine. 2002;29(8):474 (chi*). 382- gera: 105136/di/ra [TREATMENT OF KNEE JOINT OSSEOUS ARTHRITIS WITH EXTERNAL AND INTERNAL USE OF HERBAL MEDICINE.]. BAO JIN, LI YONGKANG. yunnan journal of traditional chinese medicine and materia medica. 2002;23(3):23 (chi*). 383- gera: 105229/di/ra [CLINICAL OBSERVATION ON FOCAL POINTS OF LOCALIZED NODULAR HYPERPLASIA OF SOFT TISSUES IN HYPERPLASTIC GONITIS]. LI JING, LIU HUI, XUE LIGONG. chinese acupuncture and moxibustion. 2002;22(8):533 (chi*). Purpose: To approach to algogenic causes and parts of knee joint retrograde degeneration, except osseous causes Methods: The positive reaction of adhesion points of tendons around the knee joint was detected and analyzed. Results: 50 cases (61 affected knee joints) showed 4 types, and each type had 4-8 positive focal points of nodular hyperplasia suggesting that in treatment of this disease, you should pay attention to syndrome differentiation and treatment based on the tendon theory. 384- gera: 105324/di/ra [OSTEOARTHROPATHY OF KNEE JOINT TREATED WITH COMPLEX EXTERNAL TREATMEN]. T GUAN WEN, ET AL. hubei- journal of traditional chinese medicine. 2002;24(8):33 (chi). 385- gera: 106343/di/ra [CLINICAL STUDY ON HUANGQI GUIZHI CAPSULE FOR KNEE OSTEOARTHRITIS]. ZHU HONG-MIN, NING XIAN-MING. fujian journal of traditional chinese medicine. 2002;33(3):15 (chi). 386- gera: 106650/di/ra [[RELATIONSHIPS BETWEEN CLINICAL SYMPTOMS AND PRESS]. ITOH KAZUNORI ET AL. journal of the japan society of acupuncture and moxibustion. 2002;52(4):421 (jap*). Treatment of tender points has widely been used for diagnosis and treatment, but there are few studies elucidating the usefulness of this approach to diagnosing knee pain. This study investigated the diagnostic importance of tender points. The symptoms and the pressure pain threshold (PPT) in osteoarthritis of the knee (pain and motion of knee joint) were measured in 45 patients being treated at the Acupuncture Center of Meiji University of Oriental Medicine. The change in PPT was related to symptoms of knee pain (staircase and flexion pain). It is suggested that changes in PPT around the knee joints are a useful indicator for evaluating knee pain. 387- gera: 106661/di/ra [PATHOGENIC MECHANISM AND ANALYSIS OF
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CURATIVE EFFECT ON SPECIAL TYPE AT INFERIOR MEDICAL POINT FRACTURE OF TIBIA]. MING LIGONG MING XINGUANG MING XINZHONG ET AL. journal of traditional chinese orthopedics and traumatology. 2002;14(7):15 (chi). 388- gera: 106684/di/ra [TREATMENT OF OSTEOARTHRITIS OF KNEE JOINT BY GUANJIETONG PIAN : A CLINICAL OBSERVATION OF 90 CASES]. HUANG ZHONGQIANG, YE WEIHONG, YE JIANXUN. new journal of traditional chinese medicine. 2002;34(9):23 (chi). 389- gera: 106916/di/ra [CLINICAL OBSERVATION ON CHONDROMALACIA PATELLAE TREATED BY ACUPUNCTURE AND MASSAGE]. GAO YANG. liaoning journal of traditional chinese medicine. 2002;29(9):556 (chi*). Objective : To observe on the effect of acupuncture and massage on chondromalacia patellae. Methods : There were 82 cases divided into 52 cases of the treatment group and 30 cases of the control group. Results : The total effective rate of the treatment group is 98. 1 % , while that of the control group is 76. 7 %. After X 2 test, there was markedly different between two groups( P < 0.01). Conclusions : The effect of acupuncture and massage on chondromalacia patellae is better than herbs. 390- gera: 107299/di/ra [APPLYING INTERNAL OF CLOSED INTRAMEDULLARY PIN AND TCM DRUGS TO TREATING 35 CASES OF FEMUR SHAFT ' S FRACTURE.]. X. hunan guiding journal of tcmp. 2002;8(4):190 (chi). 391- gera: 107351/di/ra [INTEGRATED THERAPY FOR 30 CASES OF FRACTURE OF SURGICAL NECK OF HUMERUS.]. X. hunan guiding journal of tgmp. 2002;8(5):279 (chi). 392- gera: 107353/di/ra [APPLYING INTERNAL FIXATION TO TREATING 48 CASES OF OPEN SHIN AND FIBULA FRACTURE.]. X. hunan guiding journal of tgmp. 2002;8(5):282 (chi). 393- gera: 107372/di/re SENSORY STIMULATION (ACUPUNCTURE) FOR THE TREATMENT OF IDIOPATHIC ANTERIOR KNEE PAIN. NASLUND J ET AL. j rehabil med. 2002;34(5):231-8 (eng). A randomized controlled study was conducted to evaluate the effect of acupuncture treatment in idiopathic anterior knee pain, a pain syndrome without known aetiology. Fifty-eight patients, clinically and radiologically examined, were randomly assigned to either deep or minimal superficial acupuncture treatment. The patients were treated twice weekly for a total of 15 treatments. The main outcome measurements were one leg vertical jump, functional score, daily VAS recording and skin temperature. Fifty-seven patients completed the study. Pain measurements on VAS decreased significantly within both groups; in the deep acupuncture group from 25 before treatments to 10 afterwards, and in the superficial (placebo) acupuncture group from 30 to 10. There was no significant difference between the groups. The improvement on the VAS recordings remained significant even after 3 and 6 months. Even though the pain decreased after sensory stimulation,
neither the ability to jump on one leg, the functional score nor the skin temperature changed. This study shows that patients with idiopathic anterior knee pain benefit from both electroacupuncture treatment and subcutaneous needling. The pain-relieving effect remains for at least 6 months. Central pain inhibition, caused by either afferent stimulation or by non-specific therapeutic (placebo) effects, is a plausible explanation behind the treatment effects. 394- gera: 107404/di/ra [40 CASES OF TRAUMATIC SYNOVITIS OF KNEE JOINT TREATED BY CHINESE HERBS PERFUSING AND DOUCHING]. LIANG PING. journal of traditional chinese medicine hubei. 2002;24(9):48 (chi). 395- gera: 107487/di/ra [TREATMENT OF 60 CASES OF RETROGRESSIVE OSTEOARTHRITIS OF KNEE JOINT WITH MICROWAVE ACUPUNCTURE-MOXIBUSTION]. GUO FUCHENG. chinese acupuncture and moxibustion. 2002;21(9):533 (chi*). Methods : Microwave acupuncture-moxibustion at main points Dubi ( ST35) and Neixiyan ( EX-LE5) was used for treatment of 60 cases ( 74 joints) of retrogressive osteoarthritis of knee joint, and warmed acupuncture-moxibustion was used to treat 20 cases ( 30 joints) as control. Results : In the microwave group, 27 cases were cured clinically, 32 cases were markedly effective, 13 cases improved and 2 cases were ineffectvie , the effective rate being 97. 29 %. The therapeutic effect was better than that of the control group ( P<0. 05). 396- gera: 107509/di/ra [TREATING RETROGRADE GONITIS WITH MASSAGE THERAPY: A REPORT OF 78 CASES]. YANG YUN-CAI. journal of yunnan college of tcm. 2002;25(1):46 (chi). 397- gera: 107513/di/ra [OBSERVATION OF MECHANISM AND THERAPEUTIC EFFECT ON CHONDROMALACIA PATELLAE THROUGH MANIPULATION]. DAI QIYI WEI GUIKANG. guanxi journal of tcm. 2002;25(2):18 (chi). 398- gera: 107564/di/ra [CLINICAL OBSERVATION ON 32 CASES OF OSTEOARTHRITIS OF KNEE JOINT TREATED WITH CHINESE TRADITIONAL AND WESTERN MEDICINE]. CAI HUAAN, ET AL. hunan journal of traditional chinese medicine. 2002;18(5):10 (chi). 399- gera: 107668/di/ra [CLINCAL RESEARCH OF IMPROVE COMPRESSED FIXATION TREATS NONUMION OF FRACTURE OF TIBIA AND FIBULA OF MULTI-CENTRE]. XIAO SIWANG. chinese journal of information on traditional chinese medicine. 2002;9(5):23 (chi*). 400- gera: 107995/di/ra [OLD PEOPLE WITH PAIN OF KNEE JOINT TREATED WITH ACUPUNCTURE AND INJECTION ON POINTS AND MASSAGE]. ZHANG CHUNFENG. journal of clinical acupuncture and moxibustion. 2002;18(9):31 (chi). 401- gera: 107996/di/ra [REPORT OF 102 PATIENTS WITH OSSEOUS ARTHRITIS OF KNEE JOINT TREATED WITH
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LITTLE KNIFE]. YANG XUHUI ET AL. journal of clinical acupuncture and moxibustion. 2002;18(9):37 (chi). 402- gera: 108248/di/ra [OSSEOUS ARTHOSIS OF KNEE JOINT (109 09 CASES) TREATED BY FUMIGATION OF TRADITIONAL CHINESE DRUGS]. LI HANGJING, WANG JIN. journal of practice tcm. 2002;10(18):30 (chi). 403- gera: 108345/di/ra [II PERIOD CLINICAL TRIAL OF COMPOUND DU ZHONG JIAN GU GRAIN TREATING KNEE OSTEOARTHRITIS]. GE JIRONG, WANG HEMIN, YANG LIANZI, ET AL. chinese journal of traditional medicine, traumatology and orthopedics. 2002;10(5):19 (chi*). 404- gera: 108423/di/ra [62 PATIENTS WITH SHOULDER PAIN DUE TO HEMIPARALYSIS TREATED WITH LITTLE KNIFE AND BLOCKAGE]. XIE ZBONGLING. journal of clinical acupuncture and moxibustion. 2002;18(10):32 (chi). 405- gera: 108518/di/ra [DEVELOPMENTAL HISTORY OF THE CRUCIATE LIGAMENT SURGERY]. SHANG PING, GAO YONG. chinese journal of medical history. 2002;32(4):234 (chi*). 406- gera: 108541/di/ra [120 CASES OF KNEE JOINT PERIPHERAL INFLAMMATION TREATED BY GUSHANG TONGLING , SPRAY]. ZHANG CHANGXLN, ET AL. hubei journal of tcm. 2002;24(10):48 (chi). 407- gera: 108545/di/ra [OSTEOARTHRITIS ON KNEE JOINT TREATED WITH NEEDLE - KNIFE COMBINED THERAPY]. ZHANG HENG. journal of external therapy of tcm. 2002;11(5):16 (chi). 408- gera: 108957/di/ra CLINICAL STUDY: ACUPUNCTURE AND TIBIAL STRESS SYNDROME (SHIN SPLINTS). CALLISON M. journal of chinese medicine. 2002;70:24 (eng). 409- gera: 109003/di/ra UNILATERAL VERSUS BILATERAL ACUPUNCTURE ON KNEE FUNCTION IN ADVANCED OSTEOARTHRITIS OF THE KNEE -A PROSPECTIVE RANDOMISED TRIAL. ABHAY TILLU, CHRIS ROBERTS, SUMEDHA TILLU. acupuncture in medicine. 2002;19(1):15 (eng*). We report a prospective randomised trial of acupuncture given to 44 patients with advanced osteoarthritis (OA) of the knee awaiting total knee joint replacement. Patients were randomly allocated into two groups, group A receiving acupuncture to the most affected knee only and group B receiving acupuncture to both knees. Acupuncture was given to four local points around the knee and one distal point. The local points were Spleen 9 (Yinlinquan , SP9), Spleen 10 (Xuehai , SP10), Stomach 34 (Liangqui , ST34), and Stomach 36 (Zusanli , ST36). The distal point was Large Intestine 4 (Hegu, LI4) on the first web space of the ipsilateral hand. A blinded observer assessed knee function before starting treatment, and at the end of two and six months. Analysis of the results showed a significant reduction in symptoms in both groups, and this improvement was sustained for six months. There was no statistically significant difference between the groups. In conclusion,
unilateral acupuncture is as effective as bilateral acupuncture in increasing function and reducing the pain associated with OA of the knee. This trial is not able to distinguish the specific from the non-specific effects of the treatment. 410- gera: 109023/di/ra EFFECT OF ACUPUNCTURE ON KNEE FUNCTION IN ADVANCED OSTEOARTHRITIS OF THE KNEE: A PROSPECTIVE, NON- RANDOMISED CONTROLLED STUDY. TILLU A, TILLU S, VOWLER S. academic journal of the first medical college of pla. 2002;20(1):19 (eng*). We report a prospective controlled trial, comparing acupuncture with no treatment, in patients with advanced osteoarthritis of the knee awaiting total knee replacement. Knee function was assessed at the beginning of study and at the end of two months, using four parameters: HSS score, time to walk 50 metres, time to climb 20 steps, and degree of pain. Acupuncture was given at four local points around the knee and at one distal point. The acupuncture group improved in all parameters, whereas the control group deteriorated, a finding that was highly statistically significant (p<0.0002). Further randomised controlled trials with longer follow-up are required to 411- gera: 109126/di/ra WARM NEEDLING AND BLOOD LETTING FOR TREATMENT OF GONITIS. SUN JIANHUA. journal of tcm. 2002;22(4):278 (eng). 412- gera: 109224/di/cg EFFICACY OF ACUPUNCTURE IN KNEE OSTEOARTHRITIS - A RANDOMISED CONTROLLED STUDY. E TUKMACHI ET AL. wfas international symposium on acupuncture. 2002;:167 (eng). 413- gera: 109703/di/ra [CHRONICAL SYNOVITIS OF KNEE JOINT (132 CASES) TREATED BY TOPICAL APPLICATION OF DRUG AND FUNCTIONAL EXERCISES]. YU NING. journal of practical tcm. 2002;11(18):45 (chi). 414- gera: 109810/di/ra [OBSERVATION ON THERAPEUTIC EFFECT OF MOXIBUSTION COMBINED WITH KINESITHERAPY ON KNEE OSTEOARTHRITIS ]. LI NING, WU BIN, ZHANG YONGLING. chinese acupuncture and moxibustion. 2002;22(11):729 (chi*). Purpose : To explore an effective program for treatment of knee osteoarthritis by combination of traditional Chinese medicine and western medicine. Methods : A random control study program was adopted, and scores of therapeutic effect, pain, flexibility, extensibility and stability of joints, and going up-stairs and down-stairs were assessed. Results : The therapeutic effect of the treatment group was better than that of the control group (P<0. 05), and there were significant differences between the two groups in pain and stability of the joint (P<0. 05). Conclusion : Moxibustion combined with muscle exercises can relieve effectively pain, improve stability of the joint and increase the therapeutic effect for the patient of knee osteoarthritis. 415- gera: 109996/di/cg BENEFICIOS DA ACUPUNTUR.A NO PÔS-OPERATÔRIODAS CIRURGIAS ARTROSCÔPICAS NO JOELHO. R SAIDAH A G ET AL. iieme congresso mondiale delle wmaa. 2002;:43 (por). 416- gera: 110325/di/ra [CLINICAL STUDY ON COMPREHENSIVE
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REHABILITATION THERAPY FOR KNEE OSTEOARTHRITIS]. GONG ZUNKE, CHEN WEI, ZHOU XIAOYUAN. hebei journal of tcm. 2002;24(10):723 (chi*). 417- gera: 110695/di/ra [TREATING OSSEOUS ARTHRITIS OF KNEE JOINT WITH" YISHEN XUANBI TANG ]. WANG YONG WANG TIANXUE, ZHONG HUIPING. journal of gansu college of tcm. 2002;19(4):35 (chi). 418- gera: 110945/di/ra [INTEGRATED THERAPY FOR 30 CASES OF FRACTURE OF SURGICAL NECK OF HUMERUS]. X. hunan guiding journal of tcmp. 2002;8(5):279 (chi). 419- gera: 110947/di/ra [APPLYING INTERNAL FIXATION TO TREATING 48 CASES OF OPEN SHIN AND FIBULA FRACTURE]. X. hunan guiding journal of tcmp. 2002;8(5):282 (chi). 420- gera: 111187/di/ra [COMBINED SERIAL FOUR NEEDLES AND SPLINTS TO TREATING 54 CASES OF SHIN AND FIBULA FRACTURE]. X. hunan guiding journal of tcmp. 2002;8(12):771 (chi). 421- gera: 111188/di/ra [COMBINED TCM AND WEST MEDICINE TO TREATING SHIN AND FIBULA FRACTURE]. X. hunan guiding journal of tcmp. 2002;8(12):774 (chi). 422- gera: 111190/di/ra [ALIGNING AND INTEGRATING MANEUVER TO TREATING CHILDREN FEMUR FRACTURE]. X. hunan guiding journal of tcmp. 2002;8(12):776 (chi). 423- gera: 111198/di/ra [HEALTHCARE FOR STIFFNESS OF KNEE JOINT CAUSED BY POST-OPERATION]. X. hunan guiding journal of tcmp. 2002;8(12):787 (chi). 424- gera: 111224/di/ra 47 CASOS DE GONARTRITIS TRATADOS CON LA TERAPIA COMBINACLA DE DROGAS CHINAS Y ACUPUNTURA. YANG WEN HE. journal of tcm. 2002;28:27 (esp*). La osteoartritis, una lesión inflamatoria no específica, es una patología articular muy comun. Clínicamente se caracteriza sobre todo por artralgia, edema e impotencia funcional Como la articulación de la rodilla es un punto de soporte de peso en el cuerpo humano, propenso a sufrir traumas, la gonartritis destaca en presentar el porcen, taje más alto de morbididad en cuanto a las cuatro extremidades: En su fase inicial se presenta en forma de artritis patelar y femoral, en su fase media una estenosis o la desaparición M espacio medio articular, y finalmente mediante lesión de¡ cartílago acompañado de dificultad de flexión en la fase avanzada. En los últimos años, el autor ha tratado 47 casos de gonartritis mediante la combinación de drogas chinas y acupuntura, basándose en la experiencia clínica del Prof. Cao Y¡ Ming, cuyos resultados terapéuticos se comentan a continuación. 425- gera: 112052/di/ra [THE INFLUENCE OF" YANG GAN ROU JIN FANG" (PRESCRIPTION OF NOURISHING THE LIVER AND TENDON) ON RAT' S ABILITY OF BEARING SPORTS FATIGUE AND THE ACTIVITY OF ACETYLCHOLINESTERASE (ACHE) IN SERUM AND QUA MA YULAN ET AL. tianjin journal of tcm.
2002;19(2):48 (chi*). 426- gera: 114936/di/ra ACUPUNCTURE TREATMENT OF CHRONIC STRAIN OF THE MEDIAL ACCESSORY LIGAMENT OF THE KNEE- JOINT WITH RELAXING NEEDLING.. WEN JINZHI. world journal of acupuncture-moxibustion. 2002;12(4):41 (eng). 427- gera: 122687/di/ra RANDOMIZED DOUBLE BLIND PLACEBO CONTROLLED PILOT TRIAL OF STATIC MAGNETIC THERAPY FOR KNEE OSTEOARTHRITIS (ABSTRACT). WOLSKO PM ET AL. complementary therapies in medicine. 2002;10(2):108 (eng). 428- gera: 137443/di/re EFFECTIVENESS OF ACUPUNCTURE IN THE TREATMENT OF PAIN FROM OSTEOARTHRITIS OF THE KNEE, FERRÁNDEZ INFANTE A, GARCÍA OLMOS L, GONZÁLEZ GAMARRA A, MEIS MEIS MJ, SÁNCHEZ RODRÍGUEZ BM.. aten primaria. 2002;30(10):602-8 (eng*). AIM: To determine the effectiveness of acupuncture in controlling pain from arthritis of the knee. DESIGN: Systematic review. DATA SOURCES: MedLine, the Cochrane Library. STUDY SELECTION: Of the 9 studies located, only 4 met the inclusion criteria. All were controlled, randomized clinical trials that studied the effect of acupuncture only in the knee joint. DATA EXTRACTION: Primary outcome variables were intensity of pain, overall measure (general improvement, proportion of patients who recovered, subjective improvement in symptoms) and functional status. As secondary outcome measures we used objective physiological measures (range of knee movement, muscle strength, time needed to walk a certain distance, time needed to climb a certain number of stairs), general health status, and other information such as medication needed and side effects. RESULTS: There was moderately strong evidence that acupuncture was more effective in treating knee joint pain than no treatment. The difference can be explained by its marked placebo effect. CONCLUSIONS: There is currently insufficient evidence to recommend acupuncture as a treatment for pain from osteoarthritis of the knee. Additional, better 429- gera: 140800/di/re ELECTROACUPUNCTURE VERSUS DICLOFENAC IN SYMPTOMATIC TREATMENT OF OSTEOARTHRITIS OF THE KNEE: A RANDOMIZED CONTROLLED TRIAL. SANGDEE C, TEEKACHUNHATEAN S, SANANPANICH K, SUGANDHAVESA N, CHIEWCHANTANAKIT S, POJCHAMARNWIPUTH S, JAYASVASTI S. bmc complement altern med. 2002;2:3 (eng). 430- gera: 111534/di/ra [THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE BY TCD STEAMING-WASHING AND INTRAARTICULAR INJECTION OF SOCIUM HYALURONATE : A THERAPEUTIC-EFFECT OBSERVATION]. SUI CHENGZHI ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(1):6 (chi*). 431- gera: 111535/di/ra [THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE BY COMBINED TCM AND WM METHOD : A CLINICAL OBSERVATION]. LI GENLIN. journal of
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traditional chinese orthopedics and traumatology. 2003;15(1):8 (chi*). 432- gera: 111537/di/ra [AN ANALYSIS ON THE THERAPEUTIC EFFECT OF BONE TREPHINATION DECOMPRESSION AND TRADITIONAL CHINESE DRUGS ON OSTEOARTHRITIS OF THE KNEE]. SUN ZHONGHUA ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(1):12 (chi*). 433- gera: 112078/di/ra [CLINICAL STUDY ON HYPERPLASTIC GONITIS TREATED WITH GUYOU DECOCTION]. CHI ZHONG-QIA. journal of shandong university of tcm. 2003;27(1):61 (chi). 434- gera: 112130/di/ra [OBSERVATION ON OSTEOARTHRITIS OF KNEE JOINT (34 CASES) TREATED BY COMPLEX TREATMENT]. LIAO WEI. journal of practical tcm. 2003;19(1):5 (chi). 435- gera: 112809/di/ra [SYNTHETIC TREATMENT OF 18 CASES OF FRACTURE OF DISTAL END OF FEMUR]. WU JIAN-XUN. journal of fujian college of tcm. 2003;13(1):32 (chi*). 436- gera: 113389/di/ra [CURATIVE OBSERVATION ON 86 CASES OF OSTEOARTHRITIS OF KNEE JOINT TREATED. WITH MANIPULATION OF MASSAGE AS MAIN THERAPY]. LIU LAIGUI. yunnan journal of tcm and materia medica. 2003;24(1):7 (chi*). 437- gera: 113491/di/ra [DISCUSSION ON POST SURGICAL DIRIGATION OF 26 CASES OF FRACTURE OF TIBIAL PLATEAU]. ZHANG JUN-ZHONG,LIU XIAO-MIN. shandong journal of tcm. 2003;22(3):156 (chi). 438- gera: 114089/di/ra [76 CASES OF TREATING HYPERPLASTIC GONITIS BY NEEDLE WARMING THROUGH MOXIBUSTION]. CHEN XIULING. journal of gansu college of tcm. 2003;20(1):47 (chi). 439- gera: 114148/di/ra [GONARTHROSIS (82 CASES) TREATED BY ORAL MEDICINE AND APPLICATION OF CHINESE HERBS]. WANG RENCHENG. journal of practical tcm. 2003;4(19):193 (chi). 440- gera: 114525/di/ra [THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE BY TCD STEAMING-WASHING AND INTRAARTICULAR INJECTION OF SODIUM HYALURONATE : A THERAPEUTIC-EFFECT OBSERVATION]. SUI CHENGZHI ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(1):6 (chi*). 441- gera: 114526/di/ra [THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE BY COMBINED TCM AND WM METHOD : A CLINICAL OBSERVATION]. LI GENLIN. journal of traditional chinese orthopedics and traumatology. 2003;15(1):8 (chi*).
442- gera: 114528/di/ra [AN ANALYSIS ON THE THERAPEUTIC EFFECT OF BONE TREPHINATION DECOMPRESSION AND TRADITIONAL CHINESE DRUGS ON OSTEOARTHRITIS OF THE KNEE]. SUN ZHONGHUA ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(1):12 (chi*). 443- gera: 115043/di/ra [[THE INFLUENCE OF" YANG GAN ROU JIN FANG" (PRESCRIPTION OF NOURISHING THE LIVER AND TENDON) ON RAT' S ABILITY OF BEARING SPORTS FATIGUE AND THE ACTIVITY OF ACETYLCHOLINESTERASE (ACHE) IN SERUM AND QU MA YULAN ET AL. tianjin journal of tcm. 2003;19(2):48 (chi*). Objective : To research the modern mechanism of the effect of "Yang Gan Rou Jin Fang" (Prescription of Nourishing the Liver and Tendon) on bearing sports fatigue in rats. Methods : Using rat's model of swimming training induced sports fatigue and biochemical examination the activity changes of AChE in serum and quadriceps femoris were determined in fatigued rats and the influence of "Yang Gan Rou Jin Fang" on them was observed. Results : Compared with the rest rats in control group the AChE activities of serum and quadriceps femoris in fatigue group were reduced (P < 0. 01) However, the indices in treated rats by ingestion of Yang Gan Rou Jin Fang were significantly increased. Conclusion : Yang Gan Rou Jin Fang could markedly increase the AChE activity of serum and quadriceps femoris in exercise state. This might be one of the mechanisms of anti - 444- gera: 115069/di/ra [CLINICAL STUDY ON HYPERPLASIC GONITIS TREATED WITH GUYOU DECOCTION]. CHI ZHONG-QIA. journal of shandong university of tcm. 2003;27(1):61 (chi). 445- gera: 115121/di/ra [OBSERVATION ON OSTEOARTHRITIS OF KNEE JOINT (34 CASES) TREATED BY COMPLEX TREATMENT]. LIAO WEI. journal of practical tcm. 2003;19(1):5 (chi). 446- gera: 115188/di/ra EFECTO TERAPEUTICO DE¡ TRATAMIENTO CON ACUPUNTURA EN 109 CASOS DE OSTEOARTRITIS DE LA RODILLA. JIANG AI PING. journal of tcm. 2003;30:31 (esp*). La osteoartritis de la rodilla, una enfermedad retrógrada, está principalmente caracterizada por dolor en las articulaciones de la rodilla y limitación M movimiento.' Es una patología común y frecuente que afecta la salud y la calidad` de Vida de las personas mayores. En los últimos años se han comentado en repetidas ocasiones los resultados terapéuticos satisfactorios de¡ tratamiento acupuntural para la osteoartritis de la rodilla 2-3,5-6, pero sólo pocos infor mes referían una observación de los efectos terapéuticos a largo plazo, una vez finalizado el tratamiento En estas series se han tratado 109 casos de osteoartritis de la rodilla mediante la acupuntura como terapia principal. Se hizo durante seis meses un seguimiento de los 91 casos, en los cuales se habían conseguido 447- gera: 115800/di/ra [SYNTHETIC TREATMENT OF 18 CASES OF FRACTURE OF DISTAL END OF FEMUR]. WU JIAN-XUN. journal of fujian college of tcm. 2003;13(1):32 (chi*).
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448- gera: 116380/di/ra [CURATIVE OBSERVATION ON 86 CASES OF OSTEOARTHRITIS OF KNEE JOINT TREATED. WITH MANIPULATION OF MASSAGE AS MAIN THERAPY]. LIU LAIGUI. yunnan journal of tcm and materia medica. 2003;24(1):7 (chi*). Massage was adopted on 86 cases of osteoarthritis of knee joint. The patient lying with prone position, rolling and rotating manipulation was used repeatedly on the backside of thigh, popliteal fossa, and backside of leg for 2 minutes. Pushing manipulation of Yizhitan( One finger) and forcible and poking channels method with thumb were used on Weizhong point and its surrounding for 2 minutes after applied Tongqing cream on it. Rubbing method with palm was applied on popliteal fossa for 20 times. Then the patient lying with dorsal position, rolling manipulation was done on quadriceps muscle of thigh for 2 minutes. Pushing, forcible and poking channels method was applied on Xuehai, Zusanli, Yanglingquan, Ashixie, Liangqiu, inside and outside knee joint for 10 minutes. At last, rubbing method with palm was used on, inside and outside knee point for 20 times to make the knee warm once a day and 10 ' times for one treatment course. The result indicated that the total effective rate was 449- gera: 116482/di/ra [DISCUSSION ON POST SURGICAL DERIVATION OF 26 CASES OF FRACTURE OF TIBIAL PLATEAU]. ZHANG JUN-ZHONG,LIU XIAO-MIN. shandong journal of tcm. 2003;22(3):156 (chi). 450- gera: 116841/di/ra [RELATIONSHIPS BETWEEN PRESSURE PAIN THRESHOLDS AND CLINICAL SYMPTOMS IN ACUPUNCTURE AND MOXIBUSTION THERAPY -A CASE OF OSTEOARTHRITIS OF THE KNEE JOINTS.]. ITOH KAZUNORI, ET AL. journal of the japan society of acupuncture and moxibustion. 2003;51(5):604 (70) (jap). 451- gera: 116842/di/ra [A CASE OF A COMBINATION OF OSTEOARTHRITIS OF THE KNEE JOINT AND IDIOPATHIC SPONTANEOUS OSTEONECROSIS THAT SHOWED RESISTANCE TO ACUPUNCTURE AND MOXIBUSTION.]. OCHI HIDEKI, ET AL. journal of the japan society of acupuncture and moxibustion. 2003;51(5):611 (77) (jap). 452- gera: 117080/di/ra [76 CASES OF TREATING HYPERPLASTIC GONITIS BY NEEDLE WARMING THROUGH MOXIBUSTION]. CHEN XIULING. journal of gansu college of tcm. 2003;20(1):47 (chi). 453- gera: 117139/di/ra [GONARTHROSIS (82 CASES) TREATED BY ORAL MEDICINE AND APPLICATION OF CHINESE HERBS]. WANG RENCHENG. journal of practical tcm. 2003;4(19):193 (chi). 454- gera: 117438/di/ra ACUPUNCTURE RANDOMIZED TRIALS (ART) IN PATIENTS WITH CHRONIC LOW BACK PAIN AND OSTEOARTHRITIS OF THE KNEE - DESIGN AND PROTOCOLS. BRINKHAUS B, BECKER-WITT C, JENA S, LINDE K, STRE. forsch komplementarmed klass naturheilkd. 2003;10(4):185-91. (). BACKGROUND: We report on the study design and protocols of two randomized controlled trials (Acupuncture Randomized Trials = ART) that investigate the efficacy of
acupuncture in the treatment of chronic low back pain and osteoarthritis of the knee, respectively. OBJECTIVE: To investigate whether acupuncture is more efficacious than (a) no treatment or (b) minimal acupuncture in the treatment of low back pain and osteoarthritis. DESIGN: Two randomized, controlled, multicenter trials with three treatment arms and a total follow-up time of 52 weeks. SETTING: 30 practitioners and outpatient units in Germany specialized in acupuncture treatment. PATIENTS: 300 patients will be included in each study. In the low back pain trial, patients will be included according to clinical diagnosis. In the osteoarthritis pain trial, patients will be included according to the American College of Rheumatology criteria. INTERVENTIONS: Patients are randomly assigned to receive either (1) semi-standardized acupuncture (150 patients), (2) minimal acupuncture at non-acupuncture points (75 patients), or (3) no treatment for two months followed by semi-standardized acupuncture (75 patients, waiting list control). Acupuncture treatment consists of 12 sessions per patient over a period of 8 weeks. MAIN OUTCOME MEASURE: The main outcome measure is the difference between baseline and the end of the 8-week treatment period in the following parameters: pain intensity as measured by a visual analogue scale (VAS; 0-100 mm) in the low back pain trial and by the Western Ontario and McMaster Universities Osteoarthritis Score (WOMAC) in the osteoarthritis trial. OUTLOOK: The results of these two studies (available in 2004) will provide health care providers and policy makers with the information needed to make scientifically sound assessments of acupuncture therapy. Clinical Trial Multicenter Study Randomized Controlled Trial 455- gera: 117503/di/ra THE EFFECTS OF ELECTRO-ACUPUNCTURE AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION ON PATIENTS WITH PAINFUL OSTEOARTHRITIC KNEES: A RANDOMIZED CONTROLLED TRIAL WITH FOLLOW-UP EVALUATION. NG MM, LEUNG MC, POON DM. j altern complement med. 2003;9(5):641-9. (eng). OBJECTIVES: To examine the relative effectiveness of electro-acupuncture (EA) and transcutaneous electrical nerve stimulation (TENS) in alleviating osteoarthritic (OA)-induced knee pain. DESIGN: Single-blinded, randomized controlled study. SUBJECTS: Twenty-four (24) subjects (23 women and 1 man), mean age 85, were recruited from eight subsidized Care & Attention Homes for the elderly. INTERVENTIONS: Subjects were randomly assigned to the EA, TENS, or control groups. Subjects in the EA group (n = 8) received low-frequency EA (2 Hz) on two acupuncture points (ST-35, Dubi and EX-LE-4, Neixiyan) of the painful knee for 20 minutes. Subjects in the TENS group (n = 8) received low-frequency TENS of 2 Hz and pulse width of 200 micros on the same acupuncture points for 20 minutes. In both treatment groups, electrical treatment was carried out for a total of eight sessions in 2 weeks. Eight subjects received osteoarthritic knee care and education only in a control group. All subjects were evaluated before the first treatment, after the last treatment, and at 2-week follow-up periods. RESULTS: After eight sessions of treatment, there was significant reduction of knee pain in both EA group and TENS group, as measured by the Numeric Rating Scale (NRS) of pain (p < 0.01). Prolonged analgesic effect was maintained in the EA and the TENS groups at a 2-week follow-up evaluation. The Timed Up-and-Go Test (TUGT) score of the EA group was significantly lower than that of the control group (p < 0.05), but such change was not observed in the TENS group. CONCLUSIONS: Both EA and TENS treatments were effective in reducing OA-induced knee pain. EA had the additional advantage of enhancing the TUGT
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results as opposed to TENS treatment or no treatment, which did not produce such corollary effect. 456- gera: 117596/di/ra ACUPUNCTURE AND BLOOD-LETTING FOR 30 CASES OF RHEUMATIC GONITIS. DONG J, XU Y, ZHANG Q. journal of traditional chinese medicine. 2003;23(2):121-2. (eng). 457- gera: 117609/nd/re METHODOLOGICAL DIFFERENCES IN CLINICAL TRIALS EVALUATING NONPHARMACOLOGICAL AND PHARMACOLOGICAL TREATMENTS OF HIP AND KNEE OSTEOARTHRITIS. BOUTRON I, TUBACH F, GIRAUDEAU B, RAVAUD P. jama. 2003;290(8):1062-70. (eng). CONTEXT: Randomized controlled trials have been developed essentially in the context of pharmacological treatments (ie, oral drugs; intra-articular injection; and topical, intramuscular, and intravenous treatments), but assessment of the effectiveness of nonpharmacological treatments (ie, surgery, arthroscopy, joint lavage, rehabilitation, acupuncture, and education) presents specific issues. OBJECTIVES: To compare the quality of articles of nonpharmacological and pharmacological treatments of hip and knee osteoarthritis and to identify specific methodological issues related to assessment of nonpharmacological treatments. DESIGN AND SETTING: We searched MEDLINE and the Cochrane Central Register of Controlled Trials for articles of randomized controlled trials published between January 1, 1992, and February 28, 2002, in 28 general medical and specialty journals with high impact factors and assessing nonpharmacological and pharmacological treatments in patients with hip or knee osteoarthritis. MAIN OUTCOME MEASURES: The quality of the methods reported in the selected articles was assessed by 2 independent reviewers using the Jadad scale, the Delphi list, and guidelines found in the Users' Guides to the Medical Literature. Investigators also used a checklist of items developed by the authors to analyze study characteristics. RESULTS: A total of 110 articles were included in the analysis; 50 (45.5%) assessed nonpharmacological treatments and 60 (54.5%) assessed pharmacological treatments. Reports of nonpharmacological treatments had a lower global quality score than did reports of pharmacological treatments as measured by the Jadad scale (mean [SD] score, 1.4 [1.3] vs 3.0 [1.3]) and the Delphi list (mean [SD] score, 5.2 [1.5] vs 7.5 [1.1]). Lack of reporting adequate random sequence generation and intention-to-treat analyses were found in both nonpharmacological and pharmacological articles. Nonpharmacological treatments were less often compared with a placebo than were pharmacological treatments (28.0% of articles vs 71.7%). Compared with pharmacological articles, nonpharmacological articles less often described blinding of patients (26.0% vs 96.7%), care providers (6.0% vs 81.7%), and outcome assessors (68.0% vs 98.3%). Care providers' skill levels could influence treatment effect in 84.0% of nonpharmacological articles vs 23.3% of pharmacological articles. CONCLUSIONS: In this analysis of reports of hip and knee osteoarthritis therapy, nonpharmacological articles scored lower than pharmacological articles in terms of quality. Assessments of 9 458- gera: 117990/di/ra [PIERCING WITH TRIANGULAR NEEDLE IN THE TREATMENT OF 30 CASES OF GONARTHROSIS]. CAI SHAOREN. henan tcm. 2003;23(7):68 (chi). 459- gera: 118064/di/ra
[TREATMENT OF 73 CASES OF FRACTURE OF TIBIA AND FIBULA WITH UNILATERAL EXTERNAL FIXATION]. ZHANG JING-CHUAN, HUANG ZHAO-YANG,ZHANG JIAN-XIN. journal of fujian college of tcm. 2003;13(4):16 (chi*). 460- gera: 118157/di/ra [NEEDLING LUO-CONNECTING POINT FOR THIRTY-THREE CASES OF PAIN IN KNEE JOINT]. DENG BO-YING. shandong journal of tcm. 2003;22(8):477 (chi). 461- gera: 118321/di/ra CLINICAL OBSERVATION ON TREATMENT OF 60 CASES OF OSTEOARTHRITIS OF KNEE JOINT BY ELECTROACUPUNCTURE. DAI QI-PING QIU MIN-LEI SHAO PING, ET AL. journal of acupuncture and tuina science. 2003;1(4):38 (eng*). 462- gera: 118323/di/ra TREATMENT OF 24 CASES OF KNEE JOINT OSTEOARTHRITIS BY THE METHOD OF SELECTING POINTS IN SAME-NAME MERIDIANS. HAN CAI-YUN. journal of acupuncture and tuina science. 2003;1(4):43 (eng*). 463- gera: 119049/di/ra [CLINICAL OBSERVATIONS ON THE TREATMENT OF GENUAL OSTEOARTHRITIS BY ELECTROACUPUNCTURE AND MOXIBUSTION PLUS CHINESE MEDICINE]. LAO JX DENG C. shanghai journal of acupuncture and moxibustion. 2003;22(8):26 (chi*). 464- gera: 119050/di/ra [PATELLA FRACTURE TREATED BY MEANS OF SILK THREAD - INSIDE FIXING IN UNION WITH A WALLET SUTURE]. LI BO ZHANG HELIN LIU AIFENG. inner mongol journal of tcm. 2003;22(4):7 (chi). 465- gera: 119051/di/ra [50 CASES OF TREATMENT OVER REGRESSION KNEE ARTHRITIS COMBINED WITH ACUPUNCTURE AND MOXIBUSTION AND MASSAGE]. TANG QUN-ZHEN. jiangxi journal of tcm. 2003;34(8):41 (chi). 466- gera: 119053/di/ra [ANALYSIS OF 120 X-RAY IMAGES OF KNEE OSTEOARTHROPATHY AND ITS MANIPULATION TREATMENT]. DAI QIYI. chinese journal of traditional medicine traumatology and orthopedics. 2003;11(4):25 (chi*). 467- gera: 119054/di/ra [EXPERIMENTAL STUDY OF CORRELATION BETWEEN DEGENERATIVE OSETOARTHRITIS OF RABBIT,SKNEE JOINT AND NO,SOD,MDA IN SERUM]. XUE XUEMENG,LIU WENGANG,FANG XUSHENG,ET AL. chinese journal of traditional medicine traumatology and orthopedics. 2003;11(4):41 (chi*). 468- gera: 119306/di/ra [KNEE JOINT HYPERPLASIA TREATED WITH LIUSHENG LIQUID .]. WANG XUQIAN. journal of external therapy of tcm. 2003;12(4):10 (chi). 469- gera: 119426/di/ra [THE SUMMARY OF 200 CASES OF THE
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OSTEOARTHRITIS OF THE KNEE JOINT BECAUSE OF STAGNATION OF BLOOD DUE TO COLD TREATED BY JINGGU TONGXIAO, PILLS]. WANG LIN-QING ET AL. gansu journal of tcm. 2003;16(8):14 (chi). 470- gera: 119501/di/ra [THE CLINICAL EFFECT OBSERVATION OF KNEE JOINT PAIN TREATED WITH ACUPUNCTURE AND ULTRASHORT WAVE .]. ZHANG QIAO-LING,FU XIAO-HONG,ZHENG HONG,ET AL. journal of clinical acupuncture and moxibustion. 2003;19(9):23 (chi*). 471- gera: 119684/di/ra [TREATING 57 CASES OF OSSEOUS ARTHRITIS OF KNEE JOINT BY FUMIGATION AND STEAMING METHOD OF CHINESE DRUGS]. WANG LIAQING. journal of gansu college of tcm. 2003;20(3):30 (chi). 472- gera: 119978/di/ra [THE DIAGNOSTIC VALUE OF CORONARY CT SCANNINGS TO OCCULT FRACTURE OF TIBIAL INTERCONDYLAR EMINENCE]. KONG XIJIAN, LIU YUKE , CHEN YALING , ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(4):15 (chi*). 473- gera: 120425/di/ra [35 CASES OF STIFF KNEE JOINTS TREATED BY COMPOUND THERAPY]. WANG YE, JIN LIAN-FENG. liaoning journal of tcm. 2003;30(4):273 (chi). 474- gera: 120499/di/ra ACUPUNCTURE AND BLOOD-LETTING FOR 30 CASES OF RHEUMATIC GONITIS. DONG JIANPING, XU YUEZE AND ZHANG QINGLI. journal of tcm. 2003;23(2):121 (eng). 475- gera: 120657/di/ra [SUPPLEMENT QI AND TONIFY KIDNEY TO TREAT KNEE RETROGRADE ARTHROSIS]. FU RUIYANG, HUANG HUI, SHEN XIN LIN, ET AL. journal of zhejiang college of tcm. 2003;27(3):50 (chi*). 476- gera: 120680/di/cg DOULEURS CHRONIQUES DU GENOU ET OSTEOPATHIE . ROUSSEAU C. actes du 16 eme congres d' acupuncture de l' afera. 2003;:147 (fra*). 477- gera: 120854/di/ra [TREATING OSTEOARTHRITIS OF KNEE JOINT WITH MANIPULATION OF PRESSING COMBINED WITH MOVING - A CLINICAL REPORT OF 56 CASES .]. ZHANG ZHI-GUO. chinese manipulation and qi gong therapy. 2003;19(3):23 (chi). 478- gera: 120898/di/ra [INTEGRATED CHINESE AND WESTERN MEDICINE FOR 60 CASES OF PATELLAR FRACTURE]. DONG ZHONG,TANG YI-QUAN. journal of fujian college of tcm. 2003;13(3):17 (chi*). 479- gera: 121084/di/ra [CLINICAL STUDY OF PERCUTANEOUS INJECTION OF AUTOLOGOUS BONE MARROW ON DELAYED UNION OR NONUNION OF TIBIA AND FIBULA FRACTURE]. LIU RU-ZHUAN, SU BO, WANG DA-WEI, ET AL. modern journal of integrated traditional chinese and western medicine. 2003;12(11):1125 (chi*).
