Abstract
Knee osteoarthritis (OA) causes functional limitation in weight-bearing actlVltles including walking. To investigate the multimodal impact of acupuncture, exercise therapy, and concurrent functional electrical stimulation (FES) on knee osteoarthritis. We designed a multidisciplinary treatment package including acupuncture; home based exercise therapy, and concurrent functional electrical stimulation during treadmill walking. Outcomes measurements included the numerical rating scale (NRS), the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Tampa Scale of Kinesiophobia (TSK). Measurements were completed at baseline and following the treatment phase which consisted of six individual sessions. A 48-year-old male, office worker presented with a history of chronic right knee. During the previous year, he was diagnosed with knee osteoarthritis after clinical physical examination by a sports medicine physician. Following our novel training intervention, the patient reported a reduction in pain intensity from 8 to 2 on the NRS, improved in all KOOS subscale scores, and improved in the TSK scale (reduction from 15 to 11). In addition, the patient reported that he was able to return to work and undertake normal activities of daily living with reduced knee pain. This case report showed that our novel multimodal intervention including six sessions of acupuncture, exercise therapy, and treadmill walking with functional electrical stimulation (FES) had a positive impact on knee pain and function in a middle-aged male with knee osteoarthritis.
Highlights
Osteoarthritis (OA) is the most common cause of chronic knee pain, affecting millions of people worldwide [1]
We have developed a unique multimodal approach to chronic knee pain which combines exercise therapy, acupuncture, and concurrent functional electrical stimulation (FES) during treadmill walking
The patient reported much less pain during walking and the numerical rating scale (NRS) pain scale fell by six points to 2 points after the intervention
Summary
Osteoarthritis (OA) is the most common cause of chronic knee pain, affecting millions of people worldwide [1]. Current therapeutic approaches include non-pharmacological and pharmacological methods [5]. Pharmacological approaches are generally limited to the use of acetaminophen or non-steroidal anti-inflammatory agents (NSAIDs) [5], despite the use of these drugs, the majority of patients report persistent pain.[5] Physical therapy [5], exercise [6], weight loss [2], acupuncture [7] and methods of unloading joints including the use of canes and walkers [5] are frequently used as initial approaches to therapy, or as adjuncts to pharmacological approaches [4]
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