OA adjunctive therapies give negligible added benefit to exercise. medtwitter OARSI RheumTwitter
DENVER – Adding therapies such as acupuncture, electrophysical stimulation, or other interventions to standard exercise therapy does not appear to offer much benefit in pain relief or physical function for patients with knee osteoarthritis, according to a study presented at the OARSI 2023 World Congress.
Pain was assessed with the Numeric Pain Rating Scale , with an improvement of at least 2 points representing the minimum clinically important difference . Physical function was assessed with the Western Ontario and McMaster Universities Arthritis Index , with 6 points considered the MCID, and quality of life was assessed with the SF-36 , with 6 points as the MCID.
In comparisons of exercise plus adjunctive therapies against exercise alone, the improvement from the additional interventions was even lower. Pain improvement was 0.41 points , and physical function improvement was 2.8 points . However, patients' perceptions told a different story: 37% more patients who were using an adjunctive therapy reported feeling that the therapies were successful, compared with patients undergoing exercise therapy alone.
"But the other part of that was that the studies were of poor quality, so we can't say with confidence, 'Don't do this therapy because it's not going to work,' " Dr. Hall said in an interview. She said she personally would probably discourage patients from those therapies,"but I don't think the evidence is there for everybody to do that," she added.
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