480- gera: 121223/di/ra TREATMENT OF 8 CASES OF CYST OF POPLITEAL FOSSA BY ACUPUNCTURE. WU SHU-RONG RFL, WAN XIU-QIN. journal of acupuncture and tuina science. 2003;1(1):57 (eng). 481- gera: 121230/di/ra TREATMENT OF 52 CASES OF KNEE OSTEOARTHRITIS BY ACUPUNCTURE PHIS CUPPING. LIANG XIAO-DONG. journal of acupuncture and tuina science. 2003;1(1):60 (eng). 482- gera: 121607/di/ra [CLINICAL RESEARCH OF COMPOUND RUANSHANGSHENJIN PILL IN CURING OSTEOARTHRITIS OF KNEE JOINT]. ZHOU CHENGGANG . chinese journal of traditional medicine traumatology and orthopedics. 2003;11(3):5 (chi*). 483- gera: 121608/di/ra [CURATIVE EFFECT OF COMPOUND FRAMEWORK INTERNAL FIXATION TREAT OF 26 TIBIA PLATFORM SPLINTERED FRACTURES]. YING YOURONG , ZHANG DEQING . chinese journal of traditional medicine traumatology and orthopedics. 2003;11(3):8 (chi*). 484- gera: 121615/di/ra [CLINICAL RESEARCH OF TRADITIONAL CHINESE HERB ' S INTERNAL AND EXTERNAL TREATMENT ON OSTEOARTHRITIS OF KNEE JOINT]. CAI LIMIN, YE WEIHONG, LUO JIAWEI , ET AL. chinese journal of traditional medicine traumatology and orthopedics. 2003;11(3):33 (chi*). 485- gera: 121621/di/ra [TREATMENT FOR 43 CASES OF HYPERTROPHIC ARTHRITIS OF KNEE-JOINT TOGETHER WITH BEE STING AND THE FORMULA OF BUSHEN HUOXUE]. WEN WEIQIANG, ET AL. beijing journal of tcm. 2003;22(3):13 (chi). 486- gera: 121737/di/ra [THE TREATMENT OF KNEE OSTEOARTHRITIS BY ION-INTRODUCTION OF TCD AND INTRA-KNEE INJECTION OF OSOTIDE]. HUANG YUJUN ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(6):13 (chi*). 487- gera: 121751/di/ra [TREATMENT OF 83 CASES OF ILIOTIBIAL TRACT INJURY WITH MANUAL MANIPULATION]. ZHOU JIE. jiangsu journal of tcm. 2003;24(6):44 (chi). 488- gera: 121993/di/ra [CLINICAL OBSERVATION ON 74 CASES VVITH REGRESSIVE GONARTHROSIS TREATED WITH XIKANG INJECTION]. ZHANG XIAO-FENG, ET AL. chinese journal of traditional medical science and technology. 2003;10(4):236 (chi). 489- gera: 122008/di/ra [THE TREATMENT OF TIBIAL AND FIBULAR SHAFT FRACTURE BY DISTAL-TIBIAL PINNING AND HEEL- SUPPORTING SPLINT: A THERAPEUTIC-EFFECT OBSERVATION]. LIAO HUAIZHANG ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(7):12 (chi*). 490- gera: 122010/di/ra
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[POWDERS OF NATRII SULPHAS AND BORNEOLUM USED FOR THE BLOOD STASIS, SWELLINGS AND PAINS AFTER KNEE JOINT REPLACEMENT]. LIU YINGJIE ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(7):17 (chi*). 491- gera: 122157/di/ra REFERRED KNEE PAIN TREATED WITH ELECTROACUPUNCTURE TO LLIOPSOAS. CUMMINGS M. acupuncture in medicine. 2003;21(1-2):32 (eng*). This is a case report of a 33-year-old woman who presented with an eight year history of deep left knee pain. The pain was originally diagnosed as deriving from osteoarthrosis of the hip secondary to dysplasia, however, the same pain returned at seven months, and again at 10 months, after successful hip resurfacing arthroplasty. Six to eight weeks after the start of the second relapse of referred knee pain, the patient sought acupuncture treatment at the British Medical Acupuncture Society’s London Teaching Clinic. A single myofascial trigger point was found in iliopsoas that reproduced the patient’s pain. It was successfully treated with two sessions of electroacupuncture applied directly to the point. Pain referral to the knee from trigger points in the upper part of rectus femoris is well recognised, however, this pattern of referral from iliopsoas has not been described previously. 492- gera: 122347/di/ra [CHINESE-WESTERN-COMBINED THERAPY FOR FRACTURE OF TIBIAL PLATEAU]. SHEN WENLONG. journal of henan university of chinese medicine. 2003;18(104):70 (chi). 493- gera: 122494/di/ra [INFLUENCE ON THE RABBIT KNEE JOINT CARTILAGE WITH DENMARK INJECTION ]. WANG XIU-HUA SU ZI-BING, TIAN WAN-BIN. liaoning journal of tcm. 2003;30(10):862 (chi*). 494- gera: 122811/di/ra CLINICAL STUDY ON THE TREATMENT OF KNEE OSTEOARTHRITIS WITH POINT PENETRATION METHOD OF LONG NEEDLE. ZHANG BI-MENG, WU YAO-CHI . journal of acupuncture and tuina science. 2003;1(5):49 (eng). 495- gera: 122858/di/ra [42 CASES OF TREATMENT OVER KNEE JOINT OSTEAL ARTHRITIS WITH GUBIZHITONGXIAOZHONGYIN]. HU KE,XIONG GUO-ZHAN,ZHANG TAO. jiangxi journal of tcm. 2003;34(11):19 (chi). 496- gera: 123053/di/ra [DISCUSS ON THERAPEUTIC EFFECTS OF ARTIFICIAL TOTAL KNEE REPLACEMENT]. WANG RONG-MAO, LI LIANG-HUA,HAN DA-WEI, ET AL. journal of fujian college of tcm. 2003;13(6):12 (chi*). 497- gera: 123065/di/ra [OBSERVATIONS ON CLINICAL THERAPEUTIC EFFECTS ON TREATMENT OF 50 CASES OF TIBIOFIBULAR FRACTURE WITH GU KANG TAI LING]. LI XIANGYANG, MA JIANBING. journal of shaanxi college of tcm. 2003;26(5):39 (chi*). 498- gera: 123110/di/ra [TREATING 50 CASES OF
GONARTHROMENINGITIS WITH SILVER NEEDLE ACUPUNCTURE AND CUPPING THERAPY ]. FU XIN. chinese journal of ethnomedicine and ethnopharmacy. 2003;10(5):289 (chi). 499- gera: 123276/di/ra [TREATMENT OF 34 CASES OF CHONDROMALACIA PATELLAE BY PUNCTURING POINTS ALONG CERVICAL VERTEBRAE]. RUAN ZHIZHONG, CHEN CHAOMING . jiangsu journal of tcm. 2003;24(11):46 (chi). 500- gera: 123783/di/ra [HISTOMORPHOMETRIC STUDY ABOUT EFFECT OF CHINESE HERBS FOR STRENGTHENING-KIDNEY AND ACTIVATING-BLOOD ON EXPERIMENTAL OSTEOARTHRITIS IN RABBIT'S KNEE ]. YUAN ZHONG-ZHI, LI JI-YUN, LIU GANG, ET AL. modern journal of integrated traditional chinese and western medicine. 2003;12(23):2523 (chi*). 501- gera: 124532/di/ra [CLINICAL EFFECT OBSERVATION OF KNEE JOINT DEGENERATIVE OSTEOARTHROPATHY TREATED WITH ACUPUNCTURE]. ZHANG JIN-GUI. journal of clinical acupuncture and moxibustion. 2003;19(11):21 (chi*). 502- gera: 125114/di/ra [30 CASES OF TREATING UNSTABLE FRACTURE OF DISTAL RADIUS BY FIXATION WITH KIRSCHNER PINS ]. JIANG YIWEI, SONG MIN, DENG QIANG. journal of gansu college of tcm. 2003;20(4):26 (chi). 503- gera: 125468/di/ra [MENISCUS INJURY (58 CASES) TREATED BY ROTARY MANIPULATION]. WANG LIN,WU CHAOYU,YU LINGLING ET AL. journal of practical tcm. 2003;19(10):537 (chi). 504- gera: 125509/di/ra [A DISCUSSION ON THE ETIOLOGY OF HYPEROSTEOGENY OF KNEE JOINTS]. ZHANG FIXING. henan tcm. 2003;23(10):4 (chi). 505- gera: 125552/di/ra [TREATING WINTER DISEASE IN SUMMER OF KNEE OSTEOARTHRITIS BY HOT COMPRESS WITH CHINESE HERBS.]. CHENG TINGXIU. journal of external therapy of tcm. 2003;12(5):5 (chi). 506- gera: 125606/di/ra [TREATMENT OF KNEE JOINT BONY ARTHRITIS WITH ION-INTRODUCTION OF CHINESE HERBS,A REPORT OF 80 CASES]. WANG LIN,BAI CHANG-PING. shanxi journal of tcm. 2003;19(5):47 (chi*). 507- gera: 125642/di/ra [THE INFLUENCE OF INTRA - KNEE INJECTION OF SALVIAE MILTIORRHIZAE ON IL - I AND TNF LEVELS IN RABBIT KNEE OSTEOARTHRITIS MODEL]. WANG XIUHUA , LIU YUANLU , SU ZIBING, ET AL. journal of traditional chinese orthopedics and traumatology. 2003;15(10):1 (chi). 508- gera: 125646/di/ra [AN ANALYSIS ON THE RELATIONSHIP BETWEEN THE LOWER EXTREMITY FORCE LINE CHANGE AND THE TIBIOFEMORAL JOINT'
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DEGENERATION,]. CHEN LIJUN , LIU WEN-GANG MTFFL, YE ZHENZHONG ,. journal of traditional chinese orthopedics and traumatology. 2003;15(10):9 (chi). 509- gera: 125801/di/ra ACUPUNCTURE RANDOMIZED TRIALS (ART) IN PATIENTS WITH CHRONIC LOW BACK PAIN AND OSTEOARTHRITIS OF THE KNEE - DESIGN AND PROTOCOLS. BRINKHAUS B, BECKER-WITT C, JENA S, LINDE K, STRE. forsch komplementarmed klass naturheilkd. 2003;10(4): (eng). 510- gera: 126177/di/ra THE EFFECTS OF ELECTRO-ACUPUNCTURE AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION ON PATIENTS WITH PAINFUL OSTEOARTHRITIC KNEES: A RANDOMIZED CONTROLLED TRIAL WITH FOLLOW-UP EVALUATION. NG MM, LEUNG MC, POON DM. j altern complement med. 2003;9(5):641-9. (eng). 511- gera: 131531/di/ra PUNTURA CALDA E SALASSO PER IL TRATTAMENTO DELLA GONARTROSI. SUN JIANHUA. rivista italiana di medicina tradizionale cinese. 2003;94(4):50 (ita*). Gonitis is a common disorder in the middle-aged and the old people, frequently encountered in the acupuncture department. The following is a brief summary of the 37 cases treated in 1997-1999 when I was dispatched as a member of foreign aid to work in Malta. 512- gera: 134842/di/ra ACUPUNTURA Y MICROSANGRÍA EN 30 CASOS DE GONITIS REUMÁTICA. DONG JIAN PING, XU YUE ZE, ZHANG QING LI . el pulso de la vida. 2003;36:20 (esp). 513- gera: 140970/di/re ACUPUNCTURE FOR THE PAIN MANAGEMENT OF OSTEOARTHRITIS OF THE KNEE. MARKOW MJ, SECOR ER. techniques in orthopaedics. 2003;18:33-36 (eng). Summary: The objective of this study is to review research on acupuncture in the treatment of osteoarthritis of the knee, to document adverse effects, and to identify patient parameters associated with outcomes. A literature search was completed using Alt Med., CINAHL, MEDLINE, and the Cochrane database, since 1977, using the key words acupuncture, knee, osteoarthritis, and pain. Studies were excluded that involved electrical stimulation of acupuncture needles, injection therapies, and other knee pathologies including patellar femoral pain, rheumatoid arthritis, and gonarthritic pain. Five trials representing 205 patients with osteoarthritis of the knee were identified. There are rare but mild side effects from acupuncture that include bruising and nausea. The evidence suggests that acupuncture reduces pain in osteoarthritis of the knee. The best results for reducing pain in osteoarthritis of the knee with acupuncture treatments occurs in patients who report the highest pain levels. Preliminary results suggest that long-term continuous treatment with acupuncture sustains the effectiveness in pain reduction. Also, there is sustained pain reduction 4 months after an initial 6-week treatment regimen was discontinued 514- gera: 146718/di/re SYSTEMATIC REVIEW OF THE QUALITY OF RANDOMISED CONTROLLED TRIALS FOR PATELLOFEMORAL PAIN SYNDROME. BIZZINI M
ET AL. j orthop sports phys ther. 2003;33(1):4-20 (eng). 515- gera: 72665/di/ra THE EFFECT OF ACUPUNCTURE ON THE SYMPTOMS OF KNEE OSTEOARTHRITIS - AN OPEN RANDOMISED CONTROLLED STUDY. TUKMACHI E, JUBB R, DEMPSEY E, JONES P. acupuncture in medecine. 2004;22:14-22 (eng*). 516- gera: 124109/di/ra [THE TREATMENT OF KNEE OSTEOARTHRITIS BY TCD STEAMING AND WASHING:A THERAPEUTIC-EFFECT OBSERVATION]. ZHONG YUANMING,WEI GUIKANG,MI KUN ET AL. journal of traditional chinese orthopedics and traumatology. 2004;16(1):3 (chi*). 517- gera: 124541/di/ra [THE GAPS BETWEEN OUR CLINICAL ACUPUNCTURE TRIALS AND THE IN-TERNATIONAL STANDARDS ]. GUO JIA. chinese acupuncture and moxibustion. 2004;24(1):3 (chi*). 518- gera: 124773/di/ra [MASSAGE AND HERBAL FUMIGATION AND STEAMING FOR INFRAPATELLAR FAT PAD INJURY IN 79 CASES ]. WU YU-FENG SHI GUAN-TONG WU ZHONG-QING, ET AL. shanghai journal of tcm. 2004;38(2):47 (chi*). 519- gera: 126387/di/re EFFICACY AND SAFETY OF ACUPUNCTURE FOR CHRONIC PAIN CAUSED BY GONARTHROSIS: A STUDY PROTOCOL OF AN ONGOING MULTI-CENTRE RANDOMISED CONTROLLED CLINICAL TRIAL [ISRCTN27450856]. STREITBERGER K, WITTE S, MANSMANN U, KNAUER C, KRA. bmc complement altern med. 2004;24;4:(1):6. (eng). 520- gera: 126429/nd/re NECROTISING FASCIITIS: A LIFE-THREATENING COMPLICATION OF ACUPUNCTURE IN A PATIENT WITH DIABETES MELLITUS. SAW A, KWAN MK, SENGUPTA S. singapore med j. 2004;45(4):180-2. (eng). 521- gera: 127806/di/ra [KNEE SPUR]. X. china reflexology journal. 2004;2: (chi). 522- gera: 129399/di/ra [COMPARISON OF THERAPEUTIC EFFECTS OF FIRE-NEEDLE THERAPY AND FILIFORM-NEEDLE THERAPY FOR INJURY OF KNEE JOINT COLLATERAL LIGAMENTS ]. ZHANG FU-HUI, YAO YI-LONG, BAI XIAO-YING. chinese acupuncture and moxibustion. 2004;24(6):393 (chi*). Objective To compare therapeutic effects of different needling methods on partial injury of knee joint collateral ligaments. Methods Sixty-eight cases of partial injury of knee joint collateral ligaments were randomly divided into a fire-needle group (n=32) and a filiform-needle group (n=36). They were treated by fire-needle and filiform needle stimulating tenderness on the knee respectively, and their therapeutic effects were compared. Results The total effective rate was 100. 0 0 o in the fire-needle group and 86. 0% in the filiform-needle group with a significant difference between the two groups (P<0.005). Conclusion The therapeutic effect of fire-needle therapy on injury of knee joint collateral ligaments is obviously superior to that in the filiform-needle therapy.
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523- gera: 129527/di/ra [CLINICAL STUDY ON "ZHUANGJIN HUOXUE DECOCTION" IN TREATING KNEE OSTEOARTHRITIS]. CAO XIANG-YANG,LI WU-YIN,GUO YAN-JIN, ET AL . shanghai journal of tcm. 2004;38(6):30 (chi*). 524- gera: 129550/di/ra [160 CASES OF BENIGN ARTHRALGIA OF KNEE JOINT TREATED BY SMOKING AND WASHING WITH CHINESE DRUGS]. LI QIJIN, LI JING,LI JING . journal of external therapy of tcm. 2004;13(3):5 (chi). 525- gera: 129763/di/ra [ EFFECT OF INTRA-ARTICULAR IRRIGATION AND HERBAL DECOCTION ON OXYGEN FREE RADICAL METABOLISM IN PATIENTS WITH OSTEOARTHRITIS OF KNEE]. LI YUMING , YANG YUNDONG , CHEN SHUXIANG . chinese journal of surgery of integrated traditional chinese and western medicine. 2004;10(3):151 (chi*). 526- gera: 130617/di/ra [48 PATIENTS WITH SENILITY GONARTHRITIS TREATED WITH WARM NEEDLE ]. WANG TIE-GANG, GONG WEI-ZHI . journal of clinical acupuncture and moxibustion. 2004;20(7):41 (chi). 527- gera: 130731/di/ra [PHLEBOTHROMBOSIS OF LEG AFTER THE REPLACEMENT OPERATION OF HIP JOINT AND KNEE JOINT PREVENTED BY HUA YU XIAO ZHONG TANG]. LIU GUANGWANG,CHEN MAOYI,ZHOU LINDONG ET AL . forum on tcm. 2004;19(4):22 (chi). 528- gera: 130778/di/ra [THE TREATMENT OF KNEE FIBROARTHROSIS BY ARTHROSCOPIC LYSIS AND CHITOSAN INJECTION]. WANG WEIDONG,XU JIANZHONG,AND WANG YISHENG. journal of traditional chinese orthopedics and traumatology. 2004;16(7):14 (chi*). 529- gera: 130829/di/ra CLINICAL ANALYSIS OF KNEE OSTEOARTHRITIS TREATED MAINLY BY ACUPUNCTURE. SONG WEN-GE WU TAO , LIU MENG , ET AL . journal of acupuncture and tuina science. 2004;2(3):26 (eng*). Purpose: To observe the curative effects of different treatments on genual osteoarthritis. Methods: The 148 cases were randomly divided into 4 groups: acupuncture group; Chinese herbs plus spectrograp irradiation group; comprehensive treatments group and western medicine group. Results: The total effective rate in these groups were 78.9%, 72.7%, 92.3% and 78.9% respectively, and there was not a significant difference among the groups (P>0.05). The marked effective rate in comprehensive treatments group was higher than that in other three groups (P<O.05). Conclusion: Acupuncture and Chinese herbs plus sepectrograp irradiation had certain effect on gonitis. Comprehensive therapies could coordinate the actions of acupuncture, and Chinese herbs plus spectrograp 530- gera: 130830/di/ra CLINICAL OBSERVATION ON TREATMENT OF GENUAL OSTEOARTHRITIS BY NEEDLE-WARMING THERAPY PLUS CHINESE HERBAL DRUGS. LAO JIN-XIONG , DENG CONG . journal of acupuncture and tuina science. 2004;2(3):29 (eng*).
Purpose: To observe the clinical effect of combination of acupuncture and Chinese herbal drugs for genual osteoarthritis. Methods: 138 cases of the patients were randomly divided into the treatment group of 85 cases treated by electric acupuncture and moxibustion plus Chinese herbal drugs and the control group of 53 cases treated by oral administration of medications. The patients stopped treatment for one month after the treatment for one month, then the therapeutic effects were observed and compared. Results: The total effective rate was 89.4% in the treatment group and 56.6% in the control group, with extremely significant difference (P < 0.01) between the two groups. Conclusion: Electric acupuncture and moxibustion plus Chinese herbal drugs have a marked and 531- gera: 130998/di/ra [CLINICAL OBSERVATION OF ACUPUNCTURE IN TREATING UNUSUAL TENDON AND LIGAMENT INJURY IN KNEE JOINT]. ZOU YI-CHAO . acta universitatis traditionis medicalis sinensis pharmacologiaeque shanghai. 2004;18(2):35 (chi*). To observe the clinical efficacy of acupuncture in the treatment of unusual tendon and ligament injury ,200 cases were randomized into two groups: treatment group in which 120 cases were treated with acupuncture and control group in which 80 cases were treated with Osaminethacine, with a course of one month. The clinical efficacy and six-month recurrence rate were observed. Results: Treatment group had better effects than control group (P <0. 05) , and lower recurrence rate (P <0. 01) . It is indicated that acupuncture has good effects on unusual tendon and 532- gera: 130999/di/ra [CLINICAL OBSERVATION OF COMBINED CHINESE MEDICINE AND ARTHROSCOPIC CLEARANCE IN TREATING KNEE OSTEOARTHRITIS ]. WU YU-FENG WU ZHONG-QING SU PEIYI, ET AL. acta universitatis traditionis medicalis sinensis pharmacologiaeque shanghai. 2004;18(2):37 (chi*). 533- gera: 131136/di/ra [COMPARING THE EFFECTS OF WARMING ACUPUNCTURE AND SIMPLE ACUPUNCTURE IN THE TREATMENT OF 98 PATIENTS WITH A LESION OF INFRAPATELLAR FAT PAD]. CHEN ZX . shanghai journal of acupuncture and moxibustion. 2004;23(3):20 (chi1). Purpose To investigate the curative effect of warming acupuncture on a lesion of infrapatellar fat pad. Methods Forty-nine patients were treated with warming acupuncture and 49 patients. with simple acupuncture as a control. The curative effect was observed in the two groups. Results The effective rate was 91. 800 in the treatment group and 71. 400 in the control group. Statistical analysis showed a significant difference (P< 0. 05). Conclusion Warming acupuncture has a better effect than simple acupuncture in treating a lesion of infrapatellar fat pad. 534- gera: 131182/di/ra [OBSERVATION ON SUPRACONDYLAR FRACTURE OF FEMUR TREATED BY BONESET REPLACEMENT THROUGHOUT EXTERNAL FIXATION WITH LEATHER NAIL ]. HOU QINZHONG,LUI LAIBIN . journal of practical tcm. 2004;20(7):378 (chi*). 535- gera: 131323/di/ra [SUMMARY OF CLINICAL TEST PHASE OF EUCOMMIA BARK GRANULE IN TREATING KNEE
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JOINT OSTEOARTHRITIS]. WANG HEMING,GE JIRONG,YIN HAIBO,ET AL . chinese journal of tradtional medicine traumatology and orthopedics. 2004;12(3):6 (chi*). 536- gera: 131465/di/ra A COMBINED TCM TREATMENT FOR 72 CASES OF BONY GONITIS. CHEN ZHAOHUI, WANG SHUN, ZHANG JIANBAO . journal of tcm. 2004;24(2):108 (eng). 537- gera: 131603/di/re ACUPUNCTURE AS A COMPLEMENTARY THERAPY TO THE PHARMACOLOGICAL TREATMENT OF OSTEOARTHRITIS OF THE KNEE: RANDOMISED CONTROLLED TRIAL. VAS J ET AL. bmj. 2004;OCT 19: (eng). OBJECTIVES: To analyse the efficacy of acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee, with respect to pain relief, reduction of stiffness, and increased physical function during treatment; modifications in the consumption of diclofenac during treatment; and changes in the patient's quality of life. DESIGN: Randomised, controlled, single blind trial, with blinded evaluation and statistical analysis of results. SETTING: Pain management unit in a public primary care centre in southern Spain, over a period of two years. PARTICIPANTS: 97 outpatients presenting with osteoarthritis of the knee. INTERVENTIONS: Patients were randomly separated into two groups, one receiving acupuncture plus diclofenac (n=48) and the other placebo acupuncture plus diclofenac (n=49). MAIN OUTCOME MEASURES: The clinical variables examined included intensity of pain as measured by a visual analogue scale; pain, stiffness, and physical function subscales of the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index; dosage of diclofenac taken during treatment; and the profile of quality of life in the chronically ill (PQLC) instrument, evaluated before and after the treatment programme. RESULTS: 88 patients completed the trial. In the intention to treat analysis, the WOMAC index presented a greater reduction in the intervention group than in the control group (mean difference 23.9, 95% confidence interval 15.0 to 32.8) The reduction was greater in the subscale of functional activity. The same result was observed in the pain visual analogue scale, with a reduction of 26.6 (18.5 to 34.8). The PQLC results indicate that acupuncture treatment produces significant changes in physical capability (P=0.021) and psychological functioning (P=0.046). Three patients reported bruising after the acupuncture sessions. CONCLUSIONS: Acupuncture plus diclofenac is more effective than placebo acupuncture plus diclofenac for the symptomatic treatment of osteoarthritis of the knee. 538- gera: 131736/di/ra GONALGIES AIGUËS. GORET O. acupuncture et moxibustion. 2004;3(3):210 (fra). 539- gera: 131738/di/ra LE PROBLEME DES REVUES METHODIQUES, A PROPOS DE DEUX REVUES SUR L'ACUPUNCTURE DANS LA GONARTHROSE. NGUYEN J. acupuncture et moxibustion. 2004;3(3):216 (fra). 540- gera: 132226/di/ra [CLINICAL STUDY OF JUAN BI MIXTURE IN TREATMENT OF OSTEOARTHRITIS OF KNEE]. LI LI, WU WENJIE, ZHANG JUNZHONG . chinese journal of surgery of integrated traditional chinese and western medicine. 2004;10(4):250 (chi*).
541- gera: 132435/di/ra [EFFECTS OF TERTRAM ETHYLPYRAZINE ON SOD,MDA AND NO IN SERUM OF THE RABBIT WITH OSTEOARTHRITIS OF KNEE JOINT]. OUYANG JIANJIANG,HUANG YOURONG,XONG RENYING ET AL. guangxi journal of tcm. 2004;27(5):42 (chi*). 542- gera: 132487/di/ra [THERAPEUTIC EVALUATION ON CASES OF OSTEOARTHRITIS OF THE KIDNEY - YIN DEFICIENCY SYNDROMES THROUGH GENE DIFFERENCE EXPRESSION]. YANG LIPING, LU MING, WANG MIQIU . henan tcm. 2004;24(9):19 (chi). 543- gera: 132566/di/ra [A UNDERSTANDING OF TREATMENT OF 56 CASES WITH TRAUMATIC PATELLA SYNOVITIS IN COMBINATION OF TRADITIONAL CHINESE MEDICINE WITH WESTERN MEDICINE]. WANG YONGJIANG . inner mongol journal of tcm. 2004;24(4):16 (chi). 544- gera: 132779/di/ra [PROGRESS IN THE TREATMENT OF OSTEOARTHRITIS OF KNEE JOINT WITH EXTERNAL THERAPY OF TRADITIONAL CHINESE MEDICINE ]. CHEN ZHAO-HUI, CAO RI-LONG . journal of anhui of traditional chinese medical college. 2004;23(4):62 (chi). 545- gera: 132809/di/ra [CLINICAL OBSERVATION ON THE TREATMENT OF OSTEOARTHRITIS OF KNEE JOINT WITH EXTERNAL THERAPY OF CHINESE TRADITIONAL MEDICINE]. WANG FENG. journal of anhui traditional chinese medical college. 2004;23(5):8 (chi*). 546- gera: 133017/di/ra [CLINICAL STUDIES ON CORRELATION BETWEEN THE PATIENTS' CONDITIONS OF RETROGRESSIVE GONARTHOSIS AND NO, SOD AND MDA]. WEN ZHENJIE, LIU WENGANG, XU XUEMENG, ET AL. journal of henan university of chinese medicine. 2004;10(5):24 (chi*). 547- gera: 133105/di/ra [300 CASES OF RETROGRADE BONY ARTHROSIS OF KNEE JOINT TREATED BY DIFFERENTIATING SYNDROMES]. REN CHAOXI, ZHAO MINGSHAN . journal of henan university of chinese medicine. 2004;8(4):58 (chi). 548- gera: 133295/di/ra [THE INFLUENCE OF "GUANJIE ZHITONG JIAONANG" ON OXYGEN FREE RADICAL LEVEL IN THE SERUM AND JOINT FLUID OF RABBIT KNEE OSTEOARTHRITIS MODEL]. BI RONGXIU , YIN HUIFEN, AND WANG SHILU. journal of traditional chinese orthopedics and traumatology. 2004;16(11):3 (chi*). 549- gera: 133296/di/ra [THE IMPROVEMENT OF EXPERIMENTAL DYSFUNCTION OF RABBIT KNEE JOINT BY "XIAOZHONG HUOXUE DAIPAOJI" : AN EXPERIMENTAL STUDY]. LI JUNHONG , ZHAO XINJIE, XIA HUALING, ET AL. journal of traditional chinese orthopedics and traumatology. 2004;16(11):5 (chi*).
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550- gera: 133305/di/ra [THE TREATMENT OF ACUTE TRAUMATIC KNEE SYNOVITIS BY "GUBI" TIE": A CLINICAL OBSERVATION OF 86 CASES]. LI GENLIN AND ZHAO XINJI. journal of traditional chinese orthopedics and traumatology. 2004;16(9):11 (chi*). 551- gera: 133599/di/ra [TREATMENT OF GONITIS BY WARMING NEEDLING: AN OBSERVATION OF 40 CASES]. LIN GUO-HUA, LI WAN-YAO, SU GUO-LONG, ET AL. new journal of tcm. 2004;36(10):48 (chi). Objective: To observe the curative effect of warming needling for gonitis. Methods: 80 cases of gonitis were allocated to 2 groups (each group 40 cases) randomly. The treatment group was treated by warming needling the acupoints Xiyan (EX - LE 5), Yanglingquan (GB 34), Zusanli (ST 36) and Liangqiu (ST 34); the control group by hyaluronic sodium injected in articular cavity and used 1% of lidocaine, kenacort and vitamin B12 for peripheral pain spots stagnation of joint simultaneously. Results: 29 cases were cured, 8 cases improved and 3 cases ineffective, the total effective rate being 92. 5% ; and 25, 11, 4 and 90. 0% in control group respectively (P > 0. 05). But one year, the recurrence rate of treatment group is lower than that of control group (P < 0. 01) . Conclusion: The therapy of warming needling associated with stagnative therapy possess a good curative effect for 552- gera: 133748/di/ra [CLINICAL OBSERVATION OF WARMING NEEDLE THERAPY FOR SUBPATELLAR FAT PAD INFLAMMATION]. LIU XUE-NONG . shanghai journal of tcm. 2004;38(10):38 (chi*). Thirty-four cases of subpatellar fat pad inflammation were divided into treatment group (17 cases) and control group (17 1 cases), and then treated respectively by warming needle therapy and electric acupuncture, for 2 courses with 6 sessions in a j course. Results: The cure and marked effective rate was 88.2% in treatment group and 58. 8% in control group, j P<0.01. 553- gera: 133846/di/ra [CLINICAL EFFECT OF BIQI CAPSULE ON OSTEO-ARTHRITIS IN KNEE]. YAO SHU-YUAN. tianjin journal of tcm. 2004;21(4):285 (chi*). 554- gera: 134163/di/ra A FOUR-WEEK, RANDOMIZED, DOUBLE-BLIND TRIAL OF THE EFFICACY AND SAFETY OF SK1306X: A HERBAL ANTI-ARTHRITIC AGENT VERSUS DICLOFENAC IN OSTEOARTHRITIS OF THE KNEE . YOUNG-BOK JUNG, SANG-CHEOL SEONG, MYUNG-CHUL LEE, YONG-UN SHIN,DONG-HAN KIM, JUNG-MAN KIM, YANG-KUK JUNG, JIN-HWAN AHN, JAI-GON SEO,YOUN-SOO PARK, CHONG- SUH LEE, KWON-JAE ROH, CHANG-KYUN HAN, YONG-BAI. american journal of chinese medicine. 2004;32(2):291 (eng*). 555- gera: 134275/di/ra [CLINICAL STUDY ON TREATMENT OF KNEE OSTEOARTHRITIS BY PENETRA-TION NEEDLING WITH LONG NEEDLE ]. zhANG BI-MENG, WU YAO-CHI, SHEN JIAN. chinese acupuncture and moxibustion. 2004;24(9):613 (chi*). 556- gera: 134418/di/ra [CLINICAL RESEARCH OF GUTONG HERB PASTE
IN CURING PROLIFERATIVE ARTHRITIS OF KNEE JOINT]. BAI SHUCHEN,WANG ZHIGANG,ZHANG FANGJIAN,ET AL . chinese journal of traditional medicine traumatology and orthopedics. 2004;12(5):1 (chi*). 557- gera: 134422/di/ra [RABBIT EXPERIMENT RESEARCH OF THE TIBIAL DEFECT BY PRIMARY BONE LENGTHENING]. LI YUANJING, QIU HONGWEI, HUANG YAOBIN,ET AL . chinese journal of traditional medicine traumatology and orthopedics. 2004;12(5):20 (chi*). 558- gera: 134530/di/ra [CLINICAL OBSERVATION OF DEGENERATIVE GONARTHROSIS TREATED BY TRADITIONAL CHINESE MEDICINE ]. HUANG TAOYUAN, WEN ZHENJIE, LIU WENGANG, ET AL. hebei journal of tcm. 2004;26(8):577 (chi*). 559- gera: 134964/di/ra [CLINICAL OBSERVATIONS OF SPONTANEOUS OSTEONECROSIS OF THE MEDIAL TIBIAL PLATEAU]. OCHI HIDEKI ET AL. journal of the japan society of acupuncture and moxibustion. 2004;54(4):620(45) (jap*). [Objective] We analyzed the clinical findings in 5 patients with osteonecrosis in the medial condyle of the tibia. We also evaluated the usefulness of a tibial percussion test that we developed for examination of differ. ences between the healthy and affected sides in percussion caused by knocking on the tibial rough surface. [Methods] The subjects were 5 females, who consulted our hospital with a chief complaint of gonalgia and in whom conditions such as osteonecrosis in the medial condyle of the tibia were confirmed by MRI in 4 limbs. In addition to X-p, MRI findings, medical findings by interview, and findings by physical examination were evaluated as clinical findings. Furthermore, the tibial percussion test was performed. [Results] The causes of pain in the knee joint were unclear in all patients. Pain was severe in 3 patients and marked in 2 -patients. Physical examination showed marked tenderness in the medial articular gap and tenderness in the medial condyle of the tibia. In all patients, a difference in the percussion findings between the healthy and affected sides was confirmed by the tibial percussion test. [Conclusions] These findings indicated that the tibia percussion test in addition to confirmation of characteristic clinical conditions, such as the initial condition of the disease and the severity of tenderness, is useful for the evaluation of conditions of this disease. 560- gera: 135282/di/ra TRATTAMENTO DI 30 CASI DI FLOGOSI DEL GINOCCHIO DI ORIGINE REUMATICA MEDIANTE AGOPUNTURA E SANGUINAMENTO. DONG JIANPING. rivista italiana di medicina tradizionale cinese. 2004;96(2):52 (ita*). We have treated 30 cases of rheumatic gonitis by using acupuncture and pricking method with satisfactory therapeutic results reported as follows. 561- gera: 135532/di/ra AN INNOVATIVE TECHNIQUE FOR RELIEF OF KNEE PAIN. SHAPIRO RS. medical acupuncture. 2004;15(2):31 (eng). Background Many uses for piezoelectric stimulation of acupuncture points, including pain management, have been described. No randomized trials have tested this modality. Objective To study the stimulation of acupoints with
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piezoelectricity to treat acute back and neck pain in a clinical study.Design, Setting, and Patients A randomized controlled trial in 2000 and 2001 conducted among 18 patients in a family practice setting in New Jersey who presented to their primary care physician with acute back or neck pain. Intervention All patients received ibuprofen, methocarbamol, and acetaminophen plus oxycodone. Intervention patients received piezoelectric treatment at each of the 5 visits. For neck pain, each patient received 10 stimulations bilaterally at SI 4 and BL 58 for a total of 40 stimulations. In addition, each patient received 2-10 local stimulations on Ah Shi (tender) points in the local area of pain. For back pain, each patient received 5 stimulations bilaterally on GB 34 and GB 39, and 10 stimulations bilaterally on BL 60 for a total of 40 stimulations. Main Outcome Measures Outcomes were assessed on the following measures: (1) descriptive pain scale (none, a little, some, a lot, or complete relief); (2) percentage pain scale ("What percent relief have you had?") (3) visual analog scale (VAS) (pain severity from 1-100). Additionally, pain medication consumption was measured. Results The time required for both groups to reach "a lot" or "complete" relief was 11.67 days for the control group and 8.78 days for the treatment group.The treatment group reached this level of relief 2.89 days (24.8%) faster than the control group did. Calculated also was the time to "at least 50% relief." This was 8.83 days for the control group and 6.89 days for the treatment group. The degree of relief was similar for each group at this point (66.67% for controls and 68.89% for the treatment group). However, the treatment group achieved this level of relief 1.94 days (22%) faster than the control group did. The change in VAS scores from day 1 to 21 of the protocol was not appreciably different between groups (control: VAS scores decreased over 21 days an average of 36.25 points per patient; intervention: VAS scores decreased 38.75 points per patient). Pill counts revealed reductions in the consumption of pills per initial VAS point in the treatment group of 11% for ibuprofen, 28% for methocarbamol, and 29% for acetaminophen/oxycodone. Conclusions The use of a piezoelectric device for acute back or neck pain shortened the time to recovery by 2-3 562- gera: 135573/di/re EFFECTIVENESS OF ACUPUNCTURE AS ADJUNCTIVE THERAPY IN OSTEOARTHRITIS OF THE KNEE: A RANDOMIZED, CONTROLLED TRIAL. BERMAN BM, LAO L, LANGENBERG P, LEE WL, GILPIN AM, HOCHBERG MC. ann intern med. 2004;141(12):901-10 (eng*). BACKGROUND: Evidence on the efficacy of acupuncture for reducing the pain and dysfunction of osteoarthritis is equivocal. OBJECTIVE: To determine whether acupuncture provides greater pain relief and improved function compared with sham acupuncture or education in patients with osteoarthritis of the knee. DESIGN: Randomized, controlled trial. SETTING: Two outpatient clinics (an integrative medicine facility and a rheumatology facility) located in academic teaching hospitals and 1 clinical trials facility. PATIENTS: 570 patients with osteoarthritis of the knee (mean age [+/-SD], 65.5 +/- 8.4 years). INTERVENTION: 23 true acupuncture sessions over 26 weeks. Controls received 6 two-hour sessions over 12 weeks or 23 sham acupuncture sessions over 26 weeks. MEASUREMENTS: Primary outcomes were changes in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function scores at 8 and 26 weeks. Secondary outcomes were patient global assessment, 6-minute walk distance, and physical health scores of the 36-Item Short-Form Health Survey (SF-36). RESULTS: Participants in the true acupuncture group experienced greater improvement in WOMAC function scores than the sham acupuncture group at
8 weeks (mean difference, -2.9 [95% CI, -5.0 to -0.8]; P = 0.01) but not in WOMAC pain score (mean difference, -0.5 [CI, -1.2 to 0.2]; P = 0.18) or the patient global assessment (mean difference, 0.16 [CI, -0.02 to 0.34]; P > 0.2). At 26 weeks, the true acupuncture group experienced significantly greater improvement than the sham group in the WOMAC function score (mean difference, -2.5 [CI, - 4.7 to -0.4]; P = 0.01), WOMAC pain score (mean difference, -0.87 [CI, -1.58 to -0.16];P = 0.003), and patient global assessment (mean difference, 0.26 [CI, 0.07 to 0.45]; P = 0.02). LIMITATIONS: At 26 weeks, 43% of the participants in the education group and 25% in each of the true and sham acupuncture groups were not available for analysis. CONCLUSIONS: Acupuncture seems to provide improvement in function and pain relief as an adjunctive therapy for osteoarthritis of the knee when compared with credible sham acupuncture and education 563- gera: 135575/di/re SUMMARIES FOR PATIENTS. ACUPUNCTURE FOR TREATING KNEE OSTEOARTHRITIS. X. ann intern med. 2004;141(12):120 (eng). 564- gera: 135587/di/re IS ACUPUNCTURE A USEFUL ADJUNCT TO PHYSIOTHERAPY FOR OLDER ADULTS WITH KNEE PAIN?: THE "ACUPUNCTURE, PHYSIOTHERAPY AND EXERCISE" (APEX) STUDY [ISRCTN88597683]. HAY E, BARLAS P, FOSTER N, HILL J, THOMAS E, YOUNG J. bmc musculoskelet disord. 2004;5(1):31 (eng*). BACKGROUND: Acupuncture is a popular non-pharmacological modality for treating musculoskeletal pain. Physiotherapists are one of the largest groups of acupuncture providers within the NHS, and they commonly use it alongside advice and exercise. Conclusive evidence of acupuncture's clinical effectiveness and its superiority over sham interventions is lacking. The Arthritis Research Campaign (arc) has funded this randomised sham-controlled trial which addresses three important questions. Firstly, we will determine the additional benefit of true acupuncture when used by physiotherapists alongside advice and exercise for older people presenting to primary care with knee pain. Secondly, we will evaluate sham acupuncture in the same way. Thirdly, we will investigate the treatment preferences and expectations of both the participants and physiotherapists participating in the study, and explore the effect of these on clinical outcome. We will thus investigate whether acupuncture is a useful adjunct to advice and exercise for treating knee pain and gain insight into whether this effect is due to specific needling properties. METHODS/DESIGN: This randomised clinical trial will recruit 350 participants with knee pain to three intervention arms. It is based in 43 community physiotherapy departments in 21 NHS Trusts in the West Midlands and Cheshire regions in England. Patients aged 50 years and over with knee pain will be recruited. Outcome data will be collected by self-complete questionnaires before randomisation, and 6 weeks, 6 months and 12 months after randomisation and by telephone interview 2 weeks after treatment commences. The questionnaires collect demographic details as well as information on knee-related pain, movement and function, pain intensity and affect, main functional problem, illness perceptions, self-efficacy, treatment preference and expectations, general health and quality of life. Participants are randomised to receive a package of advice and exercise; or this package plus real acupuncture; or this package plus sham acupuncture. Treatment details are being collected on a standard proforma. Interventions are delivered by experienced physiotherapists who have all received training
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in acupuncture to recognised national standards. The primary analysis will investigate the main treatment effects of real or sham acupuncture as an adjunct to advice and exercise. DISCUSSION: This paper presents detail on the rationale, design, methods, and operational aspects of the trial. 565- gera: 135945/di/ra THE EFFECT OF ACUPUNCTURE ON THE SYMPTOMS OF KNEE OSTEOARTHRITIS - AN OPEN RANDOMISED CONTROLLED STUDY. jones. acupuncture in medicine. 2004;22(1):14-22 (eng). BACKGROUND: Using an open randomised controlled study, we examined the effectiveness of manual and electroacupuncture on symptom relief for patients with osteoarthritis of the knee. METHODS: Patients with symptomatic osteoarthritis of the knee were randomised to one of three treatment groups. Group A had acupuncture alone, group B had acupuncture but continued on their symptomatic medication, and group C used their symptomatic medication for the first five weeks and then had a course of acupuncture added. Patients receiving acupuncture were treated twice weekly over five weeks. Needles were inserted (with manual and electrical stimulation) in acupuncture points for pain and stiffness, selected according to traditional acupuncture theory for treating Bi syndrome. Patients were assessed by a blinded observer before treatment, after five weeks' treatment and at one month follow up, using a visual analogue pain scale (VAS) and the Western Ontario McMaster (WOMAC) questionnaire for osteoarthritis of the knee. RESULTS: The 30 patients in our study were well matched for age, body mass index, disease duration, baseline VAS pain score and baseline WOMAC scores. Repeated measure analyses gave a highly significant improvement in pain (VAS) after the courses of acupuncture in groups A (P = 0.012) and B (P=0.001); there was no change in group C until after the course of acupuncture, when the improvement was significant (P = 0.001). Similarly significant changes were seen with the WOMAC pain and stiffness scores. These benefits were maintained during the one month after the course of acupuncture. Patients' rating of global assessment was higher than that of the acupuncturist. CONCLUSION: We conclude that manual and electroacupuncture causes a significant improvement in the symptoms of osteoarthritis of the knee, either on its own or as an adjunct therapy, with no loss of benefit after one month. 566- gera: 135946/di/ra ACUPUNCTURE AND MOXIBUSTION AS AN ADJUNCTIVE TREATMENT FOR OSTEOARTHRITIS OF THE KNEE--A LARGE CASE SERIES. VAS J, PEREA-MILLA E, MENDEZ C. acupuncture in medicine. 2004;22(1):23-8 (eng*). BACKGROUND: In 1997, the first Pain Management Unit, which was set up as part of primary health care within the Andalusian Public Health System, offered acupuncture among other therapies. This observational study was conducted in preparation for a randomised controlled trial. METHODS: We conducted a descriptive study of patients who had been diagnosed with osteoarthritis of the knee. The patients received weekly acupuncture treatment, and related techniques, from November 1997 to November 2000. We recorded: socio-demographic data; measures of effectiveness, including intensity and frequency of pain; the daily dose of analgesic and anti- inflammatory medication; the degree of incapacity; and sleep disorders caused by pain in the knee. RESULTS: The 563 patients who presented were mainly female (88%) with an average age of 65 years (+/- 10.7); the average age of the male patients was 67 years (+/- 11.8). The condition in most patients (95%) was chronic: 54% had the
condition for 5-10 years and a further 23% for more than 10 years. Of the total, 85 (15%) abandoned treatment and were excluded from the evaluation, while 75% of the remainder achieved a reduction in pain of 45% or more. This study is intended to form the basis for a subsequent controlled clinical trial of the effectiveness of acupuncture as a treatment for osteoarthritis of the knee. CONCLUSION: The degree of pain relief experienced by patients from acupuncture justifies a more rigorous study. 567- gera: 136365/di/ra ACUPUNCTURE FOR KNEE OSTEOARTHRITIS?. ERNST E. focus altern complement ther. 2004;9(3):219 (eng). résumé et commentaire de:Tukmachi E, Jubb R, Dempsey E, Jones P. The effect of acupuncture on the symptoms of knee osteoarthritis – an open randomised controlled study. Acupunct Med 2004; 22: 14-22. 568- gera: 136449/di/re PATELLOFEMORAL PAIN SYNDROME: EVALUATION AND TREATMENT. LABELLA C. prim care. 2004;31(4):977-103 (eng). Patellofemoral pain syndrome is common among athletes and non-athletes. It results from an imbalance of forces acting on the patellofemoral joint, which leads to increased strain on the peripatellar soft tissues, increased patellofemoral joint stress, or both. The most important risk factors are overuse, quadriceps weakness, and soft- tissue tightness. In most cases, the etiology is multifactorial. A careful history and targeted physical examination will confirm the diagnosis and determine the most appropriate treatment. A physical therapy program that employs quadriceps strengthening, manual stretching of the lateral patellar soft-tissue structures, patellar taping, and biofeedback is successful in the majority of cases. Surgery maybe required for the few patients who do not respond 569- gera: 137847/di/ra [INFLUENCE OF COMPREHENSIVE TCM TREATMENT ON THE BLOOD SERUM NO OF PATIENTS WITH REGRESSIVE GONARTHROSIS AND THE RELATIVE CLINICAL STUDY]. HUANG TAOYUAN, LIU WENGANG , WU SHAOPENG , ETC. henan tcm. 2004;24(10):21 (chi*). Objective: To observe the therapeutic effect of TCM in treating regressive gonarthrosis. Method: Thirty cases of patients with regressive gonarthrosis were given Compound Bushen Huoxue Granule orally, hot compress of Wuzi Powder and intravenous drip of Shenmai Injection and Xiangdan Injection. The function of knee joint was evaluated respectively before and after the treatment, and the content of blood serum NO was examined. Results: After three-week treatment, the function of knee joint improved evidently, and there was no remarkable difference in the change of content of blood serum. Conclusion: The therapy is effective to the regressive gonarthrosis, but it doesn't improve the symptom by reducing the blood serum NO. 570- gera: 138176/di/ra CLINICAL OBSERVATION ON THE TREATMENT OF PATELLAR MALACIA BY MASSOTHERAPY PLUS WARNING ACUPUNCTURE. ZHU WEI-MIN, ZHANG BI-MENG. journal of acupuncture and tuina science. 2004;2(6):49 (eng*). Purpose: To investigate the efficacy of massotherapy plus warming acupuncture for treatment of patellar malacia. Methods: Seventy-two patients with patellar malacia were randomly divided into observation and control groups, treated by massotherapy plus warming acupuncture and simple
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medication, respectively. Results: The effective rate was 83.3% in the observation group and 56.7% in the control group. There was a significant difference in curative effect between the two groups (P<0. 01). Conclusion: The curative effect of massotherapy plus warming acupuncture on patellar malacia is superior to that of simple medication. 571- gera: 138740/di/ra [GONARTHRITIS (43 CASES) TREATED BY BI -QI CAPSULE]. CAO YUN. journal of practical tcm. 2004;20(12):702 (chi). 572- gera: 138847/di/ra TRATAMIENTO COMBINADO DE MTC PARA 72 CASOS DE GONARTRITIS. X. el pulso de la vida- journal of tcm. 2004;40:17 (esp). 573- gera: 140627/di/ra [OBSERVATION OF SSTG OSTEOARTHRITIS TREATED WITH WARM NEEDLE]. JIANG ZHONG-HUA. journal of clinical acupuncture and moxibustion. 2004;20(7):40 (chi). 60 patients with osteoarthritis were divided randomly into two groups: warm needle group and electronic acupuncture group, and 30 cases each group to be observed contrastly. The results showed that the total effective rate of the treating group is 93.3% , and that of the control is 90.0% , and there isn' t significant difference between these two groups in the total effective rate (P > 0.05) , but there is significant difference between these two groups in the curative rate (P < 0.05) . That indicate that the warm needle can reduce the treatment course and in the curative rate, which is superior to the control group. 574- gera: 110562/di/ra ACUPUNCTURE TREATMENT OF SYNOVITIS WITH EFFUSION--A REPORT OF 50 CASES. WANG A, ZHAO Y. journal of traditional chinese medicine. 2005;25(3):204-5. (eng). 575- gera: 124419/di/ra [CLINICAL OBSERVATION ON ELECTRIC HEAT NEEDLE THERAPY FOR TREATMENT OF GONARTHRITIS]. LIN LF, LIANG YP. chinese acupuncture and moxibustion. 2005;25(10):689-90. (chi). OBJECTIVE: To observe clinical therapeutic effect of electric heat needle therapy on senile gonarthritis. METHODS: Sixty-five patients were divided into a treatment group and a control group. The treatment group of 35 cases were treated by electric heat needling at Dubi (ST 35), Neixiyang (EX-LE 4), Yanglingquan (GB 34) and Yin-lingquan (SP 9), and the control group of 30 cases by simple acupuncture at the same acupoints as in the treatment group. In the two groups, the treatment was given once every other day, 10 sessions constituting one therapeutic course. After treatment of 2 courses, their therapeutic effects were compared. RESULTS: There was a very significant difference between the two groups in the total effective rate (P < 0.01). CONCLUSION: Electric heat needle therapy has a better clinical therapeutic effect on senile gonarthritis, better than simple acupuncture 576- gera: 136399/di/ra AURICULAR ACUPUNCTURE FOR PAIN RELIEF AFTER AMBULATORY KNEE ARTHROSCOPY-A PILOT STUDY. USICHENKO TI, HERMSEN M, WITSTRUCK T, HOFER A, PAVLOVIC D, LEHMANN C, FEYERHERD F. evid based complement alternat med. 2005;2(2):185-189 (eng). Auricular acupuncture (AA) is effective in treating various
pain conditions, but there have been no analyses of AA for the treatment of pain after ambulatory knee surgery. We assessed the range of analgesic requirements under AA after ambulatory knee arthroscopy. Twenty patients randomly received a true AA procedure (Lung, Shenmen and Knee points) or sham procedure (three non-acupuncture points on the auricular helix) before ambulatory knee arthroscopy. Permanent press AA needles were retained in situ for one day after surgery. Post-operative pain was treated with non-steroidal anti-inflammatory ibuprofen, and weak oral opioid tramadol was used for rescue analgesic medication. The quantity of post-operative analgesics and pain intensity were used to assess the effect of AA. The incidence of analgesia-related side effects, time to discharge from the anesthesia recovery room, heart rate and blood pressure were also recorded. Ibuprofen consumption after surgery in the AA group was lower than in the control group: median 500 versus 800 mg, P = 0.043. Pain intensity on a 100 mm visual analogue scale for pain measurement and other parameters were similar in both groups. Thus AA might be useful in reducing the 577- gera: 136451/di/re RAPID RESPONSES TO: ACUPUNCTURE AS A COMPLEMENTARY THERAPY TO THE PHARMACOLOGICAL TREATMENT OF OSTEOARTHRITIS OF THE KNEE: RANDOMISED CONTROLLED TRIAL. MERCIER ET AL. bmj. 2005;: (eng). Discussion à propos de : Jorge Vas, Camila Méndez, Emilio Perea-Milla, Evelia Vega, María Dolores Panadero, José María León, Miguel Ángel Borge, Olga Gaspar, Francisco Sánchez-Rodríguez, Inmaculada Aguilar, and Rosario Jurado. Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: randomised controlled trial BMJ 2004; 329: 1216. 578- gera: 136949/di/ra [CLINICAL OBSERVATION ON ELECTROACUPUNCTURE COMBINED WITH MASSAGE FOR TREATMENT OF KNEE OSTEOARTHRITIS COMPLICATED BY GONARTHROMENINGITIS]. WANG TONG, WEI LI-XIN. chinese acupuncture and moxibustion. 2005;25(3):176 (chi*). Objective To observe therapeutic effect of acupuncture and moxibustion combined with massage on gonarthromeningitis complicated with knee osteoarthritis of Bengalese. Methods Acupuncture combined with elec troacupuncture was given at Heding (Ex-LE2), Nei-and Wai-Xiyan (Ex-LE4, Ex-LE5) and others, and massage was given around the knee joints to treat 51 Bengalese patients of gonarthromeningitis complicated by knee osteoarthritis for one course (10 sessions of treatment). Results Seventeen cases were markedly-effective, 25 were effective, and 9 were ineffective, with a total effective rate of 82. 4 %. Conclusion Chinese traditional acupuncture, moxibustion and massage have satisfactory therapeutic effect on gonarthromeningitis complicated by knee 579- gera: 137516/di/ra [THE EFFECT OF ZHONGHUITONGFENGDING ON LEVEL OF IL 8 AND TNF A IN THE KNEE JOINT SYNOVIUM OF RABBIT WITH EXPERIMENTALACUTE GOUTY ARTHRITIS]. LIU TING 'LIU YUANLU, GAO DAI, ET AL. chinese journal of traditional medicine traumatology and orthopedics. 2005;13(1):24 (chi*). Objective:To determine whether zhonghuitongfengding leads to changes in IL—+8 and TNFa levels in synovium in
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an experimental rabbit models. Methods :Creat the model of monosodium urate crystal—induced rabbit arthritis according to Mc Carty D J. Total. IL—8 and TNF—a was assessed through method of ELISA after synovium was isolated 2h later. Results: (1)The levels of IL—8 and TNF—a in model group are significantly higher than that in normal group (P < O. 01 ). (2) The levels of IL — 8 and TNF — a in zhonghuitongfengding group are significantly lower than that in model group (P<0. 01). Conclusions : (1) IL -8 and TNF—a have most important function in synovium of induced rabbit actue arthritis. (2)tongfengding could significantly reduce the level of IL—8 and TNF—a in synovium of induced rabbit actue arthritis and had better preventing and curing effect. 580- gera: 137523/di/ra [THE CURATIVE EFFECTIVE OBSERVATION ON TREATMENT OF 128 CASES OF ACUTE INJURY OF MEDIAL ACCESSORY LIGAMENT OF KNEE JOINT BY MANIPULATION]. ZHANG SHANDONG ET AL. chinese manipulation and qi gong therapy. 2005;21(1):5 (chi). 581- gera: 137661/di/ra [32 CASES OF OSTEOARTHRITIS OF KNEE JOINT TREATED WITH INTEGRATED CHINESE & WESTERN MEDICINE]. SHI SHU-PEI. fujian journal of tcm. 2005;36(1):19 (chi). 582- gera: 138511/di/ra [A CLINICAL REPORT ON 30 CASES OF KNEE JOINT BONY ARTHRITIDES TREATED BY TRADITIONAL CHINESE HERBS FUMIGATION]. TANG GUANG YING. journal of guiyang college of tcm. 2005;27(1):44 (chi). 583- gera: 138608/di/ra [59 CASES OF TREATING BONY ARTHRITIS OF KNEE JOINT WITH AEROSOL INHALATION OF CHINESE DRUGS]. JIA YONGSEN, ZHANG RUI. journal of henan university of chinese medicine. 2005;20(1):65 (chi). 584- gera: 138771/di/ra [TRAUMATIC SYNOVITIS OF KNEE JOINT (41 CASES) TREATED BY COMPREHENSIVE TREATMENT]. HU LINLIN. journal of practical tcm. 2005;21(3):158 (chi). 585- gera: 139079/di/ra [CLINICAL APPLICATION OF CRIBRIFORM SPLINTS AND ELECTRICAL NEEDLE IN THE TREATMENT OF DISTAL ONE-THIRD FIBULAR AND TIBIAL FRACTURES]. WANG YONG, DONG KEFANG, AND DAWU. journal of traditional chinese orthopedics and traumatology. 2005;17(1):12 (chi*). In order to observe the clinical therapeutic effect of cribriform splints and electrical needle (CSEN) on distal 1/ 3 fibular and tibial fractures (DFTF}') , 110 cases of DFTF were divided into two groups: the treated and the control, which were treated by CSEN and by ordinary splints and orally — taken TCD, respectively. The results showed that the mean clini¬cal healing time of the treated and the control were 71 ± 11 .02 and 94 ± 8.53 days, respectively (P < 0.01) ; and the in¬cidences of delayed union were 6.87 % and 9.80 % , respectively (P < 0.05) , suggesting that CSEN for DETF' could shorten the clinical healing time and decrease the incidence of delayed union and produce a better therapeutic effect than the conventional splints fixation and orally — taken TCD.
