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Multimodal impact of acupuncture, exercise therapy, and concurrent functional electrical stimulation on osteoarthritis of the knee: a case report

Hakakzadeh, Azadeh; Shariat, Ardalan; Moradi, Vahide; Ingle, Lee; Honarpishe, Roshanak; Noormohammadpour, Pardis; Ansari, Noureddin Nakhostin

Authors

Azadeh Hakakzadeh

Ardalan Shariat

Vahide Moradi

Roshanak Honarpishe

Pardis Noormohammadpour

Noureddin Nakhostin Ansari



Abstract

Knee osteoarthritis (OA) causes functional limitation in weight-bearing activities including walking. To investigate the multimodal impact of acupuncture, exercise therapy, and concurrent functional electrical stimulation (FES) on knee osteoarthritis. We designed a multidisciplinary treatment package including acupuncture; home based exercise therapy, and concurrent functional electrical stimulation during treadmill walking. Outcomes measurements included the numerical rating scale (NRS), the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Tampa Scale of Kinesiophobia (TSK). Measurements were completed at baseline and following the treatment phase which consisted of six individual sessions. A 48-year-old male, office worker presented with a history of chronic right knee. During the previous year, he was diagnosed with knee osteoarthritis after clinical physical examination by a sports medicine physician. Following our novel training intervention, the patient reported a reduction in pain intensity from 8 to 2 on the NRS, improved in all KOOS subscale scores, and improved in the TSK scale (reduction from 15 to 11). In addition, the patient reported that he was able to return to work and undertake normal activities of daily living with reduced knee pain. This case report showed that our novel multimodal intervention including six sessions of acupuncture, exercise therapy, and treadmill walking with functional electrical stimulation (FES) had a positive impact on knee pain and function in a middle-aged male with knee osteoarthritis.

Citation

Hakakzadeh, A., Shariat, A., Moradi, V., Ingle, L., Honarpishe, R., Noormohammadpour, P., & Ansari, N. N. (2019). Multimodal impact of acupuncture, exercise therapy, and concurrent functional electrical stimulation on osteoarthritis of the knee: a case report. Acupuncture and Electro-Therapeutics Research, 44(2), 135-145. https://doi.org/10.3727/036012919X15650315071942

Journal Article Type Article
Acceptance Date Apr 15, 2019
Online Publication Date Sep 20, 2019
Publication Date Sep 20, 2019
Deposit Date Apr 15, 2019
Publicly Available Date Mar 29, 2024
Journal Acupuncture and Electro-Therapeutics Research
Print ISSN 0360-1293
Publisher Cognizant Communication Corporation
Peer Reviewed Peer Reviewed
Volume 44
Issue 2
Pages 135-145
DOI https://doi.org/10.3727/036012919X15650315071942
Public URL https://hull-repository.worktribe.com/output/1599901