Self-administered acupressure and exercise for patients with osteoarthritis: A randomized controlled trial

Guo, Dongwei; Ma, Shiqiang; Zhao, Yunyan; Dong, Jun; Guo, Bin-Fang; Li, Xiaoming

doi:10.1177/02692155211049155

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…After the detailed full-text screening, 39 studies were included in the qualitative synthesis. Finally, 25 RCTs were included in the current review [ 30 – 54 ]. The detailed process of the search and selection is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The included studies ranged from 1.5 to 9 weeks of treatment for MT. Eight studies [ 30 , 32 , 34 , 37 , 39 – 41 , 54 ] reported follow-up results, with a minimum follow-up of 1 month and a maximum follow-up of 1 year, as shown in Table 3 . In terms of pain relief, 6 [ 30 , 32 , 37 , 39 – 41 ] of these follow-ups found moderate to satisfactory long-term effects of MT in the treatment of KOA, 1 [ 34 ] study showed only short-term benefits for MT, and 1 [ 54 ] study did not report follow-up statistics.…”

Section: Resultsmentioning

confidence: 99%

“… 8 Perlman, 2012 [ 41 ] 16, 24week + MT showed improvements. 8 Qu, 2020 [ 42 ] NR NR NR 4 Wu, 2015 [ 43 ] NR NR NR 8 Xu, 2021 [ 44 ] NR NR NR 4 Yao, 2018 [ 45 ] NR NR NR 2 Yuan, 2018 [ 46 ] NR NR NR 3 Zhang, 2014 [ 47 ] NR NR NR 4 Zhang, 2018 [ 48 ] NR NR NR 4 Yang, 2022 [ 49 ] NR NR NR 1.5 Xu, 2022 [ 50 ] NR NR NR 4 Ma, 2022 [ 51 ] NR NR NR 4 Liu, 2022 [ 52 ] NR NR NR 4 Liu, 2023 [ 53 ] NR NR NR 4 Guo, 2022 [ 54 ] 16 week NR NR 8 …”

Section: Resultsmentioning

confidence: 99%

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The effects of manual therapy in pain and safety of patients with knee osteoarthritis: a systematic review and meta-analysis

Zhu,

Ba,

Kong

et al. 2024

Syst Rev

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Background Manual therapy (MT) is frequently used in combination with management of osteoarthritis of the knee, but there is no consensus on the exact efficacy of this treatment strategy. The purpose of this systematic review and meta-analysis was to evaluate the pain relief and safety of MT for treatment of knee osteoarthritis (KOA). Methods Randomized controlled trials evaluating MT in patients with KOA in major English and Chinese journals were searched in the following databases: Wanfang, China Science and Technology Journal Database (VIP database), China National Knowledge Infrastructure (CNKI), PubMed, Embase, Web of Science, and the Cochrane Library databases through June 2023. The methodological quality and quality of evidence of the included studies were assessed using Cochrane’s risk-of-bias 2 (ROB 2) tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool. Data analysis was performed using Stata version 15.0 software. After use of Galbraith plots to exclude studies that could lead to heterogeneity, random effects models were used to analyze the remaining data and test the consistency of the findings. We used meta-regression to assess the effect of treatment period, patient age, and sex ratio on outcomes. Funnel plots and Egger’s test were used to evaluate publication bias. Sensitivity analyses were used to determine the reliability of the results. Results A total of 25 studies, with 2376 participants, were included in this review. The overall methodological quality of the included studies was limited. Our findings suggest that MT has a positive impact on pain relief outcomes in KOA patients. The meta-analysis showed that MT was superior to usual care (SMD = 2.04, 95% CI 0.94, 3.14, I2 = 96.3%; low evidence quality) and exercise (SMD = 1.56, 95% CI 0.41, 2.71, I2 = 96.3%; low evidence quality) for reducing pain. In terms of improvement in visual analogue scale (VAS) scores, MT treatment beyond 4 weeks (SMD = 1.56, 95% CI 0.41, 2.71, I2 = 96.3%) may be superior to treatments less than or equal to 4 weeks (SMD = 1.24, 95% CI 0.56, 1.95, I2 = 94.7%). No serious adverse events associated with MT were reported. Conclusions MT may be effective at reducing pain in patients with KOA and may be more effective after a 4-week treatment period. Compared with usual care and exercise therapy, MT may be superior at reducing KOA pain in the short term (9 weeks), but its long-term efficacy requires careful consideration of evidence-based outcomes. MT appears to be safe for KOA patients, though clinicians should inform patients of the potential risk of MT-related adverse events.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The effects of manual therapy in pain and safety of patients with knee osteoarthritis: a systematic review and meta-analysis

Zhu,

Ba,

Kong

et al. 2024

Syst Rev

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“…Research indicates that people with chronic liver disease have lower to middle-level self-management [27] . Furthermore, between 10 and 45 percent of patients with chronic liver disease return to harmful behaviors like smoking, drinking alcohol, and having irregular sleep schedules, which lowers their chances of survival [28,29] .…”