586- gera: 139518/di/ra [RECOGNIZANT AND THERAPEUTIC DISCUSS OF TRADITIONAL CHINESE MEDICINE AND WESTERN MEDICINE ON OSTEOARTHRITIS OF KNEE JOINT]. HU JUN-LIN, FENG GUO-ZHANG. modern journal of integrated traditional chinese and western medicine. 2005;14(2):265 (chi). 587- gera: 139720/di/ra L'AGOPUNTURA COME TRATTAMENTO COMPLEMENTARE ALÍA TERAPIA FARMACOLOGICA NELL'OSTEOARTROSI DEL GINOCCHIO: UN TRIAL RANDOMIZZATO CONTROLLATO. VAS J ED ALTO. rivista italiana di medicina tradizionale cinese. 2005;99(1):9 (ita*). OBJECTIVES: To analyse the efficacy of acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee, with respect to pain relief, reduction of stiffness, and increased physical function during treatment; modifications in the consumption of diclofenac during treatment; and changes in the patient's quality of life. DESIGN: Randomised, controlled, single blind trial, with blinded evaluation and statistical analysis of results. SETTING: Pain management unit in a public primary care centre in southern Spain, over a period of two years. PARTICIPANTS: 97 outpatients presenting with osteoarthritis of the knee. INTERVENTIONS: Patients were randomly separated into two groups, one receiving acupuncture plus diclofenac (n = 48) and the other placebo acupuncture plus diclofenac (n = 49). MAIN OUTCOME MEASURES: The clinical variables examined included intensity of pain as measured by a visual analogue scale; pain, stiffness, and physical function subscales of the We- stern Ontario and McMaster Universities (WOMAC) osteoarthritis index; dosage of diclofenac taken during treatment; and the profile of quality of life in the chronically ill (PQLC) instrument, evaluated before and after the treatment programme. RESULTS: 88 patients completed the trial. In the intention to treat analysis, the WOMAC index presented a greater reduction in the intervention group than in the control group (mean difference 23.9, 95% confidence interval 15.0 to 32.8) The reduction was greater in the subscale of functional activity. The same result was observed in the pain visual analogue scale, with a reduction of 26.6 (18.5 to 34.8). The PQLC results indicate that acupuncture treatment produces significant changes in physical capability (P =0.021) and psychological functioning (P = 0.046). Three patients reported bruising after the acupuncture sessions. CONCLUSIONS: Acupuncture plus diclofenac is more effective than placebo acupuncture plus diclofenac for the 588- gera: 139829/di/ra [STUDY ON THE PATHOGENESIS, PREVENTION AND TREATMENT OF KNEE OSTEOARTHRITIS IN TCM]. HE XIAN, WEI CHUN-SHAN , CAI ZHI-GANG. shandong journal of tcm. 2005;24(2):73 (chi*). It is pointed out that the deficiency of the liver, kidney and spleen were the fundamental cause of knee osteoarthritis, while qi ,blood and phlegm stagnation were the incidental of the disease. Modern medicine research proves that TCM may improve the denaturalization of articular cartilage and promote repairing articular cartilage by the following approaches. It includes improving local microcirculation, adjusting the level of exceptional cell factor, restraining the active of matrix metalloproteinase . 589- gera: 139885/di/ra [ANALYSIS OF THE EFFICACY OF FOUR-STEP ACUPUNCTURE AND MEDICINE THERAPY FOR
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GENUAL OSTEOARTHRITIS]. JIANG GL, XIAO L, LI JJ , ET AL. shanghai journal of acupuncture and moxibustion. 2005;24(3):12 (chi*). Objective To investigate the efficacy of four-step acupuncture and medicine therapy for treatment of genual osteoarthritis. Methods Two hundred and sixty patients with genual osteoarthritis were randomly divided into treatment and control groups. The treatment group received four-step acupuncture and medicine therapy and the control group was treated with LK-D sixfold multi-functional therapeutic instrument plus oral administration of Fenbid. Results In the treatment group ,the cure and marked effectiveness rate was 58% and the total efficacy rate was 93.6%. The overal effect was significantly better in the treatment group than in the control group (x2 =18.538 ,P <0. 005) . Conclusion Four-step acupuncture and medicine therapy has a good effect on genual osteoarthritis. 590- gera: 140233/di/ra GENOU ET REIN, LE VÉRITABLE APPUI EST SANS APPUI. MOUGLALIS C ET BEAUFRETON P. acupuncture & moxibustion. 2005;4(2):91 (fra). Envisager la relation entre l’articulation du genou et l’organe-fonction Rein va nous conduire à questionner de façon concrète et subtile la notion d’appui ou de base, en éclairant notre propos par l’étymologie, par la notion d’articulation guanjie, par l’atmosphère de l’Eau, des reins et du Zhi, et enfin par les messages spécifiques des points situés autour du genou. 591- gera: 140363/di/ra CLINICAL OBSERVATION ON THE TREATMENT OF KNEE OSTEOARTHRITIS BY ACUPUNCTURE IN BA-HE TECHNIQUE. LIANG YUN-WU TAN YUAN-SHENG ZHOU JUN. world journal of acupuncture and moxibustion. 2005;15(1):16 (eng). Objective: To observe the clinical therapeutic effect of Ba-He technique of acupuncture in the treatment of knee osteoarthritis. Methods: A total of 90 cases of knee osteoarthritis were evenly randomized into Ba-He technique group (observation group) and common technique group (control group), with 45 cases in each group. Zusanli . Heding EX-LE 2) and Dubi ( ST 35) were punctured respectively in Ba-He technique and common technique in the two groups. The therapeutic effects of the two groups were compared after one course of treatment (10 sessions) in accordance with Japanese assessment criteria for knee-joint functions. Results: After treatment, among the 74 and 71 affected knees in the observation and control groups, the therapeutic effect was excellent in 42 (56. 8%) and 26 (36. 6%) knees, fine in 14 (18. 9%) and 20 (28.2% ) , OK in 10 (13.5% ) and 11 (15.5% ) , and poor in 8 (10.8% ) and 14 (19.7% ) respectively. The therapeutic effect of the observation group was significantly better than that of control group (P<0.01). Conclusion: The Ba-He technique of acupuncture applied to the above- mentioned three acupoints exerted remarkable therapeutic effect for knee osteoarthritis, which is obviously better 592- gera: 140418/di/ra ACUPUNCTURE IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE: A RANDOMISED TRIAL. WITT C, BRINKHAUS B, JENA S, LINDE K, STRE NG A, WAGENPFEIL S, HUMMELSBERGER J, WALTHER HU, MELCHART D, WILLICH SN. lancet. 2005;366(9480:136-43 (eng). BACKGROUND: Acupuncture is widely used by patients with chronic pain although there is little evidence of its effectiveness. We investigated the efficacy of acupuncture compared with minimal acupuncture and with no
acupuncture in patients with osteoarthritis of the knee. METHODS: Patients with chronic osteoarthritis of the knee (Kellgren grade < or =2) were randomly assigned to acupuncture (n=150), minimal acupuncture (superficial needling at non-acupuncture points; n=76), or a waiting list control (n=74). Specialised physicians, in 28 outpatient centres, administered acupuncture and minimal acupuncture in 12 sessions over 8 weeks. Patients completed standard questionnaires at baseline and after 8 weeks, 26 weeks, and 52 weeks. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index at the end of week 8 (adjusted for baseline score). All main analyses were by intention to treat. RESULTS: 294 patients were enrolled from March 6, 2002, to January 17, 2003; eight patients were lost to follow-up after randomisation, but were included in the final analysis. The mean baseline-adjusted WOMAC index at week 8 was 26.9 (SE 1.4) in the acupuncture group, 35.8 (1.9) in the minimal acupuncture group, and 49.6 (2.0) in the waiting list group (treatment difference acupuncture vs minimal acupuncture -8.8, [95% CI -13.5 to -4.2], p=0.0002; acupuncture vs waiting list -22.7 [-27.5 to -17.9], p<0.0001). After 52 weeks the difference between the acupuncture and minimal acupuncture groups was no longer significant (p=0.08). INTERPRETATION: After 8 weeks of treatment, pain and joint function are improved more with acupuncture than with minimal acupuncture or no acupuncture in patients with osteoarthritis of the knee. However, this benefit decreases over time. 593- gera: 140419/di/ra ACUPUNCTURE: NOT JUST NEEDLES?. MOORE A, MCQUAY H. lancet. 2005;366(9480:100-1 (eng). Disucssion à propos de l'ECR de Wit (ref gera:140418). . 594- gera: 140454/di/ra [TREATMENT OF KNEE JOINT PAIN WITH SUPERFICIAL NEEDLING.]. WU YANG-YANG, LIAO JING-PING. chinese acupuncture and moxibustion. 2005;25(4):261 (chi*). Objective To compare therapeutic effects of superficial needling and body acupuncture on knee joint pain. Methods Ninety-six cases of knee joint pain were randomly divided into a treatment group of 48 cases treated with superficial needling, and a control group of 48 cases treated with body acupuncture. Results The cured rate was 66.7% in the treatment group and 39. 6% in the control group with a significant difference between the two groups (P<0.01). The total effective rate was 100. 0% in both the two groups. The needed therapeutic times of superficial needling was significantly less than that of the body acupuncture (P<0.05). Conclusion Superficial needling has a good therapeutic effect on knee joint pain with a shorter therapeutic course. 595- gera: 140488/di/ra [2 PATIENS WITH KNEE JOINT DEGENERATIVE DISEASE TREATED WITH NEEDLE WARMING THROUGH MOXIBUSTION.]. FEI MEI. journal of clinical acupuncture and moxibustion. 2005;21(4):40 (chi). 596- gera: 140541/di/ra ACUPUNCTURE MODESTLY BENEFICIAL TREATMENT FOR OSTEOARTHRITIS OF THE KNEE. SHERMAN KJ, CHERKIN DC. focus on alternative and complementary therapies. 2005;10(2):121 (eng). Résumé et commentaires de:Berman BM, Lao L, Langenberg P, Lee WL, Gilpin AM, Hochberg MC. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med 2004; 141: 90110.
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597- gera: 140542/di/ra ENCOURAGING RESULTS FOR THE EFFICACY OF ACUPUNCTURE ON OSTEOARTHRITIC KNEE PAIN?. BARLAS P. focus on alternative and complementary therapies. 2005;10(2):123 (eng). Résumé et commentaires de:Vas J, Mendes C, Perrea-Milla E, Vega E, Panadero MD, Leon JM, Borge MA, Gaspar O, Sanchez-Rodriguez F, Aguilar I, Jurado R. Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: randomised controlled trial. BMJ 2004; 329: 121619. 598- gera: 140631//ra LONG-TERM IMPROVEMENT IN PAIN COPING FOR CLBP AND GONARTHROSIS PATIENTS FOLLOWING BODY NEEDLE ACUPUNCTURE: A PROSPECTIVE COHORT STUDY. KUKUK P, LUNGENHAUSEN M, MOLSBERGER A, ENDRES HG. eur j med res. 2005;10(6):263-72 (eng*). Background: Little is known about potential long-term effects of body acupuncture. The aim of the study was to determine such long-term effects 3 and 6 months after the end of a course of acupuncture treatment for chronic low-back pain (cLBP) or chronic pain caused by gonarthrosis. - Methods: Prospective cohort study with patients who had received 10 sessions of needle body acupuncture within a maximum of 10 weeks. Data source was our survey of all patients receiving acupuncture treatment in Germany. A total of 1096 eligible patients with cLBP or gonarthrosis pain were identified (68.1% female) and invited by letter to participate in the study. Ultimately 249 patients remained, with no loss of representativeness. Two telephone interviews were conducted 3 and 6 months after the last acupuncture session using standardized questionnaires, available as electronic case report forms. The primary target criteria were self-assessment of pain tolerability prior to the start of acupuncture and after the end of treatment, and pain intensity (GCPS) over time. Secondary target criteria were changes to functional impairment (HFAQ for cLBP, WOMAC for gonarthrosis), quality of life (SF12), depression (CES-D) and patient global assessment of treatment effectiveness (PGA). For the indication cLBP, pain-related fear avoidance beliefs (FABQ) were also queried. - Results: Pain tolerability before acupuncture was reported as being significantly worse than pain tolerability at the time of the two post-acupuncture interviews. The scores for all post-acupuncture questionnaires showed no significant changes over time, with the exception of treatment effectiveness for gonarthrosis. Mean scores for each of the questionnaires at the 3 and 6 month follow-up interviews were as follows: cLBP: Pain tolerability (pre: 6.8, post: 3.4 / 3.4), pain intensity (41.8 / 42.6), PGA (2.4 / 2.6), SF12 physical (35.8 / 35.8), SF12 mental (45.3 / 46.9), CES-D (14.9 / 14.9), HFAQ (67.2 / 67.1), FABQ total (2.9 / 2.9). - Gonarthrosis: Pain tolerability (pre: 6.9, post: 3.6 / 3.9), pain intensity (42.9 / 42.8), PGA (2.6 / 2.9), SF12 physical (32.2 / 31.3), SF12 mental (45.0 / 46.2), CES-D (15.6 / 14.7), WOMAC total (34.6 / 34.0). - Conclusions: Pain tolerability was significantly improved after acupuncture and remained so up to 6 months after treatment. The mean scores of almost all questionnaires did not change significantly between 3 and 6 months. We therefore conclude that acupuncture had a long-term effect on important aspects of cognitive and emotional pain coping. 599- gera: 140830/di/ra CLINICAL OBSERVATION ON TREATMENT OF 304 CASES OF PROLIFERATIVE ARTHRITIS BY ACUPUNCTURE PLUS TDP IRRADIATION. ZHENG TONG. journal of acupuncture and tuina science.
2005;3(3):52 (eng*). To observe the therapeutic effect of acupuncture plus TDP irradiation on proliferative arthritis, 304 patients with proliferative arthritis were randomly divided into treatment group and control group, and treated by acupuncture plus TDP irradiation and routine Tuina respectively. The clinical cure rate and total effective rate in the treatment group were both superior to those in the control group. This therapy has good therapeutic effect and short course of treatment in treating proliferative arthritis, and is one of better therapeutic means in clinic presently. 600- gera: 140831/di/ra TREATMENT OF 78 CASES OF KNEE OSTEOARTHRITIS BY ELECTROACUPUNCTURE. ZHANG XIN-WEI. journal of acupuncture and tuina science. 2005;3(3):54 (eng*). Seventy-eight patients with knee osteoarthritis were treated by acupuncture on 4 acupoints around knee, Dubi (ST 35), Neixiyan (Ex-LE 4), Liangqiu (ST 34) and Xuehai (SP 10), which were connected with electrotherapy instrument after the arrival of qi, and TDP irradiation of the knee. After 2 courses of treatment, 26 cases were cured clinically, 18 cases got remarkable effectiveness, 13 cases was improved and 3 cases failed, with the total effective 601- gera: 140873//re TOTAL FLAVONES OF HIPPOPHAE RHAMNOIDES PROMOTES EARLY RESTORATION OF ULTIMATE STRESS OF HEALING PATELLAR TENDON IN A RAT MODEL. FU SC, HUI CW, LI LC, CHEUK YC, QIN L, GAO J, CHAN KM. med eng phys. 2005;27(4):313-21 (eng*). Traditional Chinese herbal medicine has long been used for treatment of tendon injuries. Comparing to the modern way of treatments, Traditional Chinese medicine also stresses on strategies to promote the inherent healing capacity of tendons. Hippophae rhamnoides, known as Shaji, is one of Chinese herbal drugs that are traditionally used to promote tendon and ligament injuries. The total flavones of H. rhamnoides (TFH), with major constituents including quercetin, isorhamnetin and kaempferol, have been demonstrated with most of the bioactive properties of Shaji. In the present study, we evaluated the potential effect of TFH in the restoration of ultimate stress of healing patellar tendon in a well-established gap wound model in rats. A 0.1 mg TFH was injected to wound 1 day after the injury, and the ultimate stress of the healing tendon was measured at day 14 post-injury. The results showed that the ultimate stress of the healing tendon was significantly promoted by injection of TFH, increasing from 30 to 50% as compared to saline control. Excessive fibrotic response was not found in TFH-treated animals, but an enhanced collagen deposition and a better fibre alignment were observed. The results suggest that TFH may improve the ultimate stress of healing tendons at early stages, which implies possible earlier rehabilitation programme and better recovery. 602- gera: 140969/di/re OSTEOARTHRITIS OF THE KNEE. CHARD J, SMITH C, LOHMANDER S, SCOTT D. clin evidence. 2005;14: (eng). 603- gera: 141070/di/re A SYSTEMATIC REVIEW OF THE EFFECTS OF THERAPEUTIC TAPING ON PATELLOFEMORAL PAIN SYNDROME. AMINAKA N, GRIBBLE PA. athl train j athl train. 2005;40(4):341-51 (eng). 604- gera: 141371/nd/re
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OSTEOARTHRITIS OF THE KNEE. CHARD J, LOHMANDER S, SMITH C, SCOTT D. clin evid. 2005;14:1506-22 (eng). 605- gera: 141663/di/ra [EFFECT OF ELECTROACUPUNCTURE ON THE NUMBER OF BSI-B4/IL-1R DOUBLE LABELED NERVEFIBERS IN THE DERMAL AND SUBCUTANEOUS TISSUES AROUND THE ANKLE JOINT IN ADJUVANT ARTHRITIS RATS]. CHEN DI, TANG JUN-RUI, CHEN JUN, ET AL. acupuncture research. 2005;30(1):9 (chi*). Objective: To observe the effect of electroacupuncture ( EA ) on the number of Bandeiraea Simplicifolia I SI )—B4 labeled and IL-1 receptor I immunoreaction ( IR) positive nerve fibers of the dermal and subcutaneous tissues around the ankle joint in adjuvant monoarthritis rats. Methods: 28 male SD rats (180 —200 g) were randomized into control group, model group, IL-1 receptor antagonist ( IL-1-RA) group and EA group, with 7 cases being in each group. Adjuvant monoarthritis model was induced by injection of 50 pL complete Freund's adjuvant (CFA) into the Ieft hind ankle joint cavity. EA (4-16 Hz, O. 5-1. 5 V and inter-mittent waves) was applied to "Huantiao"(GB 30) and "Yangiinquan"(GB 34) for 30 min following injection of CFA and on the 3rd day. In IL-1-RA group, on the 1st and 3rd day after injection of CFA, 1L-1RA (1 ug/mL, 50 pL) was injected into the subcutaneous tissues around the left hind ankle joint. On the 3rd day, the rats were anesthetized with 20% urethane ( 1 g/kg) and transcardiac perfusion was performed by using 4% paraformaldehyde phosphate buffer ( pH 7. 4). The skin and subcutaneous tissues around the focus region were taken to be cut into sections (10 pm) which were then treated with BSI-B4 staining (for displaying C-fibers) and IL-1R1 immuno-fluorescent labeling techniques. The number of BSI-B4/IL-1RI double labeled IR-positive nerve fibers (30 sections/rat,38. 44 mm /section) was calculated and analyzed by using fluorescent microscope and image analysis system. Results: 1) The double labeled (BSI-B4/1L- 1RIAR positive) fibers mainly distributed in the dermal and subcutaneous tissues around the ankle joint. 2) Compared with control group, BSI-B4 labeled fibers and 1L-1R1/1R-positive fibers,. and the double labeled fibers and the percentage of double labeled fibers/ BSI-B4 or IL-1R1 single-labeled fibers in model group, IL-1-RA and EA groups were significantly higher (P < O. 05 — 0. 01) ; 3) In comparison with model group, the number of BSI- B4 labeled fibers, IL-1R1 IR-positive fibers, double stained fibers and the percentage of double-stained fibers/1L- 1R1 sin-gle-stained fibers of IL-1-RA group was markedly lowered( P <O. 05-0. 01; 4 )Compared with IL-1-RA group, the number of BSI-B4 labeled fibers, double labeled fibers and the percentage of double-labeled fibers / IL-1RI IR single-stained fibers of EA group was markedly lowered(P<O. 05) , and the percentage of double la-beled fibers/BSI-B4 labeled fibers was significantly higher (P < 0. 05). Conclusion: 1) There is IL-1RI ex-pression in the C- fibers of the dermal and subcutaneous tissues around the ankle joint in normal rats, which is upregulated in the inflammatory tissue induced by CFA. The analgesic effect of EA is probably related to its suppressive effect on C- fibers' proliferation and IL-113( inflammation factor) induced activation of 1L-1R1 and its promotion effect on the 606- gera: 142180/di/ra ELECTROACUPUNCTURE AND PROLIFERATIVE KNEE OSTEOARTHRITIS: A REPORT OF 50 CASES. GAO QUAN-MING. journal of acupuncture and tuina science. 2005;3(6):33 (eng). Fifty cases of knee osteoarthritis were treated with needling
bilateral Neixiyan (Ex-TE 5), Dubi (ST 35), Ashi points, Yanglingquan (GB 34), Yinlingquan (SP 9), Zusanli (ST36), Liangqiu (ST 34), Heding (Ex-LE 2), and Sanyinjiao (SP 6), among which Neixiyan (Ex-LE 5) and Heding (Ex-TE 2) were connected with electro-stimulator. And the result showed that 42 cases got recovery, 6 cases got better and 2 cases got no effect. 607- gera: 143012/di/ra EFFETTO DELL'AGOPUNTURA SUI SINTOMI DELL'OSTEOARTRITE DEL GINOCCHIO: UNO STUDIO CONTROLLATO RANDOMIZZATO IN APERTO. TUKMACHI E ED ALTRI. rivista italiana di medicina tradizionale cinese. 2005;100(2):8 (ita). BACKGROUND: Using an open randomised controlled study, we examined the effectiveness of manual and electroacupuncture on symptom relief for patients with osteoarthritis of the knee. METHODS: Patients with symptomatic osteoarthritis of the knee were randomised to one of three treatment groups. Group A had acupuncture alone, group B had acupuncture but continued on their symptomatic medication, and group C used their symptomatic medication for the first five weeks and then had a course of acupuncture added. Patients receiving acupuncture were treated twice weekly over five weeks. Needles were inserted (with manual and electrical stimulation) in acupuncture points for pain and stiffness, selected according to traditional acupuncture theory for treating Bi syndrome. Patients were assessed by a blinded observer before treatment, after five weeks' treatment and at one month follow up, using a visual analogue pain scale (VAS) and the Western Ontario McMaster (WOMAC) questionnaire for osteoarthritis of the knee. RESULTS: The 30 patients in our study were well matched for age, body mass index, disease duration, baseline VAS pain score and baseline WOMAC scores. Repeated measure analyses gave a highly significant improvement in pain (VAS) after the courses of acupuncture in groups A (P = 0.012) and B (P=0.001); there was no change in group C until after the course of acupuncture, when the improvement was significant (P = 0.001). Similarly significant changes were seen with the WOMAC pain and stiffness scores. These benefits were maintained during the one month after the course of acupuncture. Patients' rating of global assessment was higher than that of the acupuncturist. CONCLUSION: We conclude that manual and electroacupuncture causes a significant improvement in the symptoms of osteoarthritis of the knee, either on its own or as an adjunct therapy, with no loss of benefit after one month. 608- gera: 143026/di/ra TRATTAMENTO COMBINATO MEDIANTE MTC DI 72 CASI DI ARTRITE CALCIFICA DEL GINOCCHIO. CHEN ZHAOHUI ED ALTRI. rivista italiana di medicina tradizionale cinese. 2005;100(2):41 (ita). In recent years, we have treated 72 cases of bony gonitis with a combined TCM treatment by joint-irrigation, chinese herbal medication and tali na massotherapy, andhave obtained satisfactory therapeutic results. A report 609- gera: 143041/di/ra EFFETTI DEL DECOTTO BUSHEN HUOXUE SULLA CONCENTRAZIONE DI OSSIDO NITRICO (NO) A LIVELLO DEL SIERO, DELLA CARTILAGINE ARTICOLARE E DELLA MEMBRANA SINOVIALE IN CONIGLI CON OSTEOARTRITE DEL GINOCCHIO. YANG PINGLIN ED ALTRI. rivista italiana di medicina tradizionale cinese. 2005;100(2):73 (ita). Forty-eight New Zealand rabbits were divided into normal
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group (n=18), control group (n=18) and Chinese herbs treatment group (n=12) randomly. The rabbits in the normal group received sham-operation, and the OA model was estabilished by Hu1th' s method. All the rabbits in the treatment group were given Bushen Huoxue Decoction from the 6th week after the operation. At eh, 8th and 12th week after the operation, the NO concentration of the serum, joint cartilage and synovium were esamined. Results: indicated that the NO concentrations of the serum, joint cartilage and synovium in the control group were all significantly higher than those in the normal group, with the joint cartilage more obvious (P<0,05). In the Chinese herbs treatment group the NO concentrations in all the parts obviously decreased as compared with the control group (P<0,05). It is suggested that Bushen Huoxue Decoction decrease the levels of NO in the serum, synovium and joint cartilage in the OA rabbit. 610- gera: 143317/di/ra [EFFECT OF ELECTROACUPUNCTURE ON THE NUMBER OF BSI-B4/IL-1R DOUBLE LABELED NERVEFIBERS IN THE DERMAL 1, AND SUBCUTANEOUS TISSUES AROUND THE ANKLE JOINT IN ADJUVANT ARTHRITIS RATS]. CHEN DI, TANG JUN-RUI, CHEN JIM, ET AL. acupuncture research. 2005;30(1):9 (chi). Objective: To observe the effect of electroacupuncture ( EA) on the number of Bandeiraea Simplicifolia I ( BSI)- B4 labeled and IL-1 receptor I immunoreaction ( IR) positive nerve fibers of the dermal and subcutaneous tissues around the ankle joint in adjuvant monoarthritis rats. Methods: 28 male SD rats (180 —200 g) were randomized into control group, model group, IL-1 receptor antagonist ( IL-1-RA) group and EA group, with 7 cases being in each group. Adjuvant monoarthritis model was induced by injection of 50 pL complete Freund's adjuvant (CFA) into the left hind ankle joint cavity. EA (4-16 Hz, O. 5-1. 5 V and inter-mittent waves) was applied to "Huantiao"( GB 30) and "Yanglinquan" (GB 34) for 30 min following injection of CFA and on the 3rd day. In IL-1-RA group, on the 1st and 3rd day after injection of CFA, 1L-1RA (1 pg/mL, 50 pL) was injected into the subcutaneous tissues around the left hind ankle joint. On the 3rd day, the rats were anesthetized with 20% urethane ( 1 g/kg) and transcardiac perfusion was performed by using 4% paraformaldehyde phosphate buffer ( pH 7. 4). The skin and subcutaneous tissues around the focus region were taken to be cut into sections (10 pm) which were then treated with BSI-B4 staining (for displaying C-fibers) and IL-1R1 immuno-fluorescent labeling techniques. The number of BSI-B4/IL-1RI double labeled IR-positive nerve fibers (30 sections/rat,38. 44 mm2/section) was calculated and analyzed by using fluorescent microscope and image analysis system. Results: 1) The double labeled (BSI-B4/1L- 1RIAR positive) fibers mainly distributed in the dermal and subcutaneous tissues around the ankle joint. 2) Compared with control group, BSI-B4 labeled fibers and 1L-1R1/1R-positive fibers,, and the double labeled fibers and the percentage of double labeled fibers/ BSI-B4 or IL-1R1 single-labeled fibers in model group, IL-1-RA and EA groups were significantly higher (P < O. 05 — 0. 01) ; 3) In comparison with model group, the number of BSI- B4 labeled fibers, 1L-1R1 IR-positive fibers, double stained fibers and the percentage of double-stained fibers/IL- 1R1 sin-gle-stained fibers of IL-1-RA group was markedly lowered( P<O. 05-0. 01; 4 )Compared with IL-1-RA group, the number of BSI-B4 labeled fibers, double labeled fibers and the percentage of double-labeled fibers /,IL-1R1 IR single-stained fibers of EA group was markedly lowered(P<O. 05) , and the percentage of double la-beled fibers/BSI-B4 labeled fibers was significantly higher (P < 0. 05) . Conclusion: 1) There is 1L-119.1 ex-pression in the C-
fibers of the dermal and subcutaneous tissues around the ankle joint in normal rats, which is upregulated in the inflammatory tissue induced by CFA. The analgesic effect of EA is probably related to its suppressive effect on C-fibers' proliferation and IL-113( inflammation factor) induced activation of IL-1R1 and its promotion effect on the 611- gera: 143494/di/ra ELECTROACUPUNCTURE AND PROLIFERATIVE KNEE OSTEOARTHRITIS: A REPORT OF 50 CASES. GAO QUAN-MING. journal of acupuncture and tuina science. 2005;3(6):33 (eng). Fifty cases of knee osteoarthritis were treated with needling bilateral Neixiyan (Ex-F 5), Dubi (ST 35), Ashi points, Yanglingquan (GB 34), Yinlingquan (SP 9), Zusanli (ST 36), Liangqiu (ST 34), Heding (Ex-LE 2), and Sanyinjiao (SP 6), among which Neixiyan (Ex-LE 5) and Heding (Ex-TE 2) were connected with electro-stimulator. And the result showed that 42 cases got recovery, 6 cases got better and 2 cases got no effect. 612- gera: 143696/di/ra [EFFECT OF ELECTROACUPUNCTURE ON THE NUMBER OF BSI-B4/IL-1R DOUBLE LABELED NERVEFIBERS IN THE DERMAL IT AND SUBCUTANEOUS TISSUES AROUND THE ANKLE JOINT IN ADJUVANT ARTHRITIS RATS]. CHEN DI, TANG JUN-RUI, CHEN JIM, AL. acupuncture research. 2005;30(1):9 (chi). Objective: To observe the effect of electroacupuncture ( EA) on the number of Bandeiraea Simplicifolia I (BSI)-B4 labeled and IL-1 receptor I immunoreaction ( IR) positive nerve fibers of the dermal and subcutaneous tissues around the ankle joint in adjuvant monoarthritis rats. Methods: 28 male SD rats (180 —200 g) were randomized into control group, model group, IL-1 receptor antagonist ( IL-1-RA) group and EA group, with 7 cases being in each group. Adjuvant monoarthritis model was induced by injection of 50 pL complete Freund's adjuvant (CFA) into the left hind ankle joint cavity. EA (4-16 Hz, O. 5-1. 5 V and inter-mittent waves) was applied to "Huantiao"(GB 30) and "Yanglinquan" (GB 34) for 30 min following injection of CFA and on the 3rd day. In IL-1-RA group, on the 1st and 3rd day after injection of CFA, 1L-1RA (1 pg/mL, 50 pL) was injected into the subcutaneous tissues around the left hind ankle joint. On the 3rd day, the rats were anesthetized with 20% urethane ( 1 g/kg) and transcardiac perfusion was performed by using 4% paraformaldehyde phosphate buffer ( pH 7. 4). The skin and subcutaneous tissues around the focus region were taken to be cut into sections (10 pm) which were then treated with BSI-B4 staining (for displaying C-fibers) and IL-1R1 immuno-fluorescent labeling techniques. The number of BSI-B4/IL-1RI double labeled IR-positive nerve fibers (30 sections/rat,38. 44 mm2/section) was calculated and analyzed by using fluorescent microscope and image analysis system. Results: 1) The double labeled (BSI-B4/1L-1RIAR positive) fibers mainly distributed in the dermal and subcutaneous tissues around the ankle joint. 2) Compared with control group, BSI-B4 labeled fibers and 1L-1R1/1R-positive fibers,, and the double labeled fibers and the percentage of double labeled fibers/ BSI-B4 or IL-1R1 single-labeled fibers in model group, IL-1-RA and EA groups were significantly higher (P < O. 05 — 0. 01) ; 3) In comparison with model group, the number of BSI-B4 labeled fibers, 1L-1R1 IR-positive fibers, double stained fibers and the percentage of double-stained fibers/IL-1R1 sin-gle-stained fibers of IL-1-RA group was markedly lowered( P<O. 05-0. 01; 4 )Compared with IL-1-RA group, the number of BSI- B4 labeled fibers, double labeled fibers and the percentage of double-labeled fibers /,IL-1R1 IR single-
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stained fibers of EA group was markedly lowered(P<O. 05) , and the percentage of double la-beled fibers/BSI-B4 labeled fibers was significantly higher (P < 0. 05). Conclusion: 1) There is 1L-119.1 ex-pression in the C-fibers of the dermal and subcutaneous tissues around the ankle joint in normal rats, which is upregulated in the inflammatory tissue induced by CFA. The analgesic effect of EA is probably related to its suppressive effect on C-fibers' proliferation and IL-113( inflammation factor) induced activation of IL-1R1 and its promotion effect on the synthesis of IL-1RA 613- gera: 143725/di/ra EFFETTO DELL'AGOPUNTURA SUI SINTOMI DELL'OSTEOARTRITE DEL GINOCCHIO: UNO STUDIO CONTROLLATO RANDOMIZZATO IN APERTO. TUKMACHI E ED ALTRI. rivista italiana di medicina tradizionale cinese. 2005;100(2):8 (ita). BACKGROUND: Using an open randomised controlled study, we examined the effectiveness of manual and electroacupuncture on symptom relief for patients with osteoarthritis of the knee. METHODS: Patients with symptomatic osteoarthritis of the knee were randomised to one of three treatment groups. Group A had acupuncture alone, group B had acupuncture but continued on their symptomatic medication, and group C used their symptomatic medication for the first five weeks and then had a course of acupuncture added. Patients receiving acupuncture were treated twice weekly over five weeks. Needles were inserted (with manual and electrical stimulation) in acupuncture points for pain and stiffness, selected accordingto traditional acupuncture theory for treating Bi syndrome. Patients were assessed by a blinded observer before treatment, after five weeks' treatment and at one month follow up, using a visual analogue pain scale (VAS) and the Western Ontario McMaster (WOMAC) questionnaire for osteoarthritis of the knee. RESULTS: The 30 patients in our study were well matched for age, body mass index, disease duration, baseline VAS pain score and baseline WOMAC scores. Repeated measure analyses gave a highly significant improvement in pain (VAS) after the courses of acupuncture in groups A (P = 0.012) and B (P=0.001); there was no change in group C until after the course of acupuncture, when the improvement was significant (P = 0.001). Similarly significant changes were Been with the WOMAC pain and stiffness scores. These benefits were maintained during the one month after the course of acupuncture. Patients' rating of global assessment was higher than that of the acupuncturist. CONCLUSION: We conclude that manual and electroacupuncture causes a significant improvement in the symptoms of osteoarthritis of the knee, either on its own or as an adjunct therapy, with no loss of benefit after one month. 614- gera: 143739/di/ra TRATTAMENTO COMBINATO MEDIANTE MTC DI 72 CASI DI ARTRITE CALCIFICA DEL GINOCCHIO. CHEN ZHAOHUI ED ALTRI. rivista italiana di medicina tradizionale cinese. 2005;100(2):41 (ita). In recent years, we have treated 72 cases of bony gonitis with a combined TCM treatment by joint-irrigation, chinese herbal medication and lui na massotherapy, andhave obtained satisfactory therapeutic results. A report 615- gera: 143743/di/ra EFFETTI DEL DECOTTO BUSHEN HUOXUE SULLA CONCENTRAZIONE DI OSSIDO NITRICO (NO) A LIVELLO DEL SIERO, DELLA CARTILAGINE ARTICOLARE E DELLA MEMBRANA SINOVIALE IN CONIGLI CON OSTEOARTRITE DEL GINOCCHIO. YANG PINGLIN ED ALTRI. rivista
italiana di medicina tradizionale cinese. 2005;100(2):73 (ita). Forty-eight New Zealand rabbits were divided into normal group (n=18), control group (n=18) and Chinese herbs treatment group (n=12) randomly. The rabbits in the normal group received sham-operation, and the OA model was estabilishedbyHulth' s method. All the rabbits in the treatment group were given Bushen Huoxue Decoction from the 61h week after the operation. At Wit and 12th week after the operation, the NO concentration of the serum, joint cartilage and synovium were esamined. Results: indicated that the NO concentrations of the serum, joint cartilage and synovium in the control group were all significantly higher than those in the normal group, with the joint cartilage more obvious (P<0,05). In the Chinese herbs treatment group the NO concentrations in all the parts obviously decreased as compared with the control group (P<0,05). It is suggested that Bushen Huoxue Decoction decrease the levels of NO in the serum, synovium and joint cartilage in the OA rabbit. 616- gera: 143908/di/ra DIE GERAC-GONARTHROSE-STUDIE: WURDEN PATIEN UND TELEFONINTERVIEWER VORZEITIG ENTBLINDET?. WETTIG D. akupunktur theorie und praxis. 2005;33(1):7 (deu). 617- gera: 144157/di/ra L’ACUPUNCTURE ASSOCIEE AU DICLOFENAC A UNE EFFICACITE SPECIFIQUE DANS LE TRAITEMENT DE LA GONARTHROSE. GORET O. acupuncture & moxibustion. 2005;4(3):223 (fra). Résumé :Objectif :Evaluer l’efficacité spécifique l’acupuncture en association a diclofénac dans la gonarthrose.Plan expérimental:Essai contrôlé randomisé (ECRacupuncture + diclofénac vers acupuncture factice + diclofénac.Cadre de l’étude:Unité anti-douleur, Centre d Salud “Dos Hermanas A”, D Hermanas (Espagne).Patients :97 patients en consultation externes après présélection selo les critères de l’American Colle of Rheumatology. Inclusions âge ≥ 45 ans, 2) gonalgie depu plus de 3 mois, 3) signes radiol giques ≥ grade I de la classificatio de Ahlbäck (tableau I). Exclusions traitement antérieur par acupun ture, contre-indication au diclofenac, arthropathies inflammatoire métaboliques ou neuropathique pathologies sévères associées pouvant interférer sur l’évaluation clinique, dermatose sévère ou généralisée, grossesse, traitement par chi- miothérapie anti-tumorale, corti- coïdes ou immunodépresseurs. Interventions :Randomisation (programme infor- s matique et enveloppes cachetées) en 2 groupes.1. Acupuncture + diclofénac (n=48) : association points locaux- points distaux [voir encadré protocole],recherche du deqi, électro-stimulation (WQ- 10D1) aux points locaux (2 paires d’électrodes sur 34VB +9 Rte et 36E + xiyan), intensité e ajustée durant toute la séance au ) seuil de tolérance, fréquence alter- s née 2/15 Hz. Acupuncturefactice + diclofénac (n=49) : puncture avec aiguilles rétractables aux mêmes points sans pénétration de la peau, électro-sti- -mulation simulée.Dans les 2 groupes :une séance de 20 minutes heb-- domadaire pendant 12 semaines, une semaine avant le début des séances, arrêt de toute médication anti inflammatoire, puis avec le début des séances, les patients prennent 1 comprimé de diclofénac toutes les 8 heures (une boite de 21 comprimés leur est remise toutes les semaines) avec posologie réduite en fonction de l’amélioration des symptômes. Une gastro-protection est associée chez les sujets à risque.Principaux critères de jugement :Evaluation avant le traitement, et une semaine après la dernière séan-ce par un évaluateur ignorant le groupe d'appartenance du patient :Intensité de la douleur (Echelle Visuelle Analogique de 100 mm).Index de WOMAC (Western Ontario and McMaster
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Universi-ties) et ses 3 sous-échelles qui éva-luent la douleur, la raideur et la fonction articulaire.Profil de qualité de vie (PQLC).Consommation de diclofénac. 618- gera: 144387//ra ACUPUNCTURE WORKS IN CHRONIC OSTEOARTHRITIS OF THE KNEE – BUT MOORE AND MCQUAY ARE STILL TO BE CONVINCED. CUMMINGS M. focus on alternative and complementary therapies. 2005;10(4):300 (eng). résumé et commentaire de : Witt C, Brinkhaus B, Jena S, Linde K, Streng A, Wagenpfeil S,Hummelsberger J, Walther HU, Melchart D, Willich SN. Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Lancet 2005; 366: 136-43. 619- gera: 144437//ra USING AN RCT TO INVESTIGATE THE EFFECTIVENESS AND EFFICACY OF ACUPUNCTURE FOR KNEE PAIN IN PRIMARY CARE. FOSTER NE, HAY EM, BARLAS P, THOMAS E, HILL J, YOUNG J. focus on alternative and complementary therapies. 2005;10(1):17 (eng). 620- gera: 145031/di/ra CLINICAL OBSERVATION OF MENISCUS INJURY TREATED WITH ACUPUNCTURE. JIN SONG, CHEN MIN, ZHANG CHUN — XIA. journal of clinical acupuncture and moxibustion. 2005;21(12):5 (chi). 621- gera: 150666/di/ra AIGUILLE D'ARGENT ET AIGUILLES COUTEAU POUR DIMINUER LA GRAISSE SOUS ROTULIENNE ( ??). : ETUDE CLINIQUE SUR 80 CAS. WU ZIYING. journal of clinical acupuncture and moxibustion. 2005;21(8):28 (chi). 622- gera: 150675/di/ra ACUPUNCTURE ET APPLICATION LOCALE DANS LE TRAITEMENT DE LA GONARTHORSE : ETUDE CLINIQUE. CHEN WEI, MEI GAOPENG. journal of clinical acupuncture and moxibustion. 2005;21(9):16 (chi). 623- gera: 150736/di/ra OSTEAL GONARTHRITIS TREATED WITH MASSAGE COMBINED WITH WARMING ACUPUNCTURE AND MOXIBUSTION. WANG YUAN CHANG , II TONG JUN, YU ZHI - GUO. journal of clinical acupuncture and moxibustion. 2005;21(10):44 (chi). 624- gera: 125757/di/ra [OBSERVATION ON THERAPEUTIC EFFECT OF WARMING NEEDLE MOXIBUSTION ON KNEE OSTEOARTHRITIS OF DEFICIENCY-COLD TYPE]. LI CD, HUANG XY, YANG XG, WANG QF, HUANG SQ. chinese acupuncture and moxibustion. 2006;26(3):189-91 (chi). [traduction gera disponible], OBJECTIVE: To compare clinically therapeutic effects of warming needle moxibustion and simple acupuncture on knee osteoarthritis. METHODS: One hundred and twenty cases conformed with the diagnostic criteria of knee osteoarthritis with TCM kidney-yang deficiency and cold syndrome were randomly divided into a warming needle moxibustion group and a simple acupuncture group. Guanyuan (CV 4), Qihai (CV 6), Zusanli (ST 36) and others were selected in the two groups. Their therapeutic effects were assessed with joint pain scale, knee osteoarthritis severity index scale and cold syndrome differentiation factors. RESULTS: Both warming needle moxibustion and
simple acupuncture could alleviate pain of knee osteoarthritis, improve dysfunction of the knee joint, reduce symptoms. The clinically basic cured rate and the total effective rate were 32.1% and 96.4% in the warming needle moxibustion group, which were better than 7.4% and 92.6% in the simple acupuncture group. CONCLUSION: Warming needle moxibustion is an effective therapy for knee osteoarthritis with kidney-yang deficiency and cold type. 625- gera: 141333/di/re ACUPUNCTURE POUR LA GONARTHROSE ?. KACENELENBOGEN N. minerva-f. 2006;5(5):79-80 (fra). Résumé et commentaires de Witt C, Brinkhaus B, Jena S et al. Investigation of the acupuncture’s efficiency compared with minimal acupuncture and with no acupuncture in patients with osteoarthritis of the knee. Lancet 626- gera: 141346/di/re ACUPUNCTURE AND KNEE OSTEOARTHRITIS: A THREE-ARMED RANDOMIZED TRIAL. SCHARF HP, MANSMANN U, STREITBERGER K, WITTE S, KRAMER J, MAIER C, TRAMPISCH HJ, VICTOR N. ann intern med. 2006;145(1):12-20 (eng). BACKGROUND: Despite the popularity of acupuncture, evidence of its efficacy for reducing pain remains equivocal. OBJECTIVE: To assess the efficacy and safety of traditional Chinese acupuncture (TCA) compared with sham acupuncture (needling at defined nonacupuncture points) and conservative therapy in patients with chronic pain due to osteoarthritis of the knee. DESIGN: Randomized, controlled trial. SETTING: 315 primary care practices staffed by 320 practitioners with at least 2 years' experience in acupuncture. PATIENTS: 1007 patients 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 or 3). Interventions: Up to 6 physiotherapy sessions and as-needed anti- inflammatory drugs plus 10 sessions of TCA, 10 sessions of sham acupuncture, or 10 physician visits within 6 weeks. Patients could request up to 5 additional sessions or visits if the initial treatment was viewed as being partially successful. MEASUREMENTS: Success rate, as defined by at least 36% improvement in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 26 weeks. Additional end points were WOMAC score and global patient assessment. RESULTS: Success rates were 53.1% for TCA, 51.0% for sham acupuncture, and 29.1% for conservative therapy. Acupuncture groups had higher success rates than conservative therapy groups (relative risk for TCA compared with conservative therapy, 1.75 [95% CI, 1.43 to 2.13]; relative risk for sham acupuncture compared with conservative therapy, 1.73 [CI, 1.42 to 2.11]). There was no difference between TCA and sham acupuncture (relative risk, 1.01 [CI, 0.87 to 1.17]). LIMITATIONS: There was no blinding between acupuncture and traditional therapy and no monitoring of acupuncture compliance with study protocol. In general, practitioner-patient contacts were less intense in the conservative therapy group than in the TCA and sham acupuncture groups. CONCLUSIONS: Compared with physiotherapy and as-needed anti-inflammatory drugs, addition of either TCA or sham acupuncture led to greater improvement in WOMAC score at 26 weeks. No statistically significant difference was observed between TCA and sham acupuncture, suggesting that the observed differences could be due to placebo effects, differences in intensity of provider contact, or a physiologic effect of needling regardless of whether it is done according to TCA principles 627- gera: 141347/di/re SUMMARIES FOR PATIENTS. ADDING
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ACUPUNCTURE TO PHYSICAL THERAPY AND ANTI-INFLAMMATORY DRUGS IN THE TREATMENT OF KNEE OSTEOARTHRITIS. X. ann intern med. 2006;jul 4:I17 (eng). 628- gera: 141492/di/re ACUPUNCTURE IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE OR HIP: A RANDOMIZED, CONTROLLED TRIAL WITH AN ADDITIONAL NONRANDOMIZED ARM. WITT CM, JENA S, BRINKHAUS B, LIECKER B, WEGSCHEIDER K, WILLICH SN. arthritis rheum. 2006;54(11):3485-349 (eng). OBJECTIVE: To investigate the effectiveness of acupuncture in addition to routine care, compared with routine care alone, in the treatment of patients with chronic pain due to osteoarthritis (OA) of the knee or hip. METHODS: In a randomized, controlled trial, patients with chronic pain due to OA of the knee or hip were randomly allocated to undergo up to 15 sessions of acupuncture in a 3-month period or to a control group receiving no acupuncture. Another group of patients who did not consent to randomization underwent acupuncture treatment. All patients were allowed to receive usual medical care in addition to the study treatment. Clinical OA severity (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]) and health-related quality of life (Short Form 36) were assessed at baseline and after 3 months and 6 months. RESULTS: Of 3,633 patients (mean +/- SD age 61.8 +/- 10.8 years; 61% female), 357 were randomized to the acupuncture group and 355 to the control group, and 2,921 were included in the nonrandomized acupuncture group. At 3 months, the WOMAC had improved by a mean +/- SEM of 17.6 +/- 1.0 in the acupuncture group and 0.9 +/- 1.0 in the control group (3-month scores 30.5 +/- 1.0 and 47.3 +/- 1.0, respectively [difference in improvement 16.7 +/- 1.4; P < 0.001]). Similarly, quality of life improvements were more pronounced in the acupuncture group versus the control group (P < 0.001). Treatment success was maintained through 6 months. The changes in outcome in nonrandomized patients were comparable with those in randomized patients who received acupuncture. CONCLUSION: These results indicate that acupuncture plus routine care is associated with marked clinical improvement in patients with chronic OA- associated pain of the knee or hip. 629- gera: 141493/di/re ACUPUNCTURE FOR TREATING OSTEOARTHRITIS OF THE KNEE AND THE HIP. LIU T, LIU C. arthritis rheum. 2006;54(11):3375-7 (eng). 630- gera: 141494/nd/re GETTING THE POINT RIGHT: A RESPONSE TO METHUSELAH ON ACUPUNCTURE FOR KNEE OSTEOARTHRITIS. EWER T. new zealand medical journal. 2006;119(1244:U2298 (eng). 631- gera: 141803/di/ra [EFFECT OBSERVATION OF THE SILVER NEEDLE METHOD ON THE PRIMARY RETROPATELLAR FAT PAD LESION]. FAN WEI XING, HU ZHONG GEN. journal of clinical acupuncture and moxibustion. 2006;23(7):46 (chi). 632- gera: 141830/di/ra [CLINICAL OBSERVATIONS ON TREATMENT OF GENUAL ARTHRALGIA BY ACUPUNCTURE AND CUPPING PLUS TDP]. LIU M. shanghai journal of acupuncture and moxibustion. 2006;25(8):20 (chi*).
