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Published in: Trials 1/2020

Open Access 01-12-2020 | Knee Osteoarthritis | Study protocol

Evaluation of the efficacy and safety of fire needle compared to filiform needle on knee osteoarthritis: study protocol for a randomized controlled trial

Authors: Yuanjie Gao, Lu Liu, Bin Li, Jing Guo, Huilin Liu, Shaosong Wang, Fan Zhang, Xu Ji, Yuanbo Fu, Yizhan Wang, Jingqing Sun, Fang Yuan

Published in: Trials | Issue 1/2020

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Abstract

Background

Knee osteoarthritis is a common clinical chronic degenerative disease associated with high morbidity and long-term disability. Previous studies have confirmed the efficacy of acupuncture on knee osteoarthritis. Fire needle acupuncture is a combination of heat and acupuncture, which may be more effective than the commonly used filiform needle acupuncture. This study is designed as a randomized controlled trial to evaluate the efficacy and safety of fire needle acupuncture compared to filiform needle acupuncture in knee osteoarthritis patients.

Methods and analysis

This is a prospective randomized controlled superiority clinical trial to evaluate the efficacy and safety of fire needle acupuncture compared to filiform needle acupuncture for knee osteoarthritis. A total of 100 participants will be randomly assigned to two different groups. Participants will receive fire needle acupuncture treatment in the fire needle group, while participants in the filiform needle group will be treated with a filiform needle at the same acupuncture points as the fire needle group. All participants will receive 6 weeks of treatment (2 times per week). The primary outcome is the change of the Western Ontario and McMaster Universities Osteoarthritis Index, and the secondary outcomes include the change of the visual analog scale and 12-item Short Form Health Survey from baseline to endpoint.

Ethics and dissemination

Ethical approval of this study was granted by the Research Ethical Committee of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University (2018SB-066). Written informed consent will be obtained from all participants. Outcomes of the trial will be disseminated through peer-reviewed publications.

