Effectiveness of Acupuncture as an Adjunct to Rehabilitation After Knee Arthroplasty
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Purpose
No randomized trials have tested the effectiveness of acupuncture as a supplement to rehabilitation after total knee replacement. Studies from related fields, however, have shown reduction of symptoms as a result of acupuncture treatment in patients with knee pain caused by severe osteoarthritis in the knee. Furthermore, studies have reported that the need of pain medication was lower when acupuncture treatment was performed immediately after knee surgery.
The aim of this study is to test whether acupuncture can reduce pain and improve disability as a supplement to rehabilitation after total knee replacement.
One hundred and seventy patients will be allocated by drawing lots to either a treatment group receiving exercise therapy and acupuncture or a group receiving exercise therapy alone. Treatment will start 3 weeks after surgery at the latest.
Outcome of treatments will be measured at completion of treatment and at 3 months follow-up by pain- and disability questionnaires as well as the recording of walking capacity.
| Condition | Intervention |
|---|---|
|
Total Knee Replacement |
Procedure: Acupuncture Procedure: exercises |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Factorial Assignment Masking: Double Blind (Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effectiveness of Acupuncture as an Adjunct to Rehabilitation After Knee Arthroplasty. A Randomized Controlled Trial. |
- pain [ Time Frame: 3 months after treatment ] [ Designated as safety issue: Yes ]
- disability [ Time Frame: 3 months after treatment ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 170 |
| Study Start Date: | January 2009 |
| Estimated Study Completion Date: | March 2012 |
| Primary Completion Date: | November 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Acupuncture
Acupuncture in combination with exercise therapy
|
Procedure: Acupuncture
Westerns style acupuncture. Twice a week for 12 weeks
|
|
Active Comparator: exercises
Coordination, mobilizing, endurance, strength
|
Procedure: exercises
Coordination, mobilizing, endurance, strength
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Hemi- or total knee arthroplasty.
- 18 - 70 years of age.
Exclusion Criteria:
- Concurrent diseases that compromises treatment, i.e.hip disease, rheumatoid arthritis, migraine).
- Bleeding disorders.
- Heart disease or use of pacemaker.
- Lack of patient cooperation, i.e. psychological disorders, alcoholism, problems with language).
- Infection.
Exclusion criteria during intervention:
- Infection.
- Cicatrice-burst.
Contacts and Locations| Contact: Tom Petersen, PT, PhD | +45 35304974 | tom.petersen@suf.kk.dk |
| Contact: Inge Lis Goethgen, Head | +45 35304950 | MW53@suf.kk.dk |
| Denmark | |
| Back and Rehabilitation Center Copenhagen | Recruiting |
| Copenhagen, Denmark, 2100 | |
| Contact: Tom Petersen, PT, PhD +45 35304974 tom.petersen@suf.kk.dk | |
| Contact: Inge Lis Goethgen, Head +45 35304950 MW53@suf.kk.dk | |
| Principal Investigator: Tom Petersen, PT, PhD | |
| Principal Investigator: | Tom Petersen, PT, PhD | Back and Rehabilitation Center, Copenhagen |
More Information
Additional Information:
No publications provided
| Responsible Party: | Tom Petersen, Physical Therapist, Back and Rehabilitation Center, Copenhagen |
| ClinicalTrials.gov Identifier: | NCT00935155 History of Changes |
| Other Study ID Numbers: | VIFAB-727-44-2007 |
| Study First Received: | July 7, 2009 |
| Last Updated: | February 7, 2012 |
| Health Authority: | Denmark: The Regional Committee on Biomedical Research Ethics |
Keywords provided by Back and Rehabilitation Center, Copenhagen:
|
exercise therapy Knee arthroplasty Acupuncture Analgesia Arthroplasty, Replacement, Knee rehabilitation |
ClinicalTrials.gov processed this record on May 21, 2013