Objective To evaluate the clinical efficacy of acupuncture and cupping plus TDP for treating genual arthralgia. Meth-ods Three hundred patients with genual arthralgia were randomly allocated to three groups. Group A of 100 cases was treated by acu-puncture and cupping plus TDP, group B of 100 eases , by aeupuncture and cupping and group C of 10 cases , by TDP radiation. The cur-ative, effects were compared between the three groups. Results There was a significant difference in curative effect between group A and group B or group C(P <0 . 01) after treatment. There was no significant difference in curative effect between group B and group C (P >0.05). Conclusion Acupuncture and cupping plus TDP radiation has a significantly better effect on germai. arthralgia 633- gera: 142702/di/ra [TREATMENT OF GENUAL OSTEOARTHRITIS BY UNBLOCKING ACUPUNCTURE METHOD]. RUI XG. shanghai journal of acupuncture and moxibustion. 2006;25(3):23 (chi*). Objective To investigate the curative effect of unblocking acupuncture method on genual osteoarthritis. Methods One hundred patients were selected for observation. .A unblocking acupuncture method group consisted of 60 patients and a routine acupunc-ture method, 40 patients. Results and Conclusion Treatment of genual osteoarthritis by unblocking acupuncture method has a high clinical remission rate and a short course. Its long-tenn effect is significantly better than that of routine acupuncture method. 634- gera: 142948/di/ra [ACUPUNCTURE AS A COMPLEMENTARY THERAPY TO THE PHARMA-COLOGIC TREATMENT OF OSTEOARTHRITIS OF THE KNEE EFFECTIVENESS OF ACUPUNCTURE AS ADJUNCTIVE THERAPY IN OSTEOARTHRITIS OF THE KNEE ACUPUNCTURE IN PA X. deutsche zeitschrift für akupunktur. 2006;2:45 (deu). 635- gera: 143163/di/ra [A FACE-TO-FACE SURVEY OF KOREAN MEDICAL DOCTORS: IF HOW DO THEY PRESCRIBE THE ACUPUNCTURE POINTS FOR KNEE OSTEOARTHRITIS PATIENTS?"]. LEE SEUNG-DEOKI, LEE SANG-HOOT, SEO JUNG-CHIL, CHOI SUN-MO, HYN-N MIN-KYUNE, KIM YONG-SULE. journal of the japan society of acupuncture and moxibustion. 2006;56(3):105 (chi). [Objective] The aim of our study was to investigate and characterize perceptions of acupuncture point selection among expert practitioners of acupuncture in Korea, focusing on similarities anD Differences between selection criteria for distant points and local points. Method: We conducted a cross-sectional, questionnaire-based survey- of acupuncture point selection IL criteria as applied by Korean acupuncturists. [Results] A total of 114 questionnaires were distributed, and 88 completed questionnaires were returned, a response rate of 77.2% (88/114). Selection of distant acupuncture points for treatment yams regarded by respondents to be most effective for conditions involving ? Meridian disorder (19%), ? Zang-El riscera disease or abdominal symptoms (18.6%), and ? Symptoms originating front cotter disease (17.7%); selecdcc .131 Local points was regarded to be most effective in cases of ? Pain or musculoskeletal disorder (21.7%), ? localized disorder and contusion (26%), and ? trauma or sprain (14%). Conversely, respondents considered acupuncture to be least effective for treatment of symptoms associated with other dis eases (30.2), chronic dis ease 25.4%), and severe inflammation (15.1%) when selecting local acupuncture points; erroneous syndrome
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diarentiation (41.1%) and severe inflammation & deformity (15,1%) were conditions nader which distant acupuncture points were reganierleast effeZMFE—Ti"igger or ferider points (3375%)—and--A- sitirp-oirts--(2676N-verz--comsd_Tred-by respondents to be the most important principles whereby local acupuncture points w C70 selected, and traditional theory of meridian (87.5%) and dermatome (3.4%) were regarded to be the most important rules governing selection of distant acupuncture points. Pricking (Letting out Hood) was founD the most frequently used technique associated with local acupuncture points, and traditi on a] reinforcing and-reducihg manipulations of acupuncture (34.5%) and Deqi sensation (25.4%) were most frequently used techniques associated with distant acupuncture points. Regarding needle insertion depth criteria at local point, acupuncturists reported inserting needle until Deqi was achieved (46.6%), until damage region was reached (30.7%) Lai according to depth of meridianology (17.0%); for distant acupuncture points, they usually inserted needle until Deqi was achieved (60.2%), according to depth of meridianology (35.2%) and until damage region was reached (D%) on distant acupuncture points. [Conclusion] The greatest difference was found in criteria of p o int selection, use-tech n ique and depth of needling between local and distant acupuncture points selection. 'There was found no significant difference in frequency or method of detection of Deqi sensation between local and distant 636- gera: 143893/nd/ra IS ACUPUNCTURE MORE EFFECTIVE THAN CONVENTIONAL THERAPY IN IMPROVING PAIN AND FUNCTIONALITY FOR OSTEOARTHRITIS OF THE KNEE?. X. manag care interface. 2006;19(12):69 (eng). 637- gera: 144297/di/ra THE EVIDENCE ON ACUPUNCTURE FOR KNEE OSTEOARTHRITIS - EDITORIAL SUMMARY ON THE IMPLICATIONS FOR HEALTH POLICY. WHITE A, KAWAKITA K. acupunct med. 2006;s71-76:x (eng). Decisions on whether a health service should provide a particular treatm ent are based on the evidence on three questions: 1) whether the treatment can work, ie it is biologically active; 2) whether the treatment is safe and effective in daily practice; and 3) whether it is economically worthwhile. Evidence presented at the Kyoto conference shows that acupuncture for osteoarthritis of the knee has a biological effect, has a large clinical effect in practice, has negligible risk, and has a cost effectiveness which is well within the usual acceptable limit. On the present evidence, acupuncture is likely to offer an alternative to treatment with non-steroidal anti-inflammatory 638- gera: 144298/di/ra ACUPUNCTURE FOR KNEE OSTEOARTHRITIS - A RANDOMISED TRIAL USING A NOVEL SHAM. MANHEIMER E, LIM B, LAO L, BERMAN B. acupunct med. 2006;x:s7-14 (eng). BACKGROUND: Evidence on the efficacy of acupuncture for reducing the pain and dysfunction of osteoarthritis is equivocal. OBJECTIVE: To determine whether acupuncture provides greater pain relief and improved function compared with sham acupuncture or education in patients with osteoarthritis of the knee. DESIGN: Randomised, controlled trial. SETTING: Two outpatient clinics (an integrative medicine facility and a rheumatology facility) located in academic teaching hospitals and one clinical trials facility. PATIENTS: 570 patients with osteoarthritis of the knee (mean age [+/-SD], 65.5 +/- 8.4 years). INTERVENTION: 23 true acupuncture sessions over 26 weeks. Controls received 6
two-hour sessions over 12 weeks or 23 sham acupuncture sessions over 26 weeks. MEASUREMENTS: Primary outcomes were changes in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function scores at 8 and 26 weeks. Secondary outcomes were patient global assessment, 6-minute walk distance, and physical health scores of the 36-Item Short-Form Health Survey (SF-36). RESULTS: Participants in the true acupuncture group experienced greater improvement in WOMAC function scores than the sham acupuncture group at 8 weeks (mean difference, -2.9 [95% CI, -5.0 to -0.8]; P=0.01) but not in WOMAC pain score (mean difference, -0.5 [CI, -1.2 to 0.2]; P=0.18) or the patient global assessment (mean difference, 0.16 [CI, -0.02 to 0.34]; P> 0.2). At 26 weeks, the true acupuncture group experienced significantly greater improvement than the sham group in the WOMAC function score (mean difference, -2.5 [CI, - 4.7 to -0.4]; P=0.01), WOMAC pain score (mean difference, -0.87 [CI, -1.58 to -0.16]; P=0.003), and patient global assessment (mean difference, 0.26 [CI, 0.07 to 0.45]; P=0.02). LIMITATIONS: At 26 weeks, 43% of the participants in the education group and 25% in each of the true and sham acupuncture groups were not available for analysis. CONCLUSIONS: Acupuncture seems to provide improvement in function and pain relief as an adjunctive therapy for osteoarthritis of the knee when compared with credible sham acupuncture and education control groups. 639- gera: 144299/di/ra SOME OF THE EFFECTS OF ACUPUNCTURE IN KNEE PAIN MAY BE DUE TO ACTIVATION OF THE REWARD SYSTEM. LUNDEBERG T. acupunct med. 2006;x:s67-70 (eng). Acupuncture is an ancient therapy with a variety of different explanatory models. A cascade of physiologic effects has been reported, both in the peripheral and the central nervous system, following the insertion of a needle. Clinical trials testing the specific claims of acupuncture have generally tried to focus on testing the efficacy of applying specific techniques and/or specified points. However, different conditions may respond differently to different modes of stimulation. Also, insertion of needles into the body can stimulate effects not dependent on the locations of stimulation. Recently, it was demonstrated that both superficial and deep needling (with de qi/Hibiki) resulted in amelioration of patellofemoral pain and an increased feeling of wellbeing. One area in the brain that is affected by acupuncture stimulation is the limbic system. The limbic system consists of a group of brain structures, including the hippocampus, amygdala, and their interconnections, and connections with the hypothalamus, septal area, and portions of the tegmentum. It contains many of the centres related to emotion and reward. The pleasurable aspect of the acupuncture experience has largely been ignored as it has been considered to be part of its antinociceptive effects. It has previously been reported that physical exercise and electroacupuncture in animals result in modulation of the peptidergic content in limbic structures. These results are supported by recent animal studies in Japan that have clearly demonstrated that acupuncture results in the activation of the reward system. These findings are supported by positron emission tomography studies in patients, which showed that the insula ipsilateral to the site of needling was activated, as well as the dorsolateral prefrontal cortex, the anterior cingulate and the midbrain. Taken together, these results suggest that acupuncture, as well as the patient's expectation and belief regarding a potentially beneficial treatment, modulate activity in the reward 640- gera: 144302/di/ra
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SAFETY OF ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE - A REVIEW OF RANDOMISED CONTROLLED TRIALS, FOCUSING ON SPECIFIC REACTIONS TO ACUPUNCTURE. YAMASHITA H, MASUYAMA S, OTSUKI K, TSUKAYAMA H. acupunct med. 2006;x:s49-52 (eng). In order to assess how many reported adverse reactions to acupuncture are truly associated with the physiological mechanisms of acupuncture, we performed a literature review of published RCTs of acupuncture for osteoarthritis of the knee. We searched for reports of RCTs using two data sources: PubMed and Japana Centra Revuo Medicina (Igaku Chuo Zasshi). Of the twelve RCTs located, seven included information on adverse events. No serious adverse events were reported. Joint swelling, local inflammation, haematoma and back pain occurred more frequently in the dummy electroacupuncture or minimal acupuncture group. We confirmed the possibility that many adverse reactions to acupuncture treatment reported in RCTs, at least for the knee OA, are non-specific, and that not all reported events should be attributed to the mechanism of action of acupuncture. It is likely this is also true for RCTs of acupuncture in other conditions, and for prospective surveys on adverse events of acupuncture 641- gera: 144303/di/ra THE EFFECTIVENESS OF ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE - A SYSTEMATIC REVIEW. WHITE A, FOSTER N, CUMMINGS M, BARLAS P. acupunct med. 2006;x:s40-48 (eng). OBJECTIVE: To determine the effectiveness of acupuncture treatment for pain and function of patients with osteoarthritis of the knee. METHODS: A systematic review of randomised controlled trials was performed, including a meta-analysis which combined the results of trials that used adequate acupuncture treatment and used WOMAC scores to measure the effect. The internal validity (quality) and heterogeneity of studies were taken into account. RESULTS: Thirteen studies were available, of which eight, involving 2362 patients, could be combined. For both reduction of pain and improvement of function, acupuncture was significantly superior to sham acupuncture (P<0.05 for all comparisons) in both the short term and the long term. Compared with no additional intervention (usual care), acupuncture was again significantly superior for pain and function. The treatment effects were maintained after taking account of quality and heterogeneity in sensitivity analyses. CONCLUSION: Acupuncture is an effective treatment for osteoarthritis of the knee. Its overall effect size is 0.8, and it can be considered instead of non-steroidal anti-inflammatory drugs for patients whose symptoms are not controlled by education, exercise, weight loss if appropriate and simple analgesics. Further research is necessary into the most efficient way of delivering acupuncture, and its longer term benefits. 642- gera: 144306/di/ra ACUPUNCTURE VS STREITBERGER NEEDLE IN KNEE OSTEOARTHRITIS - AN RCT. VAS J, MENDEZ C, PEREA-MILLA E. acupunct med. 2006;x:s15-24 (eng). AIMS: To determine the effectiveness of acupuncture as a therapy complementary to the pharmacological treatment of osteoarthritis of the knee. METHODS: Randomised, single blind, placebo controlled trial. Patients with osteoarthritis of the knee were randomly assigned to either 12 sessions of true acupuncture or 12 sessions of placebo acupuncture (Streitberger needle), these sessions taking place once a week. A baseline measurement was carried out, followed by further observations at 4, 8, 12 and 16 weeks. The clinical variables were the WOMAC (Western Ontario and McMaster Universities Osteoarthritis) index, knee pain measured by a
visual analogue scale (pain VAS), the weekly consumption of diclofenac and the Profile of the Quality of Life of the Chronically Ill (PQLC). The two groups were compared for each of the clinical variables per protocol and by intention to treat. A multiple linear regression model for the dependent variables was constructed. RESULTS: Ninety seven outpatients were selected, with 88 remaining for the per protocol analysis; the analysis of homogeneity concluded that the lost subjects were not significantly different from those that completed the study. The multivariate per protocol model for the relative pain VAS variable showed a difference in improvement of 43.7% (95% CI 29.4% to 58.0%) for acupuncture, compared with the control group. In an intention to treat analysis, the relative improvement was 32.4% (20.3% to 44.4%). In a per protocol analysis, the total WOMAC showed a relative decrease of 52.0% (34.3% to 69.6%) in favour of the acupuncture group, or 37.6% (22.4% to 52.8%) in an intention to treat analysis. CONCLUSIONS: The group treated with acupuncture showed significantly better effects, both clinically and statistically, in the reduction of pain intensity as measured by pain VAS, on the WOMAC index and in decreased consumption of diclofenac. 643- gera: 144307/di/ra OSTEOARTHRITIS OF THE KNEE - AN INTRODUCTION. WHITE A. acupunct med. 2006;x:s1-6 (eng). Osteoarthritis of the knee is common, and a major cause of disability in older people that is likely to increase over time. Some patients progress rapidly to needing surgery, whereas others will have persistent pain for many years. The aims of conservative treatment are to reduce pain and disability. There is evidence that several non- pharmacological therapies such as exercise, education and weight loss can have an effect in patients with knee pain, though the effect is usually only modest. Ultrasound and short wave diathermy are widely available, but not supported by evidence. Particular preparations of topical treatments are effective, as too is oral paracetamol (acetaminophen). Glucosamine is popular but not all trials have found it to have any effect. Non-steroidal anti- inflammatory drugs (NSAIDs) are effective, though their effect is modest and their longterm value is not established. They are associated with significant adverse events, particularly gastrointestinal haemorrhage, which has a substantial mortality. They are particularly dangerous in the elderly. Cyclooxygenase-2 (COX-2) inhibitors cause fewer gastrointestinal problems but increase the risk of vascular events including myocardial infarction and stroke. Herbal therapies have only sparse evidence in support. Intra-articular injections of steroids may be effective, at least for a short period, but hyaluronan has a longer duration of action. Patients prefer treatments that are safe, and are willing to forgo some effectiveness in favour of safety. In this context, acupuncture is a potentially valuable treatment for OA knee, and the evidence on effectiveness, safety and cost should be considered carefully. 644- gera: 145086/di/ra OBSERVATIONS ON THE EFFICACY OF WARMING NEEDLE MOXIBUSTION PLUS HERBY EXPORTEAM FOR TREATING 68 PATIENTS WITH OSTEOARTHRITIS OF KNEE JOINT. ZHU XIU PING, HUANG SHAO JI. journal of clinical acupuncture and moxibustion. 2006;22(11):29 (chi). Objective: To observe therapeutic effect of warming needle moxibustion plus herby exporteam on Osteoarthritis of Knee Joint and search for clinically effective therapy. Methods: One thundread and thirty two cases Osteoarthritis of Knee Joint were randomly divided into a treatment group of 68 cases and a control group of visiting, the treatment group
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with warming needle moxibustion at Neixiyan ( LE4) , Waixiyan (TES) , Ashi points, plus herby exporteam, the control group were treat-ed with blocking acupuncture points. Results: Warming needle moxibus-tion plus exporteam, 28 cases were cured, 23 cases were markedly ef-fect,12 cases were effect and 5 cases were ineffect, the total effective rate being 92.65% ; and in the blocking acupuncture points group, the corresponding figures were 22, 19, 11, 12 cases and 81. 25 % , with . a significant difference between the two groups in the total effective rate (P < 0.05) . Conclusion: Warming needle moxibustion plus herby ex-porteam 645- gera: 150512/di/ra 86 PATIENS WITH RETROGRESSIVE GONARTHRITIS TREATED WITH ACUPUNCTURE,. SHUI SU HUA. journal of clinical acupuncture and moxibustion. 2006;22(2):23 (eng). 646- gera: 150527/di/ra CLINICAL OBSERVATION OF GASTROCNEMIUS MUSCLE DAMAGE TREATED WITH ACUPUNCTURE. YIN BING NAN, BAO DA PENG. journal of clinical acupuncture and moxibustion. 2006;22(3):22 (eng). 647- gera: 150548/di/ra CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECTS OF KNEE OSTEOARTHRISTIS TREATED BY MASSAGE COOPERATED WITH REHABILITATION TRAINING. ZHANG SHAN DONG, LI XIANG, HU SHOU CHUN. journal of clinical acupuncture and moxibustion. 2006;22(4):39 (eng). 648- gera: 151896/cg/ra LE GENOU DU VOLTIGEUR A CHEVAL. COLIN D. 10 eme congres national de la faformec, toulouse. 2006;: (fra). Le genou et la cheville du voltigeur à cheval sont un exemple typique de lésion sportive survenant progressivement, insidieusement, en dehors d'un quelconque traumatisme violent, d'ailleurs, les pathologies aiguës de type entorses, luxations, chocs et chutes sont exclues de cette présentation.La répétitivité du geste « sportif » dans un mouvement pour lequel l'articulation n'a pas été conçue produit des lésions progressives qui empruntent une symptomatologie à mi-chemin entre le vieillissement précoce et l'arthrose, avec le triumvirat complet ou partiel constitué de la douleur, du gonflement et de la rougeur. La pathologie est étudiée selon les 8 Règles, elle intéresse les relations des viscères avec les Liquides Organiques, le Qi et le Sang dans leurs représentations articulaires.La thérapeutique est curative, elle est surtout préventive faisant appel essentiellement 649- gera: 143258/di/re ACUPUNCTURE TREATMENT FOR CHRONIC KNEE PAIN: A SYSTEMATIC . WHITE A, FOSTER NE, CUMMINGS M, BARLAS P. rheumatology (oxford). 2007;40179:X (eng). Objectives. To evaluate the effects of acupuncture on pain and function in patients with chronic knee pain. Methods. Systematic review and meta-analysis of randomized controlled trials of adequate acupuncture. Computerized databases and reference lists of articles were searched in June 2006. Studies were selected in which adults with chronic knee pain or osteoarthritis of the knee were randomized to receive either acupuncture treatment or a control consisting of sham (placebo) acupuncture, other sham treatments, no additional intervention (usual care), or an active intervention. The main outcome measures were short-term pain and
function, and study validity was assessed using a modification of a previously published instrument. Results. Thirteen RCTs were included, of which eight used adequate acupuncture and provided WOMAC outcomes, so were combined in meta- analyses. Six of these had validity scores of more than 50%. Combining five studies in 1334 patients, acupuncture was superior to sham acupuncture for both pain (weighted mean difference in WOMAC pain subscale score = 2.0, 95% CI 0.57-3.40) and for WOMAC function subscale (4.32, 0.60-8.05). The differences were still significant at long-term follow-up. Acupuncture was also significantly superior to no additional intervention. There were insufficient studies to compare acupuncture with other sham or active interventions. Conclusions. Acupuncture that meets criteria for adequate treatment is significantly superior to sham acupuncture and to no additional intervention in improving pain and function in patients with chronic knee pain. Due to the heterogeneity in the results, however, further research is required to confirm these findings and provide more information on long-term 650- gera: 143411/di/re ACUPUNCTURE AND KNEE OSTEOARTHRITIS. PIJAK MR. ann intern med. 2007;146(2):147 (eng). 651- gera: 143412/nd/re ACUPUNCTURE AND KNEE OSTEOARTHRITIS. MURAMATSU S. ann intern med. 2007;146(2):147 (eng). 652- gera: 143413/nd/re ACUPUNCTURE AND KNEE OSTEOARTHRITIS. WETTIG D. ann intern med. 2007;146(2):147-8 (eng). 653- gera: 143419/di/re AURICULAR ACUPUNCTURE FOR ANALGESIA AFTER ARTHROSCOPY. BUCKLEY N. cmaj. 2007;176(2):193-4. (eng). 654- gera: 143420/di/re AURICULAR ACUPUNCTURE FOR PAIN RELIEF AFTER AMBULATORY KNEE SURGERY: A RANDOMIZED TRIAL. USICHENKO TI, KUCHLING S, WITSTRUCK T, PAVLOVIC D, ZACH M, HOFER A, MERK H, LEHMANN C, WENDT M. cmaj. 2007;176(2):179-83. (eng). BACKGROUND: Auricular acupuncture is a promising method for postoperative pain relief. However, there is no evidence for its use after ambulatory surgery. Our aim was to test whether auricular acupuncture is better than invasive needle control for complementary analgesia after ambulatory knee surgery. METHODS: One hundred and twenty patients undergoing ambulatory arthroscopic knee surgery under standardized general anesthesia were randomly assigned to receive auricular acupuncture or a control procedure. Fixed indwelling acupuncture needles were inserted before surgery and retained in situ until the following morning. Postoperative rescue analgesia was directed to achieve pain intensity less than 40 mm on a 100-mm visual analogue scale. The primary outcome measure was the postoperative requirement for ibuprofen between surgery and examination the following morning. RESULTS: Intention-to-treat analysis showed that patients from the control group (n = 59) required more ibuprofen than patients from the auricular acupuncture group (n = 61): median (interquartile range) 600 (200-800) v. 200 (0- 600) mg (p = 0.012). Pain intensity on a visual analogue scale was similar in both groups at all time points registered. The majority of patients in both groups believed that they had received true acupuncture and wanted to repeat it in future. INTERPRETATION: Auricular acupuncture reduced the requirement for ibuprofen after ambulatory knee
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surgery relative to an invasive needle control procedure. 655- gera: 144508/di/re LASER ACUPUNCTURE IN KNEE OSTEOARTHRITIS: A DOUBLE-BLIND, RANDOMIZED CONTROLLED STUDY. YURTKURAN M, ALP A, KONUR S, OZCAKIR S, BINGOL U. photomed laser surg. 2007;25(1):14-20 (eng). Objective: The purpose of this study was to investigate the effects and minimum effective dose of laser acupuncture in knee osteoarthritis (KOA), and to determine if it is superior to placebo treatment (sham) in the evaluation of clinical-functional outcome and quality of life. Methods: In this randomized, placebo-controlled study, patients with grade 2 and 3 primary KOA were selected. Group I (n = 27) received 904-nm low-level laser irradiation with 10 mW/cm(2) power density, 4 mW output power, 0.4 cm(2) spot size, 0.48 J dose per session, and 120-sec treatment time on the medial side of the knee to the acupuncture point Sp9. Group II (n = 25) received placebo-laser therapy at the same place on the same point. Patients in both of the groups had treatment 5 days per week (total duration of therapy was 10 days) and 20 min per day. The study was comprised of a 2-week (10- session) intervention. Participants were evaluated before treatment (baseline), after treatment (2(nd) week), and at the 12(th) week. In this double-blind study, a blind examiner carried out all outcome assesments. The main outcome measures were as follows: pain on movement (pVAS), 50-foot walking time (50 foot w), knee circumference (KC), medial tenderness score (MTS), Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and Nottingham Health Profile (NHP). Results: Statistically significant improvement was observed in PVAS, 50 foot w, and KC in group 1. In Group II, statistically significant improvement was observed in PVAS, 50 foot w, and WOMAC. When groups were compared with each other, the improvement observed in KC was superior in Group I at the 2(nd) week (p = 0.005). Conclusion: Laser acupuncture was found to be effective only in reducing periarticular swelling when compared with placebo laser. 656- gera: 145268/di/ra [OBSERVATIONS ON TREATMENT OF GENUAL OSTEOARTHRITIS BY STRAIGHT POINT-THROUGH-POINT ACUPUNCTURE]. CHEN LUN FEI. shanghai journal of acupuncture and moxibustion. 2007;26(1):26 (chi). (Abstract) Objective To compare the curative effects of straight point-through-point acupuncture and conventional acupuncture on genual osteoarthritis. Methods One hundred and eleven patients with genual osteoarthritis were divided into a straight point-through-point acupuncture group (81 cases) and a conventional acupuncture group (30 cases) and treated. Results The cure rate was 69. 14% in the straight point-through-point acupuncture group and 16. 67% in the conventional acupuncture group; there was a signifi-cant difference between the two groups (P <0. 01) . Conclusion The effect of straight point-through-point acupuncture is superior to that of conventional 657- gera: 145404/di/ra DUHUO JISHENG TANG FOR TREATING OSTEOARTHRITIS OF THE KNEE: A PROSPECTIVE CLINICAL OBSERVATION. LAI JN, CHEN HJ, CHEN C C, LIN JH, HWANG JS, WANG JD. chin med. 2007;2(1):4 (eng). ABSTRACT: BACKGROUND: Little scientific evidence supports the efficacy of herbal medicines in the treatment of degenerative arthritis of the knee. The purpose of this study is to evaluate both the efficacy and safety of a finished Chinese
herbal preparation Duhuo Jisheng Tang (DJT) in reducing symptoms of degenerative osteoarthritis of the knee. METHODS: A prospective follow-up study was carried out in two hospitals in Taipei between April and October 2005. Sixty-eight osteoarthritis patients, with symptoms diagnosed by radiologists, received DJT at a rate of 2.5 g, twice daily for four weeks. Baseline scores were measured on the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index, followed by further measures at the end of weeks 1, 2 and 4. The World Health Organization Quality of Life (WHOQOL) assessment was undertaken as a secondary outcome, with pattern identification questionnaires being adopted. Regression models were constructed to explore the score differences between the baseline and at weeks 2 and 4 by various determinants including age, gender, body mass index (BMI), severity at baseline, use of rescue medication, aversion to cold and flaccidity of the lower back and knees. RESULTS: Among the 68 participants, there were statistically significant reductions in the WOMAC index scores for pain, stiffness and physical functioning in the second and fourth weeks, with effects first appearing during week 2. By week 4, the mean WOMAC index scores had fallen from 22.2 (+/-19.2) to 16.1 (+/- 16.2) for pain, from 28.1 (+/-24.9) to 18.5 (+/-20.3) for stiffness, and from 22.6 (+/-18.0) to 18.2 (+/-17.8) for physical functioning, while the global score for pain under the visual analogue scale (VAS) was reduced from 38.7 (+/-21.5) to 27.8 (+/-19.8). CONCLUSION: In the treatment of degenerative osteoarthritis of the knee, a 4-week therapy with the Chinese herbal preparation DJT reduced pain and stiffness and improved physical functioning, but it was less effective in treating flaccidity and aversion to cold. 658- gera: 145419/di/re GROUP AND HOME-BASED TAI CHI IN ELDERLY SUBJECTS WITH KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. BRISMEE JM, PAIGE RL, CHYU MC, BOATRIGHT JD, HAGAR JM, MCCALEB JA, QUINTELA MM, FENG D, XU KT, SHEN CL. clin rehabil. 2007;21(2):99-111 (eng). OBJECTIVE: To evaluate the effects of tai chi consisting of group and home-based sessions in elderly subjects with knee osteoarthritis. DESIGN: A randomized, controlled, single-blinded 12-week trial with stratification by age and sex, and six weeks of follow-up. SETTING: General community. PARTICIPANTS: Forty-one adults (70 +/- 9.2 years) with knee osteoarthritis. INTERVENTIONS: The tai chi programme featured six weeks of group tai chi sessions, 40 min/session, three times a week, followed by another six weeks (weeks 7 -12) of home-based tai chi training. Subjects were requested to discontinue tai chi training during a six-week follow-up detraining period (weeks 13-18). Subjects in the attention control group attended six weeks of health lectures following the same schedule as the group-based tai chi intervention (weeks 0 -6), followed by 12 weeks of no activity (weeks 7-18). MAIN OUTCOME MEASURES: Knee pain measured by visual analogue scale, knee range of motion and physical function measured by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were recorded at baseline and every three weeks throughout the 18-week study period. Data were analysed using a mixed model ANOVA. RESULTS: The six weeks of group tai chi followed by another six weeks of home tai chi training showed significant improvements in mean overall knee pain (P = 0.0078), maximum knee pain (P = 0.0035) and the WOMAC subscales of physical function (P = 0.0075) and stiffness (P = 0.0206) compared to the baseline. No significant change of any outcome measure was noted in the attention control group throughout the study. The tai chi group reported lower overall pain and better WOMAC
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physical function than the attention control group at weeks 9 and 12. All improvements disappeared after detraining. 659- gera: 145477/di/ra A 60-YEAR-OLD WOMAN CONSIDERING ACUPUNCTURE FOR KNEE PAIN. BERMAN B. jama. 2007;297(15):x (eng). Mrs A, an active 60-year-old woman, has a history of degenerative osteoarthritis of her knee with pain that has progressed over the past 8 years. She has undergone arthroscopic surgery for a meniscal tear and has taken nonsteroidal anti-inflammatory drugs (NSAIDs), glucosamine, and chondroitin sulfate occasionally, but generally does not like taking medications. She is open to other therapeutic approaches and wants to know if acupuncture can help the pain, improve function, and stop her condition from progressing. The evidence for the effectiveness of acupuncture for knee pain and other common treatments, including exercise, NSAIDs, glucosamine and chondroitin, and intra-articular knee injections are compared, and costs and methods of acupuncture and selecting 660- gera: 145533/di/re PHYSICAL ACTIVITY FOR OSTEOARTHRITIS MANAGEMENT: A RANDOMIZED CONTROLLED CLINICAL TRIAL EVALUATING HYDROTHERAPY OR TAI CHI CLASSES. FRANSEN M, NAIRN L, WINSTANLEY J, LAM P, EDMONDS J. arthritis rheum. 2007;57(3):407-14 (eng). OBJECTIVE: To determine whether Tai Chi or hydrotherapy classes for individuals with chronic symptomatic hip or knee osteoarthritis (OA) result in measurable clinical benefits. METHODS: A randomized controlled trial was conducted among 152 older persons with chronic symptomatic hip or knee OA. Participants were randomly allocated for 12 weeks to hydrotherapy classes (n = 55), Tai Chi classes (n = 56), or a waiting list control group (n = 41). Outcomes were assessed 12 and 24 weeks after randomization and included pain and physical function (Western Ontario and McMaster Universities Osteoarthritis Index), general health status (Medical Outcomes Study Short Form 12 Health Survey [SF-12], version 2), psychological well-being, and physical performance (Up and Go test, 50-foot walk time, timed stair climb). RESULTS: At 12 weeks, compared with controls, participants allocated to hydrotherapy classes demonstrated mean improvements (95% confidence interval) of 6.5 (0.4, 12.7) and 10.5 (3.6, 14.5) for pain and physical function scores (range 0-100), respectively, whereas participants allocated to Tai Chi classes demonstrated improvements of 5.2 (-0.8, 11.1) and 9.7 (2.8, 16.7), respectively. Both class allocations achieved significant improvements in the SF-12 physical component summary score, but only allocation to hydrotherapy achieved significant improvements in the physical performance measures. All significant improvements were sustained at 24 weeks. In this almost exclusively white sample, class attendance was higher for hydrotherapy, with 81% attending at least half of the available 24 classes, compared with 61% for Tai Chi. CONCLUSION: Access to either hydrotherapy or Tai Chi classes can provide large and sustained improvements in physical function for many older, sedentary individuals with chronic hip or knee OA. 661- gera: 145835/di/ra [ACUPUNCTURE IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE OR HIP 40]. X. deutsche zeitschrift fur akupunktur. 2007;1:40 (deu). Objective: To investigate the effec-tiveness of acupuncture in addition to routine care, compared with rou-tine care alone, in the treatment of patients with chronic pain due to
osteoarthritis (OA) of the knee or hip.Methods: In a randomized, controlled trial, patients with chronic pain due to OA of the knee or hip were ran-domly allocated to undergo up to 15 sessions of acupuncture in a 3-month period or to a control group receiving no acupuncture. Another group of patients who did not consent to ran-domization underwent acupuncture treatment. All patients were allowedto receive usual medical care in addi-tion to the study treatment.Clinical OA severity (Western Ontario and McMaster Universities Osteo-arthritis Index [WOMAC]) and health-related quality of life (Short Form 36) were assessed at baseline and after 3 months and 6 months.Results: Of 3,633 patients, 357 were randomized to the acupuncture group and 355 to the control group and 2,921 were included in the non-randomized acupuncture group. At 3 months, the WOMAC had improved by a mean ± SEM of 17.6 ±1.0 in the acupuncture group and 0.9 ± 1.0 in the control group (difference in im-provement16.7 ± 1.4; P < 0.001). Sim-ilarly, quality of life improvements were more pronounced in the acu-puncture group versus the control group (P < 0.001). Treatment success was maintained through 6 months. The cha nges in outcome in nonran-domized patients were comparable with those in randomized patients who received acupuncture.Conclusion: These results indicate that acupuncture plus routine care is associated with marked clinical im-provement in patients with chronic OA—associated pain of the knee or hip. 662- gera: 145836/di/ra [ACUPUNCTURE AND KNEE OSTEOARTHRITIS]. X. deutsche zeitschrift fur akupunktur. 2007;1:41 (deu). Background: Despite the popularity of acupuncture, evidence of its efficacy for reducing pain remains equiv-ocal.Objective: To assess the efficacy and I safety of traditional Chinese acupuncture (TCA) compared with sham I acupuncture (needling at defined nonacupuncture points) and conservative therapy in patients withI chronic pain due to osteoarthritis of the knee.Design: Randomized, controlled trial. Setting: 315 primary care practices I staffed by 320 practitioners with at least 2 years' experience in acupunc-ture.Patients: 1007 patients who had had chronic pain for at least 6 months I due to osteoarthritis of the knee (American College of Rheumatology [ACR] criteria and Kellgren-Lawrence score of 2 or 3).Interventions: Up to 6 physiotherapy 1 sessions and as-needed anti- inflammatory drugs plus 10 sessions of TCA,10 sessions of sham acupuncture, or 10 physician visits within 6 weeks.Patients could request up to 5 additional sessions or visits if the initial treatment was viewed as being partially successful. Measurements: Success rate, as defined by at least 36% improvement in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 26 weeks. Addition-al end points were WOMAC score and global patient assessment.Results: Success rates were 53.1 % for TCA, 51.0 % for sham acupuncture, and 29.1 % for conservative therapy. Acupuncture groups had higher success rates than conservative therapy groups (relative risk for TCA compared with conservative therapy, 1.75 [95 %Cl, 1.43 to 2.13]; relative risk for sham acupuncture compared with conser-vative therapy, 1.73 [CI, 1.42 to 2.11]).There was no difference between TCA and sham acupuncture (relative risk, 1.01 [cl, 0.87 to 1.17]). Limitations: There was no blinding between acupuncture and traditional therapy and no monitoring of acu-puncture compliance with study protocol. In general, practitioner-patient contacts were less intense in the con-servative therapy group than in the TCA and sham acupuncture groups.Conclusions: Compared with physio�therapy and as-needed anti-inflam-matory drugs, addition of either TCA or sham acupuncture led to greater improvement in WOMAC score at 26 weeks. No statistically
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significant difference was observed between TCA and sham acupuncture, suggesting that the observed differences could be due to placebo effects, differences in intensity of provider contact, or a physiologic effect of 663- gera: 146071/di/ra [CLINICAL OBSERVATION ON 64 PATIENTS OF PIRIFORMIS SYNDROME BY MASSAGE COMBINED WITH ACUPUNCTURE]. ZHANG RUI JIE. journal of clinical acupuncture and moxibustion. 2007;23(2):22 (chi). 664- gera: 146076/di/ra [CLINICAL OBSERVATION ON 105 PATIENTS OF EARLY OSTEOARTHRITIS OF KNEE JOINT BY ACUPUNCTURE COMBINED WITH MASSAGE]. SHAO LAN QUAN, YU ZE- WEN, ZHU BO -QING, ET AL. journal of clinical acupuncture and moxibustion. 2007;23(2):33 (chi). 665- gera: 146089/di/ra [OBSERVATION ON THE THERAPEUTIC EFFECT OF WARMING NEEDLE MOXIBUSTION ON KNEE OSTEOARTHRITIS]. WANG JINN-GUN , HE LI JUNE. chinese acupuncture and moxibustion. 2007;27(3):191 (chi). Objective To compare clinical therapeutic effects of warming needle moxibustion and acupuncture plus TDP radiation on knee osteoarthritis. Methods Eighty cases conforming with the diagnostic criteria for knee osteoarthritis were randomly divided into a warming needle moxibustion group and an acupuncture plus TDP radiation group. In the two groups, Dubi (ST 35), Xiyan (EX-LE), Yanglingquan (GB 34) ,etc. were selected and the treatment was given once every other day, 10 sessions constituting one course. After treatment of 2 courses, their therapeutic effects were compared. Results The clinically basic recovery rate was 30. 0% n in the warming needle moxibustion group and 10. 0% in the acupuncture plus TDP radiation group, with a very significant difference be-tweenthe two groups (P<0. 01). Conclusion Warming needle moxibustion is an effective therapy for knee osteoarthritis 666- gera: 146127/di/ra THERAPEUTIC EFFECTS OF WARM NEELING PLUS BLOODLETTING AND CUPPING FOR PAIN IN KNEE JOINTS. SONG SHOU JIANG. world journal of acupuncture moxibustion. 2007;2007:55 (eng). Clinically, pain in knee joints is commonly encountered, and it is often intractable. The knee joint pain treated in the present study included the cases induced by rheumatism, rheumatoid arthritis, senile osteoarthritis, trau-matic arthritis, synovitis, meniscus injury, and medial and lateral paraligament injury. It is clinically manifested by pain and swelling in knee joints, difficulty in bending and stretching of the joints and difficulty in walking. Most of the cases had been treated by other therapies with less efficiency. In the present paper 30 cases of knee joint pain were treated by warm needling combined with bloodletting and cupping, and the results showed that the therapy was superior to simple acupuncture. It is reported as follows. 667- gera: 146139/di/ra [OBSERVATIONS ON THE EFFICACY OF EXTERNAL APPLICATION OF HERBAL MEDICINE AS A MAIN TREATMENT FOR GEMINI OSTEOARTHRITIS. ]. ZHANG PING, ZHU YI-CHENG, ZHANG HAO. shanghai journal of acupuncture and moxibustion. 2007;26(4):19 (chi). Objective To investigate the efficacy of external application
of herbal medicine plus injection of hyaluronsan gel for treating genual osteoarthritis. Methods One hundred and thirty-five patients were randomly allocated to a treatment group of 72 cases and a control group of 63 cases. The treatment group was treated by external application of herbal medicine plus injection of hyaluron-san gel and the control group , with Fenbid plus local massage. Results After 3 weeks' treatment, the response rate was 91.67% , in the treatment group and 52.38% in the control group. A chi square test showed a significant difference (P <0.O1.) . Conclusion Ex-ternal application of herbal medicine plus injection of hyaluronsan gel is better than Fenbid in treating genual osteoarthritis. 668- gera: 146152/di/ra INTEGRATED CARE IN PRACTICE: IS ACUPUNCTURE A USEFUL ADJUNCT TO EXERCISE-BASED PHYSIOTHERAPY FOR OLDER ADULTS WITH KNEE PAIN?. FOSTER NEL , THOMAS E1, BARTAS P2, HILL J1, MASON L1, YOUNG J1, HAY EMI. forschende komplementarmedizin and klassische naturheilkunde. 2007;14(S1): (deu). Aims: In the UK, physiotherapists often use acupuncture for pain relief within packages of care for older adults with knee pain and osteoarthri-tis. We tested the effectiveness of adding acupuncture to a package of advice and exercise delivered by physiotherapists in primary care for these patients. Methods: This randomised controlled trial assigned adults aged 50 and over with knee pain to up to 6 advice and exercise sessions (A&E n=116); A&E plus true acupuncture (n=117) or A&E plus non-penetrating acupuncture (both delivered over 7 sessions) 669- gera: 146213/di/ra CLINICAL OBSERVATION ON TREATMENT OF OSTEOARTHRITIS OF KNEE BY NEEDLE-WARNING METHOD AND FUNCTIONAL TRAINING. WU LI-HONG, ZHU GUO-XIANG, GONG YAN-FEI. journal of acupuncture and tuina science. 2007;5(1):51 (eng). Purpose: To observe the long-term and recent clinical effect of needle-warming method plus functional training in the treatment of osteoarthritis of the knee joint. Methods: After 106 cases of the patients were divided into the needle-warming group and comprehensive group by the order of their first visit, the needle-warming group was treated by the needle-warming method and the comprehensive group was treated by the needle-warming method plus functional training. After ten treatments, the clinical data in the two groups were evaluated upon Lequesne scale before and after the treatments. Three months later, follow-up survey was given to process the statistic management of the reoccurrence rate of the symptoms. Results: In the two groups after the treatment, the symptoms of the knee joint and daily life ability were obviously improved than the respective conditions before the treatment, and the integral decreased (P<0.05), with no significant difference (P>0.05) between the two groups. In the follow-up survey, there was a difference (P<0.05) between the two groups in the positive rate of the recurrent symptoms. Conclusion: Certain therapeutic effect exists in the treatment of osteoarthritis of the knee joint by the needle-warming method. If functional training is combined, the therapeutic effect would be more stable, without easy reoccurrence. 670- gera: 146336/di/re MUSCLE ACTIVATION PROFILES ABOUT THE KNEE DURING TAI-CHI STEPPING MOVEMENT COMPARED TO THE NORMAL GAIT STEP. TSENG SC, LIU W, FINLEY M, MCQUADE K. j electromyogr
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kinesiol. 2007;17(3):372-80 (eng). The purpose of this study was to investigate knee muscle activity patterns in experienced Tai-Chi (TC) practitioners during normal walking and TC stepping\. The electromyographic (EMG) activity of vastus lateralis (VL), vastus medialis (VM), bicep femoris (BF), and gastrocnemius (GS) muscles of 11 subjects (five females and six males) during the stance phase of normal walking was compared to stance phase of a TC step\. Knee joint motion was also monitored by using an Optotrak motion analysis system\. Raw EMG was processed by root-mean-square (RMS) technique using a time constant of 50 ms, and normalized to maximum of voluntary contraction for each muscle, referred to as normalized RMS (nRMS)\. Peak nRMS and co-contraction (quantified by co-contraction index) during stance phase of a gait cycle and a TC step were calculated\. Paired t-tests were used to compare the difference for each muscle group peak and co-contraction pair between the tasks\. The results showed that only peak values of nRMS in quadriceps and co-contraction were significantly greater in TC stepping compared to normal walking (Peak values of nRMS for VL were 26.93% for normal walking and 52.14% for TC step, p=0.001; VM are 29.12% for normal walking and 51.93% for TC stepping, p=0.028)\. Mean co-contraction index for VL-BF muscle pairs was 13.24+/-11.02% during TC stepping and 9.47+/-7.77% in stance phase of normal walking (p=0.023)\. There was no significant difference in peak values of nRMS in the other two muscles during TC stepping compared to normal walking\. Preliminary EMG profiles in this study demonstrated that experienced TC practitioners used relatively higher levels of knee muscle activation patterns with greater co-contraction during TC exercise compared to normal walking. 671- gera: 146350/di/re META-ANALYSIS: ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE. MANHEIMER E, LINDE K, LAO L, BOUTER LM, BERMAN BM. ann intern med. 2007;146(12):868-77 (eng). BACKGROUND: Knee osteoarthritis is a major cause of pain and functional limitation\. PURPOSE: To evaluate the effects of acupuncture for treating knee osteoarthritis\. DATA SOURCES: Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE databases to January 2007\. No language restrictions were applied\. STUDY SELECTION: Randomized trials longer than 6 weeks in duration that compared needle acupuncture with a sham, usual care, or waiting list control group for patients with knee osteoarthritis\. DATA EXTRACTION: Two authors independently agreed on eligibility, assessed methodological quality and acupuncture adequacy, and extracted outcome data on pain and function measures\. DATA SYNTHESIS: Eleven trials met the selection criteria, and 9 reported sufficient data for pooling\. Standardized mean differences were calculated by using differences in improvements from baseline between patients assigned to acupuncture and those assigned to control groups\. Compared with patients in waiting list control groups, patients who received acupuncture reported clinically relevant short-term improvements in pain (standardized mean difference, -0.96 [95% CI, -1.21 to -0.70]) and function (standardized mean difference, -0.93 [CI, -1.16 to -0.69])\. Patients who received acupuncture also reported clinically relevant short- and long-term improvements in pain and function compared with patients in usual care control groups\. Compared with a sham control, acupuncture provided clinically irrelevant short-term improvements in pain (standardized mean difference, -0.35 [CI, -0.55 to -0.15]) and function (standardized mean difference, -0.35 [CI, -0.56 to -0.14]) and clinically irrelevant long-term improvements in pain (standardized mean
