PMID- 32022581 OWN - NLM STAT- MEDLINE DCOM- 20210129 LR - 20210129 IS - 1759-9873 (Electronic) IS - 0964-5284 (Linking) VI - 38 IP - 5 DP - 2020 Oct TI - Electroacupuncture versus manual acupuncture for knee osteoarthritis: a randomized controlled pilot trial. PG - 291-300 LID - 10.1177/0964528419900781 [doi] AB - OBJECTIVE: We aimed to explore the feasibility of evaluating the comparative effectiveness and safety of electroacupuncture (EA) relative to manual acupuncture (MA) for the treatment of knee osteoarthritis (KOA). METHODS: A multicenter randomized controlled clinical trial was conducted in Beijing from September 2017 to January 2018. A total of 60 participants with KOA were randomly allocated to either EA (n = 30) or MA (n = 30) groups. Participants in the EA group were treated with EA at six to seven local traditional acupuncture points or ah shi points, and two to three distal points. Participants in the MA group had the same schedule as the EA group except that the electrical apparatus featured a working power indicator without actual current output, constituting a sham EA procedure, in order to blind participants. Both groups received 24 sessions over 8 weeks. The primary outcome was response rate, defined as a change of ⩾50% from baseline in the total scores of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) after 8 weeks. Secondary outcomes included pain, stiffness, function, quality of life, and acupuncture-related adverse events (AEs) at 4 and 8 weeks. RESULTS: Of 60 participants randomized, 53 (88%) completed the study. Response rates were 43% for the EA group and 30% for the MA group by the intention-to-treat analysis. Although significant differences were observed in WOMAC pain, stiffness, and function scores within both groups, between-group differences at 8 weeks did not reach statistical significance (odds ratio = 1.75 (95% confidence interval = 0.593-5.162)). Rates of AEs were low and similarly distributed between groups. CONCLUSION: Both EA and MA interventions in KOA were feasible and appeared safe. Whether or not EA may have a stronger impact on pain and function requires further evaluation through larger, adequately powered, randomized controlled trials. TRIAL REGISTRATION NUMBER: NCT03274713. FAU - Wang, Tian-Qi AU - Wang TQ AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Li, Yong-Ting AU - Li YT AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Wang, Li-Qiong AU - Wang LQ AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Shi, Guang-Xia AU - Shi GX AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Tu, Jian-Feng AU - Tu JF AUID- ORCID: 0000-0003-2887-3383 AD - Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China. FAU - Yang, Jing-Wen AU - Yang JW AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Hou, Ya-Quan AU - Hou YQ AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Lin, Lu-Lu AU - Lin LL AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. FAU - Sun, Ning AU - Sun N AD - Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Zhao, Jing-Jie AU - Zhao JJ AD - Department of Acupuncture and Moxibustion, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Hou, Hai-Kun AU - Hou HK AD - Department of Acupuncture and Moxibustion, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China. FAU - Liu, Cun-Zhi AU - Liu CZ AUID- ORCID: 0000-0001-8031-5667 AD - Acupuncture Research Center, School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China. LA - eng SI - ClinicalTrials.gov/NCT03274713 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20200205 PL - England TA - Acupunct Med JT - Acupuncture in medicine : journal of the British Medical Acupuncture Society JID - 9304117 SB - IM MH - Acupuncture Points MH - *Acupuncture Therapy MH - Aged MH - *Electroacupuncture MH - Female MH - Humans MH - Male MH - Middle Aged MH - Osteoarthritis, Knee/*therapy MH - Pilot Projects MH - Treatment Outcome OTO - NOTNLM OT - electroacupuncture OT - knee osteoarthritis OT - manual acupuncture OT - randomized controlled trial EDAT- 2020/02/06 06:00 MHDA- 2021/01/30 06:00 CRDT- 2020/02/06 06:00 PHST- 2020/02/06 06:00 [pubmed] PHST- 2021/01/30 06:00 [medline] PHST- 2020/02/06 06:00 [entrez] AID - 10.1177/0964528419900781 [doi] PST - ppublish SO - Acupunct Med. 2020 Oct;38(5):291-300. doi: 10.1177/0964528419900781. Epub 2020 Feb 5.