Section: Discussionmentioning

confidence: 99%

The mediating role of social support on self-management and quality of life in cirrhotic patients

Zhang,

Xiao,

Liu

et al. 2024

Preprint

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Background Insufficient social support is linked to patients' inability to manage their chronic illnesses on their own, and cirrhosis patients are frequently related with malnourishment and physical inactivity that lowers their quality of life. Thus, the purpose of this study was to examine the potential mediating function of social support in the relationship between self-management and quality of life, as well as the impact of exercise frequency and malnutrition risk assessment on these variables. Methods Convenience sampling was used to select cross-sectional data from 257 liver cirrhosis patients who visited the infection department of a tertiary hospital using in Zunyi City between 2021 and 2022. The Chronic Liver Disease Questionnaire (CLDQ), the Nutritional Risk Screening Tool (RFH-NPT), the Social Support Scale (SSRS), the Self-Management Behavior Scale for Cirrhotic Patients, and demographic questionnaires were used to evaluate the patients. Results （1）Social support and self-management had a positive correlation (r=0.668, 0.665, both P<0.001) with quality of life. (2) Self-management was found to have a direct predictive influence on quality of life by mediation analysis, while social support was found to have a mediating effect between the two variables of 0.489 (95% CI: 0.362,0.629) and 40.58% of the overall effect was accounted for by the indirect effect. (3) Social support, self-management, and quality of life were all influenced independently by the frequency of exercise and the assessment of malnutrition risk. (4) After confounders were eliminated from the regression model analysis, Model I accounted 14.5% of the variance in the quality of life control variables, while Model II explained 49.5%. 56.9% of the variation in quality of life was explained by Model III once the social support variable was included. Conclusions Quality of life is enhanced by self-management through the mediation of social support. Social support and self-management were additionally moderated by the frequency of exercise and the assessment of nutritional risk, both of which were independent factors. These results imply that patients with cirrhosis may experience an improvement in quality of life from self-management programs designed to strengthen social support.

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“…A lot of studies have demonstrated that acupuncture can help relieve pain in patients with KOA, promote recovery and reduce the burden on patients and society (Wang et al, 2016;Ma et al, 2017). Traditional Chinese nonpharmacological therapies such as moxibustion and Tai Chi have also shown high credibility (Liu et al, 2017;Xiao et al, 2020;Guo et al, 2022). The International Society for Osteoarthritis (OARSI) even recommends Tai Chi for all knee osteoarthritis patients because of its satisfactory performance in relieving pain and improving proprioception of knee joints (Woods et al, 2017;Liu et al, 2019;Hu et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

A bibliometric analysis of traditional Chinese non-pharmacological therapies in the treatment of knee osteoarthritis from 2012 to 2022

Zhang

Wang²,

Zhou³

et al. 2023

Front. Neurosci.

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ObjectiveThe benefits of traditional Chinese non-pharmacological therapies in the treatment of Knee osteoarthritis (KOA) are receiving increasing attention. Therefore, this study aims to systematically analyze the global research on the treatment of KOA by Chinese traditional non-pharmacological therapies using bibliometric analysis and present the results with a knowledge map form.MethodsLiterature related to traditional Chinese non-pharmacological therapies used in the treatment of KOA from 2012 to 2022 was searched from the Web of Science core database and PubMed database. CiteSpace, SCImago Graphica and VOSviewer were used to extract nations, institutions, journals, authors, references, keywords, as well as the most widely used acupoints, therapies and evaluation indexes.ResultsA total of 375 literature have been included. 32 countries around the world have participated in the research. China, the United States, and Europe were at the center of the global cooperation network. The most prolific institutions and authors were from China represented by Cun-zhi Liu and Jian-feng Tu of Beijing University of Chinese Medicine, the institution with the highest cited frequency was University of York, and “Osteoarthritis Cartilage” was the most frequently cited journal. The most frequently cited literature was “OARSI guidelines for the non-surgical management of knee, hip, and poly articular osteoarthritis.” 22 kinds of Chinese non-pharmacological therapies were used to treat KOA, among which acupuncture was the most commonly used one, and ST36 (Zusanli) and WOMAC were the most commonly selected acupoint and evaluation index.ConclusionIn the past decade, the value of Chinese non-pharmacological therapies in the treatment of KOA has received widespread attention. It was a common concern of global researchers to relieve the pain of KOA patients and restore the quality of life. Under the background that acupuncture accounts for a relatively high proportion, the next step may consider how to make the balanced development of a variety of Chinese non-pharmacological therapies. In addition, the problem of how to eliminate the placebo effect maybe the direction of future research.

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Self-administered acupressure and exercise for patients with osteoarthritis: A randomized controlled trial

Cited by 5 publications

References 30 publications

The effects of manual therapy in pain and safety of patients with knee osteoarthritis: a systematic review and meta-analysis

The effects of manual therapy in pain and safety of patients with knee osteoarthritis: a systematic review and meta-analysis

The mediating role of social support on self-management and quality of life in cirrhotic patients

A bibliometric analysis of traditional Chinese non-pharmacological therapies in the treatment of knee osteoarthritis from 2012 to 2022

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