difference, -0.13 [CI, -0.24 to -0.01]) and function (standardized mean difference, -0.14 [CI, -0.26 to -0.03])\. LIMITATION: Sham-controlled trials had heterogeneous results that were probably due to the variability of acupuncture and sham protocols, patient samples, and settings\. CONCLUSIONS: Sham-controlled trials show clinically irrelevant short-term benefits of acupuncture for treating knee osteoarthritis\. Waiting list-controlled trials suggest clinically relevant benefits, some of which may be due to placebo or expectation effects. 672- gera: 146379/di/re SEVERE KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL OF ACUPUNCTURE, PHYSIOTHERAPY (SUPERVISED EXERCISE) AND STANDARD MANAGEMENT FOR PATIENTS AWAITING KNEE REPLACEMENT. WILLIAMSON L, WYATT MR, YEIN K, MELTON JT. rheumatology (oxford). 2007;jun 29:x (eng). Objective\. To evaluate the effects of standardized western acupuncture and physiotherapy on pain and functional ability in patients with severe osteoarthritic knee pain awaiting knee arthroplasty\. Methods\. Three-arm, assessor- blind, randomized controlled trial\. Participants: 181 patients awaiting knee arthroplasty\. Interventions: acupuncture for 6 weeks; physiotherapy for 6 weeks; standardized advice\. Main outcome measures: Oxford Knee Score questionnaire (OKS) (primary); 50 m timed walk, and duration of hospital stay following knee arthroplasty\. Results\. There was no baseline difference between groups\. At 7 weeks, there was a 10% reduction in OKS in the acupuncture group which was a significant difference between the acupuncture and the control group: Mean (s.d.) acupuncture 36.8 (7.20); physiotherapy 39.2 (8.22); control 40.3 (8.48) (P = 0.0497)\. These effects were no longer present at 12 weeks\. There was a trend (P = 0.0984) towards a shorter in-patient stay of 1 day for the physiotherapy group [mean 6.50 days (s.d\. 2.0)] compared with the acupuncture group [mean 7.77 days (s.d\. 3.96)]\. Conclusions\. We have demonstrated that patients with severe knee osteoarthritis can achieve a short-term reduction in OKS when treated with acupuncture\. However, we failed to demonstrate any other clinically or statically significant effects between the groups\. Both interventions can be delivered effectively in an out-patient group setting at a district general hospital\. Further study is needed to evaluate the combined effects of these treatments. 673- gera: 146395/nd/re REHABILITATION OF DISTAL TIBIOFIBULAR SYNDESMOSIS SPRAINS: A CASE REPORT. PAJACZKOWSKI JA. jcca j can chiropr assoc. 2007;5151°:42-9 (eng). OBJECTIVE: To present the epidemiology, etiology, diagnostic criteria and therapeutic interventions for an important clinical entity - tibiofibular syndesmosis or "high ankle" sprains. CLINICAL FEATURES: The most common mechanism of injury is forced external rotation in a dorsiflexed foot. Pain is located anteriorly over the anterior tibiofibular ligament, and is elicited through a variety of tests designed to stress this articulation through diastatic forces. Pain with ambulation is typical, and is usually present during the push-off phase of gait. Radiographs may be useful in determining the extent of this injury, as syndesmotic sprains with malleolar fractures are more common than those without. INTERVENTION AND OUTCOME: Convalescence is generally protracted compared with a lateral ankle sprain, and care must be taken to avoid stressing the supporting ligaments during the early course of therapy. Initial treatment is aimed at reducing pain and inflammation using modalities such as microcurrent, electroacupuncture
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and P.R.I.C.E. principles. Treatment over subsequent weeks involves progressive resistance exercises, proprioceptive challenges, plyometric exercises and sport-specific agility drills, while maintaining cardiovascular fitness. CONCLUSION: The practitioner should also be cognizant of the indolent nature of this injury and possibility for sequelae. Anterior ankle pain and pain with a deep squat or during the push-off phase of gait are typical of this injury. Radiographs to rule out fracture and evaluate the extent of the injury may be warranted. Conservative therapy involving rehabilitation and tissue injury care is appropriate for Grade I and II injuries, while Grade III injuries require a surgical intervention. 674- gera: 146401/di/ra EVIDENCE FROM RCTS ON OPTIMAL ACUPUNCTURE TREATMENT FOR KNEE OSTEOARTHRITIS--AN EXPLORATORY REVIEW. VAS J, WHITE A. acupunct med. 2007;25(1-2):36-40 (eng). There are many differing opinions on what constitutes an optimal acupuncture dose for treating any particular patient with any particular condition, and only direct comparisons of different methods in a clinical trial will provide information on which reliable decisions can be made. This article reviews the recent research into acupuncture treatment for osteoarthritis of the knee, to explore whether any aspects of treatment seem more likely to be associated with good outcome of treatment. Among four recent, high quality RCTs, one showed a much greater treatment response than the other three, and the possible factors are discussed. A recent systematic review included 13 RCTs, and this article discusses the possible explanations for differences in their outcomes. It is speculated that optimal results from acupuncture treatment for osteoarthritis of the knee may involve: climatic factors, particularly high temperature; high expectations of patients; minimum of four needles; electroacupuncture rather than manual acupuncture, and particularly, strong electrical stimulation to needles placed in muscle; and a course of at least 10 treatments. These factors offer some support to criteria for adequate acupuncture used in the recent review. In addition, ethnic and cultural factors may influence patients' reporting of their symptoms, and different versions of an outcome measure are likely to differ in their sensitivity - both factors which may lead to apparent rather than real differences between studies. The many variables in a study are likely to be more tightly controlled in a single centre study than in multicentre studies. 675- gera: 146448/di/ra SHORT-TERM EFFICACY OF PHYSICAL INTERVENTIONS IN OSTEOARTHRITIC KNEE PAIN\. A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMISED PLACEBO-CONTROLLED TRIALS. BJORDAL JM, JOHNSON MI, LOPES-MARTINS RA, BOGEN B, CHOW R, LJUNGGREN AE. bmc musculoskelet disord. 2007;8(1):51 (eng). ABSTRACT: BACKGROUND: Treatment efficacy of physical agents in osteoarthritis of the knee (OAK) pain has been largely unknown, and this systematic review was aimed at assessing their short-term efficacies for pain relief\. Aims and methods: Systematic review with meta-analysis of efficacy within 1-4 weeks and 5-12 weeks\. RESULTS: 36 randomised placebo-controlled trials (RCTs) were identified with 2434 patients where 1391 patients received active treatment\. 33 trials satisfied three or more out of five methodological criteria (Jadad scale)\. The patient sample had a mean age of 65.1 years and mean baseline pain of 62.9 mm on a 100 mm visual analogue scale (VAS)\. Within 4
weeks of the commencement of treatment manual acupuncture, static magnets and ultrasound therapies did not offer statistically significant short-term pain relief over placebo\. Pulsed electromagnetic fields offered a small reduction in pain of 6.9 mm [95% CI: 2.2 to 11.6] (n=487)\. Transcutaneous electrical nerve stimulation (TENS, including interferential currents), electro-acupuncture (EA) and low level laser therapy (LLLT) offered clinically relevant pain relieving effects of 18.8 mm [95% CI: 9.6 to 28.1] (n=414), 21.9 mm [95% CI: 17.3 to 26.5] (n=73) and 17.7 mm[95% CI: 8.1 to 27.3] (n=343) on VAS respectively versus placebo control\. In a subgroup analysis of trials with assumed optimal doses, short-term efficacy increased to 22.2 mm [95% CI: 18.1 to 26.3] for TENS, and 24.2 mm [95% CI: 17.3 to 31.3] for LLLT on VAS\. Follow-up data up to 12 weeks were sparse, but positive effects seemed to persist for at least 4 weeks after the course of LLLT, EA and TENS treatment was stopped\. CONCLUSION: TENS, EA and LLLT administered with optimal doses in an intensive 2-4 week treatment regimen, seem to offer clinically relevant short-term pain relief for OAK. 676- gera: 146563/di/ra [EFFECTS OF ELECTROACUPUNCTURE ON SYNOVIA IL-1BETA AND TNF-ALPHA CONTENTS IN THE RABBIT WITH KNEE OSTEOARTHRITIS]. HUANG J, ZHUO LS, WANG YY, PENG ZL, HUANG YR, WANG Y, YANG L. acupuncture research. 2007;32(2):115-8 (chi). OBJECTIVE: To observe the effect of electroacupuncture (EA) on synovia IL-1beta and TNF-alpha contents in rabbits with knee osteoarthritis (KOA). METHODS: A total of 40 New Zealand rabbits were randomly divided into control, model, massage and EA groups. KOA model was established by gypsum fixing method. EA (2 Hz, 1-3 mA) was applied to left "Xiyan" (EX-LE 5), "Yanglingquan" (GB 34), "Xuehai" (SP 10), "Zusanli" (ST 36) and "Liangqiu" (ST 34) for 30 min, once daily and continuously for 21 days. For massage group, the affected knee joint was pressed, kneaded, stretched and rotated repeatedly for 15 min every time, followed by forced running about 100 m. The intra-joint synovia was collected (0.4-0.6 mL) for detecting the contents of IL-1beta and TNF-alpha with radioimmunoassay. RESULTS: No IL-1beta and TNF-alpha were detected in the synovia in control group, while in the other 3 groups, synovia IL-1beta and TNF-alpha levels increased significantly. Before treatment, no significant differences were found among model, EA and massage groups in the levels of IL-1beta and TNF-alpha (P > 0.05), while after the treatment the two indexes both decreased considerably (P < 0.05). Compared with model group, the two indexes were remarkably lower (P < 0.05), but no significant differences were found between EA and massage groups in synovia IL-1beta and TNF-alpha contents (P > 0.05). CONCLUSION: Both EA and massage can effectively suppress the release of synovia IL-1beta and TNF-alpha in KOA of rabbits, which may contribute to the effect of acupuncture in the treatment of osteoarthritis. 677- gera: 146600/nd/ra [CONSERVATIVE THERAPY OF KNEE OSTEOARTHRITIS]. SCHUH A, JEZUSSEK D, FABIJANI R, HONLE W. mmw fortschr med. 2007;149:31-32 (deu). Many highly effective measures as well as orthopaedic aids are available for the conservative therapy of knee osteoarthritis\. When appropriately implemented for the stage of the disease,they can clearly alleviate the patient's symptoms\. However, physiotherapy, physical therapy, balneotherapy and the usual conservative treatment options are not capable of stopping the progression of knee
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osteoarthritis\. Other conservative therapeutic options such as magnetic field therapy, pulse signal therapy, radiotherapy, radiosynoviorthesis, acupuncture and drug therapies improve symptoms to different extents\. For this reason, their application should always be critically evaluated. 678- gera: 146610/di/ra PHYSICIAN AND TREATMENT CHARACTERISTICS IN A RANDOMISED MULTICENTRE TRIAL OF ACUPUNCTURE IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE. BRINKHAUS B, WITT CM, JENA S, LINDE K, STRENG A, HUMMELSBERGER J, IRNICH D, HAMMES M, PACH D, MELCHART D, WILLICH SN. complement ther med. 2007;15(3):180-9 (eng). OBJECTIVE: The aim of this paper is to describe the treatment and physician characteristics in a randomised trial of acupuncture for osteoarthritis of the knee\. DESIGN: Three-armed, randomised, controlled multicentre trial with 1-year follow-up\. SETTING: Twenty-eight outpatient centres in Germany\. INTERVENTIONS: A total of 294 patients with osteoarthritis of the knee were randomised to 12 sessions of semi-standardised acupuncture (at least 6 local and 2 distant points needled per affected knee from a selection of predefined points, but individual choice of additional body or ear acupuncture points possible), 12 sessions of minimal acupuncture (superficial needling of at least 8 of 10 predefined, bilateral, distant non-acupuncture points) or a waiting list control (2 months no acupuncture)\. OUTCOME: Participating trial physicians and interventions\. RESULTS: Forty-seven physicians specialised in acupuncture (mean age 43+/-8 years, 26 females) provided study interventions in 28 outpatient centres in Germany\. The median duration of acupuncture training completed by participating physicians was 350h (range 140-2508)\. The total number of needles used was 17.4+/-4.8 in the acupuncture group compared to 12.9+/-3.3 in the minimal acupuncture group\. In total, 39 physicians (83%) stated that they would have treated patients in either a similar or in exactly the same way outside of the trial, whereas 7 (15%) stated that they would have treated patients differently (1 missing)\. CONCLUSIONS: Our documentation of the trial interventions shows that semi-standardised acupuncture strategy represents an acceptable compromise for efficacy studies\. However, a substantial minority of participating trial physicians stated that they would have treated patients differently outside of the trial. 679- gera: 146613/di/ra ACUPUNCTURE AS AN ADJUNCT TO EXERCISE BASED PHYSIOTHERAPY FOR OSTEOARTHRITIS OF THE KNEE: RANDOMISED CONTROLLED TRIAL. FOSTER NE, THOMAS E, BARLAS P, HILL JC, YOUNG J, MASON E, HAY EM. bmj. 2007;aug 15:x (eng). OBJECTIVE: To investigate the benefit of adding acupuncture to a course of advice and exercise delivered by physiotherapists for pain reduction in patients with osteoarthritis of the knee\. DESIGN: Multicentre, randomised controlled trial\. SETTING: 37 physiotherapy centres accepting primary care patients referred from general practitioners in the Midlands, United Kingdom\. PARTICIPANTS: 352 adults aged 50 or more with a clinical diagnosis of knee osteoarthritis\. INTERVENTIONS: Advice and exercise (n=116), advice and exercise plus true acupuncture (n=117), and advice and exercise plus non-penetrating acupuncture (n=119)\. MAIN OUTCOME MEASURES: The primary outcome was change in scores on the Western Ontario and McMaster Universities osteoarthritis index pain subscale at six months\. Secondary outcomes included function, pain intensity, and unpleasantness of pain
at two weeks, six weeks, six months, and 12 months\. RESULTS: Follow-up rate at six months was 94%\. The mean (SD) baseline pain score was 9.2 (3.8)\. At six months mean reductions in pain were 2.28 (3.8) for advice and exercise, 2.32 (3.6) for advice and exercise plus true acupuncture, and 2.53 (4.2) for advice and exercise plus non-penetrating acupuncture\. Mean differences in change scores between advice and exercise alone and each acupuncture group were 0.08 (95% confidence interval -1.0 to 0.9) for advice and exercise plus true acupuncture and 0.25 (-0.8 to 1.3) for advice and exercise plus non-penetrating acupuncture\. Similar non-significant differences were seen at other follow-up points\. Compared with advice and exercise alone there were small, statistically significant improvements in pain intensity and unpleasantness at two and six weeks for true acupuncture and at all follow-up points for non-penetrating acupuncture\. CONCLUSION: The addition of acupuncture to a course of advice and exercise for osteoarthritis of the knee delivered by physiotherapists provided no additional improvement in pain scores\. Small benefits in pain intensity and unpleasantness were observed in both acupuncture groups, making it unlikely that this was due to acupuncture needling effects\. Trial registration Current Controlled Trials ISRCTN88597683. 680- gera: 146738/di/re EFFECTS OF ACUPUNCTURE AND SHAM ACUPUNCTURE IN ADDITION TO PHYSIOTHERAPY IN PATIENTS UNDERGOING BILATERAL TOTAL KNEE ARTHROPLASTY A RANDOMIZED CONTROLLED TRIAL. TSANG RC, TSANG PL, KO CY, KONG BC, LEE WY, YIP HT. clin rehabil. 2007;21(8):719-28 (eng). Objective: To compare the acute effects of acupuncture with sham acupuncture on knee pain, range of motion and ambulation in patients with knee osteoarthritis undergoing bilateral total knee arthroplasty, when added to a standard postoperative physiotherapy programme.Design: Prospective patient- and assessor-blinded randomized controlled trial.Setting: Acute inpatient physiotherapy department.Patients: Thirty patients (24 women and 6 men) undergoing bilateral total knee arthroplasty were included for final analysis in the study.Interventions: Both groups received a standard postoperative physiotherapy programme. Each patient was also given either 10 sessions of acupuncture or sham acupuncture within two weeks.Main outcome measures: The primary outcome measures were the levels of pain at rest and at maximum after exercise measured by the numeric pain rating scale. Other outcome measures included active and passive ranges of knee motion measured by standard goniometer, and ambulation measured by the timed up-and-go test.Results: Thirty-six patients were recruited at the start of the study with 18 patients allocated to the acupuncture group and another 18 patients to the sham acupuncture group. On postoperative day 15, there were 30 patients with complete data; three patients in each group dropped out from the study. The mean differences (95% confidence interval (CI)) in overall averages of postoperative mean pain levels were 0.4 (-0.6 to 1.3) and -0.8 (-2.0 to 0.4) at rest and at maximum respectively. There were no significant differences in the active and passive ranges of knee motion and the time for the timed up-and-go test between the two groups.Conclusion: There is no difference between the acute effects of acupuncture and sham acupuncture in addition to standard postoperative physiotherapy programme in patients with knee osteoarthritis undergoing bilateral total knee arthroplasty. 681- gera: 146740/nd/ra ULTRASOUND GUIDED DRY NEEDLING AND
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AUTOLOGOUS BLOOD INJECTION FOR PATELLAR TENDINOSIS. JAMES SL, ALI K, POCOCK C, ROBERTSON C, WALTER J, BELL J, CONNELL D. br j sports med. 2007;41(8):518-21 (eng). OBJECTIVE: To evaluate the efficacy of ultrasound guided dry needling and autologous blood injection for the treatment of patellar tendinosis. DESIGN: Prospective cohort study. SETTING: Hospital/clinic based. PATIENTS: 47 knees in 44 patients (40 men, 7 women, mean age 34.5 years, age range 17 to 54 years) with refractory tendinosis underwent sonographic examination of the patellar tendon following referral with a clinical diagnosis of patellar tendinosis (mean symptom duration 12.9 months). INTERVENTIONS: Ultrasound guided dry needling and injection of autologous blood into the site of patellar tendinosis was performed on two occasions four weeks apart. MAIN OUTCOME MEASURES: Pre- and post-procedure Victorian Institute of Sport Assessment scores (VISA) were collected to assess patient response to treatment. Follow up ultrasound examination was done in 21 patients (22 knees). RESULTS: Therapeutic intervention led to a significant improvement in VISA score: mean pre-procedure score = 39.8 (range 8 to 72) v mean post procedure score = 74.3 (range 29 to 100), p<0.001; mean follow up 14.8 months (range 6 to 22 months). Patients were able to return to their sporting interests. Follow up sonographic assessment showed a reduction in overall tendon thickness and in the size of the area of tendinosis (hypoechoic/anechoic areas within the proximal patellar tendon). A reduction was identified in interstitial tears within the tendon substance. Neovascularity did not reduce significantly or even increased. CONCLUSIONS: Dry needling and autologous blood injection under ultrasound guidance shows promise as a treatment for patients with patellar tendinosis. 682- gera: 146783/nd/ra [OBSERVATION ON THE THERAPEUTIC EFFECT OF PAINLESS FESTERING MOXIBUSTION ON KNEE OSTEOARTHRITIS]. FU Y, KANG MF, CHEN RX, ZHANG B, ZHANG HF. chinese acupuncture & moxibustion. 2007;27(7):513-5 (chi). OBJECTIVE: To observe the therapeutic effect of painless festering moxibustion on knee osteoarthritis and to probe into a new therapy. METHODS: Thirty-four cases of knee osteoarthritis were treated with painless festering moxibustion at the best moxibustion part close to the knee joint. The internationally acknowledged knee joint function rating scale (percentage method) including such indexes as pain, walking, joint flexion mobility, instability, engorgement, stair activity and twist-locking before and after treatment was used for assessment of the therapeutic effect. RESULTS: Ten cases were cured, 14 cases were markedly effective, 9 cases were effective and 1 cases was ineffective, with a total effective rate of 97.060%. CONCLUSION: Painless festering moxibustion has 683- gera: 146956/nd/ra ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE. X. drug ther bull. 2007;45(10):76-9 (eng). About 10% of people aged over 55 years in the UK report having some restriction of daily activity because of knee osteoarthritis, around 25% of whom are severely disabled.1 Every year, symptomatic knee osteoarthritis accounts for about 0.5% of all primary care consultations in those over 55 years, rising to 1% in those over 70 years.1 Acupuncture is increasingly being used within the NHS, particularly for painful conditions such as osteoarthritis,2,3 but its place within mainstream healthcare remains controversial. Here we examine what, if anything, acupuncture offers in the management of patients with osteoarthritis of the knee.
684- gera: 147013/nd/ra MANAGEMENT OF CHRONIC KNEE PAIN. HERBERT R, FRANSEN M. bmj. 2007;335(7624:786 (eng). 685- gera: 147047/co/ra PHYSICAL THERAPY INTERVENTIONS FOR PATIENTS WITH OSTEOARTHRITIS OF THE KNEE: AN OVERVIEW OF SYSTEMATIC REVIEWS. JAMTVEDT G, DAHM KT, CHRISTIE A, MOE RH, HAAVARDSHOLM E, HOLM I, HAGEN KB. phys ther. 2007;nov 6:53-67 (eng). Patients with osteoarthritis of the knee are commonly treated by physical therapists. Practice should be informed by updated evidence from systematic reviews. The purpose of this article is to summarize the evidence from systematic reviews on the effectiveness of physical therapy for patients with knee osteoarthritis. Systematic reviews published between 2000 and 2007 were identified by a comprehensive literature search. We graded the quality of evidence across reviews for each comparison and outcome. Twenty-three systematic reviews on physical therapy interventions for patients with knee osteoarthritis were included. There is high-quality evidence that exercise and weight reduction reduce pain and improve physical function in patients with osteoarthritis of the knee. There is moderate-quality evidence that acupuncture, transcutaneous electrical nerve stimulation, and low-level laser therapy reduce pain and that psychoeducational interventions improve psychological outcomes. For other interventions and outcomes, the quality of evidence is low or there is no evidence from systematic reviews. 686- gera: 147052/di/re EFFICACY OF PERIOSTEAL STIMULATION THERAPY FOR THE TREATMENT OF OSTEOARTHRITIS-ASSOCIATED CHRONIC KNEE PAIN: AN INITIAL CONTROLLED CLINICAL TRIAL. WEINER DK, RUDY TE, MORONE N, GLICK R, KWOH CK. j am geriatr soc. 2007;55(10):1541-7 (eng). OBJECTIVES: To examine the efficacy of periosteal stimulation therapy (PST, osteopuncture) for the treatment of chronic pain associated with advanced knee osteoarthritis. DESIGN: Randomized, controlled clinical trial. SETTING: Outpatient pain clinic. PARTICIPANTS: Eighty-eight community-dwelling older adults with moderate knee pain or greater for 3 months or longer and Kellgren-Lawrence (K-L) grade 2 through 4 radiographic severity (80% had K-L 4). INTERVENTION: Participants were randomized to receive PST or control PST once a week for 6 weeks. MEASUREMENTS: Pain severity and self-reported function (Western Ontario and McMasters University Osteoarthritis Index (WOMAC)) and physical performance (Short Physical Performance Battery (SPPB)) were assessed at baseline, after the last PST session (post), and 3 months later (follow-up). Pain severity was also assessed monthly using the multidimensional pain inventory short form. RESULTS: Pain was reduced significantly more in the PST group than in the control PST group at post (P=.003; mean WOMAC pain subscale baseline 9.4 vs 6.4) and 1 month later (P<.001), but by 2 months, pain levels had regressed to pre-intervention levels. The group-by-time interaction for the WOMAC function scale was significant at post (P=.04) but not at follow-up (P=.63). No significant group differences were found for the SPPB. Neither analgesic use nor global improvement differed between groups. There were four treatment dropouts. CONCLUSION: PST affords short-term modest pain reduction for older adults with advanced knee OA. Future research should test the effectiveness of booster
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treatments in sustaining analgesic benefits and of combining PST with therapeutic exercise in ameliorating disability risk. 687- gera: 147272/di/ra CLINICAL OBSERVATION ON TREATMENT OF KNEE OSTEOARTHRITIS WITH ACUPUNCTURE PLUS TUINA. SUN KUI, ET AL. journal of acupuncture and tuina science. 2007;5(5):288 (eng). Objective: To investigate the efficacy of specific point acupuncture and manipulative adjustment on muscle strength of the knee osteoarthritis. Method: One hundred and five patients were randomly allocated to two groups. Sixty-eight cases in the treatment group were treated by specific point acupuncture and manipulative adjustment on muscle strength of the knee joint. While 37 cases in the control group were treated with specific point acupuncture alone. Result: The total effective rate was significantly higher in the treatment group than in the control group (P<0.05). Conclusion: Specific point acupuncture and manipulative adjustment on muscle strength 688- gera: 147282/di/ra OBSERVATION ON THERAPEUTIC EFFECT OF WARM ACUPUNCTURE IN TREATING PATELLAR LIGAMENT STRAIN. XU Yi-qiang. journal of acupuncture and tuina science. 2007;5(5):319 (eng). The needles were inserted in the center of inferior margin and on the left and right sides of patella. Then moxibustion with warning needle and electroacupuncture were used respectively to treat 25 cases of patellar ligament strain. The effective rates were 96.0% and 69.6% respectively. 689- gera: 147354/di/ra EFFECTIVE COMPARISON OF 304 CASES OF KNEE OSTEOARTHRITIS TREATED BY ACUPUNCTURE. CHEN YAN KUN. journal of clinical acupuncture and moxibustion. 2007;23(8):19 (eng). 690- gera: 147369/di/ra COMPARISON OF THE EFFECTIVENESS OF THE TRADITIONAL ACUPUNCTURE POINT, ST. 36 AND OMURA'S ST.36 POINT (TRUE ST. 36) NEEDLING. OZERKAN KN,BAYRAKTAR B,SAHINKAYA T, GOKSU OC, YUCESIR I, YILDIZ S. acupuncture and electrotherapeutics research. 2007;32(1-2):71 (eng). The purpose of this study was to compare the effects of the Traditional acupuncture point ST.36 and 'Omura's ST.36 Point' ("True ST.36") needling on the isokinetic knee extension & flexion strength of young soccer players. The Bi-Digital O-Ring Test (B.D.O.R.T.) of Yoshiaki Omura, M.D.,Sc.D. was used to determine the "True ST.36". Young soccer players (N= 24) between 16-18 years of age (Mean = 16.92 ± 0.65) were involved in the study. The extension & flexion strengths of dominant legs were measured with Cybex 350 Extremity System isokinetically. The testing velocity was 60°/sec. The peak torque value in Newton meters (Nm) was evaluated. Subjects were tested 3 times. Extension & Flexion 1 (EXTI, FLEXI) without acupuncture application, EXT2 & FLEX2 after application on the traditional acupuncture point, ST.36 and EXT3 & FLEX3 after application onto the `Omura's New Foot- point'("True ST.36"). Before each test, subjects warmed up for 10 minutes by cycling on an isokinetic ergometer at 50 RPM, 75 Watts load followed by stretching exercises of lower extremity. Mean EXT1, EXT2, EXT3 values were 196,92±28,70; 210,00±23,00; 224,42±21,70 respectively, where FLEXI, FLEX2, FLEX3 were 140,88±22,45; 151,13±21,27; 161,00± 22,23. Comparisons of EXTI-EXT2, EXTI-EXT3, EXT2-EXT3, FLEXIFLEX2, FLEX 1- FLEX3, FLEX2-FLEX3 strength values showed all very high
691- gera: 147423/di/ra MANAGING OSTEOARTHRITIC KNEE PAIN. BARRON MC, RUBIN BR. j am osteopath assoc. 2007;107(10):es21-7 (eng). Osteoarthritis is one of the most common forms of arthritis seen in primary care practice. Pain associated with this condition is the chief complaint of most patients, prompting them to seek medical attention. Pain can originate from the synovial membrane, joint capsule, periarticular muscles and ligaments, and periosteum and subchondral bone, among other sources. Although osteoarthritis is traditionally thought of as a noninflammatory type of arthritis, inflammatory mechanisms can be present. Therefore, management of osteoarthritic pain involves both nonpharmacologic and pharmacologic modes of therapy. Nonpharmacologic approaches include osteopathic manipulative treatment, physical therapy, exercise, use of assistive devices, and weight reduction. Pharmacologic options may be topical, intra-articular, or oral in route of administration and include acetaminophen, nonsteroidal anti-inflammatory drugs, and opioids. Patients often benefit from combinations of therapeutic modalities. Although pain relief is a chief motivator for patients with osteoarthritis to seek medical attention, a secondary benefit of 692- gera: 147668/di/ra [BIBLIOMETRIC ANALYSIS OF LITERATURE ON ACUPUNCTURE AND MOXIBUSTION FOR TREATMENT OF KNEE OSTEOARTHRITIS]. LI L, LI N, WU B. chinese acupuncture & moxibustion. 2007;27(11):862 (chi). OBJECTIVE: To reflect present situation of studies on acupuncture and moxibustion for treatment of knee osteoarthritis (KOA), so as to provide thinking and evidence for further studies. METHODS: Quantitative analysis on acupuncture and moxibustion treatment of KOA is carried out with bibliometric method, using CNKI as data resource. RESULTS: Altogether 98 papers are effective, which are published on 48 journals; more clinical studies are involved; combined therapy is commonly-uesd method, and Yanglingquan (GB 34), Xuehai (SP 10), Neixiyan (EX-LE 4), Dubi (ST 35) are commonly-used acupoints. CONCLUSION: The level of clinical study on acupuncture and moxibustion treatment of KOA is lower; studies on the mechanism are insufficient; it is suggested that studies on the best combined program of comprehensive treatment ways need to be further strengthened. 693- gera: 147684/di/ra ACUPUNCTURE AND KNEE PAIN. JAN NASLUNG. east west integration medicine. 2007;4(5):3 (eng). Osteoarthritis and patellofemoral pain syndrome are the two most common diagnoses for pain in the knee region. The aetiology and pathophysiology of both conditions still remain relatively unknown while the pain mechanism underlying both conditions also remains unclear - though local and central sensitization of pain pathways may be involved. Acupuncture is recognized as a mode of sensory stimulation. It is a potent way of alleviating pain in conditions classified as being nociceptive. It does this by activating the endogenous system at different levels. Peripherally, acupuncture increases the nutritional blood flow while at the supraspinal level accupuncture stimulates the release of endogenous opioids - a process seemingly essential in the induction of functional changes in different organ systems. One systematic review shows strong evidence supporting acupuncture treatment in osteoarthritis. However, for patellofemoral pain syndrome no reviews were found as only two randomized controlled trials have been published. In the
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future the different aspects of both pain and acupuncture mechanisms must be taken into account in order to 694- gera: 147779/di/ra CLINICAL REPORT ON TREATING 100 KNEE OSTEOARTHRITIS CASES WITH ELECTRO-WARMING ACUPUNCTURE. SHENG P, SHIPING HA, JINYING TIAN, CONG CHENG, YUEXIA LI international journal of clinical medicine. 2007;16(3):183 (eng). Osteoarthritis is a kind of disease with clinical manifestations of arthralgia, including limitation of movement caused by chronic and progressive denaturation and destruction of articular cartilage, sclerosis of subchondral bone, reactive hyperplasia and osteophyte formation in the joint and subchondral bone. Osteoarthritis is often seen in middle/old-aged people. In recent years, we have treated osteoarthritis mostly by using electro-warming acupuncture, and have compared the results with the electroacupuncture method. A report of the results follows. 695- gera: 147781/di/ra OBSERVATION ON THERAPEUTIC EFFECT OF KNEE OSTEOARTHRITIS TREATED BY ELECTROACUPUNCTURE. FEI BAO AND ZHIHONG WU. international journal of clinical medicine. 2007;16(3):191 (eng). Objective: To observe the therapeutic effect of osteoarthritis treated by electroacupuncture. Methods: Forty cases of knee osteoarthritis patients were randomly divided into two groups. Patients in the electroacupuncture group were treated by electroacupuncture for one month. At the same time, patients in the control group were given Diclofenac sodium orally. Motor function of knee joints was evaluated before and after treatment according to Lysholm knee scoring scale. Results: All of the scores in the electroacupuncture group were improved with significant differences compared to those of before treatment (P<0.01—P<0.05), with the exception of the item "demands for support." In the control group, compared to those items before treatment, there was a significant difference in "pain," "locking" and "instability" (P<0.01 P<0.05), but no difference in the other five items (P>0.05). A comparison of the two groups after treatment showed that there were significant differences in "locking," "instability," "swelling," "stair activity" and "squatting" (P<0.05), but no differences in "limp," "demands for support" and "pain" (P>0.05). Conclusion: Acupuncture can effectively improve the clinical symptoms and the motor function of the knee joint in patients with knee osteoarthritis, and the effects are superior to oral Diclofenac sodium. 696- gera: 147796/di/ra INTEGRATED CARE IN PRACTICE: IS ACUPUNCTURE A USEFUL ADJUNCT TO EXERCISE-BASED PHYSIOTHERAPY FOR OLDER ADULTS WITH CLINICAL KNEE OSTEOARTHRITIS? (ABSTRACT). FOSTER NE ET AL. journal of alternative and complementary medicine. 2007;13(8):854 (eng). 697- gera: 147803/di/ra EXTERNAL QIGONG THERAPY FOR OSTEOARTHRITIS OF THE KNEES : A RANDOMIZED CONTROLLED TRIAL (ABSTRACT). KEVIN W CHEN ET AL. journal of alternative and complementary medicine. 2007;13(8):857 (eng). 698- gera: 147823/di/ra A PILOT STUDY OF 650NM AND 10.6M LASER ACUPUNCTURE IRRADIATION ON PATIENTS
WITH OSTEOARTHRITIS OF THE KNEE (ABSTRACT). SHEN, XUEYONG ET AL. journal of alternative and complementary medicine. 2007;13(8):865 (eng). 699- gera: 147837/di/ra ACUPUNCTURE FOR CHRONIC CARPAL TUNNEL SYNDROME:A PILOT, OPEN-PROTOCOL STUDY (ABSTRACT). AUDETTE, JF ET AL. journal of alternative and complementary medicine. 2007;13(8):869 (eng). 700- gera: 147839/di/ra A RANDOMIZED CLINICAL TRIAL OF INDIVIDUALIZED ACUPUNCTURE COMPARED WITH STANDARDIZED ACUPUNCTURE IN KNEE OSTEOARTHRITIS (ABSTRACT). SEUNG-DEOK LEE HYUK BYUN ET AL. journal of alternative and complementary medicine. 2007;13(8):870 (eng). 701- gera: 147847/di/ra COMPARISONS OF EFFICACY OF THREE DIFFERENT ACUPUNCTURE METHODS IN OSTEOARTHRITIS OF THE KNEE(ABSTRACT). KAZUNORI ITOH ET AL. journal of alternative and complementary medicine. 2007;13(8):873 (eng). 702- gera: 148153/di/ra A CRITICAL APPRAISAL OF GUIDELINES FOR THE MANAGEMENT OF KNEE OSTEOARTHRITIS USING APPRAISAL OF GUIDELINES RESEARCH AND EVALUATION CRITERIA. POITRAS S, AVOUAC J, ROSSIGNOL M, AVOUAC B, CEDRASCHI C, NORDIN M, ROUSSEAUX C, ROZENBERG S, SAVARIEAU B, THOUMIE P, VALAT JP, VIGNON É, HILLIQUIN arthritis res ther. 2007;9(6):r126 (eng). Clinical practice guidelines have been elaborated to summarize evidence related to the management of knee osteoarthritis and to facilitate uptake of evidence-based knowledge by clinicians. The objectives of the present review were summarizing the recommendations of existing guidelines on knee osteoarthritis, and assessing the quality of the guidelines using a standardized and validated instrument – the Appraisal of Guidelines Research and Evaluation (AGREE) tool. Internet medical literature databases from 2001 to 2006 were searched for guidelines, with six guidelines being identified. Thirteen clinician researchers participated in the review. Each reviewer was trained in the AGREE instrument. The guidelines were distributed to four groups of three or four reviewers, each group reviewing one guideline with the exception of one group that reviewed two guidelines. One independent evaluator reviewed all guidelines. All guidelines effectively addressed only a minority of AGREE domains. Clarity/presentation was effectively addressed in three out of six guidelines, scope/purpose and rigour of development in two guidelines, editorial independence in one guideline, and stakeholder involvement and applicability in none. The clinical management recommendation tended to be similar among guidelines, although interventions addressed varied. Acetaminophen was recommended for initial pain treatment, combined with exercise and education. Nonsteroidal anti-inflammatory drugs were recommended if acetaminophen failed to control pain, but cautiously because of gastrointestinal risks. Surgery was recommended in the presence of persistent pain and disability. Education and activity management interventions were superficially addressed in most guidelines. Guideline creators should use the AGREE criteria when developing guidelines. Innovative and effective methods of knowledge translation to health
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professionals are needed. 703- gera: 148171/di/re IS ACUPUNCTURE AN EFFECTIVE TREATMENT FOR KNEE OSTEOARTHRITIS?. MANHEIMER E ET AL. ann intern med. 2007;146:868-877 (eng). 704- gera: 148435/di/ra ACUPUNCTURE (REAL OR MINIMAL) WORKS BETTER THAN CONSERVATIVE THERAPY IN CHRONIC KNEE OSTEOARTHRITIS. CUMMINGS M. focus on alternative and complementary therapies. 2007;12(1):38 (eng). Résumés et commentaires : SCHARF HP, MANSMANN U, STREITBERGER K, WITTE S, KRAMER J, MAIER C, TRAMPISCH H, VICTOR N.Acupuncture and knee osteoarthritis: a three-armed randomized trial. Ann Intern Med 2006; 145: 12-20. 705- gera: 148482/di/ra RESEARCH ON THE EFFECT OF WARM ACUPUNCTURE AND MOXIBUSTION WITH CHINESE HERBS ON ARTHRITIS IN THE KNEE JOINTS. HONGXIA WANG. international journal of clinical acupuncture. 2007;16(4):249 (eng). Warm acupuncture and moxibustion is a type of treatment. Although its application has been used less and less with modern social and medical development, the author has used it with satisfactory curative effects to treat arthritis in the knee joints. Arthritis in the knee joints is clinically common, and its incidence has been increasing in recent years. The general diagnosis is based on the clinical symptoms, which are apt to be mixed with those of other systemic diseases, with the arthritic pain as the foremost symptom. Consequently, correct diagnosis is the key in treating this disease. The author has treated patients with arthritis in the knee joints from 2004 to 2006 and gained satisfactory curative 706- gera: 148484/di/ra INFLUENCE OF ELECTRO-ACUPUNCTURE ON TGF-01 EXPRESSION IN THE CARTILAGE OF EXPERIMENTAL RATS WITH KNEE OSTEOARTHRITIS. FEI BAO, ZHIHONG WU, DAOHAI WANG, FENGQIN WANG, HUA SUN, BING LI, AND YUNXIANG ZHANG. international journal of clinical acupuncture. 2007;16(4):259 (eng). Objective: To study the influence of electro-acupuncture on cartilage renovation of knee osteoarthritis. Methods: 40 cases of female SD rats were randomly and evenly divided into four groups: the negative control (normal), positive control (model), treatment and electro-acupuncture control group. The left knees of the treatment group and right knees of the electro-acupuncture control group were treated by electro-acupuncture for two weeks, starting from the fifth week after surgery. The cartilage from the left knees of all of the rats was collected at the seventh week of the experiment. HE and immunohistochemical staining was used to observe the expression characteristic of TGF-111 in the cartilage. Results: The expression of TGF-131 in the treatment group was significantly stronger than all the other groups (P<0.01). Conclusion: Electro-acupuncture can obviously up-regulate the level of TGF- 131 in cartilage of experimental rats with knee osteoarthritis. This indicates that electro-acupuncture is effective in 707- gera: 149169/di/re A RANDOMISED CONTROLLED TRIAL OF ACUPUNCTURE FOR OSTEOARTHRITIS OF THE KNEE : EFFECTS OF PROVIDER
COMMUNICATION STYLE. SUAREZ ALMAZOR M ET AL. arthritis rheum. 2007;56 (supp:s315:739 (eng). 708- gera: 149817/di/ra ANALGESIC EFFECTS OF INDIRECT MOXIBUSTION ON AN EXPERIMENTAL RAT MODEL OF OSTEOARTHRITIS IN THE KNEE. URYU N, OKADA K, KAWAKITA K. acupuncture in medecine. 2007;25(4):175 (eng). AIMS: The analgesic effects of moxibustion on an experimental model of osteoarthritis of the knee were investigated. METHODS: Male Wistar rats (n=36, 296-421 g) were used. Intra-articular injection of mono-iodoacetic acid (MIA) was performed to induce knee osteoarthritis. Indirect moxibustion was applied to the lateral aspect of the knee joint every other day for 28 days (14 treatments). Weight bearing of the hind legs was measured directly by the downward pressure applied to footplates, using an Incapacitance Tester. Morphine was injected for testing the validity of weight bearing as a pain measure, and naloxone was used to examine the participation of endogenous opioids in the mechanism of moxibustion analgesia. Data were analysed by calculating the area under the curve. RESULTS: Injection of MIA significantly reduced weight bearing. No analgesic effects of moxibustion were observed during the initial 7 days (unpaired t test, P=0.83). Continued moxibustion treatments increased weight bearing at the 14th day significantly, and this effect continued until the end of the experiment on the 28th day (P<0.05). A single moxibustion treatment had no immediate effect on weight bearing. The analgesia due to the cumulative effect of moxibustion was antagonised by naloxone injection. Morphine injection in control MIA injected rats increased weight bearing to the normal range, confirming the validity of the measurements. CONCLUSIONS: These results highlight the importance of repeated moxibustion treatments for pain relief in experimental knee osteoarthritis and suggest the existence of sustained inhibitory modulation by endogenous opioids in the moxibustion group. 709- gera: 151846/di/ra 48 CAS DE GONARTHROSE TRAITES PAR L'ECHAUFFEMENT DU MANCHE DES AIGUILLES AU MOXA. WANG TIE GANG, GONG WEI ZHI. acupuncture traditionnelle chinoise. 2007;16:97 (fra). Source : « Zhen Jiu Lin Chuang Za Zhi» (Revue de la cliniqued'acupuncture-moxibustion) 7/2004, page 41. 710- gera: 151847/di/ra 80 CAS DE GONARTHROSE TRAITES PAR L'ECHAUFFEMENT DU MANCHE DES AIGUILLES AU MOXA. LI YU HUI Y, LI YUN FENG. acupuncture traditionnelle chinoise. 2007;16:100 (fra). Source : « Zhen Jiu Lin Chuang Za Zhi » (Revue de la clinique d'acupuncture-moxibustion) 4/2004 page 38 711- gera: 151848/di/ra LE TRAITEMENT ACUPUNCTURA) DE LA GONARTHROSE PAR « LES DEUX LING » S[YANG LING QUAN (34 V.B.) ET YIN LING QUAN (9 RT)]. XI XIANG DONG, CHEN ZHUANG MEI. acupuncture traditionnelle chinoise. 2007;16:103 (fra). Source : « Zhen Jiu Lin Chuang Za Zhi» (Revue de la clinique d'acupuncture-moxibustion) 2-3/1993, page 90 712- gera: 151849/di/ra 282 CAS DE DOULEURS DU GENOU TRAITES PAR LA PUNCTURE OBLIQUE DE XUE HAI (10 RT) ET DE LIANG QIU (34 E.). WANG XIANG QI, JIANG YA FANG , QIN KE FENG. acupuncture traditionnelle
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chinoise. 2007;16:107 (fra). Source : « Zhong Guo Zhen Jiu» (L'Acupuncture-Moxibustion de Chine) 5/2003 p. 311 713- gera: 152002/di/ra 100 CASES OF OSTEOARTHRITIS OF KNEE TREATED WITH ISOLATED MOXIBUSTION WITH CHINESE HERBAL COMPRESSION IN COMBINATION WITH ACUPUNCTURE. CHENJU-TANG, XIAO-LING. world journal of acupuncture moxibustion. 2007;17(2):50 (eng). 714- gera: 152237/di/el MALADIES DE L'ARTICULATION DU GENOU. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:217 (fra). 715- gera: 152238/di/el ARTHROSE DU GENOU (GONARTHROSE). XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:217 (fra). 716- gera: 152239/di/el CHONDROMALACIE ROTULIENNE. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:222 (fra). 717- gera: 152240/di/el LESIONS DES MENISQUES. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:226 (fra). 718- gera: 152241/di/el BURSITE DU GENOU. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:230 (fra). 719- gera: 152242/di/el SYNDROME DES REPLIS SYNOVIAUX DU GENOU. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:234 (fra). 720- gera: 152243/di/el MALADIE D'OSGOOD SCHLATTER. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:238 (fra). 721- gera: 152244/di/el SYNDROME TIBIAL ANTERIEUR. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:241 (fra). 722- gera: 152245/di/el COMPRESSION DU NERF PERONIER COMMUN (NERF SCIATIQUE POPLITE EXTERNE) ET DU NERF PERONIER SUPERFICIEL. XUE LI GONG. rhumatologie et acupuncture, institut yin yang. 2007;:244 (fra). 723- gera: 147482/di/re EFFECT OF COMBINED LASER ACUPUNCTURE ON KNEE OSTEOARTHRITIS: A PILOT STUDY. SHEN X, ZHAO L, DING G, TAN M, GAO J, WANG L, LAO L. lasers med sci. 2008;jan 5:x (eng). Our objective was to assess the efficacy and safety of combined 10.6 mum and 650 nm laser irradiation on patients with knee osteoarthritis (OA). Forty patients with OA were randomly allocated to an active laser group or to a placebo laser group (20 per group). They either received active or sham laser treatment at acupoint Dubi (ST 35) in a total of 12 sessions. There was significant difference between the two
