Electric Needle To Quantify The Treatment Of Knee Osteoarthritis The Yang Hanning Clinical Efficacy Studies

Knee osteoarthritis(KOA) is one of osteoarthritis(OA). It is the most common seen musculoskeletal system disease among seniors above age 50. Its feature symptom is limitations of joint cartilage degeneration and new bones forming among joint edge and subchondral osteophyte. Clinical symptom such as chronic joint ache, stiffness, swollen with movement limitation; severe symptoms involve joint disability and handicap. These are the main cause to senior pain and handicap. Treatment includes non-therapeutic approach, medical treatment, and surgery.This thesis is divided into review of literature and clinical studies. Review of literature discussed modern medicine and TCM's understandings to knee joint osteoarthritis. The review summarized the cause, pathogenesis, pathology, mechanism, and treatment of KOA. Also discussed modern medicine's approach to treating KOA, as well as a review of recent KOA knowledge and treatment of TCM.Clinical StudiesPurpose:In order to provide a basis for treating KOA, the following was used:a combine treatment of electrical hot needle (EHN) with acupuncture; EHN can adjust the power of electrical current, by doing so, heat increase as electrical current increases; therefore effect of fire and warm needle appears. EHN can provide a stable temperature on human body. The study first quantifies the two type of current's effect on yang deficiency and cold congealing syndrome KOA. The study hopes to find a better treatment method in order to provide a different solution to treating KOA.Method:All KOA patients match the diagnosis and inclusion criteria. KOA patients were randomly divided into two groups with ratio of 1:1. The two groups were 60mA EHN with acupuncture and 40mA EHN with acupuncture; treated once daily for 40 minutes and consecutively for 5 times. Another 5 therapy was followed after resting for 2 days, making 10 therapies in total. Effect was rated before and after trials.Result:After statistical and clinical effect calculated,60mA group had an obvious effect difference compare to 40mA group(P<0.01). Treated group had a 96.7% effect bigger than controlled group's 86.7%. Therefore 60mA group had a better effect than 40mA group on KOA. WOMAC rating for two groups all improved, with a difference of P＜0.01.60mA group had a P<0.01 improvement on pain control and physiology function.60mA group improved better than 40mA group, yet had a P<0.05 difference on joint stiffness improvement. From the result of this study,60mA group is better than 40mA group when treating yang deficiency and cold congealing syndrome KOA.