Trial registration

Chinese Clinical Trial Registry ChiCTR1800019579​. Registered on November 18, 2018
Appendix
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Literature
2.
go back to reference Xue QY, Wang KZ, Pei FX, et al. Investigation on the prevalence of primary osteoarthritis in people over 40 years old in China [J]. Chin J Orthop. 2015;35(12):1206–12. Xue QY, Wang KZ, Pei FX, et al. Investigation on the prevalence of primary osteoarthritis in people over 40 years old in China [J]. Chin J Orthop. 2015;35(12):1206–12.
3.
go back to reference Ma N. The research of acupuncture and moxibustion in treating knee osteoarthritis in recent ten years and the preliminary curative effect of He’s fire needle [D]. Beijing: Beijing University of Chinese Medicine; 2014. Ma N. The research of acupuncture and moxibustion in treating knee osteoarthritis in recent ten years and the preliminary curative effect of He’s fire needle [D]. Beijing: Beijing University of Chinese Medicine; 2014.
4.
go back to reference Wu ZW. Observation on the curative effect of combined traditional Chinese and western medicine in treating knee osteoarthritis [J]. Sichuan Tradit Chin Med. 2016;34(02):158–60. Wu ZW. Observation on the curative effect of combined traditional Chinese and western medicine in treating knee osteoarthritis [J]. Sichuan Tradit Chin Med. 2016;34(02):158–60.
5.
go back to reference Hou G. A retrospective study of the clinical treatment of knee osteoarthritis based on the case history analysis [D]. Yunnan: Yunnan College of Traditional Chinese Medicine; 2018. Hou G. A retrospective study of the clinical treatment of knee osteoarthritis based on the case history analysis [D]. Yunnan: Yunnan College of Traditional Chinese Medicine; 2018.
6.
go back to reference Kawasaki T, Kurosawa H, Ikeda H, et al. Additive effects of glucosamine or risedronate for the treatment of osteoarthritis of the knee combined with home exercise: a prospective randomized 18-month trial. J Bone Miner Metab. 2008;26(3):279–87.CrossRef Kawasaki T, Kurosawa H, Ikeda H, et al. Additive effects of glucosamine or risedronate for the treatment of osteoarthritis of the knee combined with home exercise: a prospective randomized 18-month trial. J Bone Miner Metab. 2008;26(3):279–87.CrossRef
7.
go back to reference Pavelká K, Gatterová J, Olejarová M, et al. Glucosamine sulfate use and delay of progression of knee osteoarthritis. Arch Intern Med. 2002;162(18):2113.CrossRef Pavelká K, Gatterová J, Olejarová M, et al. Glucosamine sulfate use and delay of progression of knee osteoarthritis. Arch Intern Med. 2002;162(18):2113.CrossRef
8.
go back to reference Sawitzke A, Shi H, Finco M, et al. The effect of glucosamine and/or chondroitin sulfate on the progression of knee osteoarthritis: a report from the glucosamine/chondroitin arthritis intervention trial. Arthritis Rheum. 2008;58(10):3183–91.CrossRefPubMedCentral Sawitzke A, Shi H, Finco M, et al. The effect of glucosamine and/or chondroitin sulfate on the progression of knee osteoarthritis: a report from the glucosamine/chondroitin arthritis intervention trial. Arthritis Rheum. 2008;58(10):3183–91.CrossRefPubMedCentral
9.
go back to reference Charlesworth J, Fitzpatrick J, Perera NKP, et al. Osteoarthritis- a systematic review of long-term safety implications for osteoarthritis of the knee [J]. BMC Musculoskelet Disord. 2019;20:151.CrossRefPubMedCentral Charlesworth J, Fitzpatrick J, Perera NKP, et al. Osteoarthritis- a systematic review of long-term safety implications for osteoarthritis of the knee [J]. BMC Musculoskelet Disord. 2019;20:151.CrossRefPubMedCentral
10.
go back to reference McAlindon T, LaValley M, Harvey W, et al. Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: a randomized clinical trial. JAMA. 2017;317(19):1967–75.CrossRefPubMedCentral McAlindon T, LaValley M, Harvey W, et al. Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: a randomized clinical trial. JAMA. 2017;317(19):1967–75.CrossRefPubMedCentral
11.
go back to reference Mavrommatis C, Argyra E, Vadalouka A, et al. Acupuncture as an adjunctive therapy to pharmacological treatment in patients with chronic pain due to osteoarthritis of the knee: a 3-armed, randomized, placebo-controlled trial [J]. Pain. 2012;153(8):1720–6.CrossRef Mavrommatis C, Argyra E, Vadalouka A, et al. Acupuncture as an adjunctive therapy to pharmacological treatment in patients with chronic pain due to osteoarthritis of the knee: a 3-armed, randomized, placebo-controlled trial [J]. Pain. 2012;153(8):1720–6.CrossRef
12.
go back to reference Chen LX, Mao JJ, Fernandes S, et al. Integrating acupuncture with exercise-based physical therapy for knee osteoarthritis: a randomized controlled trial [J]. J Clin Rheumatol. 2013;19(6):308–16.CrossRefPubMedCentral Chen LX, Mao JJ, Fernandes S, et al. Integrating acupuncture with exercise-based physical therapy for knee osteoarthritis: a randomized controlled trial [J]. J Clin Rheumatol. 2013;19(6):308–16.CrossRefPubMedCentral
13.
go back to reference Manheimer E, Cheng K, Linde K, et al. Acupuncture for peripheral joint osteoarthritis [J]. Cochrane Database Syst Rev. 2010;(1). Manheimer E, Cheng K, Linde K, et al. Acupuncture for peripheral joint osteoarthritis [J]. Cochrane Database Syst Rev. 2010;(1).
14.
go back to reference Zhang W, Moskowitz RW, Nuki G, et al. OARSI recommendations for the management of hip and knee osteoarthritis, part II: OARSI evidence-based, expert consensus guidelines.[J]. Osteoarthr Cartil. 2008;16:137–62.CrossRef Zhang W, Moskowitz RW, Nuki G, et al. OARSI recommendations for the management of hip and knee osteoarthritis, part II: OARSI evidence-based, expert consensus guidelines.[J]. Osteoarthr Cartil. 2008;16:137–62.CrossRef
15.
go back to reference Lin JC. Observation of the clinical efficacy of treating knee osteoarthritis with fire needle [D]. Nanjing: Nanjing University of Chinese Medicine; 2011. Lin JC. Observation of the clinical efficacy of treating knee osteoarthritis with fire needle [D]. Nanjing: Nanjing University of Chinese Medicine; 2011.