groups in the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index pain score change from baseline after 2 weeks of treatment (P = 0.047). The pain reduction of the active laser treatment group was 49%, whereas that of the placebo control group was only 13%. However, due to the high patient drop-out rate, the 4-week assessment could not be analyzed. Combined laser treatment seems beneficial to patients with knee OA. However, due to the small sample size and the high drop-out rate of patients in the placebo group, a large sample-size clinical trial is warranted to 724- gera: 147742/co/ra IS ACUPUNCTURE AN EFFECTIVE TREATMENT FOR KNEE OSTEOARTHRITIS?. PITTLER MH, ERNST E. nat clin pract rheumatol. 2008;jan 22:x (eng). 725- gera: 147746/di/re TOPOGRAPHICAL MAPPING AND MECHANICAL PAIN SENSITIVITY OF MYOFASCIAL TRIGGER POINTS IN THE INFRASPINATUS MUSCLE. GE HY, FERNANDEZ-DE-LAS-PENAS C, MADELEINE P, ARENDT- NIELSEN L. eur j pain. 2008;jan 17:x (eng). OBJECTIVES: To screen for the presence of latent and active myofascial trigger points (MTrPs) in patients with unilateral shoulder and arm pain and perform topographical mapping of mechanical pain sensitivity bilaterally in the infraspinatus muscles. METHODS: Nineteen patients with unilateral musculoskeletal shoulder pain participated in the study. The area overlying the infraspinatus on each side was divided into 10 adjacent sub-areas of 1cm(2), corresponding to the area of a pressure algometer probe. Pressure pain threshold (PPT) was measured in each sub- area bilaterally in the infraspinatus muscles. Following PPT measurement, an acupuncture needle was inserted into each sub-area five times in different directions in order to induce local twitch response and/or referred pain. RESULTS: A significantly lower PPT level in the infraspinatus muscle was detected on the painful side compared with the non-painful side (P=0.001). PPT at midfiber region of the infraspinatus muscles was lower than that at other muscle parts (P<0.05). Multiple, but not single, active MTrPs were found in the infraspinatus muscle on the painful side and there were also multiple latent MTrPs bilaterally in the infraspinatus muscles. PPT at active MTrPs was much lower than the latent MTrPs and again lower than the non-MTrPs. CONCLUSIONS: There exists bilateral mechanical hyperalgesia in patients with unilateral shoulder pain. Further, the association of multiple active MTrPs with unilateral shoulder pain and the heterogeneity of mechanical pain sensitivity distribution suggest a crucial role of peripheral sensitization in chronic myofascial pain conditions. Additionally, the locations of MTrPs identified with dry needling correspond well to PPT topographical mapping, suggesting that dry needling and PPT topographical mapping are sensitive techniques in the identification of MTrPs. 726- gera: 148101/di/ra [CLINICAL OBSERVATION ON CAKE-SEPARATED MILD-WARM MOXIBUSTION FOR TREATMENT OF KNEE OSTEOARTHRITIS]. LI JW, XIANG SY, MA ZY, FENG YB, TONG HY, GENG HP, JIN J, SU X. chinese acupuncture and moxibustion. 2008;28(1):17 (chi). OBJECTIVE: To observe clinical therapeutic effect of monkshood cake-separated mild-warm moxibustion at Zusanli (ST 36) and Xiyan (EX-LE 5) on knee osteoarthritis. METHODS: The patients of monkshood cake-separated mild-warm moxibustion group were treated with monkshood cake-separated mild-warm moxibustion at Dubi (ST 35), Zusanli (ST 36) and Neixiyan (EX-LE 4) on the affected
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side, and the medication group with oral administration of Xianling Gubao Capsules. After treatment for 4 weeks, VAS and index of severity of osteoarthritis (ISOA scale) were used for assessment of clinical therapeutic effect. RESULTS: After treatment, the arthralgia and the index of severity significantly improved in the two groups (P < 0.01), and the analgesic effect and improvement of ISOA in the monkshood cake-separated mild-warm moxibustion group were better than those in the medication group (P < 0.05). The basic clinical cured rate was 80.0% and the effect-producing time was (10.91 +/- 4.17) days in the monkshood cake-separated mild-warm moxibustion group, and 53.3% and (12.28 +/- 4.60) days in the medication group, respectively, with a significant difference between the two groups (P < 0.05). CONCLUSION: Therapeutic effect of monkshood cake-separated mild-warm moxibustion on knee osteoarthritis is better than that of oral administration of Xianling Gubao Capsules. 727- gera: 148159/di/re OARSI RECOMMENDATIONS FOR THE MANAGEMENT OF HIP AND KNEE OSTEOARTHRITIS, PART II: OARSI EVIDENCE-BASED, EXPERT CONSENSUS GUIDELINES. ZHANG W, MOSKOWITZ RW, NUKI G, ABRAMSON S, ALTMAN RD, ARDEN N, BIERMA-ZEINSTRA S, BRANDT KD, CROFT P, DOHERTY M, DOUGADOS M, HOCHBERG M, HUNTER DJ, KWOH K, LOHMANDER LS, TUGWELL P. osteoarthritis cartilage. 2008;16(2):137-62 (eng). PURPOSE: To develop concise, patient-focussed, up to date, evidence-based, expert consensus recommendations for the management of hip and knee osteoarthritis (OA), which are adaptable and designed to assist physicians and allied health care professionals in general and specialist practise throughout the world. METHODS: Sixteen experts from four medical disciplines (primary care, rheumatology, orthopaedics and evidence-based medicine), two continents and six countries (USA, UK, France, Netherlands, Sweden and Canada) formed the guidelines development team. A systematic review of existing guidelines for the management of hip and knee OA published between 1945 and January 2006 was undertaken using the validated appraisal of guidelines research and evaluation (AGREE) instrument. A core set of management modalities was generated based on the agreement between guidelines. Evidence before 2002 was based on a systematic review conducted by European League Against Rheumatism and evidence after 2002 was updated using MEDLINE, EMBASE, CINAHL, AMED, the Cochrane Library and HTA reports. The quality of evidence was evaluated, and where possible, effect size (ES), number needed to treat, relative risk or odds ratio and cost per quality-adjusted life years gained were estimated. Consensus recommendations were produced following a Delphi exercise and the strength of recommendation (SOR) for propositions relating to each modality was determined using a visual analogue scale. RESULTS: Twenty-three treatment guidelines for the management of hip and knee OA were identified from the literature search, including six opinion-based, five evidence-based and 12 based on both expert opinion and research evidence. Twenty out of 51 treatment modalities addressed by these guidelines were universally recommended. ES for pain relief varied from treatment to treatment. Overall there was no statistically significant difference between non-pharmacological therapies [0.25, 95% confidence interval (CI) 0.16, 0.34] and pharmacological therapies (ES=0.39, 95% CI 0.31, 0.47). Following feedback from Osteoarthritis Research International members on the draft guidelines and six Delphi rounds consensus was reached on 25 carefully worded
recommendations. Optimal management of patients with OA hip or knee requires a combination of non-pharmacological and pharmacological modalities of therapy. Recommendations cover the use of 12 non-pharmacological modalities: education and self-management, regular telephone contact, referral to a physical therapist, aerobic, muscle strengthening and water-based exercises, weight reduction, walking aids, knee braces, footwear and insoles, thermal modalities, transcutaneous electrical nerve stimulation and acupuncture. Eight recommendations cover pharmacological modalities of treatment including acetaminophen, cyclooxygenase-2 (COX-2) non-selective and selective oral non-steroidal anti-inflammatory drugs (NSAIDs), topical NSAIDs and capsaicin, intra-articular injections of corticosteroids and hyaluronates, glucosamine and/or chondroitin sulphate for symptom relief; glucosamine sulphate, chondroitin sulphate and diacerein for possible structure-modifying effects and the use of opioid analgesics for the treatment of refractory pain. There are recommendations covering five surgical modalities: total joint replacements, unicompartmental knee replacement, osteotomy and joint preserving surgical procedures; joint lavage and arthroscopic debridement in knee OA, and joint fusion as a salvage procedure when joint replacement had failed. Strengths of recommendation and 95% CIs are provided. CONCLUSION: Twenty-five carefully worded recommendations have been generated based on a critical appraisal of existing guidelines, a systematic review of research evidence and the consensus opinions of an international, multidisciplinary group of experts. The recommendations may be adapted for use in different countries or regions according to the 728- gera: 148243/di/ra OBSERVATIONS ON THE EFFICACY OF COMBINED ACUPUNCTURE AND MEDICINE IN TREATING TRAUMATIC GONARTHROMENINGITIS. HAN LAN. shanghai journal of acupuncture and moxibustion. 2008;27(1):29 (chi). Objective To investigate the clinical efficacy of combined acupuncture and medicine in treating traumatic gonarthromeningitis. Methods Seventy patients were randomly allocated to two groups , 15 cases each. The treatment group was treated with Chinese herbal medicine, acupuncture and cupping. The control group was treated with Diclofenac Sodium Tablets, Corydalis Analgesic Tablets and Vitamin C Tablets. Results The clinical total efficacy rate was higher in the treatment group than in the control group; there was a statistically significant difference between the two groups (P < 0. 05 ) . Conclusion Combined use of acupuncture and medicine has a marked therapeutic effect on traumatic gonarthromeningitis. 729- gera: 148256/di/ra CLINICAL OBSERVATION ON TREATMENT OF PRIMARY KNEE OSTEOARTHRITIS OF LIVER AND KIDNEY DEFICIENCY TYPE WITH ACONITE CAKE-SEPARATED MOXIBUSTION. SUN KUI, YANG JUN, SHEN DE-KAI. chinese acupuncture and moxibustion. 2008;28(2):87 (chi). Objective To observe the effect of Aconite cake-separated moxibustion on primary knee osteoarthritis of liver and kidney deficiency type. Methods Fifty-six cases of such disease (80 knees) were randomly divided into a cake- separated moxibustion group (41 knees) with Neixiyan (EX-LE 5) , Dubi (ST 35) , Yinlingquan (SP 9) etc. selected, and a western medicine group (39 knees) were treated with oral administration of Sodium Diclofenate Slow- released Tablet. Results The cumulative score for symptoms and signs was
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(37. 41 ± 6. 61) points before treatment and (9.37±8.15) points after treatment in the cake-separated moxibustion group and (37. 64±6.00) points before treatment and (12. 05±8. 83) points after treatment in the western medicine group, with a very significant difference before and after treatment in the two groups (P<0. 01) ; two months after treatment, it was (11. 71 ±8. 69) points in the cake-separated moxibustion group and (15. 95±9. 96) points in the western medicine group, the former being better than the latter (P<0. 05). After the end of treatment, there was no significant difference in the comprehensive therapeutic effect between the two groups (P>0. 05), the cured and markedly effective rate was 63. 4% a in the cake-separated moxibustion group and 48. 7% a in the western medicine group, but two months after treatment, the cured and markedly effective rate of 56. 1% a in the cake-separated moxibustion group was better than 33.3% in the western medicine group (P<0. 05). Conclusion Aconite cake-separated moxibustion has an ideal therapeutic effect on primary knee osteoarthritis of liver and kidney deficiency type, and the therapeutic effect at anaphase is better than that of Sodium Diclofenate Slow-released Tablet. 730- gera: 148280/di/ra A PILOT STUDY ON USING ACUPUNCTURE AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) TO TREAT KNEE OSTEOARTHRITIS (OA). ITOH K, HIROTA S, KATSUMI Y, OCHI H, KITAKOJI H. chin med. 2008;3(1):2 (eng). ABSTRACT: BACKGROUND: The present study tests whether a combined treatment of acupuncture and transcutaneous electrical nerve stimulation (TENS) is more effective than acupuncture or TENS alone for treating knee osteoarthritis (OA). METHODS: Thirty-two patients with knee OA were randomly allocated to four groups. The acupuncture group (ACP) received only acupuncture treatment at selected acupoints for knee pain; the TENS group (TENS) received only TENS treatment at pain areas; the acupuncture and TENS group (A&T) received both acupuncture and TENS treatments; the control group (CT) received topical poultice (only when necessary). Each group received specific weekly treatment five times during the study. Outcome measures were pain intensity in a visual analogue scale (VAS) and knee function in terms of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). RESULTS: The ACP, TENS and A&T groups reported lower VAS and WOMAC scores than the control group. Significant reduction in pain intensity (P = 0.039) and significant improvement in knee function (P = 0.008) were shown in the A&T group. CONCLUSION: Combined acupuncture and TENS treatment was effective in pain relief and knee function improvement for the sampled patients suffering from knee OA. 731- gera: 148391/di/ra SIX SESSIONS OF MANUAL ACUPUNCTURE DO NOT SEEM TO HELP WHEN ADDED TO OPTIMAL EXERCISE FOR KNEE OSTEOARTHRITIS. CUMMINGS M. focus on alternative and complementary therapies. 2008;13(1):35 (eng). Résumés et commentaires :Foster NE, Thomas E, Barlas P, Hill JC, Young J, Mason E, Hay EM. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. BMJ 2007; 353: 436. 732- gera: 148405/di/ra THE VALUE OF ACUPUNCTURE OR EXERCISE-BASED PHYSIOTHERAPY FOR PATIENTS WAITING FOR KNEE REPLACEMENT SURGERY.
FOSTER N. focus on alternative and complementary therapies. 2008;12(4):272 (eng). Résumés et commentaires : Williamson L, Wyatt MR, Yein K, Melton JTK. Severe knee osteoarthritis: a randomized controlled trial of acupuncture, physiotherapy (supervised exercise) and standard management for patients awaiting knee replacement. Rheumatology (Oxford) 2007; 46: 1445-9. 733- gera: 148406/di/ra EFFECTS OF TAI CHI FOR KNEE OSTEOARTHRITIS WERE NOT SUSTAINED AFTER DETRAINING. LEE MS. focus on alternative and complementary therapies. 2008;12(4):281 (eng). Résumés et commentaires : Brismée JM, Paige RL, Chyu MC, Boatright JD, Hagar jM McCaleb JA, Quintela MM, Feng D, Xu KT, Shen CL. Group and home-based tai chi in elderly subjects with knee osteoarthritis: a randomized controlled trial.Clin Rehabil 2007; 21: 99-111. 734- gera: 148610/nd/re ACUPUNCTURE OF THE KNEE. GONZALEZ EB, NGUYEN-OGHALAI T. south med j. 2008;101(2):113 (eng). 735- gera: 148650/di/re DOES ACUPUNCTURE IMPROVE SYMPTOMS IN PATIENTS WITH OSTEOARTHRITIS WHO ARE AWAITING KNEE REPLACEMENT SURGERY?. LING SM. nat clin pract rheumatol. 2008;apr 8:x (eng). 736- gera: 148796/di/ra BADUANJIN ALLEVIATES THE SYMPTOMS OF KNEE OSTEOARTHRITIS. AN B, KERONG DAI,ZHENAN ZHU, YOU WANG, YONGQIANG HAO, TINGTING TANG, HUANQING YAN. journal of alternative and complementary medicine. 2008;14(2):167 (eng). Objectives: To assess the feasibility and safety of using the health-promoting traditional Chinese exercise, known as Baduanjin, in treating knee osteoarthritis (OA).Subjects: Twenty-eight (28) female patients who met the American College of Rheumatology criteria for osteoarthritis of the knee signed the informed consent and were randomized into the Baduanjin group (n = 14) and the control group (n = 14). Eleven (11) patients in the Baduanjin group and 10 patients in the control group completed the trial.Intervention: The Baduanjin group patients exercised following taped commands in the community entertainment room during 30-minute classes five times a week for 8 weeks, whereas the control group received no treatment.Outcome measures: Indicators that include knee pain, stiffness, physical disability, general health, quadriceps strength, and aerobic ability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Medical Outcomes Study Short Form-36 (SF-36), the 6-Minute Walk Test (6-MWT), and the Isokinetic Strength of the Knee Extensors (ISKE).Results: Compared with the control group, the participants in the Baduanjin group had statistically significant improvements in percentage changes of the WOMAC pain subscale (−61.8 ± 35.7% versus 44.6 ± 102.8%; p = 0.006), the WOMAC stiffness subscale (−53.4 ± 46.1% versus 135.8 ± 386.7%; p = 0.029), the WOMAC physical function subscale (−7.4 ± 81.9% versus 140.5 ± 151.9%; p = 0.024), 6-MWT (11.9 ± 7.5% versus 1.6 ± 13.0%; p = 0.036), and Peak Torque of the ISKE (15.1 ± 33.7% versus −16.1 ± 16.6%; p = 0.016). The SF-36's General Health, Social Function, and Mental Health subscales had no significant changes between those in the Baduanjin and control groups. As such, no adverse events from treatment were reported.Conclusions: This study
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suggested that the Baduanjin exercise provided a safe and feasible treatment option for patients with knee OA, as well as offered reductions in pain, stiffness, and disability, which helped improve the patients' quadriceps strength 737- gera: 148891/di/ra EFFECTS OF TAI CHI ON GAIT KINEMATICS, PHYSICAL FUNCTION, AND PAIN IN ELDERLY WITH KNEE OSTEOARTHRITIS - A PILOT STUDY. SHEN CL, JAMES CR, CHYU MC, BIXBY WR, BRISMÉE JM, ZUMWALT MA, POKLIKUHA G. the american journal of chinese medicine. 2008;36(2):219 (eng). Our previous study has demonstrated that 6 weeks of Tai Chi exercise significantly improves knee pain and stiffness in elderly with knee osteoarthritis. This study also examine the effects of Tai Chi exercise on gait kinematics, physical function, pain, and pain self-efficacy in elderly with knee osteoarthritis. In this prospective, pretest-posttest clinical trial, 40 men and women (64.4 +/- 8.3 years) diagnosed with knee osteoarthritis participated in 6 weeks of instructed Tai Chi training, 1 hour/session, 2 sessions/week. The following measures were taken at baseline and the conclusion of the intervention: (a) gait kinematics including stride length, stride frequency, and gait speed quantified using video analysis, (b) physical function, (c) knee pain, and (d) pain self-efficacy. Data were analyzed using repeated MANCOVA, MANOVA, ANOVA and Wilcoxon tests. After 6 weeks of Tai Chi exercise, stride length (p = 0.023; 1.17 +/- 0.17 vs. 1.20 +/- 0.14 m), stride frequency (p = 0.014; 0.91 +/- 0.08 vs. 0.93 +/- 0.08 strides/s), and consequently gait speed (p < 0.025; 1.06 +/- 0.19 vs. 1.12 +/- 0.15 m/s) increased in the participants. Physical function was significantly improved (p < 0.001) and knee pain was significantly decreased (p = 0.002), while no change was observed in pain self-efficacy. In conclusion, these findings support that Tai Chi is beneficial for gait kinematics in elderly with knee osteoarthritis, and a longer term application is needed to substantiate the effect of Tai Chi as an alternative exercise in management of knee osteoarthritis. 738- gera: 149006/di/ra WARMING NEEDLE CUPPING THERAPY COORDINATED WITH POINT INJECTION IN 68 CASES OF KEEN OSTEOARTHROSIS. CHEN XING KUI. journal of clinical acupuncture and moxibustion. 2008;24(2):12 (chi). Object: To investigate therapeutic effects of cupping therapy and warming needle moxibustion coordinated with point injection in knee osteoarthosis. Methods: Sixty — eight cases had adopted with warming needle acupuncture on Dubi and other points coordinated with cupping therapy of point injection in knee osteoarthrosis. Results: The clinically cured rate was 79. 4 percent and the whole effective rate was 91. 2 percent. Conclusion: Cupping therapy and warming needle moxibustion coordination with point injection can be used for treatment of knee osteoarthrosis, with a high cured rate and obvious therapeutic effect, it also has a great value in clinical 739- gera: 149040/di/ra CLINICAL OBSERVATIONS ON THE TREATMENT OF PRIMARY GENUAL OSTEOARTHRITIS OF LIVER-KIDNEY DEPLETION TYPE BY ACONITE CAKE-SEPARATED MOXIBUSTION. SUN KUI, YANG YONG-HUI, ZHOU ZHONG-LIANG, SUPERVISOR YANG JUN, SEEN DE-KA. shanghai journal of acupuncture and moxibustion. 2008;27(4):9 (chi). Objective To investigate the efficacy of aconite cake-separated moxibustion in treating primary genual osteoarthritis of liver-kidney depletion type. Methods Fifty-
six patients, a total of 80 knees, were randomly allocated to two groups. The treatment group was treated by aconite cake-separated moxibustion and the control group, by oral administration of diclofenac sodium slow-release tablets. Results There were statistically significant differences in each symptom and sign scale score between pre- and posttreatment in both groups (P <0. 01 ) . Each symptom and sign scale score significantly improved after treatment in both groups. Each of the scores of the items including morning stiffness or pain after getting up, pain or discomfort during standing up from a seat, going down a standard boarding ladder, squatting or bending knee joints, and walking on a rough road was significantly lower in the treatment group than in the control group (P < 0. 05) . There was no statistically significant difference in global therapeutic effect between the two groups at the end of treatment (P >O. 05) . Conclusion Aconite cake-separated 740- gera: 149041/di/ra OBSERVATIONS ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE ON GENUAL OSTEOARTHRITIS. XU SI-WEI. shanghai journal of acupuncture and moxibustion. 2008;27(4):11 (chi). Objective To investigate the therapeutic effect of acupuncture on Moroccan genual osteoarthritis. Methods The patients were randomly allocated to three groups and treated by simple acupuncture, warm needling and warm needling plus blood-letting puncture and cupping, respectively. Results The cure and marked efficacy rate was significantly higher in the warm needling and warm needling plus blood-letting puncture and cupping groups than in the simple acupuncture group. The clinical cure rate was significantly higher in warm needling plus blood- letting puncture and cupping group than in the simple acupuncture group. Conclusion A composite treatment with acupuncture is a simple and effective method for Moroccan genual osteoarthritis. 741- gera: 149042/di/ra EVALUATION OF THE CLINICAL EFFICACIES OF DIFFERENT TYPES OF WARM NEEDLING IN TREATING GENUAL OSTEOARTHRITIS. GU YU, XU JING-RENT. shanghai journal of acupuncture and moxibustion. 2008;27(4):13 (chi). Objective To objectively evaluate the clinical efficacies of different types of warm needling in treating retrogressive gon-arthritis. Methods Sixty patients with retrogressive gonarthritis were randomly allocated to treatment and control groups. Point Weizhong (BL 40) was additionally used in the treatment group compared with the control group. The therapeutic effects were compared. Results Statistical analysis showed that the symptoms were relieved in both treatment and control groups. The cure rate , efficacy rate and inefficacy rate were 23.3% , 66.7% and 10.0% , respectively, in the treatment group and 26.7% , 63.3% and 10.0% , respectively, in the control group. There was no statistically significant difference in the total efficacy rate (P > 0.05) , but there was in the time for symptom relief after treatment between the two groups (P < 0.05 ) . Conclusion Both types of warm needling have a good therapeutic effect on retrogressive gonarthritis, but the symptoms are relieved more quickly 742- gera: 149050/di/ra EFFECTS OF NEEDLE KNIFE RELAXING THERAPY ON TENSION OF LOCAL SOFT TISSUE AND PAIN OF OSTEOARTHRITIS OF KNEE. ZENG GUI-GANG , ZHANG XIU-FEN , QUAN WA-CZENG , FU YONG-YUN , TAN WEI-IAN , QIN YI' , LIU QINGGUO. chinese acupuncture and moxibustion. 2008;28(4):244 (chi).
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Objective To probe into the mechanism and methods of needle knife relaxing therapy for treatment of osteoarthritis of knee from biomechanical view. Methods Needle knife relaxing therapy was given to 92 pain points around the knee joint in 14 cases of osteoarthritis of knee, and the displacement of, the local pain point under the stress of 500 g (Lg00g) was measured and the VAS scores were recorded before and after treatment. Results 1,00, of the pain point was (4. 72±1. 03) mm before treatment and (5. 39±1. 01) mm after treatment with a very slgnificant difference before and after treatment (P<0, 01) , and VAS score was (7,. 10 ± 1. 49) points before treatment and (1. 49±1. 24) points after treatment with a very significant difference before and after treatment (P<0.01), and there was a linear correlation between the changes of Leon and VAS scores. Conclusion There was close connection between the local pain and tension of local soft tissue in knee osteoarthritis. The needle knife relaxing therapy can relieve the neurovascülar compression or traction syndrome by relaxing the local contracted, adhesive soft tis- sue, so as to relieve tension pain and finally recover. internal force equilibrium of the knee joint. 743- gera: 149100/di/re RANDOMISED CONTROLLED TRIAL OF EXTRAARTICULAR GOLD BEAD IMPLANTATION FOR TREATMENT OF KNEE OSTEOARTHRITIS: A PILOT STUDY. NEJRUP K, DE FINE OLIVARIUS N, JACOBSEN JL, SIERSMA V. clin rheumatol. 2008;may 24:x (eng). The primary objective of this double-blind, randomised, controlled trial was to determine if implanting gold beads at five acupuncture points around the knee joint improves 1-year outcomes for patients with osteoarthritis (OA) of the knee. Participants were 43 adults aged 18-80 years with pain and stiffness from non-specific OA of the knee for over a year. The intervention was blinded implantation of gold beads at five acupuncture points around the affected knee through a hypodermic needle, or needle insertion alone. Primary outcome measures were knee pain, stiffness and function assessed by the patient at 0, 1, 3, 6, 9 and 12 months and knee score and knee function assessed by an orthopaedic surgeon at 0, 6 and 12 months. Within the first month, three patients dropped out. The remaining 21/19 patients in the intervention/control groups generally improved, but there was no statistically significant difference between the groups. The improvement was shown in the patients' self-assessment scores that decreased from randomisation until 1 year later (intervention/control group, medians): pain -1.92/-2.18 (P = 0.95, F test, general linear mixed model); stiffness -0.93/-0.43 (P = 0.11); function -7.23/-3.36 (P = 0.63). The surgeon's scores also generally improved, i.e. increased: knee score +16.4/+8.2 (P = 0.65); knee function +10.5/+5.8 (P = 0.79). In the protocol-based subgroup analysis, the 15 intervention patients of the 32 patients who had a positive response to the initial conventional acupuncture had greater relative improvements in self-assessed outcomes. The treatment was well tolerated. This 1-year pilot study indicates that extraarticular gold bead implantation is a promising treatment modality for patients with OA of the knee. The new treatment should be tested in a larger trial including only patients who respond positively to initial conventional acupuncture. 744- gera: 149105/di/re THE EFFECTIVENESS OF ACUPUNCTURE ON PAIN AND MOBILITY IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE: A PILOT STUDY. MAA SH, SUN MF, WU CC. j nurs res. 2008;16(2):140-8 (eng).
Acupuncture has been repeatedly reported to relieve pain associated with osteoarthritis of the knee. As the vast majority of information on the effectiveness of acupuncture on this condition is based on data collected in Western countries, little is known about patients with osteoarthritis of the knee in Asian countries. In this pilot clinical study, acupuncture was incorporated into the standard care for adult patients with osteoarthritis of the knee to determine its contribution to pain relief and improved mobility. In a prospective, non-randomized controlled study, patients with osteoarthritis of the knee were separated into two groups. The first (the experimental group; n = 12) was scheduled for up to 8 sessions of acupuncture in addition to standard care, while the second (the control group; n = 12) received standard care only. Measurements using the six-minute walking distance test, pain visual analogue scale, and osteoarthritis of the knee outcome measurement were taken at baseline and after 4 weeks. Both study and control groups showed significant improvement with respect to time effects in terms of six-minute walking distance, pain visual analogue scale, pain domain and mobility domain scores determined by the osteoarthritis of the knee outcome measurement (p < .01), after adjusting for covariables. However, improvements measured in the study group did not differ significantly from those in the control group. Patients with osteoarthritis of the knee seemed to experience clinical improvements in six-minute walking distance, pain relief and mobility when their standard care was supplemented with acupuncture. 745- gera: 149147/di/ra OBSERVATION ON THERAPEUTIC EFFECT OF TREATING TRAUMATIC GONARTHROMENINGITIS BY COMBINED ACUPUNCTURE ANDCHINESE HERBS. HAN LAN. journal of acupuncture and tuina science. 2008;6(2):94 (eng). Objective: To observe the therapeutic effects of treating traumatic gonarthromeningitis with acupuncture combined Chinese herbs. Methods: Seventy patients were randomly divided into two groups, with 35 cases in each group. The treatment group was treated with Chinese herbal medicine, acupuncture and cupping therapy. The control group was treated with Diclofenac Sodium Tablets, Corydalis Analgesic Tablets and Vitamin C Tablets. Results: The total effective rate of the treatment group was higher than that of the control group. There was a statistically significant difference between the two groups (P<O.05). Conclusion: The combined therapy with acupuncture and Chinese herbal medicine has a remarkable therapeutic effect on treating traumatic gonarthromeningitis. 746- gera: 149559/di/ra A BLINDED RANDOMISED TRIAL OF ACUPUNCTURE (MANUAL AND ELECTROACUPUNCTURE) COMPARED WITH A NON-PENETRATING SHAM FOR THE SYMPTOMS OF OSTEOARTHRITIS OF THE KNEE. JUBB R, TUKMACHI E, JONES P, DEMPSEY E, WATERHOUSE L, BRAILSFORD S. acupunct med. 2008;26(2):69 (eng). Objectives To compare the effect of acupuncture (manual and electroacupuncture) with that of a non-penetrating sham ('placebo' needle) in patients with osteoarthritic knee pain and disability who are blind to the treatment allocation. Methods Acupuncture na patients with symptomatic and radiological evidence of osteoarthritis of the knee were randomly allocated to a course of either acupuncture or non-penetrating sham acupuncture using a sheathed 'placebo' needle system. Acupuncture points for pain and stiffness were selected according to acupuncture theory for treating Bi syndrome. Both manual and electrical stimulation were used. Response
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was assessed using the WOMAC index for osteoarthritis of the knee, self reported pain scale, the EuroQol score and plasma b-endorphin. The effectiveness of blinding was assessed. Results There were 34 patients in each group. The primary end point was the change in WOMAC pain score after the course of treatment. Comparison between the two treatment groups found a significantly greater improvement with acupuncture (mean difference 60, 95% CI 5 to 116, P= 0.035) than with sham. Within the acupuncture group there was a significant improvement in pain (baseline 294, mean change 95, 95% CI 60 to 130, P<0.001) which was not seen by those who had sham acupuncture (baseline 261, mean change 35, 95% CI -10 to 80, P=0.12). Similar effects within group, but not between groups, were seen with the secondary end points of WOMAC stiffness, WOMAC function, and self reported pain. One month after treatment the between group pain difference had been lost (mean difference 46; 95% CI -9 to 100, P=0.10) although the acupuncture group was still benefiting compared to baseline (mean difference 59; 95% CI 16 to 102, P=0.009). The EuroQol score, a generic measure of health related quality of life, was not altered by the treatments. A minority of patients correctly guessed their treatment group (41% in the acupuncture group and 44% in the control group). Plasma b-endorphin levels were not affected by either treatment. Conclusions Acupuncture gives symptomatic improvement for patients with osteoarthritis of the knee, and is significantly superior to non-penetrating sham acupuncture. The study did not confirm earlier reports of release of 747- gera: 149719/di/ra EFFECTS OF ELECTROACUPUNCTURE ON SYNOVIA FREE RADICALS IN RABBITS WITH KNEE OSTEOARTHRITIS. HUANG JIAN ZHUO LIAN-SHI , WANG YONG-YU, ET AL. acupuncture research. 2008;33(2):116 (chi). Objective To observe the effect of electroacupuncture(EA)on synovia superoxide dismutase (SOD) activity, malondialdehyde (MDA) and nitric oxide (NO) contents in rabbits with knee osteoarthritis (KOA). Methods A total of 40 New Zealand rabbits were randomly divided into control, model, massage and EA groups, with 10 cases in each. KOA model was established by gypusum fixing method. EA (1. 6 —2 Hz, 1 — 2 mA) was applied to left "Yanglingquan" (GB 34) , "Xuehai" (SP 10), "Zusanli" (ST 36) and "Liangqiu" (ST 34) for 25 min, once daily for 21 days. For massage group, the affected knee joint was pressed, kneaded, stretched and rotated repeatedly for 15 min every time, followed by forced running about 100 m. The intra-joint synovia was collected (0. 4-0. 6 ml) for detecting contents of SOD with xanthine oxidase method, MDA with thiobarbituric acid method and NO with nitrate reductase method. Results Compared with control_ group, synovia SOD activity in model group decreased considerably (P<0. 05) . while MDA and NO contents increased significantly (P<0. 05) . After 3 weeks' treatment,compared with pre-treatment and model group, synovia SOD activity increased markedly ( P<0. 05), and MDA and NO contents lowered remarkably in both EA and massage groups (P<0. 05). No significant differences were found between EA and massage groups in these 3 indexes (P>0. 05). Conclusion Both EA and massage can raise synovia SOD activity and lower MDA and NO content, which may contribute to their effect in relieving knee osteoarthritis in the rabbit. 748- gera: 149774/di/ra 48 CAS DE GONARTHROSE TRAITÉS PAR L'ÉCHAUFFEMENT DU MANCHE DES AIGUILLES AU MOXA. WANG TIE GANG, GONG WEI ZHI. acupuncture traditionnelle chinoise. 2008;16:97 (fra).
749- gera: 149775/di/ra 80 CAS DE GONARTHROSE TRAITÉS PAR L'ÉCHAUFFEMENT DU MANCHE DES AIGUILLES AU MOXA. LI YU HUI. acupuncture traditionnelle chinoise. 2008;16:100 (fra). 750- gera: 149776/di/ra LE TRAITEMENT ACUPUNCTURAL DE LA GONARTHROSE PAR (< LES DEUX LING » [YANG LING QUAN (34 V.B.) ET YIN LING QUAN (9 RT)]. XI XIANG DONG, CHEN ZHUANG MEI. acupuncture traditionnelle chinoise. 2008;16:103 (fra). 751- gera: 149777/di/ra 282 CAS DE DOULEURS DU GENOU TRAITÉS PAR LA PUNCTURE OBLIQUE DE XUE HAI (10 RT) ET DE LIANG QIU (34 E.). WANG XIANG QI, JIANG YA FANG. acupuncture traditionnelle chinoise. 2008;16:107 (fra). 752- gera: 149805/di/ra TRIGGER POINT ACUPUNCTURE FOR TREATMENT OF KNEE OSTEOARTHRITIS--A PRELIMINARY RCT FOR A PRAGMATIC TRIAL. ITOH K, HIROTA S, KATSUMI Y, OCHI H, KITAKOJI H. acupuncture in medecine. 2008;26(1):17 (eng). BACKGROUND: There is evidence for the efficacy of acupuncture treatment in knee osteoarthritis, but it remains unclear which acupuncture modes are most effective. We evaluated the effects of trigger point acupuncture on pain and quality of life in knee osteoarthritis patients, compared with acupuncture at standard points, and sham acupuncture. METHODS: Thirty patients (27 women, 3 men; aged 61-82 years) with non-radiating knee osteoarthritis pain for at least six months and normal neurological examination were randomised to one of three groups for the study period of 21 weeks. Each group received five acupuncture treatment sessions. The standard acupuncture point group (n=10) received treatment at traditional acupuncture points for knee pain; the trigger point acupuncture group (n=10) received treatment at trigger points; and the third group (n=10) received sham acupuncture treatment at the trigger points. Outcome measures were pain intensity (visual analogue scale, VAS) and WOMAC index (Western Ontario and McMaster Universities Arthritis Index). The groups were compared by the area under the curve method. RESULTS: Five patients dropped out of the study because of lack of improvement, and one patient (in the trigger point acupuncture group) dropped out because of deterioration of symptoms; the remaining 24 patients were included in the analysis. After treatment, the trigger point acupuncture group reported less pain intensity on VAS than the standard acupuncture or sham treatment group, but both the trigger point acupuncture and standard acupuncture groups reported improvement of function of knee. There was a significant reduction in pain intensity between pre-treatment and five weeks after treatment for the trigger point acupuncture (P<0.01) and standard acupuncture groups (P<0.01) included in the analysis, but not for the sham treatment group. Group comparison using the area under the curves demonstrated a significant difference only between trigger point acupuncture and sham treatment groups analysed (P<0.025 for VAS, and P<0.031 for WOMAC). CONCLUSION: These results suggest that trigger point acupuncture therapy may be more effective for osteoarthritis of the knee in some elderly patients than standard acupuncture therapy. 753- gera: 149808/di/ra HIGH VOLUME ACUPUNCTURE CLINIC (HVAC)
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FOR CHRONIC KNEE PAIN--AUDIT OF A POSSIBLE MODEL FOR DELIVERY OF ACUPUNCTURE IN THE NATIONAL HEALTH SERVICE. BERKOVITZ S, CUMMINGS M, PERRIN C, ITO R. acupuncture in medecine. 2008;26(1):46 (eng). Recent research has established the efficacy, effectiveness and cost effectiveness of acupuncture for some forms of chronic musculoskeletal pain. However, there are practical problems with delivery which currently prevent its large scale implementation in the National Health Service. We have developed a delivery model at our hospital, a 'high volume' acupuncture clinic (HVAC) in which patients are treated in a group setting for single conditions using standardised or semi-standardised electroacupuncture protocols by practitioners with basic training. We discuss our experiences using this model for chronic knee pain and present an outcome audit for the first 77 patients, demonstrating satisfactory initial (eight week) clinical results. Longer term (one year) data are currently being collected and the model should next be tested in primary care to confirm its feasibility. 754- gera: 149829/di/ra DR. ZHANG REN'S EXPERIENCE IN THE ACUPUNCTURE TREATMENT OF DIFFERENT DISEASES WITH THE SAME THERAPEUTIC PRINCIPLE. LIU JIAN. journal of traditional chinese medicine. 2008;28(2):110 (eng). 755- gera: 150164/di/ra [COMPARATIVE STUDY ON CHINESE MEDICINE AND WESTERN MEDICINE FOR TREATMENT OF OSTEOARTHRITIS OF THE KNEE IN CAUCASIAN PATIENTS]. QIN XY, LI XX, BERGHEA F, SUTEANU S. chinese acupuncture and moxibustion. 2008;28(6):459 (chi). OBJECTIVE: To compare the efficacy, safety and tolerability of different therapies in Caucasian patients with osteoarthritis (QA) of the knee. METHODS: Seventy-five cases (90 knee joints) of osteoarthritis were randomly divided into 3 groups, western medicine group, traditional Chinese medicine (TCM) group, integrated Chinese and western medicine group. The western medicine group were treated with oral administration of Glucosamine Sulfate, oral administration and external application of non-steroid anti-inflammatory agent, ultrasound physiotherapy, etc. The TCM group were treated with oral administration of J uanbi Decoction, acupuncture and moxibustion, cupping, massage of acupoint and ear acupuncture. The integrated Chinese and western medicine group were treated with oral administration of Glucosamine Sulfate, oral administration and external application of non-steroid anti-inflammatory agent, acupuncture and moxibustion, cupping, massage of acupoint and ear acupuncture. The intensity of knee joint pain on walking, resting and standing, the nocturnal pain, stiffness, the maximum walking distance and the daily living ability were monitored after 30 days, 60 days and 90 days of treatment. RESULTS: After 90 days of treatment, the integrated Chinese and western medicine group was better than other two groups in improvement of percentages in self pain assessment with visual analog scale (VAS), pain and stiffness measured by WOMAC scale, pain and maximum walking distance measured by Lequesne scale (P < 0.05 or P < 0.01). There were no significant differences in the therapeutic effects between the TCM group and the western medicine group. All of these three treatments were well tolerated, and no severe adverse events were found. CONCLUSION: Combined TCM and western medicine treatment has rapid and definite therapeutic effect in reducing pain and improving mobility of knee joints and daily living
ability in Caucasian patients of knee 756- gera: 150172/di/ra [OBSERVATION ON THERAPEUTIC EFFECT OF BLOOD-LETTING PUNCTURE COMBINED WITH RED-HOT NEEDLE THERAPY ON KNEE OSTEOARTHRITIS]. ZENG HW, NIE B, SHI LL. chinese acupuncture and moxibustion. 2008;28(7):493 (chi). OBJECTIVE: To observe the therapeutic effect of blood-letting puncture combined with red-hot needle therapy on knee osteoarthritis. METHODS: One hundred and twenty-nine cases were randomly divided into a bloodletting puncture plus red-hot needle therapy group (n=73) and a routine acupuncture group (n=56). The blood letting puncture plus red-hot needle therapy group were treated by blood-letting puncture at Weizhong (BL 40), and red- hot needle pricking Heding (EX-LE 2), Dubi (ST 35), Xiyan (EX-LE 5), Yinlingquan (SP 9), Yanglingquan (GB 34), Xuanzhong (GB 39) and Ashi points, twice each week, 4 times constituting one course. The routine acupuncture group were treated by routine acupuncture at the same points as those for red-hot needle pricking, once each day, two weeks constituting one course. RESULTS: After treatment for 2 courses, the joint pain score and the illness serious index were 2.68+/-0.88 and 4.25+/-1.02, and 4.68+/-1.89 and 7.46+/-2. 13 in the two groups, respectively, with very significant differences before and after treatment in the two groups (P<0.01), the former being better than the later (P<0.05). The clinical cured rate and the total effective rate were 37.0% and 94.5% in the blood-letting puncture plus red-hot needle therapy group and 19.6% and 89.3% in the routine acupuncture group, with a very significant difference between the two groups(P<0. 01). CONCLUSION: Blood-letting puncture combined with red- hot needle therapy has obvious therapeutic effect on knee osteoarthritis. 757- gera: 150301/di/ra [OBSERVATION ON THERAPEUTIC EFFECT OF MOXIBUSTION AT SHENQUE (CV 8) COMBINED WITH ELECTROACUPUNCTURE ON GONARTHRITIS OF TYPE OF ACCUMULATION OF PATHOGENIC COLD DUE TO YANG DEFICIENCY]. LI Q, ZHU J. chinese acupuncture and moxibustion. 2008;28(8):565 (eng). OBJECTIVE: To evaluate the effect of moxibustion at Shenque (CV 8) combined with electroacupuncture on gonarthritis of type of accumulation of pathogenic cold due to yang deficiency. METHODS: The single-blind, randomized and controlled design method was adopted, and 60 cases (104 knees) were divided into an observation group (34 cases, 54 knees) and a control group (30 cases, 50 knees). The observation group were treated with moxibustion at Shenque (CV 8) and local electroacupuncture at Dubi (ST 35), Neixiyan (EX-LE 5), Yanglingquan (GB 34) and Ashi points, and the control group were treated with sham moxibustion at Shenque (CV 8) and local electroacupuncture at the above points. The treatment was given once each day in the two groups and 10 sessions constituted one course. After treatment of one course and at following-up one month later, their therapeutic effects were compared. RESULTS: After treatment, for the pain-killing effect, 42 knees were clinically cured, 11 knees were markedly effective and 1 knee was effective and for the comprehensive therapeutic effect, 37 knees were excellent, 16 knees were good, and 1 knee was OK in the observation group; and for the pain-killing effect, 13 knees were clinically cured, 35 knees were markedly effective and 2 knees were effective and for the comprehensive effect, 9 knees were excellent, 40 knees were good and 2 knees were OK in the control group, with very significant differences between the two groups (P<0.01), the
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observation group being better than the control group. At the following-up one month later, there was no significant difference in the pain-killing effect (P>0.05) and a very significant difference (P<0.01) in the comprehensive effect between the two groups. CONCLUSION: Moxibustion at Shenque (CV 8) combined with electroacupuncture at local points has a better clinical effect on gonarthritis of type of accumulation of pathogenic cold due to yang deficiency, which is better than that of sham moxibustion at Shenque (CV 8) combined with electroacupuncture at local points. 758- gera: 150389/di/ra CLINICAL OBSERVATIONS ON TREATMENT OF GENUAL OSTEOARTHRITIS BY ACUPUNCTURE PLUS DRUG INJECTION. WANG ZHENG-XIN, CHEN GUANG-HUI, SHI XIAO-CHENG. shanghai journal of acupuncture and moxibustion. 2008;27(8):25 (chi). Objective To compare the clinical efficacy of acupuncture plus drug injection with conventional acupuncture in treating genual osteoarthritis. Methods One hundred and fourteen patients were randomly allocated to a treatment ( acupuncture plus injection of Sodium Hyaluronate) group (75 cases) and a control ( conventional acupuncture) group (39 cases). Results The efficacy rate was 61.3% in the treatment group and 35.9% in the control group; there was a statistically, significant difference between the two groups (P <0. 01). Conclusion The effect of acupuncture plus injection of Sodium Hyaluronate is superior to that of, conventional acupuncture in treating genual 759- gera: 150467/nd/ra [COMPARISON OF EFFECTS AMONG TAI-CHI EXERCISE, AQUATIC EXERCISE, AND A SELF-HELP PROGRAM FOR PATIENTS WITH KNEE OSTEOARTHRITIS]. LEE HY. taehan kanho hakhoe chi. 2008;36(3):571-80 (eng). PURPOSE: This study was to compare the effects among Tai-Chi exercise, aquatic Exercise, and a self-help program for knee osteoarthritis patients on symptoms of arthritis, muscle strength, balance, and difficulty of performing activities. METHOD: There were 50 final subjects50. A non-equivalent pretest-posttest design was used. The collected data was analyzed using SPSS for Window. One-way ANOVA and Scheffe's multiple comparison test were used 8 weeks after each program. RESULT: There were significant differences in joint pain (p=.000), stiffness (p=.001), knee extensor peak torque (p=.006), knee flexor (p=.002), and difficult of performing activity (p=.000), but there was no significant difference in balance (p=.648). The Tai-Chi group was significantly different from the self-help group for knee extensor peak torque, knee flexor and stiffness on Scheffe's multiple comparison tests. In addition, the Tai-Chi group or aquatic group were significantly different from the self-help group for difficulty of performing activities (p<0.05). CONCLUSION: There are significant differences in the effects of the nursing intervention among the three groups. The Tai-Chi group and aquatic group were significantly different from the self-help group. However, it seems that Tai-Chi exercise may be more suitable than aquatic exercise in osteoarthritis exercise programs. Further studies with a longitudinal study are necessary to confirm the longer exercise period. 760- gera: 150783/di/ra CLINICAL OBSERVATION ON KNEE OSTEOARTHRITIS TREATED WITH WARMING NEEDLE MOXIBUSTION ON NEIXIYAN(ST35) ARID WIAXIYAN( EX - LE5). CHEN QIU - MING, YU BO -LIANG, BIN SHU - FEN. journal of clinical acupuncture and moxibustion. 2008;24(4):9 (chi*).
