Efficacy of acupuncture during post-acute phase of rehabilitation after total knee arthroplasty

J Tradit Chin Med. 2012 Dec;32(4):545-8. doi: 10.1016/s0254-6272(13)60068-0.

Abstract

Objective: The purpose of this study was to determine whether acupuncture is effective in reducing pain and swelling around the knee and improving range of motion (ROM) during the post-acute phase of rehabilitation after total knee arthroplasty (TKA).

Methods: Following TKA, 80 knees in 80 patients were randomly assigned to either an acupuncture treatment group (Group A) or a control group (Group C). In Group A, the complementary treatment of acupuncture was performed three times/week from postoperative day 7 until postoperative day 21. Outcome measures were: i) pain as assessed by a visual analog scale; ii) reduction of swelling around the knee as indicated by its circumference at the center of the patella; and iii) ROM of the affected knee.

Results: Group A patients had significantly reduced pain and swelling around the knees and earlier recovery of ROM than did those in Group C.

Conclusion: Acupuncture provides effective treatment during the post-acute phase of rehabilitation after TKA with respect to pain relief, reduction of swelling around the knee, and early recovery of ROM.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acupuncture Therapy*
  • Aged
  • Arthroplasty, Replacement, Knee / rehabilitation*
  • Female
  • Humans
  • Knee Joint / physiopathology
  • Knee Joint / surgery*
  • Male
  • Middle Aged
  • Pain, Postoperative / physiopathology
  • Pain, Postoperative / rehabilitation
  • Pain, Postoperative / therapy*
  • Range of Motion, Articular
  • Treatment Outcome