17.
go back to reference MacPherson H, Altman DG, Hammerschlag R, et al. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010;7(6):e1000261.CrossRefPubMedCentral MacPherson H, Altman DG, Hammerschlag R, et al. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010;7(6):e1000261.CrossRefPubMedCentral
18.
go back to reference Quintana JM, Escobar A, Arostegui I, et al. Health-related quality of life and appropriateness of knee or hip joint replacement. Arch Intern Med. 2006;166(2):220–6.CrossRef Quintana JM, Escobar A, Arostegui I, et al. Health-related quality of life and appropriateness of knee or hip joint replacement. Arch Intern Med. 2006;166(2):220–6.CrossRef
19.
go back to reference Wang H, Du YH. Science of acupuncture and moxibustion [M]. Version 3. Beijing: Chinese Press of Traditional Chinese Medicine; 2012. p. 158. Wang H, Du YH. Science of acupuncture and moxibustion [M]. Version 3. Beijing: Chinese Press of Traditional Chinese Medicine; 2012. p. 158.
20.
go back to reference Wang B. The summarize of the thought of fire needle treating Bi Syndrome and clinical experience of Prof. Wu Zhongchao and clinical research on knee osteoarthritis treated by fire needle with Yangci (quintuple puncture) method [D]. Beijing: China Academy of Chinese Medicine Sciences; 2016. Wang B. The summarize of the thought of fire needle treating Bi Syndrome and clinical experience of Prof. Wu Zhongchao and clinical research on knee osteoarthritis treated by fire needle with Yangci (quintuple puncture) method [D]. Beijing: China Academy of Chinese Medicine Sciences; 2016.
21.
go back to reference Yeo MGH, Goh GS, Chen JY, et al. Are Oxford Hip Score and Western Ontario and McMaster Universities osteoarthritis index useful predictors of clinical meaningful improvement and satisfaction after total hip arthroplasty? [J]. J Arthroplast. 2020;359(9):2458–64.CrossRef Yeo MGH, Goh GS, Chen JY, et al. Are Oxford Hip Score and Western Ontario and McMaster Universities osteoarthritis index useful predictors of clinical meaningful improvement and satisfaction after total hip arthroplasty? [J]. J Arthroplast. 2020;359(9):2458–64.CrossRef
22.
go back to reference Zhong YM, Mi K, He QR, et al. Fumigation and washing of traditional Chinese medicine and functional exercise of quadriceps femoris for the treatment of knee osteoarthritis [J]. Chin J Clin Rehabil. 2006;(43):43–5. Zhong YM, Mi K, He QR, et al. Fumigation and washing of traditional Chinese medicine and functional exercise of quadriceps femoris for the treatment of knee osteoarthritis [J]. Chin J Clin Rehabil. 2006;(43):43–5.
23.
go back to reference Hu JS. What are the 43 diseases that the World Health Organization (WHO) has announced for acupuncture? [J]. J Tradit Chin Med. 1989;(08):57. Hu JS. What are the 43 diseases that the World Health Organization (WHO) has announced for acupuncture? [J]. J Tradit Chin Med. 1989;(08):57.
24.
go back to reference Wang WJ, Geng P, Chen DS, et al. Study on the effect of fire needle on IL-1 signal transduction pathway in knee osteoarthritis [J]. Pract Clin J Integr Tradit Chin Western Med. 2015;15(05):29–30+41. Wang WJ, Geng P, Chen DS, et al. Study on the effect of fire needle on IL-1 signal transduction pathway in knee osteoarthritis [J]. Pract Clin J Integr Tradit Chin Western Med. 2015;15(05):29–30+41.
25.
go back to reference Hong KD, Wan T. Clinical observation on 30 cases of knee osteoarthritis treated by milli-fire needle [J]. Fujian J Tradit Chin Med. 2013;44(6):34–5.CrossRef Hong KD, Wan T. Clinical observation on 30 cases of knee osteoarthritis treated by milli-fire needle [J]. Fujian J Tradit Chin Med. 2013;44(6):34–5.CrossRef
26.
go back to reference Dong CJ. Observation on the curative effect of fire needle therapy on 256 cases of proliferative knee osteoarthritis [J]. J Clin Med Lit. 2015;2(02):255. Dong CJ. Observation on the curative effect of fire needle therapy on 256 cases of proliferative knee osteoarthritis [J]. J Clin Med Lit. 2015;2(02):255.
27.
go back to reference Tian C, Lu J, Cao LD. Analysis on acupuncture and moxibustion treatment of knee osteoarthritis in recent 5 years [J]. Mod Tradit Chin Med. 2013;33(3):70–3. Tian C, Lu J, Cao LD. Analysis on acupuncture and moxibustion treatment of knee osteoarthritis in recent 5 years [J]. Mod Tradit Chin Med. 2013;33(3):70–3.
28.
go back to reference Hu JH. The comparing study of effects between fire needle therapy and electronic needle therapy [D]. Guangzhou: Guangzhou University of Chinese Medicine; 2014. Hu JH. The comparing study of effects between fire needle therapy and electronic needle therapy [D]. Guangzhou: Guangzhou University of Chinese Medicine; 2014.
29.
go back to reference Wang YR, Zhao JP, Hao DF. Is sham acupuncture a real placebo: skeptical for sham acupuncture [J]. World J Acupunct Moxibustion. 2017;27(2):1–5.CrossRef Wang YR, Zhao JP, Hao DF. Is sham acupuncture a real placebo: skeptical for sham acupuncture [J]. World J Acupunct Moxibustion. 2017;27(2):1–5.CrossRef
30.
go back to reference Yuan BS. To understand acupuncture and moxibustion -- and discuss the fallacy of non-acupoint acupuncture, sham acupuncture, and dry needling [J]. Guid J Tradit Chin Med Pharm. 2017;23(2):5–7. Yuan BS. To understand acupuncture and moxibustion -- and discuss the fallacy of non-acupoint acupuncture, sham acupuncture, and dry needling [J]. Guid J Tradit Chin Med Pharm. 2017;23(2):5–7.
Metadata
Title
Evaluation of the efficacy and safety of fire needle compared to filiform needle on knee osteoarthritis: study protocol for a randomized controlled trial
Authors
Yuanjie Gao
Lu Liu
Bin Li
Jing Guo
Huilin Liu
Shaosong Wang
Fan Zhang
Xu Ji
Yuanbo Fu
Yizhan Wang
Jingqing Sun
Fang Yuan
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Trials / Issue 1/2020
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-020-04827-9

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