761- gera: 150812/di/ra OBSERVATION ON THERAPEUTIC EFFECTS OF FAN ASHI ACUPOINT TREATING IN KNEEJOINT LIGAMENTA COLLATERALIA DAMAGE. YANG XIAO - HONG. journal of clinical acupuncture and moxibustion. 2008;24(7):8 (chi). 762- gera: 151038/di/ra SETTING UP AN ACUPUNCTURE KNEE CLINIC UNDER PRACTICE BASED COMMISSIONING. FREEDMAN J, RICHARDSON M. acupuncture in medicine. 2008;26(3):183-7 (eng). This paper outlines the setting up of a new service in primary care offering acupuncture to patients with severe osteoarthritis of the knee. The high volume clinic is funded under the Practice Based Commissioning initiative and is the first of its type in the UK. It appears to offer a model for similar services elsewhere. 763- gera: 151103/di/ra CASE OF SEROUS GONARTHRITIS WITH NONPRODUCTIVE COUGH SUCCESSFULLY TREATED WITH EPPIKAJUTSUTO. HOSHINO A, TATSUMI T, SATO H, OKU Y, ITO K, TAMURA J, KOGURE T. kampo medicine. 2008;59(5):733 (jap). We report a case of serous gonarthritis with nonproductive cough successfully treated with Eppikajutsuto. A 37-year- old Japanese man developed a right genicular arthrocele with nonproductive cough, in October X. Over 100 ml of serous sYnovial fluid was drained via an arthrocentesis puncture procedure. Although he was treated with nonSteroidal anti-inflammatory agents by an orthopedist, under a diagnosis of serous gonarthritis, his symptoms did not improve. Laboratory findings suggested inflammatory conditions (serum CRP 3.4 mg/dl, ESR 76 mm/h). At the time of his first visit in January X+1, orthopedic examinations revealed that rheumatoid arthritis was unlikely, based on negative physical and laboratory findings. A contrast MRI knee joint scan did riot demonstrate any tumor- like mass of synovium which would indicate pigmented villonodular synovitis. And orthopedists found it difficult to specify the cause of his serous gonarthritis. After a common cold in December X, cough stimulated by cold exposure was superimposed on serous gonarthritis. We utilized Eppikajutsuto under the interpretation that both his genicular arthrocele and nonproductive cough were due to a "sui" disturbance. This Eppikajutsuto therapy reduced his genicular arthrocele and nonproductive cough in 1 month. His symptoms and inflammatory reactions were completely improved in 3 . months, regardless of gradual withdrawal of his medication. 764- gera: 151107/di/ra OBSERVATION ON THERAPEUTIC EFFECTS OF FAN ASHI ACUPOINT TREATING ON KNEEJOINT LIGAMENTS COLLATERALIA DAMAGE. YANG XIAO HONG. journal of clinical acupuncture and moxibustion. 2008;24(7):8 (chi). 765- gera: 151142/di/ra 8-NEEDLE KNEE TECHNIQUE. CHI CHENG. international journal of clinical acupuncture. 2008;17(2):95 (eng). Eight-needle knee is a technique for treating knee pain or arthritis. It is a very effective and useful technique. There are many needling techniques for treating knee pain using points such as He Ding, ST35, Xi Yan and so on. I settled on the 8-needle technique many years ago, finding it a good method for treating a wide variety of knee pain due to cold joint pain, heat joint pain, trauma injury, edema, or tendon spasm.
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766- gera: 151172/di/ra EFFECTS OF NONINVASIVE INTERACTIVE NEUROSTIMULATION ON SYMPTOMS OF OSTEOARTHRITIS OF THE KNEE: A RANDOMIZED, SHAM-CONTROLLED PILOT STUDY. TK SELFE, C BOURGUIGNON, AND AG TAYLOR. journal of alternative and complementary medicine. 2008;14(9):1075-81 (eng). OBJECTIVE: To explore the effects of noninvasive interactive neurostimulation used as an adjunct to usual care, on pain and other symptoms in adults with osteoarthritis of the knee. DESIGN: Randomized, sham-controlled trial. SETTING: A university in the southern United States. SUBJECTS: Thirty-seven (37) adults with knee osteoarthritis (based on American College of Rheumatology diagnostic criteria). INTERVENTIONS: Seventeen (17) noninvasive interactive neurostimulation (active or sham) sessions over 8 weeks with a week 12 follow-up. OUTCOME MEASURES: Eleven-point numeric rating scale for weekly pain; Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), patient global assessment, and Short-Form Health Survey (SF-36) completed at baseline and weeks 4, 8, and 12. RESULTS: For the main outcome, pain, the differences between the groups over time did not reach statistical significance (all p > 0.05). However, a clinically important reduction in pain (defined as a 2-point or 30% reduction on an 11-point numeric rating scale) was maintained at week 12 by the active noninvasive interactive neurostimulation group (2.17 points, 34.55% reduction) but not the sham group (1.63, 26.04% reduction). Pain improved over time in participants regardless of group membership (numeric rating scale average pain, p = 0.002; numeric rating scale worst pain, p < 0.001; and WOMAC pain, p < 0.001), as did WOMAC function, WOMAC stiffness, and WOMAC total score (all p < 0.001). Repeated measures ANOVA revealed a statistically significant difference between the groups over time for the SF-36 Vitality scale, F (3, 105) = 3.54, p = 0.017. In addition, the active device group improved on the patient global assessment from baseline to week 8 compared to the sham device group, F (1, 35) = 4.025, p = 0.053. CONCLUSIONS: In this pilot study, clinically important reductions in knee pain were maintained at week 12 in the active, but not the sham, noninvasive interactive neurostimulation group. Further study of this noninvasive therapy is warranted. 767- gera: 152322/di/ra [COMPARATIVE STUDY ON EFFECTS OF COMBINED MASSAGE-SMOULDERING-WASHING THERAPY AND MINI-INVASIVE SURGERY IN TREATING KNEE OSTEOARTHRITIS]. OU ZX, JIN JC, HUANG D. chinese journal of integrated traditional and western medicine. 2008;28(10):925-8 (chi). OBJECTIVE : To comparatively study the curative effects of combined massage-smouldering-washing therapy (MSW) and mini-invasive surgery in treating knee osteoarthritis (KOA) of mild-moderate degree so as to provide a suitable therapeutic protocol. METHODS: Sixty patients with KOA were assigned to two groups. The treatment group was treated with MSW once a day for 10 days as one course, and 4 courses were applied totally with an interval of 3 days between courses. The control group was treated with mini-invasive surgery by arthroscopic mopping, followed with post-operational intra-articular cavity injection with sodium hyaluronate injection, 20 mg every week for 5 times continuously. The therapeutic effect and the changes in scores of clinical symptoms and signs before and after treatment in the two groups were observed and compared. RESULTS: Outcome of 3-month follow-up showed the
effective rate was 90% in the treatment group and 93.33% in the control group; scores of clinical symptoms and signs effectively improved in both groups, but the improvement on the 4 items (joint pain, swelling, soreness of loin and knee, and cold aversion of knee) was superior in the treatment group, while that on the other 4 items (pain during squatting or half-squatting, up stairs or down stairs, joint stiffiness and joint kinetic capacity) was superior in the control group (P < 0.05). CONCLUSION: Both MSW and mini-invasive surgery have definite curative effect on KOA but with different particularities. 768- gera: 152549/nd/re [OBSERVATION ON THERAPEUTIC EFFECTS OF ELECTROACUPUNCTURE FOR THE TREATMENT OF KNEE OSTEOARTHRITIS]. WU ZH, BAO F.. zhongguo gu shang. 2008;21(3):170-2 (chi). OBJECTIVE: To study the therapeutic effects of electroacupuncture for the treatment of osteoarthritis of knee joint. METHODS: Forty patients with knee osteoarthritis were randomly divided into two groups: the electroacupuncture group (20 patients)and the control group (20 patients). The patients in electroacupuncture group (8 male and 12 female, with an average age of 62.50 +/- 9.23 years and mean course of disease 9.85 +/- 8.17 years)were treated with electroacupuncture for one month. At the same time, the patients in control group (7 male and 13 female, with an average age of 61.15 +/- 6.75 years and mean course of disease 8.60 +/- 6.89 years) were given Diclofenac sodium orally for one month. The motor function of knee joints were evaluated before and after treatment according to Lysholm knee scoring scale. RESULTS: Most scores in the electroacupuncture group improved significantly compared with those of before treatment (P < 0.01 or P < 0.05) except for the item demands for support. While in the control group, compared with those of before treatment, there were significant difference on the item of pain, inter locking and instability (P < 0.01 or P < 0.05), but there were no significant differences on other five items (P > 0.05). Between the two groups after treatment, differences on item of inter locking, instability, swelling, stair activity and squat were significant (P < 0.05), but no differences on limp, demands for support and pain (P > 0.05). CONCLUSION: Acupuncture can effectively improve the clinical symptoms and knee joint's motor function of patients with knee osteoarthritis, and more superior than Diclofenac sodium oral. It is a proved effective method for osteoarthritis. 769- gera: 152710/di/re EFFECTS OF EXTERNAL QIGONG THERAPY ON OSTEOARTHRITIS OF THE KNEE A RANDOMIZED CONTROLLED TRIAL. KEVIN W CHEN, ADAM PERLMAN, JASON G. LIAO, ALEX LAM, JOY STALLER, AND LEONARD H. SIGAL. clin rheumatol. 2008;: (eng). Objectives:To assess the efficacy of external qigong therapy (EQT), a traditional Chinese medicine practice, in reducing pain and improving functionality of patients with knee osteoarthritis (OA). Methods112 adults with knee OA were randomized to EQT or sham treatment (control); 106 completed treatment and were analyzed. Two therapists performed EQT individually, 5–6 sessions in 3 weeks. The sham healer mimicked EQT for the same number and duration of sessions. Patients and examining physician were blinded. Primary outcomes were WOMAC pain and function; other outcomes included McGill Pain Questionnaire, time to walk 15 meters and range of motion squatting. Results of patients treated by the 2 healers were analyzed separately. ResultsBoth treatment groups reported significant reduction in WOMAC scores after intervention. Patients treated by
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Healer 2 reported greater reduction in pain (mean improvement −25.7 ± 6.6 vs. −13.1 ± 3.0; p < .01) and more improvement in knee function (−28.1 ± 9.7 vs. −13.2 ± 3.4; p < .01) than those in the control group. These patients also reported a greater reduction in negative mood, but not in anxiety or depression. Patients treated by Healer 1 experienced improvement similar to the control group. The results of therapy persisted at 3 months follow-up for all groups. Mixed-effect models confirmed these findings with controlling for possible confounders.Conclusion EQT might have a role in the treatment of OA, but EQT healers are not equivalent. The apparent efficacy of EQT appears to be healer-dependent. Further study, on a larger scale, with multiple EQT healers is necessary to determine the role (if any) for EQT in the treatment of OA and to identify differences in EQT techniques. 770- gera: 152504/di/ra EVIDENCE BASED GUIDELINES AND CURRENT PRACTICE FOR PHYSIOTHERAPY MANAGEMENT OF KNEE OSTEOARTHRITIS. WALSH NE, HURLEY MV.. musculoskeletal care. 2009;7(1):45-56 (eng). OBJECTIVES: To document physiotherapy provision for patients with knee osteoarthritis (OA) in relation to the United Kingdom (UK) recently published National Institute of health and Clinical Excellence (NICE) guidelines for osteoarthritis. DESIGN: Questionnaire survey of chartered physiotherapists. METHOD: 300 postal questionnaires were distributed to Physiotherapy Departments requesting information regarding source of referrals, treatment aims, preferred methods of treatment and service delivery. RESULTS: Responses were received from 83 physiotherapists (28 %), predominantly working in the UK National Health Service. Approximately equal numbers of referrals came from primary and secondary care. Aims of physiotherapy management were to; encourage self-management; increase strength and range of movement; reduce pain; and improve function. To achieve these, exercise was utilised by 100% of practitioners, often supplemented with electrotherapeutic modalities (66%), manual therapy (64%) and acupuncture (60%). The majority of patients received individual treatment for a total contact time of 1-2 hours, whilst most group interventions lasted 5-6 hours. Approximately half (54%) of respondents reported using outcome measures to determine treatment efficacy. CONCLUSIONS: Although knee OA is usually managed in primary care, the similar number of referrals from primary and secondary care may suggest a deviation from evidence-based management guidelines. The guidelines' recommendations of exercise, patient education and self-management are observed by physiotherapists, but other modalities are often used despite poor or no research evidence supporting their efficacy. Whether any of these interventions are clinically beneficial is speculative as treatment outcomes were frequently under-evaluated. 771- gera: 153004/di/ra [CLINICAL OBSÉMATION ON TREATING KNEE OSTEOARTHRITIS BY PHLEBOTOMY THERAPY]. CONG XIN , JIN QING - WEN, XIE FANG. journal of clinical acupuncture and moxibustion. 2009;25(2):7 (chi). 772- gera: 153188/di/ra DELAYED EFFECT OF ACUPUNCTURE TREATMENT IN OA OF THE KNEE: A BLINDED, RANDOMIZED, CONTROLLED TRIAL. MILLER E, MAIMON Y, ROSENBLATT Y, MENDLER A, HASNER A, BARAD A, AMIR H, DEKEL S, LEV-ARI S. evid based complement alternat med. 2009;JAN: (eng). To assess the efficacy in providing improved function and
pain relief by administering 8 weeks of acupuncture as adjunctive therapy to standard care in elderly patients with OA of the knee. This randomized, controlled, blinded trial was conducted on 55 patients with OA of the knee. Forty-one patients completed the study (26 females, 15 males, mean age +/- SD 71.7 +/- 8.6 years). Patients were randomly divided into an intervention group that received biweekly acupuncture treatment (n = 28) and a control group that received sham acupuncture (n = 27), both in addition to standard therapy, e.g. NSAIDS, cyclooxygenase-2 inhibitors, acetaminophen, intra-articular hyaluronic acid and steroid injections. Primary outcomes measures were changes in the Knee Society Score (KSS) knee score and in KSS function and pain ratings at therapy onset, at 8 weeks (closure of study) and at 12 weeks (1 month after last treatment). Secondary outcomes were patient satisfaction and validity of sham acupuncture. There was significant improvement in all three scores in both groups after 8 and 12 weeks compared with baseline (P<0.05). Significant differences between the intervention and control groups in the KSS knee score (P = 0.036) was apparent only after 12 weeks. Patient satisfaction was higher in the intervention group. Adjunctive acupuncture treatment seems to provide added improvement to standard care in elderly patients with OA of the knee. Future research should determine the optimal duration of acupuncture treatment in the context of OA. 773- gera: 153285/di/ra POSTOPERATIVE PAIN MANAGEMENT AND ACUPUNCTURE: A CASE REPORT OF MENISCAL CYST EXCISION. GALANIS N, STAVRAKA C, BOUTSIADOU T, KIRKOS JM, KAPETANOS G. acupunct med. 2009;27(2):79-80 (eng). We report a case of pain management after a meniscal cyst excision, with the use of electroacupuncture (EA). There are a few reports which indicate that postoperative pain management is prerequisite for the patient's optimal recovery, but surveys in the UK and the USA have identified an unacceptable prevalence of poor pain control after surgery, which might increase the risk of a chronic pain state. The conventional treatment of postoperative pain includes systemic medications such as opioids, non-steroidal anti-inflammatory drugs and other non-opioid agents. In our case, the rehabilitation lasted for 6 months without significant benefit. After that period our patient was treated with EA. By the end of the first EA session the relief of pain was notable and after a course of 10 treatments the patient reported complete relief of the symptoms with no recurrence during a 2 year follow up period. In conclusion, this might indicate that EA could be useful for postoperative pain management. 774- gera: 153287/di/ra NICE GUIDELINE ON OSTEOARTHRITIS: IS IT FAIR TO ACUPUNCTURE? YES. LATIMER N. acupunct med. 2009;27(2):72-5 (eng). The NICE Osteoarthritis Guideline Development Group (GDG) has been challenged for not using the available acupuncture evidence in the most appropriate manner in three crucial areas. This response explains the methods used by the GDG with particular reference to the economic analysis, and illustrates that the methods used were those most appropriate for developing a NICE clinical guideline. The cost-effectiveness conclusions made by the GDG are supported by the currently available evidence. 775- gera: 153288/di/ra NICE GUIDELINE ON OSTEOARTHRITIS: IS IT FAIR TO ACUPUNCTURE? NO. WHITE A. acupunct med. 2009;27(2):70-2 (eng). A new guideline on the care and management of
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osteoarthritis has recently been published by the National Institute for Health and Clinical Excellence, and makes wide-ranging and authoritative recommendations. The guideline states that there is insufficient evidence to recommend acupuncture. There appears to be three areas where the guidelines may have not used the available evidence in the most appropriate manner. First, data on the long-term effectiveness of acupuncture may have been misinterpreted. Second, the specific rejection of electroacupuncture indicates a restricted understanding of acupuncture as a treatment, and is based on a cost- effectiveness analysis which may not be ideal. Third, the cost-effectiveness calculations used comparisons with sham acupuncture ("placebo") when comparison with standard care would have been more appropriate. The guideline may therefore lead some patients with osteoarthritis to miss out on a treatment that may be effective for 776- gera: 154072/di/re [CLINICAL RESEARCH ON BIRDPECKING MOXIBUSTION TREATMENT WITH KNEE OSTEOARTHRITIS]. LIAO YU,. journal of clinical acupuncture and moxibustion. 2009;2:1 (chi). 777- gera: 154085/di/re [KNEE OSTEOARTHRITIS TREATMENT METHODS OF RECENTLY 10 YEARS]. SUN XIAO. journal of clinical acupuncture and moxibustion. 2009;02:46 (chi). An overview of knee osteoarthritis pathogenesis characteristics and the importance of treatment, comparison of various existing treatments.The literature summary of inquiries for recently 10 years of a variety of knee osteoarthriitis treatments, and compare the feasibility and effectiveness. At present, there are knee osteoarthritis more than 10 types of treatments, western medicine treatment only alleviate symptoms, and there are obvious side effect, surgery is expensive, long - term effects can not be sure. Knee osteoarthritis is common, tradtional Chinese medicine acupuncture is especially effective, economical and practical. 778- gera: 154090/di/re [TREATING KNEE OSTSOARTHRITIS 40 CASES BY ACUPUNCTURE WITH WARMED NEEDLE COMBINED WITH EXTERNAL APPLICATION OF CHINESE MEDICINE]. HU JIN,. journal of clinical acupuncture and moxibustion. 2009;25(3):9 (chi). 779- gera: 154145/di/re CLINICAL AND ENDOCRINOLOGICAL CHANGES AFTER ELECTRO-ACUPUNCTURE TREATMENT IN PATIENTS WITH OSTEOARTHRITIS OF THE KNEE. AHSIN S, SALEEM S, BHATTI AM, ILES RK, ASLAM M.. pain. 2009;47(1-3):60-6 (eng). Neurobiological mechanisms invoking the release of endogenous opioids and depression of stress hormone release are believed to be the basis of acupuncture analgesia. This study compared plasma beta-endorphin and cortisol levels with self assessment scores of intensity of pain, before and after 10 days of electro-acupuncture treatment in patients suffering from chronic pain as a result of osteoarthritis knees. Forty patients of either sex over 40 years with primary osteoarthritis knee were recruited into a single-blinded, sham-controlled study. For electro-acupuncture group the points were selected according to the Traditional Chinese Medicine Meridian Theory. In the sham group needles were inserted at random points away from true acupoints and no current was passed. Both groups were treated for 10 days with one session every day lasting for 20-25min. Pre- and post-treatment Western Ontario and McMaster Universities (WOMAC) index of osteoarthritis knee and Visual Analogue
Scale (VAS) for pain were recorded and blood samples were taken for the measurement of plasma cortisol and beta-endorphin levels. Following electro-acupuncture treatment there was a significant improvement in WOMAC index and VAS (p=0.001), a significant rise in plasma beta-endorphin (p=0.001), and a significant fall in plasma cortisol (p=0.016). In conclusion electro-acupuncture resulted in an improvement in pain, stiffness and disability. Of clinical importance is that an improvement in objective measures of pain and stress/pain associated biomarkers was shown above that of a sham treatment; hence demonstrating acupuncture associated physiological changes beyond that of the placebo effects. 780- gera: 154445/di/ra CLINICAL OBSERVATION ON TREATMENT OF KNEE OSTEOARTHRITIS BY ACUPUNCTURE AND TUINA THERAPY. YUAN-ZHI FAN, LI GONG, JUN-TAO YAN, MIN FANG AND WU- QUAN SUN,. journal of acupuncture and tuina science. 2010;8(6):390-393 (eng). Objective: To observe the effect of acupuncture and Chinese tuina manipulation therapy in treating knee osteoarthritis, and analyze the alteration of musculus quadriceps femoris strength. Methods: A total of 80 patients were randomly assigned to a treatment group receiving acupuncture combined Chinese tuina manipulation therapy (n=40) and a control group receiving Fenbid treatment (n=40), curative effective score, Lequene & Mery assessment tests, and isokinetic evaluation were recorded before and after the treatment course. Results:The total effective rate was 90.0% in the treatment group and 87.5% in the control group, without a significant difference between the two groups. Lequene & Mery assessment tests had no significant change. Musculus quadriceps femoris isokinetic evaluation improved significantly after the treatment course in the two groups (P<0.05), and there was a significant difference between the two groups (P<0.05). Conclusion: Acupuncture combined with tuina manipulation therapy and Fenbid treatment both can reduce knee pain and joint disability in the short term, though no improvement was shown in the severity of the disease. Acupuncture combined with tuina manipulation therapy is better than Fenbid in improving the strength, total work and explosive force of the musculus quadriceps femoris. 781- gera: 154484/di/ra 62 CAS D’INFLAMMATION DU PAQUET ADIPEUX DE HOFFA TRAITÉS PAR LE POINT XI YAN (PC 23 / P.E-M.I.5) AVEC UN ÉCHAUFFEMENT DU MANCHE D’AIGUILLE AU MOXA. LI GUO ZHONG. acupuncture traditionnelle chinoise. 2010;22:114-116 (fra). L’inflammation du paquet adipeux de Hoffa est souvent due à des microtraumatismes chroniques ou à une prolongation d’un traumatisme aigu mal traité. En clinique, il est facile de confondre cette pathologie avec d’autres affections du genou. De 1998 à 2003, l’auteur de cet article en ai traité 62 cas avec de bons résultat par le point Xi Yan (PC 23 / P.E-M.I.5) et un échauffement du manche d’aiguille au moxa. 782- gera: 154485/di/ra 60 CAS DE LÉSION DU PAQUET ADIPEUX DE HOFFA TRAITÉS PAR L’ACUPUNCTURE AVEC UN ÉCHAUFFEMENT DU MANCHE D’AIGUILLE AU MOXA. PENG XIAO QIN. acupuncture traditionnelle chinoise. 2010;22:117-118 (fra). Selon les auteurs de cet article, l’échauffement du manche d’aiguilles au moxa appliqué au point Du Bi (35 E.) qui se trouve au-dessus du paquet adipeux de Hoffa laisse la chaleur dégagée du moxa atteindre ce paquet, ce qui fait dilater les vaisseaux capillaires et accélérer la circulation sanguine,
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permettant ainsi la résorption de l’état inflammatoire aseptique et la réparation des tissus mous impliqués dans cette maladie. 783- gera: 154503/co/re SERIOUS CONCERNS RELATED TO THE ARTICLE ENTITLED "TAI CHI IMPROVES PHYSICAL FUNCTION IN OLDER CHINESE WOMEN WITH KNEE OSTEOARTHRITIS", WANG CHENCHEN. journal of clinical rheumatology. 2010;16(7):356 (eng). 784- gera: 154504/di/re TAI CHI IMPROVES PHYSICAL FUNCTION IN OLDER CHINESE WOMEN WITH KNEE OSTEOARTHRITIS: RETRACTION, SCHUMACHER HR. journal of clinical rheumatology. 2010;16(7):357 (eng). 785- gera: 154505/co/re TAI CHI IMPROVES PHYSICAL FUNCTION IN OLDER CHINESE WOMEN WITH KNEE OSTEOARTHRITIS, NI GUO-XIN, SONG LIN, YU BIN, HUANG, CAI-HUA, LIN JIAN- HUA. journal of clinical rheumatology. 2010;16(2):64-7 (eng).
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Index des auteurs
PENG XIAO QIN¤ 782 , ABHAY TILLU, CHRIS ROBERTS, SUMEDHA TILLU¤ 409 , AHSIN S, SALEEM S, BHATTI AM, ILES RK, ASLAM M.¤ 779 , ALCAZAR CREVILLEN ET AL¤ 111 , AMANO K ET AL¤ 180 , AMINAKA N, GRIBBLE PA¤ 603 , AMMER K ET AL¤ 88 , AN B, KERONG DAI,ZHENAN ZHU, YOU WANG, YONGQIANG HAO, TINGTING 736 , ANDRES G¤ 360 , AUDETTE, JF ET AL¤ 699 , AVERY P¤ 317 , BAI LI-HE ET AL¤ 153 , BAI SHAOJIA ET AL¤ 189 , 221 , 230 , BAI SHUCHEN,WANG ZHIGANG,ZHANG FANGJIAN,ET AL ¤ 556 , BAI YUNHENG¤ 47 , BAO JIN, LI YONGKANG¤ 382 , BARBAGLI P ET AL¤ 234 , BARLAS P¤ 597 , BARRON MC, RUBIN BR¤ 691 , BERKOVITZ S, CUMMINGS M, PERRIN C, ITO R¤ 753 , BERMAN B¤ 659 , BERMAN BM ET AL¤ 210 , 254 , BERMAN BM, LAO L, LANGENBERG P, LEE WL, GILPIN AM, HOCHBERG MC¤ 562 , BI RONGXIU , YIN HUIFEN, AND WANG SHILU¤ 548 , BIZZINI M ET AL¤ 514 , BJORDAL JM, JOHNSON MI, LOPES-MARTINS RA, BOGEN B, CHOW R, 675 , BOUREAU¤ 17 , 20 , BOURREAU¤ 11 , BOURREAU F¤ 8 , BOUTRON I, TUBACH F, GIRAUDEAU B, RAVAUD P¤ 457 , BRINKHAUS B, BECKER-WITT C, JENA S, LINDE K, STRE¤ 454 , 509 , BRINKHAUS B, WITT CM, JENA S, LINDE K, STRENG A, HUMMELSBERGER 678 , BRISMEE JM, PAIGE RL, CHYU MC, BOATRIGHT JD, HAGAR JM, MCCALEB 658 , BUCKLEY N¤ 653 , BULOW HH¤ 161 , CAI DEFENG¤ 292 , CAI HUAAN, ET AL¤ 398 , CAI LIMIN, YE WEIHONG, LUO JIAWEI , ET AL¤ 484 , CAI SHAOREN¤ 458 , CALLISON M¤ 408 , CAMP V¤ 172 , CAO XIANG-YANG,LI WU-YIN,GUO YAN-JIN, ET AL ¤ 523 , CAO YU, YAO JU-PING, JIANG NING-DONG, ET AL¤ 381 , CAO YUN¤ 571 , CASTRO P¤ 24 , CHARD J, LOHMANDER S, SMITH C, SCOTT D¤ 604 , CHARD J, SMITH C, LOHMANDER S, SCOTT D¤ 602 , CHEN DALONG¤ 233 , 249 , CHEN DI, TANG JUN-RUI, CHEN JIM, AL¤ 612 , CHEN DI, TANG JUN-RUI, CHEN JIM, ET AL¤ 610 , CHEN DI, TANG JUN-RUI, CHEN JUN, ET AL¤ 605 , CHEN GEGI¤ 337 , 346 , CHEN GUANGZHENG ET AL¤ 240 , 253 , CHEN HULLING¤ 355 , CHEN JIAN ET AL¤ 91 ,
CHEN JIAN-ZONG ET AL¤ 316 , CHEN JIN¤ 198 , CHEN LIAN-YUAN ET AL¤ 86 , CHEN LIJUN , LIU WEN-GANG MTFFL, YE ZHENZHONG ,¤ 508 , CHEN LUN FEI¤ 656 , CHEN QIU - MING, YU BO -LIANG, BIN SHU - FEN¤ 760 , CHEN WEI, MEI GAOPENG¤ 622 , CHEN WEIHENG ET AL¤ 195 , 213 , CHEN WEIHENG, LI ZUOXU¤ 216 , CHEN XIAOWEI ET AL¤ 314 , CHEN XING KUI¤ 738 , CHEN XIULING¤ 438 , 452 , CHEN YAN KUN¤ 689 , CHEN YUANGE¤ 274 , CHEN ZHAOHUI ED ALTRI¤ 608 , 614 , CHEN ZHAO-HUI, CAO RI-LONG ¤ 544 , CHEN ZHAOHUI, WANG SHUN, ZHANG JIANBAO ¤ 536 , CHEN ZX ¤ 533 , CHENG CK ET AL¤ 196 , CHENG TINGXIU¤ 505 , CHENG WEIHENG ET AL¤ 215 , CHENG YAN¤ 303 , CHENJU-TANG, XIAO-LING¤ 713 , CHI CHENG¤ 765 , CHI ZHONG-QIA¤ 433 , 444 , CHON-SEN M¤ 18 , CHRISTENSEN BV ET AL¤ 171 , 187 , COLIN D¤ 648 , CONG XIN , JIN QING - WEN, XIE FANG¤ 771 , CONTI S ET AL¤ 185 , CREAMER P ET AL¤ 250 , CROSSLEY K ET AL¤ 319 , CUI LIANGUANG¤ 220 , CUI YUN-MENG¤ 202 , CUMMINGS M¤ 491 , 618 , 704 , 731 , D ASIS¤ 204 , DAI QI-PING QIU MIN-LEI SHAO PING, ET AL¤ 461 , DAI QIYI¤ 466 , DAI QIYI WEI GUIKANG¤ 397 , DE L'HOMME G ET AL¤ 40 , DEGUET JP¤ 112 , DELFAU¤ 41 , DENG BO-YING¤ 460 , DING JIAN ZHONG¤ 229 , DING ZHIQIANG ET AL¤ 298 , DONG CHANG-YONG¤ 281 , DONG J, XU Y, ZHANG Q¤ 456 , DONG JIAN PING, XU YUE ZE, ZHANG QING LI ¤ 512 , DONG JIANGTAO¤ 275 , DONG JIANPING¤ 560 , DONG JIANPING, XU YUEZE AND ZHANG QINGLI¤ 474 , DONG ZHONG,TANG YI-QUAN¤ 478 , DU NING ET AL¤ 152 , DUAN HAI-CHAO ET AL¤ 334 , 343 , DUAN SHENGRU ET AL¤ 78 , DUNG HC¤ 54 , E TUKMACHI ET AL¤ 412 , EITARO NOGUCHI¤ 76 , ERNST E¤ 567 , ETTINGER WH ET AL¤ 231 , EWER T¤ 630 , EZZO J ET AL¤ 320 ,
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FABRE J¤ 70 , FAN SONGLING¤ 208 , FAN WEI XING, HU ZHONG GEN¤ 631 , FANG YONGYAN¤ 156 , FANG ZONGCHOU¤ 252 , FARGAS-BABJAK A ET AL¤ 162 , FEI BAO AND ZHIHONG WU¤ 695 , FEI BAO, ZHIHONG WU, DAOHAI WANG, FENGQIN WANG, HUA SUN, 706 , FEI MEI¤ 595 , FELHENDLER D, LISANDER B¤ 223 , FENG FENG¤ 296 , FERRÁNDEZ INFANTE A, GARCÍA OLMOS L, GONZÁLEZ GAMARRA A, MEIS 428 , FOSTER N¤ 732 , FOSTER NE ET AL¤ 696 , FOSTER NE, HAY EM, BARLAS P, THOMAS E, HILL J, YOUNG J¤ 619 , FOSTER NE, THOMAS E, BARLAS P, HILL JC, YOUNG J, MASON E, HAY EM¤ 679 , FOSTER NEL , THOMAS E1, BARTAS P2, HILL J1, MASON L1, YOUNG J1, 668 , FRANSEN M, NAIRN L, WINSTANLEY J, LAM P, EDMONDS J¤ 660 , FREEDMAN J, RICHARDSON M¤ 762 , FU RUIYANG, HUANG HUI, SHEN XIN LIN, ET AL¤ 475 , FU SC, HUI CW, LI LC, CHEUK YC, QIN L, GAO J, CHAN KM¤ 601 , FU XIN¤ 498 , FU Y, KANG MF, CHEN RX, ZHANG B, ZHANG HF¤ 682 , GAI G¤ 68 , GALANIS N, STAVRAKA C, BOUTSIADOU T, KIRKOS JM, KAPETANOS G¤ 773 , GAO QING WEI¤ 219 , GAO QUAN-MING¤ 606 , 611 , GAO WENXIANG ET AL¤ 278 , GAO XIANG,WU TAO, TENG SONGMAO, ET AL¤ 330 , GAO YANG¤ 389 , GE HY, FERNANDEZ-DE-LAS-PENAS C, MADELEINE P, ARENDT-NIELSEN L¤ 725 , GE JIRONG, WANG HEMIN, YANG LIANZI, ET AL¤ 403 , GONG ZUNKE, CHEN WEI, ZHOU XIAOYUAN¤ 416 , GONZALEZ EB, NGUYEN-OGHALAI T¤ 734 , GORET O¤ 218 , 279 , 280 , 312 , 364 , 538 , 617 , GOUSSEBAIRE-DUPIN M¤ 77 , GU YU, XU JING-RENT¤ 741 , GUILLAUME G¤ 23 , GUO BANGFU ET AL¤ 52 , 62 , GUO FUCHENG¤ 395 , GUO FUCHENG ET AL¤ 175 , GUO JIA¤ 517 , GUO LONGQUAN ET AL¤ 302 , GUO XIAODONG¤ 186 , 192 , GUO XIAOWEI ET AL¤ 324 , GUPTA S ET AL¤ 258 , HAN CAI-YUN¤ 462 , HAN LAN¤ 728 , 745 , HAN WEI ET AL¤ 325 , HAY E, BARLAS P, FOSTER N, HILL J, THOMAS E, YOUNG J¤ 564 , HE CHENGQI ET AL¤ 285 , HE LING ET AL¤ 194 , HE WEI ET AL¤ 339 , 348 , HE XIAN, WEI CHUN-SHAN , CAI ZHI-GANG¤ 588 , HE ZAN ZHUANG ET AL¤ 122 , HERBERT R, FRANSEN M¤ 684 , HEYERDAHL O¤ 251 ,
HIDEKI OCHI ET AL¤ 140 , HIROMITSU TANIMURA ET AL¤ 139 , HIROSHI OMATA ET AL¤ 98 , HONDA T ET AL¤ 184 , HONG MINGFEI ET AL¤ 297 , HONG ZHURUI ET AL¤ 318 , HONGSHENG Z ET AL¤ 212 , HONGXIA WANG¤ 705 , HOSHINO A, TATSUMI T, SATO H, OKU Y, ITO K, TAMURA J, KOGURE T¤ 763 , HOU QINZHONG,LUI LAIBIN ¤ 534 , HOU WEI LIN¤ 117 , HU ETAL¤ 63 , HU GUANGZHI¤ 113 , HU JIN,¤ 778 , HU JUN-LIN, FENG GUO-ZHANG¤ 586 , HU KE,XIONG GUO-ZHAN,ZHANG TAO¤ 495 , HU LINLIN¤ 584 , HU SHENG-YU ET AL¤ 101 , HUANG FENG, TANG YONG, ZHENG XIAOHUI, ET AL¤ 377 , HUANG J, ZHUO LS, WANG YY, PENG ZL, HUANG YR, WANG Y, YANG L¤ 676 , HUANG JIAN ZHUO LIAN-SHI , WANG YONG-YU, ET AL¤ 747 , HUANG JING¤ 375 , HUANG SONG¤ 327 , HUANG TAOYUAN, LIU WENGANG , WU SHAOPENG , ETC¤ 569 , HUANG TAOYUAN, WEN ZHENJIE, LIU WENGANG, ET AL¤ 558 , HUANG YUJUN ET AL¤ 486 , HUANG ZHONGQIANG, YE WEIHONG, YE JIANXUN¤ 388 , INSTITUT DE MTC DE TIANJIN¤ 99 , ITOH K, HIROTA S, KATSUMI Y, OCHI H, KITAKOJI H¤ 730 , 752 , ITOH KAZUNORI ET AL¤ 386 , ITOH KAZUNORI, ET AL¤ 357 , 450 , ITOH O¤ 181 , ITOHO PIA¤ 170 , IWA M ET AL¤ 182 , IZATT E ET AL¤ 13 , JAMES SL, ALI K, POCOCK C, ROBERTSON C, WALTER J, BELL J, CONNELL 681 , JAMTVEDT G, DAHM KT, CHRISTIE A, MOE RH, HAAVARDSHOLM E, HOLM I, 685 , JAN NASLUNG¤ 693 , JENSEN R ET AL¤ 257 , 266 , 283 , JI XIAOPING¤ 167 , JI XIAO-PING¤ 290 , JIA YONGSEN, ZHANG RUI¤ 583 , JIAN-FU ZHANG ET AL¤ 74 , JIANG AI PING¤ 356 , 446 , JIANG AIPING ET AL¤ 333 , JIANG GL, XIAO L, LI JJ , ET AL¤ 589 , JIANG SHOU GUO ET AL¤ 119 , JIANG YIWEI, SONG MIN, DENG QIANG¤ 502 , JIANG ZHONG-HUA¤ 573 , JIN CHUNMIN¤ 65 , JIN HONGBIN ET AL¤ 80 , JIN SONG, CHEN MIN, ZHANG CHUN — XIA¤ 620 , jones¤ 565 , JUBB R, TUKMACHI E, JONES P, DEMPSEY E, WATERHOUSE L, 746 , JUNNILA SYT¤ 56 , KACENELENBOGEN N¤ 625 , KAZUNORI ITOH ET AL¤ 701 , KENICHI MIHARA ET AL¤ 158 , KESPI JM¤ 207 , 255 , 256 , 264 ,
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KEVIN W CHEN ET AL¤ 697 , KEVIN W CHEN, ADAM PERLMAN, JASON G. LIAO, ALEX LAM, JOY 769 , KONG XIJIAN, LIU YUKE , CHEN YALING , ET AL¤ 472 , KUKUK P, LUNGENHAUSEN M, MOLSBERGER A, ENDRES HG¤ 598 , KUROSA Y¤ 30 , LABELLA C¤ 568 , LAI JN, CHEN HJ, CHEN C C, LIN JH, HWANG JS, WANG JD¤ 657 , LAO JIN-XIONG , DENG CONG ¤ 530 , LAO JX DENG C¤ 463 , LATIMER N¤ 774 , LE XIAOYAN¤ 350 , LEE HY¤ 759 , LEE MS¤ 733 , LEE SEUNG-DEOKI, LEE SANG-HOOT, SEO JUNG-CHIL, CHOI SUN-MO, HYN- 635 , LEGEIN WFC¤ 169 , LEI JU¤ 108 , LEI LUN ET AL¤ 157 , LEPRON PA¤ 261 , LEUNG SJ ET AL¤ 6 , 7 , LEVERNIEUX J ET AL¤ 32 , LEWIS D, LEWIS B, STURROCK RD¤ 53 , LI AIPING ET AL¤ 288 , LI BO ZHANG HELIN LIU AIFENG¤ 464 , LI CD, HUANG XY, YANG XG, WANG QF, HUANG SQ¤ 624 , LI GENLIN¤ 431 , 441 , LI GENLIN AND ZHAO XINJI¤ 550 , LI GUANGDE¤ 273 , LI GUO ZHONG¤ 781 , LI HANGJING, WANG JIN¤ 402 , LI JIANPING¤ 115 , LI JING, LIU HUI, XUE LIGONG¤ 383 , LI JUNHONG , ZHAO XINJIE, XIA HUALING, ET AL¤ 549 , LI JW, XIANG SY, MA ZY, FENG YB, TONG HY, GENG HP, JIN J, SU X¤ 726 , LI KE ET AL¤ 92 , LI KE-DA, LIU YUAN-LU¤ 371 , LI L, LI N, WU B¤ 692 , LI LI, WU WENJIE, ZHANG JUNZHONG ¤ 540 , LI NING, WU BIN, ZHANG YONGLING¤ 414 , LI PENGTAO ET AL¤ 199 , LI Q, ZHU J¤ 757 , LI QIJIN, LI JING,LI JING ¤ 524 , LI SHUREN ET AL¤ 168 , LI XIANG¤ 289 , LI XIANGYANG, MA JIANBING¤ 497 , LI XIN-JUN ET AL¤ 367 , LI XULING ET AL¤ 309 , LI YU HUI¤ 749 , LI YU HUI Y, LI YUN FENG¤ 710 , LI YUANJING, QIU HONGWEI, HUANG YAOBIN,ET AL ¤ 557 , LI YUMING , YANG YUNDONG , CHEN SHUXIANG ¤ 525 , LIANG HUILIN ET AL¤ 299 , LIANG PING¤ 394 , LIANG XIAO-DONG¤ 481 , LIANG YUN-WU TAN YUAN-SHENG ZHOU JUN¤ 591 , LIANG ZHAOMING¤ 308 , LIAO YU,¤ 776 , LIAO HUAIZHANG ET AL¤ 489 , LIAO WEI¤ 434 , 445 , LIN GUO-HUA, LI WAN-YAO, SU GUO-LONG, ET AL¤ 551 ,
