Osteoarthritis

Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary result · NRS pain score reductionResult — go to the resultMD −0.54 points 95% CI −0.97 to −0.10

Authors' conclusion

In this randomized clinical trial, SAA with a brief KHE program was efficacious and cost-effective in relieving knee pain and improving mobility in middle-aged and older adults with probable knee OA.

Study context

Population
Community-dwelling individuals aged 50 years or older with probable knee osteoarthritis (OA), Hong Kong, September 2019 to May 2022
Participants
314 individuals
Comparison
Self-administered acupressure (SAA) with brief knee health education (KHE) vs KHE only
  • SAA + KHEn = 157
  • KHE onlyn = 157reference
Primary endpoint
Numerical rating scale (NRS) pain score
Follow-up
12 weeks

Primary result

NRS pain score reduction · week 12

MD

−0.54 points

95% CI −0.97 to −0.10

P = 0.02

SAA + KHEvs KHE only
MD −0.54 points (95% CI −0.97 to −0.10); P = 0.02

As reported in the abstract

Further findings

OutcomeMD (points) (95% CI)P value
SF-6D utility score enhancement · week 120.03 (0.003–0.01)P = 0.03

Other outcomes (WOMAC, Timed Up and Go, Fast Gait Speed) · week 12

No significant differences

Cost-effectiveness

Probability that the intervention is cost-effective at a willingness to pay threshold of 1 GDP per capita
greater than 90%

Original publication

Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults: A Randomized Clinical Trial. JAMA Netw Open. Published 1 April 2024. doi:10.1001/jamanetworkopen.2024.5830

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