Acupuncture for Pain and Sleep Disturbance in Knee Osteoarthritis

Emory University

Status

Completed

Conditions

Pain

Sleep

Treatments

Procedure: Acupuncture

Study type

Interventional

Funder types

Other

Identifiers

Grant #97333-G

IRB00000143

Details and patient eligibility

About

The hypotheses of this study are: In the older population with knee OA,

When acupoints are chosen for both sleep and pain, there are additive effects on sleep improvement and pain relief (i.e. no interaction).
Main effects of acupuncture on sleep improvement and pain relief are anticipated when acupoints are separately targeted for sleep and for pain, respectively.

Sex

All

Ages

55+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients with knee osteoarthritis, diagnosed by the ACR clinical diagnosis criteria for idiopathic OA, with at least Kellgren and Lawrence grading II and above. AND,
Present with knee pain at least half of the time. AND,
Complain of sleep disturbances associated with knee OA, with Pittsburgh Sleep Quality Index > 5 [36].

Exclusion criteria

Patients with diagnosis of obstructive sleep apnea (OSA). OR,
Patients with dense hemiplegia secondary to cerebrovascular accident. OR,
NYHA Class III - patients with heart failure condition limited by minimal activity. OR,
Severe COPD with shortness of breath at minimal exertion. OR,
Peripheral vascular disease with severe claudication. OR,
Dementia with Mini Mental Status Exam score of 20 or less. OR,
Patients who received knee intra-articular corticosteroid injection within 4 weeks prior to the study or who received acupuncture treatment within 6 months. OR,
Unwilling to come off narcotic pain medication. OR,
History of bleeding diathesis or currently on anticoagulation. OR,
Patients currently engaged in medical legal cases related to OA or disability.