LIN LF, LIANG YP¤ 575 , LIN LIANGZI, MALAYSIA¤ 370 , LINDE K¤ 291 , LING SM¤ 735 , LIU GUANGWANG,CHEN MAOYI,ZHOU LINDONG ET AL ¤ 527 , LIU JIAN¤ 754 , LIU LAIGUI¤ 436 , 448 , LIU M¤ 632 , LIU RU-ZHUAN, SU BO, WANG DA-WEI, ET AL¤ 479 , LIU SHENZHONG ET AL¤ 110 , LIU T, LIU C¤ 629 , LIU TING 'LIU YUANLU, GAO DAI, ET AL¤ 579 , LIU XUE-NONG ¤ 552 , LIU YINGJIE ET AL¤ 490 , LONG L¤ 322 , LU ANQI¤ 211 , LU DING-HOU ET AL¤ 200 , LU FENGLOU¤ 64 , LU JINSHAN¤ 35 , LU YUBIN ET AL¤ 265 , LUDWIG M¤ 260 , 359 , LUNDEBERG T¤ 639 , LUO SHIDONG¤ 276 , LUONG-SI JC¤ 361 , MA JIANBING ET AL¤ 284 , MA LIPING ET AL¤ 366 , MA YULAN ET AL¤ 425 , 443 , MAA SH, SUN MF, WU CC¤ 744 , MAN SC¤ 5 , MANHEIMER E ET AL¤ 703 , MANHEIMER E, LIM B, LAO L, BERMAN B¤ 638 , MANHEIMER E, LINDE K, LAO L, BOUTER LM, BERMAN BM¤ 671 , MARKOW MJ, SECOR ER¤ 513 , MATILLA MC ET AL¤ 50 , MENIEL¤ 2 , MERCIER ET AL¤ 577 , MI SHUGUANG¤ 201 , MIAO PENG¤ 126 , MICHEL D¤ 25 , MILLER E, MAIMON Y, ROSENBLATT Y, MENDLER A, HASNER A, BARAD A, 772 , MILLIGAN JL ET AL¤ 33 , MING LIGONG MING XINGUANG MING XINZHONG ET AL¤ 387 , MINGXUAN J ET AL¤ 67 , MING-XUAN JIANG¤ 72 , MO SHAOYONG¤ 307 , MO XIAORONG ET AL¤ 154 , MO YIWANG¤ 37 , MOLSBERGER A ET AL¤ 179 , 205 , MOORE A, MCQUAY H¤ 593 , MOUGLALIS C ET BEAUFRETON P¤ 590 , MURAMATSU S¤ 651 , MUSSAT M¤ 45 , MYHAL D ET AL¤ 31 , NASLUND J ET AL¤ 393 , NEJRUP K, DE FINE OLIVARIUS N, JACOBSEN JL, SIERSMA V¤ 743 , NG MM, LEUNG MC, POON DM¤ 455 , 510 , NGUYEN J¤ 539 , NI GUO-XIN, SONG LIN, YU BIN, HUANG, CAI-HUA, LIN JIAN-HUA¤ 785 , NI LING¤ 237 , NOGIER P¤ 10 , OCHI H ET AL¤ 183 , OCHI HIDEKI ET AL¤ 559 , OCHI HIDEKI, ET AL¤ 358 , 451 , ORLANDO G¤ 44 ,
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OU ZX, JIN JC, HUANG D¤ 767 , OUYANG JIANJIANG,HUANG YOURONG,XONG RENYING ET AL¤ 541 , OZERKAN KN,BAYRAKTAR B,SAHINKAYA T, GOKSU OC, YUCESIR I, YILDIZ 690 , PAJACZKOWSKI JA¤ 673 , PEI-JI SU ET AL¤ 73 , PEN QI-QUN¤ 109 , PENG QIQIONG¤ 125 , PENG YOUBIN, CHEN JINXIONG¤ 331 , PERSCHKE O¤ 114 , PETITPIERRE M¤ 248 , PETROU P ET AL¤ 97 , PIJAK MR¤ 650 , PITTLER MH, ERNST E¤ 724 , POITRAS S, AVOUAC J, ROSSIGNOL M, AVOUAC B, CEDRASCHI C, NORDIN 702 , PRIVITERA P¤ 12 , 21 , PUETT DW ET AL¤ 203 , QIN SUANG-AN¤ 310 , QIN XY, LI XX, BERGHEA F, SUTEANU S¤ 755 , QINGLIN M¤ 106 , QUILLE P¤ 19 , QUOB A¤ 57 , R SAIDAH A G ET AL¤ 415 , RAN JINLI¤ 178 , RASSEN SAIDAH¤ 244 , RAZAFITSALAMA D¤ 46 , REN BIN, ET AL¤ 372 , REN CHAOXI, ZHAO MINGSHAN ¤ 547 , REQUENA Y¤ 227 , ROGIND H ET AL¤ 235 , ROUAM F¤ 58 , ROUSSEAU C¤ 476 , ROUSTAN C¤ 22 , RUAN ZHIZHONG, CHEN CHAOMING ¤ 499 , RUI XG¤ 633 , SAIDAH R¤ 243 , SAIDAH R ET AL¤ 247 , 311 , SAIDAH R ET ELL¤ 245 , SANCHEZ ARAUJO M ET AL¤ 38 , SANGDEE C, TEEKACHUNHATEAN S, SANANPANICH K, SUGANDHAVESA N, 429 , SAW A, KWAN MK, SENGUPTA S¤ 520 , SCHARF HP, MANSMANN U, STREITBERGER K, WITTE S, KRAMER J, MAIER 626 , SCHUH A, JEZUSSEK D, FABIJANI R, HONLE W¤ 677 , SCHUMACHER HR¤ 784 , SEUNG-DEOK LEE HYUK BYUN ET AL¤ 700 , SHAFSHAK TS ¤ 209 , SHANG PING, GAO YONG¤ 405 , SHANG TIANYU ET AL¤ 36 , SHAO LAN QUAN, YU ZE- WEN, ZHU BO -QING, ET AL¤ 664 , SHAO XIANFANG¤ 272 , SHAPIRO RS¤ 561 , SHEN CL, JAMES CR, CHYU MC, BIXBY WR, BRISMÉE JM, ZUMWALT MA, 737 , SHEN LIN ET AL¤ 173 , SHEN WENLONG¤ 492 , SHEN X, ZHAO L, DING G, TAN M, GAO J, WANG L, LAO L¤ 723 , SHEN, XUEYONG ET AL¤ 698 , SHENG P, SHIPING HA, JINYING TIAN, CONG CHENG, YUEXIA LI 694 , SHERMAN KJ, CHERKIN DC¤ 596 , SHI SHU-PEI¤ 581 , SHI WEIDONG ET AL¤ 340 , 349 , SHIGERU ARICHI ET AL¤ 43 , SHU HONGWEN¤ 206 , 222 ,
SHUI SU HUA¤ 645 , SHU-YU W ET AL¤ 27 , SIM CB ET AL¤ 42 , SINGH BB, BERMAN BM ET AL¤ 342 , SONG HUARONG ET AL¤ 151 , SONG SHOU JIANG¤ 666 , SONG SHUCHUN, LIU JIANMIN, DUAN ZHIXIA, ET AL¤ 379 , SONG WEN-GE WU HUN LIU MING ET AL ¤ 352 , SONG WEN-GE WU TAO , LIU MENG , ET AL ¤ 529 , SONG XIAO-GUANG, WANG YAN-QUAN, YANG HAO ET AL¤ 351 , STAAL¤ 71 , STAAL D¤ 87 , STEPHAN JM¤ 363 , STRAND V, KELMAN A¤ 1 , STREITBERGER K, WITTE S, MANSMANN U, KNAUER C, KRA¤ 519 , STROM H¤ 16 , SU BAO-HENG ET AL¤ 102 , SU YU XING ET AL¤ 94 , SUAREZ ALMAZOR M ET AL¤ 707 , SUI CHENGZHI ET AL¤ 430 , 440 , SUI SU-HUA¤ 286 , SUN GUANGSHENG ET AL¤ 301 , SUN JIANHUA¤ 411 , 511 , SUN KUI, ET AL¤ 687 , SUN KUI, YANG JUN, SHEN DE-KAI¤ 729 , SUN KUI, YANG YONG-HUI, ZHOU ZHONG-LIANG, SUPERVISOR YANG JUN, 739 , SUN LIYING ET AL¤ 287 , SUN SHENG-JU¤ 89 , SUN SHUCHUN¤ 104 , 105 , SUN XIAO¤ 777 , SUN ZHISHENG¤ 294 , SUN ZHONGHUA ET AL¤ 432 , 442 , SWEE CHENG NG ET AL¤ 262 , T GUAN WEN, ET AL¤ 384 , TAKEDA W ET AL¤ 197 , TAKEUCHI Y ET AL¤ 193 , TAN LINGLING ET AL¤ 263 , TAN SHICAI¤ 269 , TAN XUSHENG ET AL¤ 313 , TANG DONYUE¤ 354 , TANG GUANG YING¤ 582 , TANG QUN-ZHEN¤ 465 , TAO HONGYOU¤ 177 , TARD-GEORGET¤ 39 , TILLU A ET AL¤ 242 , TILLU A, TILLU S, VOWLER S¤ 410 , TK SELFE, C BOURGUIGNON, AND AG TAYLOR¤ 766 , TOSHIKATSU KITADE ET AL¤ 82 , 83 , TSANG RC, TSANG PL, KO CY, KONG BC, LEE WY, YIP HT¤ 680 , TSENG SC, LIU W, FINLEY M, MCQUADE K¤ 670 , TUKMACHI E ED ALTRI¤ 607 , 613 , TUKMACHI E, JUBB R, DEMPSEY E, JONES P¤ 515 , URYU N, OKADA K, KAWAKITA K¤ 708 , USICHENKO TI, HERMSEN M, WITSTRUCK T, HOFER A, PAVLOVIC D, 576 , USICHENKO TI, KUCHLING S, WITSTRUCK T, PAVLOVIC D, ZACH M, HOFER 654 , VAN TOURS¤ 3 , VAS J ED ALTO¤ 587 , VAS J ET AL¤ 537 , VAS J, MENDEZ C, PEREA-MILLA E¤ 642 , VAS J, PEREA-MILLA E, MENDEZ C¤ 566 , VAS J, WHITE A¤ 674 , VILLAROYA APARICIO A ET AL¤ 190 ,
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VRCHOTA KD ET AL¤ 282 , WALSH NE, HURLEY MV.¤ 770 , WANG A, ZHAO Y¤ 574 , WANG AO-MING¤ 326 , WANG CAI¤ 93 , WANG CHENCHEN¤ 783 , WANG FENG¤ 545 , WANG GUANG HUANG¤ 61 , WANG GUOCAI ET AL¤ 133 , WANG HEMING,GE JIRONG,YIN HAIBO,ET AL ¤ 535 , WANG JINN-GUN , HE LI JUNE¤ 665 , WANG KAI¤ 95 , WANG KUI ET AL¤ 335 , 344 , WANG LIANQING ET AL¤ 49 , 51 , 60 , WANG LIAQING¤ 471 , WANG LIN,BAI CHANG-PING¤ 506 , WANG LIN,WU CHAOYU,YU LINGLING ET AL¤ 503 , WANG LIN-QING ET AL¤ 469 , WANG LINYUAN¤ 226 , WANG LULIN¤ 246 , WANG PIN¤ 374 , WANG QIFANG ET AL¤ 217 , WANG RENCHENG¤ 439 , 453 , WANG RONG-MAO, LI LIANG-HUA,HAN DA-WEI, ET AL¤ 496 , WANG SHOULIN, ZHAO LIWEI¤ 368 , WANG SY ET AL¤ 29 , WANG TIE GANG, GONG WEI ZHI¤ 709 , WANG TIE GANG, GONG WEI ZHI¤ 748 , WANG TIE-GANG, GONG WEI-ZHI ¤ 526 , WANG TONG, WEI LI-XIN¤ 578 , WANG WEIDONG,XU JIANZHONG,AND WANG YISHENG¤ 528 , WANG XIANG QI, JIANG YA FANG , QIN KE FENG¤ 712 , WANG XIANG QI, JIANG YA FANG¤ 751 , WANG XIUHUA¤ 323 , WANG XIUHUA , LIU YUANLU , SU ZIBING, ET AL¤ 507 , WANG XIU-HUA SU ZI-BING, TIAN WAN-BIN¤ 493 , WANG XUQIAN¤ 468 , WANG YA-QIANG ET AL¤ 315 , WANG YE, JIN LIAN-FENG¤ 473 , WANG YINPING¤ 224 , WANG YONG WANG TIANXUE, ZHONG HUIPING¤ 417 , WANG YONG, DONG KEFANG, AND DAWU¤ 585 , WANG YONGJIANG ¤ 543 , WANG YUAN CHANG , II TONG JUN, YU ZHI - GUO¤ 623 , WANG YUMING ET AL¤ 338 , 347 , WANG ZHAOLI ET AL¤ 123 , WANG ZHENG-XIN, CHEN GUANG-HUI, SHI XIAO-CHENG¤ 758 , WASHIO M, TAKASUGI S ET AL¤ 341 , WEI SENMIAO ¤ 373 , WEI YIZONG ET AL¤ 81 , WEINER DK, RUDY TE, MORONE N, GLICK R, KWOH CK¤ 686 , WEN JIAN MIN ET AL¤ 159 , WEN JINZHI¤ 426 , WEN WEIQIANG, ET AL¤ 485 , WEN ZHENJIE, LIU WENGANG, XU XUEMENG, ET AL¤ 546 , WENYUAN W¤ 191 , WETTIG D¤ 616 , 652 , WHITE A¤ 643 , 775 , WHITE A, FOSTER N, CUMMINGS M, BARLAS P¤ 641 , WHITE A, FOSTER NE, CUMMINGS M, BARLAS P¤ 649 ,
WHITE A, KAWAKITA K¤ 637 , WILLIAMSON L, WYATT MR, YEIN K, MELTON JT¤ 672 , WITT C, BRINKHAUS B, JENA S, LINDE K, STRE NG A, WAGENPFEIL S, 592 , WITT CM, JENA S, BRINKHAUS B, LIECKER B, WEGSCHEIDER K, WILLICH SN¤ 628 , WOLSKO PM ET AL¤ 427 , WONG PT¤ 28 , WU DONGYIN ET AL¤ 304 , WU HENGMING¤ 138 , WU JIAN-XUN¤ 435 , 447 , WU LI-HONG, ZHU GUO-XIANG, GONG YAN-FEI¤ 669 , WU LIN SHENG¤ 118 , WU LINSHENG¤ 228 , WU LINSHENG ET AL¤ 188 , 225 , 241 , WU LINSHENG MD¤ 149 , WU QINGMING¤ 160 , WU SHU-RONG RFL, WAN XIU-QIN¤ 480 , WU XIN ET AL¤ 214 , WU YANG-YANG, LIAO JING-PING¤ 594 , WU YU-FENG SHI GUAN-TONG WU ZHONG-QING, ET AL¤ 518 , WU YU-FENG WU ZHONG-QING SU PEIYI, ET AL¤ 532 , WU ZH, BAO F.¤ 768 , WU ZIMING¤ 90 , WU ZIMING ET AL¤ 55 , WU ZIYING¤ 621 , X¤ 4 , 9 , 14 , 15 , 26 , 48 , 103 , 127 , 128 , 129 , 130 , 131 , 132 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 163 , 164 , 165 , 176 , 271 , 390 , 391 , 392 , 418 , 419 , 420 , 421 , 422 , 423 , 521 , 563 , 572 , 627 , 634 , 636 , 661 , 662 , 683 , XI XIANG DONG, CHEN ZHUANG MEI¤ 711 , XI XIANG DONG, CHEN ZHUANG MEI¤ 750 , XIA RONG HUA¤ 336 , 345 , XIA XIAOHONG¤ 239 , XIAO SIWANG¤ 399 , XIE CHENG-LU ET AL¤ 174 , XIE LIMIN ET AL¤ 295 , XIE ZBONGLING¤ 404 , XU CHUANYI ET AL¤ 365 , XU HONGZHAO¤ 79 , XU LI-ZHONG ET AL¤ 305 , XU SI-WEI¤ 740 , XU Yi-qiang¤ 688 , XU ZHAOXIAN ET AL¤ 107 , XUE LI GONG¤ 714 , 715 , 716 , 717 , 718 , 719 , 720 , 721 , 722 , XUE LIGONG ET AL¤ 69 , XUE XUEMENG,LIU WENGANG,FANG XUSHENG,ET AL¤ 467 , YAMASHITA H, MASUYAMA S, OTSUKI K, TSUKAYAMA H¤ 640 , YANG HU-LIN ET AL¤ 155 , YANG LIPING, LU MING, WANG MIQIU ¤ 542 , YANG PINGLIN ED ALTRI¤ 609 , 615 , YANG WEN HE¤ 424 , YANG WENHE¤ 270 , 321 , YANG XIAO - HONG¤ 761 , YANG XIAO HONG¤ 764 , YANG XUHUI ET AL¤ 401 , YANG YUN-CAI¤ 396 , YANO T¤ 59 , YAO SHU-YUAN¤ 553 , YASUYUKI MISHIMA¤ 238 , YE CHUNMEI ET AL¤ 96 , YI-MOU LIANG¤ 75 , YIN BING NAN, BAO DA PENG¤ 646 ,
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YING YOURONG , ZHANG DEQING ¤ 483 , YOUNG-BOK JUNG, SANG-CHEOL SEONG, MYUNG-CHUL LEE, YONG-UN 554 , YU NING¤ 413 , YU XICHAN¤ 84 , YU YUFENG ET AL¤ 268 , YUAN ZHONG-ZHI, LI JI-YUN, LIU GANG, ET AL¤ 500 , YUAN-ZHI FAN, LI GONG, JUN-TAO YAN, MIN FANG AND WU-QUAN SUN,¤ 780 , YURTKURAN M ET AL¤ 259 , YURTKURAN M, ALP A, KONUR S, OZCAKIR S, BINGOL U¤ 655 , ZENG GUI-GANG , ZHANG XIU-FEN , QUAN WA-CZENG , FU YONG-YUN , TAN 742 , ZENG HW, NIE B, SHI LL¤ 756 , ZHANG BI-MENG, WU YAO-CHI ¤ 494 , zhANG BI-MENG, WU YAO-CHI, SHEN JIAN¤ 555 , ZHANG CHANGXLN, ET AL¤ 406 , ZHANG CHUNFENG¤ 400 , ZHANG DUNKE ET AL¤ 124 , ZHANG FIXING¤ 504 , ZHANG FU-HUI, YAO YI-LONG, BAI XIAO-YING¤ 522 , ZHANG HENG¤ 407 , ZHANG HONGRONG, LL XIAOTANG¤ 328 , ZHANG JIANG XIN ET AL¤ 121 , ZHANG JIE, ZHANG WENSHENG ZOU JI¤ 378 , ZHANG JING-CHUAN, HUANG ZHAO-YANG,ZHANG JIAN-XIN¤ 459 , ZHANG JIN-GUI¤ 501 , ZHANG JUN-ZHONG,LIU XIAO-MIN¤ 437 , 449 , ZHANG MANCHEN ET AL¤ 293 , ZHANG PEI-QIANG ET AL¤ 66 , ZHANG PING, ZHU YI-CHENG, ZHANG HAO¤ 667 , ZHANG QIAO-LING,FU XIAO-HONG,ZHENG HONG,ET AL¤ 470 , ZHANG RUI JIE¤ 663 , ZHANG SHAN DONG, LI XIANG, HU SHOU CHUN¤ 647 , ZHANG SHANDONG ET AL¤ 580 , ZHANG TAO ET AL¤ 34 , ZHANG W, MOSKOWITZ RW, NUKI G, ABRAMSON S, ALTMAN RD, ARDEN N, 727 , ZHANG WEN TAI ET AL¤ 116 , ZHANG XIAO-FENG, ET AL¤ 488 , ZHANG XIAOGANG ET AL¤ 300 , ZHANG XIAOJUN¤ 332 , ZHANG XIN-WEI¤ 600 , ZHANG YIN, ZHOU JINGCAI¤ 329 , ZHANG YUE, WANG PENG¤ 353 , ZHANG YUN¤ 277 , ZHANG ZHI-GUO¤ 477 , ZHAO CHUNYIN ET AL¤ 134 , 135 , 136 , 137 , ZHAO Lixin, GUO Xia¤ 376 , ZHEN JUN¤ 100 , ZHENG HUA ET AL¤ 306 , ZHENG TONG¤ 599 , ZHEREBKIN VV¤ 236 , ZHONG YUANMING,WEI GUIKANG,MI KUN ET AL¤ 516 , ZHOU CHENGGANG ¤ 482 , ZHOU FANG-JUN¤ 232 , ZHOU JIE¤ 487 , ZHOU PEI ET AL¤ 85 , ZHOU PLQI, SHEN LIN, YANG YANGPING, ET AL¤ 380 , ZHOU YUEJUN ET AL¤ 267 , 369 , ZHOU YUNXIA¤ 150 , ZHOU ZHIHUA ET AL¤ 120 ,
ZHU HAI ET AL¤ 362 , ZHU HONG-MIN, NING XIAN-MING¤ 385 , ZHU WEI-MIN, ZHANG BI-MENG¤ 570 , ZHU XIU PING, HUANG SHAO JI¤ 644 , ZOU YI-CHAO ¤ 531 , ZWOLFER W ET AL¤ 166 ,
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index des sujets/ subject index (non exhaustif) -¤ / ¤ 34 , 60 , 69 , 177 , 259 , 264 , 313 , 637 , 726 , 742 , 1,01 -¤ GENERAL ASPECTS AND HISTORY/ ASPECTS GENERAUX ET HISTOIRE combinaison médecine occidentale- mtc¤ 214 , 308 , 325 , 581 , 586 , hôpital¤ 20 , patient¤ 54 , sociologie¤ 54 , 2,03 -¤ qi, blood, body fluids/ energie, sang et liquides organiques énergie wei¤ 178 , 2,04 -¤ organs and functions/ organes et fonctions curieux¤ 248 , 2,05 -¤ meridians/ méridiens méridien curieux¤ 248 , yin qiao¤ 248 , 2,06 -¤ points/ points ashi¤ 14 , 34 , 48 , 60 , 154 , 157 , C5¤ 202 , E25¤ 256 , E32¤ 60 , E34¤ 196 , E35¤ 14 , 34 , 42 , 174 , 222 , 285 , 760 , E36¤ 34 , 174 , 222 , E40¤ 202 , GI6¤ 202 , IG11¤ 47 , IG7¤ 202 , indications des points¤ 35 , MC6¤ 202 , P7¤ 202 , RN1¤ 142 , 158 , RN4¤ 202 , RTE10¤ 34 , RTE4¤ 202 , RTE6¤ 142 , 158 , RTE9¤ 174 , spécificité¤ 209 , V37¤ 69 , V39¤ 70 , V58¤ 202 , VB29¤ 58 , VB30¤ 69 , VB34¤ 14 , 35 , 70 , 174 , 285 , VC11¤ 207 , 3,02 -¤ pathogeny. causes of diseases/ pathogénie froid¤ 177 , humidite-chaleur¤ 323 , 4,02 -¤ tongue diagnosis/ glossoscopie histologie¤ 200 , 4,05 -¤ point diagnosis/ examen des points somatiques *¤ 184 , 4,07 -¤ syndromes/ syndromes differenciation des syndromes¤ 194 , 225 , 283 , 547 , froid¤ 177 , glaire¤ 90 ,
stase du sang¤ 84 , 90 , vide de qi¤ 237 , vide de yang¤ 212 , vide de yin des reins¤ 542 , vide des reins¤ 278 , 4,09 -¤ meridian diagnosis/ méridiens *¤ 84 , 157 , 5,01 -¤ THERAPEUTIC TECHNIQUES/ TECHNIQUES THERAPEUTIQUES indication¤ 35 , 5,02 -¤ principles of treatment/ principes thérapeutiques activation de la circulation et levée de stase.¤ 178 , 237 , 278 , 284 , tonification¤ 237 , 5,03 -¤ acupuncture/ acupuncture *¤ 160 , aiguille¤ 211 , 233 , 329 , choix des points¤ 47 , 635 , deqi¤ 69 , 197 , latéralité¤ 43 , 191 , 201 , 202 , 243 , 244 , 245 , 247 , mobilisation perpuncturale¤ 43 , 163 , profondeur de puncture¤ 594 , séance d'acupuncture¤ 42 , 60 , 77 , 160 , 201 , technique de puncture¤ 156 , 160 , 200 , 224 , tonification-dispersion¤ 69 , 5,05 -¤ plum blossom needle/ fleur de prunier *¤ 185 , 5,06 -¤ intradermal needle. embedding sutures/ aiguille à demeure. catgut *¤ 57 , 5,07 -¤ bloodletting/ saignées *¤ 84 , 5,08 -¤ cupping/ ventouses *¤ 138 , 286 , 309 , 5,09 -¤ moxibustion/ moxibustion *¤ 30 , 51 , 60 , 70 , 76 , 96 , 99 , 160 , 167 , 182 , 185 , 232 , 233 , 238 , 267 , 309 , 328 , 331 , 350 , 438 , 524 , 526 , 533 , 595 , 5,10 -¤ ear acupuncture. auricular medicine/ auriculopuncture. auriculomédecine *¤ 10 , 12 , 16 , 21 , 31 , 38 , 110 , 209 , 576 , 5,11 -¤ nose, face, eye, hand and foot acupuncture/ rhinofacio, manopodo, craniopuncture craniopuncture¤ 170 , manopuncture¤ 198 , 5,12 -¤ electro-acupuncture/ electro-acupuncture *¤ 16 , 49 , 111 , 158 , 162 , 174 , 180 , 182 , 190 , 219 , 259 , 350 , 779 , 5,13 -¤ magnetic acupuncture/ magnétothérapie *¤ 219 , 324 , 5,14 -¤ laser acupuncture/ laser *¤ 49 , 113 , 139 , 145 , 170 , 181 , 190 , 353 , 655 , 5,15 -¤ drug acupuncture/ chimiothérapie *¤ 103 , 125 , 157 , 208 , 234 , 285 ,
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emplâtre¤ 107 , 217 , 226 , 5,16 -¤ qi gong. massages/ qi gong. massages *¤ 2 , 105 , 133 , acupression¤ 81 , 90 , 195 , 223 , manipulation¤ 55 , 78 , 90 , 106 , 124 , 149 , 150 , 186 , 192 , 221 , 230 , massage¤ 2 , 26 , 43 , 64 , 78 , 81 , 104 , 133 , 153 , 154 , 185 , 189 , 225 , 228 , 229 , 274 , 295 , 327 , 570 , 578 , qi gong¤ 176 , 227 , 314 , tai ji¤ 783 , 784 , 5,19 -¤ adverse effects/ accidents thérapeutiques *¤ 42 , 6,01 -¤ algology/ algologie *¤ 212 , 6,02 -¤ acupuncture anesthesia/ analgésie chirurgicale *¤ 7 , prediction¤ 20 , 161 , 7,07 -¤ peripheral circulation/ circulation périphérique *¤ 31 , 180 , 9,03 -¤ diabetes mellitus/ diabète *¤ 520 , 9,08 -¤ obesity/ obésité *¤ 54 , 10,05 -¤ stomach. duodenum/ estomac. duodénum *¤ 212 , 10,07 -¤ diarrhea/ diarrhées *¤ 212 , 10,11 -¤ bile ducts/ voies biliaires *¤ 113 , 10,15 -¤ gastrointestinal hemorrhage/ hémorragies digestives *¤ 191 , 10,17 -¤ acupuncture anesthesia in digestive system surge/ analgésie par acupuncture en chirurgie digestive *¤ 6 , 11,04 -¤ uterine hemorrhage/ hémorragies génitales *¤ 212 , 13,03 -¤ septicemia. bacterial infections/ septicémies. infections bactériennes *¤ 13 , 13,08 -¤ herpes zoster. herpes simplex/ zona. herpes *¤ 113 , 14,02 -¤ headache/ céphalées *¤ 54 , 14,07 -¤ cerebrovascular diseases. hemiplegia/ accidents vasculaires cérébraux. *¤ 43 , 14,08 -¤ paraplegia. myelitis/ paraplégie. myelopathies *¤ 237 , 14,12 -¤ spasm and tic/ spasmes et tics *¤ 199 ,
15,01 -¤ OPHTHALMOLOGY/ OPHTALMOLOGIE *¤ 177 , 16,08 -¤ facial neuralgia/ névralgie faciale *¤ 6 , 7 , 113 , 18,03 -¤ bi syndromes. joint diseases/ syndromes bi. arthropathies *¤ 23 , 162 , 177 , 178 , 225 , fibromyalgie¤ 248 , 18,04 -¤ rheumatoid arthritis/ polyarthrite rhumatoïde *¤ 5 , 43 , 18,06 -¤ bone/ os *¤ 131 , 18,07 -¤ traumatology/ traumatologie *¤ 36 , 37 , 46 , 67 , 72 , 73 , 74 , 79 , 80 , 86 , 91 , 94 , 95 , 102 , 116 , 117 , 119 , 120 , 121 , 122 , 123 , 134 , 135 , 151 , 155 , entorse¤ 14 , fracture¤ 345 , 18,08 -¤ hand/ main *¤ 32 , 39 , 168 , 177 , 201 , 202 , 219 , 18,09 -¤ elbow/ coude *¤ 35 , 100 , 157 , 168 , 201 , 202 , 219 , 252 , 18,10 -¤ shoulder/ epaule *¤ 32 , 54 , 98 , 110 , 157 , 168 , 201 , 212 , 219 , 237 , 18,12 -¤ cervical spine. cervicobrachial neuralgia/ rachis cervical. névralgies cervico- brachiales *¤ 54 , 98 , 168 , 18,13 -¤ thoracic spine. intercostal neuralgia/ rachis dorsal. névralgies intercostales *¤ 113 , 191 , 18,14 -¤ lombar spine/ rachis lombaire *¤ 35 , 47 , 54 , 98 , 110 , 182 , 200 , 201 , 202 , 212 , 219 , 18,15 -¤ sacrum-coccyx/ sacrum-coccyx *¤ 32 , 191 , 18,16 -¤ sciatica/ sciatique *¤ 212 , 18,17 -¤ hip. pelvic bones/ hanche. bassin *¤ 24 , 47 , 57 , 112 , 162 , 168 , 236 , 252 , 527 , 628 , 18,18 -¤ knee/ genou *¤ 2 , 5 , 6 , 7 , 13 , 24 , 27 , 28 , 29 , 32 , 35 , 36 , 37 , 38 , 39 , 47 , 52 , 54 , 57 , 62 , 66 , 67 , 79 , 80 , 86 , 94 , 95 , 96 , 98 , 100 , 103 , 110 , 112 , 113 , 117 , 119 , 120 , 121 , 122 , 123 , 134 , 135 , 151 , 155 , 156 , 157 , 159 , 162 , 168 , 182 , 184 , 191 , 200 , 201 , 202 , 209 , 212 , 219 , 236 , 237 , 252 , 341 , 509 , 517 , 520 , 527 , 579 , 18,19 -¤ foot/ pied *¤ 47 , 99 , 157 , 168 , 201 , 202 , 219 , 252 , 18,20 -¤ acupuncture analgesia in orthopedic surgery/ analgésie par acupuncture en chirurgie orthopédique *¤ 28 , 52 , 62 , 19,02 -¤ tongue/ langue *¤ 113 ,
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19,03 -¤ salivary glands/ glandes salivaires *¤ 113 , 20,02 -¤ smoking/ tabagisme *¤ 54 , 21,04 -¤ postoperative care/ réanimation post-opératoire *¤ 57 , 223 , 258 , 311 , 22,01 -¤ UROLOGY- NEPHROLOGY/ URO-NEPHROLOGIE dialyse¤ 98 , 22,03 -¤ urinary calculi/ lithiases urinaires *¤ 113 , 22,04 -¤ enuresis. urinary incontinence. urinary retention/ énuresie. incontinence et rétention d'urine *¤ 237 , 23,07 -¤ gerontology/ gérontologie *¤ 341 , 526 , 23,10 -¤ sports medicine/ médecine sportive *¤ 44 , 51 , 60 , 84 , 164 , 180 , 198 , 200 , 23,11 -¤ pediatrics/ pédiatrie *¤ 116 , 126 , 24,02 -¤ dogs. cats/ chien. chat *¤ 103 , 24,07 -¤ / animaux de laboratoire lapin¤ 27 , 29 , 42 , 60 , 173 , 199 , 278 , 284 , 300 , 323 , 324 , 329 , 579 , 609 , rat¤ 313 , 26,01 -¤ HERBAL MEDICINE/ PHYTOTHERAPIE *¤ 63 , 63 , emplâtre¤ 107 , 217 , 226 , 26,02 -¤ prescriptions/ prescriptions *¤ 90 , 101 , 107 , 152 , 173 , 217 , 26,03 -¤ plants/ plantes *¤ 66 , ledebouriella¤ 157 , 27,01 -¤ methods/ méthodes cas clinique¤ 3 , 4 , 28 , 41 , 58 , 147 , 148 , 159 , 167 , 168 ,
177 , 201 , 207 , 256 , 264 , 290 , 317 , comparaison de 2 techniques de la MTC¤ 30 , 49 , 60 , 139 , 174 , 190 , 206 , 222 , 233 , double aveugle¤ 16 , essai clinique non randomisé¤ 156 , 328 , 410 , 498 , 552 , 585 , essai comparatif éventuellement randomisé¤ 233 , 575 , 656 , 667 , 726 , essai contrôlé randomisé¤ 16 , 33 , 53 , 56 , 60 , 88 , 97 , 162 , 171 , 174 , 179 , 197 , 205 , 209 , 223 , 224 , 236 , 243 , 245 , 254 , 258 , 259 , 260 , 266 , 282 , 285 , 309 , 342 , 350 , 352 , 353 , 375 , 389 , 393 , 395 , 412 , 414 , 427 , 438 , 455 , 461 , 463 , 474 , 494 , 499 , 501 , 510 , 512 , 515 , 522 , 529 , 530 , 531 , 533 , 537 , 551 , 555 , 560 , 562 , 565 , 570 , 573 , 576 , 587 , 589 , 591 , 592 , 594 , 599 , 607 , 621 , 623 , 624 , 626 , 628 , 632 , 638 , 642 , 644 , 654 , 655 , 668 , 669 , 672 , 679 , 680 , 680 , 686 , 686 , 687 , 694 , 695 , 696 , 697 , 698 , 700 , 701 , 707 , 723 , 729 , 729 , 739 , 740 , 741 , 743 , 745 , 746 , 755 , 756 , 757 , 760 , 761 , 766 , 768 , 772 , 779 , 780 , essai ouvert (acupuncture)¤ 25 , 34 , 210 , 211 , 222 , étude controlée (acupuncture)¤ 16 , 31 , 56 , 88 , 97 , 171 , 179 , 187 , 197 , 209 , 236 , 254 , 260 , 262 , 266 , étude théorique¤ 22 , 23 , 40 , 45 , 71 , 87 , experimentation animale¤ 27 , 29 , expérimentation animale (acupuncture)¤ 42 , 60 , 199 , 329 , expérimentation animale (phytothérapie)¤ 63 , 101 , 173 , 278 , 284 , 300 , 323 , 579 , 609 , meta analyse¤ 641 , méthodologie¤ 1 , 16 , 509 , 517 , 539 , placebo¤ 31 , 179 , revue générale¤ 143 , 203 , 319 , 320 , 322 , 428 , 513 , 544 , 602 , 637 , 702 , 727 , 27,02 -¤ / techniques d'exploration doppler¤ 180 , EMG¤ 76 , 196 , histologie¤ 200 , isotope¤ 31 , rhéologie¤ 300 , temperature¤ 38 , 39 , thermographie¤ 39 , 27,03 -¤ biological l products/ produits biologiques calcium¤ 199 , interleukine¤ 323 , 27,06 -¤ geographical terms/ termes géographiques corée¤ 635 , taiwan¤ 54 , usa¤ 54 ,
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Index des sources 1 - congrès 15th international congress of rheumatology 1981, paris¤ 33 , 16ème congres national d'acupuncture,paris¤ 70 , 71 , actes du 16 eme congres d' acupuncture de l' afera¤ 476 , annales du premier symposium international d ' auriculotherapie et d' auriculomedecin¤ 204 , colloque international d'acupuncture nguyen van nghi, marseille¤ 311 , conferences d'acupuncture,gera,toulon¤ 25 , congres national d'acupuncture,paris¤ 40 , cours d'energetique des systemes vivants appliquee a l'acupuncture,3eme annee¤ 45 , iieme congresso mondiale delle wmaa¤ 415 , in actes du iiieme congres de la faformec, paris¤ 261 , in compilation of the abstracts of acupuncture and moxibustion papers, beijing¤ 68 , in selections from article abstracts on acupuncture and moxibustion, beijing¤ 69 , second national symposium on acupuncture and moxibustion,beijing¤ 52 , selections from article abstracts on acupuncture and moxibustion, beijing¤ 84 , third world conference on acupuncture¤ 179 , 180 , 181 , 182 , 183 , 184 , 185 , wfas international symposium on acupuncture¤ 412 , wfas international symposium on the trend of research in acupuncture, roma¤ 169 , 170 , 2 - extraits de traités in atlas of therapeutic motion for treatment and health¤ 104 , 105 , in barefoot doctor's manual¤ 14 , in chinese massage, publishing house of shanghai college of tcm, shanghai¤ 133 , in modern chinese massotherapy¤ 26 , in research on acupuncture,moxibustion and acupuncture anesthesia,beijing¤ 62 , in roustan,traite d'acupuncture,masson,paris¤ 48 , in seca et al, acupuncture en medecine clinique, decarie, montreal¤ 99 , in the manual of china's current acupuncture therapy,medecine and health publishing¤ 9 , in treatment of 100 common diseases by new acupuncture¤ 15 , rhumatologie et acupuncture, institut yin yang¤ 714 , 715 , 716 , 717 , 718 , 719 , 720 , 721 , 722 , 3 - mémoires memoire d'acupuncture, bordeaux 2¤ 77 , memoire d'acupuncture,afa¤ 19 , memoire d'acupuncture,cedat,marseille¤ 18 , 4 - revues d'acupuncture et MTC 10 eme congres national de la faformec, toulouse¤ 648 , 37°2 le magazine¤ 218 , academic journal of the first medical college of pla¤ 410 , acta chinese medicine and pharmacology¤ 368 , acta medica sinica¤ 91 , acta universitatis traditionis medicalis sinensis pharmacologiaeque shanghai¤ 531 , 532 , acupunct med¤ 637 , 638 , 639 , 640 , 641 , 642 , 643 , 674 , 746 , 773 , 774 , 775 , acupuncture¤ 3 , 24 , 87 , 112 , acupuncture & moxibustion¤ 363 , 364 , 590 , 617 , acupuncture and electrotherapeutics research¤ 56 , 162 , 690 ,
acupuncture et moxibustion¤ 538 , 539 , acupuncture in medecine¤ 515 , 708 , 752 , 753 , acupuncture in medicine¤ 172 , 242 , 409 , 491 , 565 , 566 , 762 , acupuncture research¤ 100 , 154 , 239 , 285 , 376 , 605 , 610 , 612 , 676 , 747 , acupuncture research quarterly¤ 27 , 29 , 42 , acupuncture traditionnelle chinoise¤ 709 , 710 , 711 , 712 , 748 , 749 , 750 , 751 , 781 , 782 , akupunktur theorie und praxis¤ 262 , akupunktur theorie und praxis¤ 114 , 616 , american journal of acupuncture¤ 259 , american journal of chinese medicine¤ 43 , 161 , 166 , 209 , 554 , ann rheum dis¤ 53 , arthritis res ther¤ 702 , auriculo medecine¤ 10 , 21 , auriculomedecine¤ 38 , 39 , 41 , 46 , australian journal of acupuncture¤ 159 , beijing journal of tcm¤ 485 , beijing journal of traditional chinese medicine¤ 150 , 338 , 347 , bmc musculoskelet disord¤ 675 , bmj¤ 679 , 684 , br j sports med¤ 681 , chin med¤ 657 , 730 , china journal of tcm and pharmacy¤ 369 , china reflexology journal¤ 521 , chinese acupuncture & moxibustion¤ 682 , 692 , chinese acupuncture and moxibustion¤ 34 , 35 , 47 , 49 , 110 , 174 , 198 , 199 , 206 , 208 , 224 , 263 , 350 , 353 , 383 , 395 , 414 , 517 , 522 , 555 , 575 , 578 , 594 , 624 , 665 , 726 , 729 , 742 , 755 , 756 , 757 , chinese journal of acupuncture and moxibustion¤ 138 , 157 , chinese journal of ethnomedicine and ethnopharmacy¤ 498 , chinese journal of information on traditional chinese medicine¤ 372 , 399 , chinese journal of integrated traditional and western medicine¤ 67 , 85 , 120 , 767 , chinese journal of medical history¤ 405 , chinese journal of surgery of integrated traditional chinese and western medicine¤ 525 , 540 , chinese journal of traditional medical science and technology¤ 488 , chinese journal of traditional medicine traumatology and orthopedics¤ 72 , 73 , 74 , 75 , 86 , 89 , 101 , 102 , 108 , 109 , 117 , 118 , 119 , 121 , 122 , 153 , 155 , 380 , 466 , 467 , 482 , 483 , 484 , 556 , 557 , 579 , chinese journal of traditional medicine, traumatology and orthopedics¤ 403 , chinese journal of tradtional medicine traumatology and orthopedics¤ 535 , chinese manipulation and qi gong therapy¤ 335 , 344 , 373 , 477 , 580 , chinese medical journal¤ 54 , cliniques d'acupuncture¤ 4 , complement ther med¤ 678 , complementary therapies in medicine¤ 427 , der akupunkturarzt aurikulotherapeut¤ 57 , deutsche zeitschrift fur akupunktur¤ 260 , 359 , 661 , 662 , deutsche zeitschrift für akupunktur¤ 634 , drug ther bull¤ 683 , east west integration medicine¤ 693 , el pulso de la vida¤ 512 , el pulso de la vida- journal of tcm¤ 572 , eur j med res¤ 598 , evid based complement alternat med¤ 576 , 772 , focus altern complement ther¤ 567 , focus on alternative and complementary therapies¤ 291 , 322 , 596 , 597 , 618 , 619 , 704 , 731 , 732 , 733 ,
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forsch komplementarmed klass naturheilkd¤ 454 , 509 , forschende komplementarmedizin and klassische naturheilkunde¤ 668 , forum on tcm¤ 527 , fujian journal of tcm¤ 581 , fujian journal of traditional chinese medicine¤ 385 , gansu journal of tcm¤ 469 , guangxi journal of tcm¤ 541 , guanxi journal of tcm¤ 397 , hebei journal of tcm¤ 416 , 558 , henan tcm¤ 458 , 504 , 542 , 569 , henan traditional chinese medicine¤ 351 , hubei journal of tcm¤ 406 , hubei- journal of traditional chinese medicine¤ 384 , hunan guiding journal of tcmp¤ 390 , 418 , 419 , 420 , 421 , 422 , 423 , hunan guiding journal of tgmp¤ 391 , 392 , hunan journal of tcm¤ 268 , 272 , hunan journal of traditional chinese medicine¤ 398 , in clinic of tcm (2), publishing house of shanghai college of tcm, shanghai¤ 134 , 135 , 136 , 137 , inner mongol journal of tcm¤ 464 , 543 , international conference on tcm and pharmacology,shanghai¤ 78 , 79 , 80 , 81 , international journal of acupuncture¤ 232 , international journal of chinese medicine¤ 63 , international journal of clinical acupuncture¤ 160 , 167 , 168 , 177 , 200 , 201 , 202 , 219 , 281 , 290 , 705 , 706 , 765 , international journal of clinical medicine¤ 694 , 695 , j altern complement med¤ 257 , 455 , 510 , j am osteopath assoc¤ 691 , jama¤ 659 , jiangsu journal of tcm¤ 269 , 487 , 499 , jiangsu journal of traditional chinese medicine¤ 115 , 151 , jiangxi journal of tcm¤ 465 , 495 , journal of acupuncture and tuina science¤ 461 , 462 , 480 , 481 , 494 , 529 , 530 , 570 , 599 , 600 , 606 , 611 , 669 , 687 , 688 , 745 , 780 , journal of alternative and complementary medicine¤ 266 , 696 , 697 , 698 , 699 , 700 , 701 , 736 , 766 , journal of anhui of traditional chinese medical college¤ 544 , journal of anhui traditional chinese medical college¤ 545 , journal of chengdu university of tcm¤ 286 , 315 , 316 , journal of chinese medicine¤ 283 , 408 , journal of chinese orthopedics and traumatology¤ 377 , journal of clinical acupuncture and moxibustion¤ 287 , 292 , 309 , 374 , 375 , 400 , 401 , 404 , 470 , 501 , 526 , 573 , 595 , 620 , 621 , 622 , 623 , 631 , 644 , 645 , 646 , 647 , 663 , 664 , 689 , 738 , 760 , 761 , 764 , 771 , journal of external therapy of tcm¤ 318 , 407 , 468 , 505 , 524 , journal of external therapy of traditional chinese medicine¤ 330 , journal of fujian college of tcm¤ 435 , 447 , 459 , 478 , 496 , journal of gansu college of tcm¤ 417 , 438 , 452 , 471 , 502 , journal of guiyang college of tcm¤ 325 , 582 , journal of henan college of tcm¤ 310 , journal of henan university of chinese medicine¤ 492 , 546 , 547 , 583 , journal of hunan college of traditional chinese medicine¤ 329 , journal of japan society of acupuncture¤ 59 , journal of new chinese medicine¤ 65 , 92 , journal of practical tcm¤ 288 , 289 , 294 , 314 , 327 , 328 , 413 , 434 , 439 , 445 , 453 , 503 , 534 , 571 , 584 , journal of practical traditional chinese medicine¤ 331 , 332 , 336 , 345 , journal of practice tcm¤ 402 , journal of shaanxi college of tcm¤ 303 , 497 , journal of shaanxi college of traditional chinese medicine¤
334 , 343 , journal of shandong college of tcm¤ 220 , journal of shandong university of tcm¤ 433 , 444 , journal of shandong university of traditional chinese medicine¤ 240 , 253 , journal of tcm¤ 51 , 55 , 217 , 221 , 225 , 226 , 252 , 273 , 321 , 356 , 411 , 424 , 446 , 474 , 536 , journal of tcm (english edition)¤ 90 , 333 , journal of the japan society of acupuncture¤ 76 , 82 , 83 , 98 , 127 , 128 , 129 , 130 , 131 , 132 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 158 , 163 , 164 , 165 , 193 , journal of the japan society of acupuncture and moxibustion¤ 30 , 357 , 358 , 386 , 450 , 451 , 559 , 635 , journal of traditional chinese medicine¤ 36 , 37 , 60 , 113 , 186 , 188 , 189 , 195 , 228 , 229 , 237 , 274 , 456 , 574 , 754 , journal of traditional chinese medicine and chinese materia medica of jilin¤ 116 , journal of traditional chinese medicine hubei¤ 394 , journal of traditional chinese orthopedics and traumatology¤ 278 , 284 , 295 , 296 , 297 , 298 , 300 , 301 , 302 , 313 , 323 , 324 , 339 , 340 , 348 , 349 , 362 , 378 , 379 , 387 , 430 , 431 , 432 , 440 , 441 , 442 , 472 , 486 , 489 , 490 , 507 , 508 , 516 , 528 , 548 , 549 , 550 , 585 , journal of yunnan college of tcm¤ 396 , journal of zhejiang college of tcm¤ 267 , 475 , kampo medicine¤ 763 , la gazette¤ 248 , lancet¤ 592 , 593 , lettre de l'institut europeen de qi gong¤ 176 , liaoning journal of tcm¤ 473 , 493 , liaoning journal of traditional chinese medicine¤ 93 , 94 , 95 , 211 , 367 , 371 , 381 , 389 , manag care interface¤ 636 , medical acupuncture¤ 317 , 561 , medicina holistica¤ 111 , 190 , medicina holistica, medicinas complementarias¤ 227 , medicina tradicional china¤ 50 , mmw fortschr med¤ 677 , modern journal of integrated traditional chinese and western medicine¤ 479 , 500 , 586 , musculoskeletal care¤ 770 , nat clin pract rheumatol¤ 724 , new journal of tcm¤ 270 , 276 , 299 , 551 , new journal of traditional chinese medicine¤ 365 , 388 , new journal of traditionnal chinese medicine¤ 307 , 308 , north american journal of oriental medicine¤ 238 , pacific journal of oriental medicine¤ 275 , phys ther¤ 685 , practical journal of integrating chinese with modern medicine¤ 214 , revista de la medicina tradicional¤ 215 , 216 , revista argentina de acupuntura¤ 282 , revista mexicana de medicina tradicional china¤ 271 , revista paulista de acupuntura¤ 243 , 244 , 245 , 247 , revue francaise acupuncture¤ 264 , revue francaise d' acupuncture¤ 360 , 361 , revue francaise d'acupuncture¤ 11 , 17 , 20 , 22 , 23 , 58 , 207 , 255 , 256 , revue francaise de medecine traditionnelle chinoise¤ 312 , revue francaise de mtc¤ 279 , 280 , revue internationale d'acupuncture¤ 2 , rivista italiana di agopuntura¤ 44 , rivista italiana di medicina tradizionale cinese¤ 192 , 213 , 230 , 241 , 246 , 511 , 560 , 587 , 607 , 608 , 609 , 613 , 614 , 615 , shaanxi journal of tcm¤ 64 , shaanxi journal of traditional chinese medicine¤ 293 , shaanxi traditional chinese medicine¤ 61 , 126 , 156 , 194 , shandong journal of tcm¤ 437 , 449 , 460 , 588 , shandong journal of traditional chinese medicine¤ 123 ,
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shanghai journal of acupuncture and moxibustion¤ 533 , shanghai journal of acupuncture and moxibustion¤ 96 , 233 , 249 , 352 , 463 , 589 , 632 , 633 , 656 , 667 , 728 , 739 , 740 , 741 , 758 , shanghai journal of tcm¤ 305 , 306 , 326 , 518 , 523 , 552 , shanghai journal of traditional chinese medicine¤ 107 , 124 , 152 , shanxi journal of tcm¤ 506 , shanxi journal of traditional chinese medicine¤ 125 , taehan kanho hakhoe chi¤ 759 , the american journal of chinese medicine¤ 737 , tianjin journal of tcm¤ 425 , 443 , 553 , tianjin journal of traditional chinese medicine¤ 370 , traditional chinese medicinal research¤ 173 , 175 , 265 , 304 , veterinary acupuncture newsletter¤ 103 , world journal of acupuncture and moxibustion¤ 591 , world journal of acupuncture moxibustion¤ 666 , 713 , world journal of acupuncture-moxibustion¤ 178 , 191 , 212 , 222 , 354 , 355 , 426 , xinjiang journal of traditional chinese medicine¤ 366 , yunnan journal of tcm and materia medica¤ 277 , 436 , 448 , yunnan journal of traditional chinese medicine and materia medica¤ 382 , zhejiang journal of traditional chinese medicine¤ 66 , 337 , 346 , 5 - revues extérieures acta anaesthesiol scand¤ 171 , altern ther health med¤ 250 , 342 , anaesthesia¤ 258 , anesthesia and analgesia¤ 6 , 7 , ann intern med¤ 562 , 563 , 626 , 627 , 650 , 651 , 652 , 671 , 703 , annals internal med¤ 203 , archives of physical medicine and rehabilitation¤ 235 , arthritis and rhematism¤ 5 , arthritis and rheumatism¤ 320 , arthritis care and research¤ 197 , arthritis rheum¤ 628 , 629 , 660 , 707 , aten primaria¤ 428 , athl train 603 , j athl train¤ bmc complement altern med¤ 429 , 519 , bmc musculoskelet disord¤ 564 , bmj¤ 537 , 577 , clin evid¤ 604 , clin evidence¤ 602 , clin j pain¤ 223 , clin j sport med¤ 319 , clin rehabil¤ 658 , 680 ,
clin rheumatol¤ 743 , 769 , cmaj¤ 653 , 654 , concours medical¤ 32 , curr rheumatol rep¤ 1 , der schmerz¤ 205 , eur j pain¤ 725 , j am geriatr soc¤ 686 , j electromyogr kinesiol¤ 670 , j nurs res¤ 744 , j orthop sports phys ther¤ 514 , j rehabil med¤ 393 , jama¤ 231 , 457 , jcca j can chiropr assoc¤ 673 , journal of clinical acupuncture and moxibustion¤ 776 , 777 , 778 , journal of clinical rheumatology¤ 783 , 784 , 785 , journal of manipulative and physiological therapeutics¤ 149 , lasers med sci¤ 723 , lik sprava¤ 236 , med eng phys¤ 601 , med j malaysia¤ 28 , minerva anestesiologica¤ 234 , minerva medica¤ 12 , minerva-f¤ 625 , nat clin pract rheumatol¤ 735 , new zealand medical journal¤ 630 , nippon ronen igakkai zasshi¤ 341 , osteoarthritis and cartilage¤ 210 , osteoarthritis cartilage¤ 727 , pain¤ 779 , photomed laser surg¤ 655 , postgraduate medical journal¤ 13 , prim care¤ 568 , proc natl sci counc repub china b¤ 196 , rheumatology¤ 254 , rheumatology (oxford)¤ 649 , 672 , scand j acupunct¤ 97 , shanghai journal of tcm¤ 106 , singapore med j¤ 520 , south med j¤ 734 , techniques in orthopaedics¤ 513 , tidsskr nor laegeforen¤ 251 , ugeskr laeger¤ 16 , 187 , union medicale du canada¤ 31 , wiener medizinische wochenschrift¤ 88 , zhongguo gu shang¤ 768 , 6 - thèses these medecine,paris 6¤ 8 ,
