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Thai Massage and Thai Herbal Compress versus Oral Ibuprofen in Symptomatic Treatment of Osteoarthritis of the Knee: A Randomized Controlled Trial

机译:泰式按摩和泰式草药敷料对比口服布洛芬对症治疗膝关节骨性关节炎:一项随机对照试验

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摘要

The aim of this study was to verify the clinical responses to Thai massage (TM) and Thai herbal compression (THC) for treating osteoarthritis (OA) of the knee in comparison to oral ibuprofen. This study was a randomized, evaluator-blind, controlled trial. Sixty patients with OA of the knee were randomly assigned to receive either a one-hour session of TM or THC (three times weekly) or oral ibuprofen (three times daily). The duration of treatment was three weeks. The clinical assessments included visual analog scale assessing pain and stiffness, Lequesne's functional index, time for climbing up ten steps, and physician's and patient's overall opinions on improvement. In a within-group comparison, each treatment modality caused a significant improvement of all variables determined for outcome assessments. In an among group comparison, all modalities provided nearly comparable clinical efficacy after a three-week symptomatic treatment of OA of the knee, in which a trend toward greatest improvement was likely to be found in THC group. In conclusion, TM and THC generally provided comparable clinical efficacy to oral ibuprofen after three weeks of treatment and could be considered as complementary and alternative treatments for OA of the knee.
机译:这项研究的目的是验证与口服布洛芬相比,泰式按摩(TM)和泰式草药按压(THC)对治疗膝盖骨关节炎(OA)的临床反应。这项研究是一项随机,评估者为盲的对照试验。 60名膝关节炎患者被随机分配接受一小时的TM或THC治疗(每周3次)或口服布洛芬(每天3次)。治疗时间为三周。临床评估包括视觉模拟量表评估疼痛和僵硬,Lequesne的功能指数,爬升十步的时间以及医师和患者对改善的总体意见。在组内比较中,每种治疗方式均显着改善了为评估结果而确定的所有变量。在组间比较中,对膝OA进行三周对症治疗后,所有方式均提供了几乎可比的临床疗效,其中THC组可能发现了最大的改善趋势。总之,TM和THC在治疗三周后通常可提供与口服布洛芬相当的临床疗效,并且可以被认为是膝盖OA的补充和替代治疗。

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