To study the efficacy of laser acupuncture on osteoarthritis (OA) knee patients by magnetic resonance imaging (MRI), clinical evaluation and movement analysis.
The Kellgren-Lawrence (KL) grading scheme for OA knee Patient selecting flow Age: 20-70 year old Grade II-III knee OA Exlusion: Trauma history/ Space claustrophobia /Severe chronic disease/ Malignancy Pregnancy Study Cases 40 Randomize Pre-treatment MRI (to evaluate grade of OA knee/ the T2 signal of the cartilage), MRS (baseline glutamate), Movement analysis(sit to stand), Maximum strength ratio of Quadriceps/Hamstring WOMAC Post-treatment evaluation laser therapy Modality: LA-400 Treatment protocol of low level laser * 40mW, 50Hz, 808nm (invisible light) , 15min * The effect of laser acupuncture is dose dependent Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older SubjectsJ Lasers Med Sci. 2016 Spring; 7(2): 112-119 * 830nm is an effective form of treatment for chronic knee pain caused by knee osteoarthritis. Low Level Laser Therapy for chronic knee joint pain patientsLaser Ther. 2014 Dec 27; 23(4): 273-277 * Duration: 2 weeks Frequency: 3 times/week * Control group: no treatment Acupuncture point: EX- LE-5, EX-EL 2, SP10
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
low level laser
ShinKongHospital
Taipei, Taiwan
RECRUITINGdifference on MRI post- versus pre- treatment
compare the apparent diffusion coefficient (ADC) value post- and pre- treatment, suppose that the higher the value, the less inflammation in target tissue
Time frame: 2 weeks
Improve stability on movement analysis
Calculate the area of center of posture (COP) during the movement. Suppose that the lower value, the higher stability.
Time frame: 2 weeks
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