Therapeutic massage for knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials
- VernacularTitle:推拿治疗膝骨关节炎:随机对照试验系统评价与荟萃分析
- Author:
Hua XING
;
Jia-Yun SHEN
;
Li GONG
;
Fei YAO
;
Jian-Hua LI
;
Sheng SHAO
;
Yu-Zhou CHU
;
Peng-Fei HE
;
Hao CHEN
- Keywords:
Tuina;
Massage;
Anti-Inflammatory Agents,Non-Steroidal;
Osteoarthritis,Knee;
Meta-analysis;
Systematic Review;
Randomized Controlled Trials
- From:
Journal of Acupuncture and Tuina Science
2021;19(5):354-363
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the effectiveness of therapeutic massage (tuina) for treating knee osteoarthritis (KOA). Methods: Six English and Chinese databases, including Chinese National Knowledge Infrastructure (CNKI), Wanfang Academic Journal Full-text Database (Wanfang), Chongqing VIP Database (CQVIP), China Biology Medicine Disc (CBM), Cochrane Library and PubMed databases, were independently searched to identify appropriate randomized controlled trials (RCTs) studying therapeutic massage for KOA compared to oral non-steroidal anti-inflammatory drugs (NSAIDs) alone. The main outcome measures were total effectiveness and the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) score. Results: A total of 8 RCTs were included and they were of average quality. The results showed that therapeutic massage was more effective than NSAIDs comparing total effectiveness [risk ratio (RR)=1.14, 95％ confidence interval (CI) (1.07, 1.21), P<0.0001]; compared with NSAIDs, therapeutic massage produced more significant improvements in pain [mean difference (MD)=-2.06, 95％CI (-2.75, -1.36), P<0.00001], stiffness intensity [MD=-0.90, 95％CI (-1.05, -0.75), P<0.00001] and joint function [MD=-12.48, 95％CI (-13.91, -11.05), P<0.00001]. Conclusion: Therapeutic massage was more effective than oral NSAIDs in treating KOA. In relieving pain and stiffness and improving the function of knee joint, therapeutic massage was superior to NSAIDs.
