صفحه 1:
صفحه 2:
صفحه 3:
Purpose
24 عو سنوت رجاس ع ند a Crit
اه و vowplewectary uttercaive therapy
جر
صفحه 4:
wes
بل م
فك
ام
Review the ePPevts oP حصا و نموه
(ePkacutory), urd yout (wetubolic);
Ortercvice Whe od how to rePer انوم وه witht
صفحه 5:
Osteoarthritis
صفحه 6:
Osteoarthritis
Over SO wilica people to the Detted Grates tive wits
مت
fedtviduats oF age PG-OS, ocd 90096 ,رومام له
لاه wore thot 00% over age “PO we
Geoood wost
people pver ne 0
Oost cow ed! hee, Polowed by hips, spice, Peet, kod
(cee OO ts var oP the لها سنا causes oF physicd
disubiliy to the الاو منم
Qoit usudlly is the inital cod priavipd source oF لطس
oP perwourd Mupavily ooo عومجم
صفحه 7:
Current Treatments
لبيك
0085/1, مس
(Presortptirs pro crete
رص لین جیوه تاج
ره رید
Chord herp,
proper brace we, MEDS
Der bos, aot) سود السو mpd heallookd,
جوسای موی بو سوب سیر concn
صفحه 8:
Why consider acupuncture?
Oedicuivg side ePPevts
@olypkanvapy io the eer
4eovoclusive ePPevis oP a lot oP wodediies
otects موه روصت لا procedures
oteotal beceP its oP acupuacture over other
Oieieod مامت حول مها ها مه مت
Oot نان وا و چم طا لصتم نویه
Less ovsilpy thoo surqery
صفحه 9:
Any research evidence for
the effects of acupuncture
in osteoarthritis?
صفحه 10:
Acupuncture for knee and
hip OA
Oit at od. (COOO-COOWC)
Remmuitreut Prow duly COO1 to dy COOP
Ope > Ow (were [SO] 04.6 [A0.0]);
مرو تلو evidewse oP ostevphyie; disease duraios
> Ow; ot leust 19 dove wits pots tc the post OO days
5 1 اي
:((2966و) وه و ۵ الوم
nedowized ty جح لجبواعل )02000(
Ker OP OP.0%; hip OB AP.S%; butts
CO.F%
صفحه 11:
Witt et al. (cont.)
موه
sessives it O wows 19) ۲ مد موه بلطم
(werage ID.7+9.0x, °O.O% SAO sessiow)
voy عصسجرجه سالج ()
Oncud wooipuotica oot
نله Bl three «cups vouticue to reveive wap
جلكجبك جما دسا نووم
dd? study physiciccs it Cerro
]9(۳ weusures?
OOOO indexes oP یط له اه رم
GC-99 tod score ved هه اوه لصوم
®useiue, Pier O wouhs, wPter O wouths
صفحه 12:
Witt et al. (cont.) - Results
(Ot 9 work, there were siqePiccct iw
OOOCC pur, siPPoess, Puortiva, ood GP 66 سسوم
ما للم و لت ام ۱ روموت O ایب
رح جیوه جوا وتو وا وولو مور ۶
vo wpored to pools لجرواعل جرج و لو وب ارت
ال سوه موه مت 0249 راو مس
تحص سلاط بلاددص امود اد
betwerd موه اه و ماد موه من عون و
or ولو ,مها وچ رو مانب عم
موه
صفحه 13:
Witt et al. (cont.) - Results
a ) 5 wwodtk, there
were امد اود جم
كدص
© Oo dPPereue to
لهس توا
اه همم
9 اه ۲ لا
55 5 وم هر
>صتادج مجاه
صفحه 14:
Witt et al. (cont.) - Results
Ome ae; وب
0
higher busetice physicd or wecta qualiy oF ie, ood
higher busetice DOOOC indexes
Ckhysivicn poriripocts: 1% oP priecary more physicices i
Cervo, ut eust IPO hours oP جص مجح وه
] peors oF clcicd experieure voted; tasutvect
reyiwed voried — rePlevted well oP red word yeurrd
موی وا مه هداد اتمه ما ور
odin
صفحه 15:
Witt et al. (cont.) - Cost
analyses
POS sbievts vowpleted وراه ههور ناو وی
(qoupwrarture VECO; codirol aECPO)
Orc overd ام مه زا تچ وت
duntay the treated period were €0,COP.dS wits
nhdiiogd posts oP جه ,(وموومد/ © 69) جص اعصسحوجه
powpured ty €POR.8O جوجقمم امت جز
حصب (مجر حثلا لحاصيله رلسي) ج7ا )© ,سوب سيدناك
تحص موه و لصوام
)8 دمن اوم ونس Por keer ostevorthriis ic Pewoles wos wore
postePPenive thao woes;
Oo yeuder ناز ic hip ostevorthritis
صفحه 16:
Limitation of the study
© Oetker physicicas wor الما وب ام
© Oo ska treukvedt poutrol
۳ سور poled socple: age, oreo oP
imoveweut
صفحه 17:
SCEGM/Hartford Pilot Study
(preliminary) — - Huang, Bliwise,
Carvenale, Kutner
Gupported by SCECO/MWarhord Coucdatiza cod
00 تا ارم
(@cupuarture Por koee OO اوه و
protocol موه لو موی
Skea ,اوه double اسلا
Dreakved oF pod, sleep or bok
صفحه 18:
Huang et. al. (cont.)
- baseline demographics
00-66
Qvennge ape PO po
vera وم ععو اه سل 46.0 prs
®verage PGCO1 sore 9
4 ولمم yrvups: true sleep shaw pou, show
pic tour sleep, tour poio tour sleep, shaw poio show
sleep
صفحه 19:
Huang et al. (cont.) -
Results
Gubjevts who neveived true asupwacture Por keer
pata and/or Por poor sleep, cosppared to subjevis
a aaa a kod wore
it pois ratte (P=O.OQ) ceed 1
sovres (P=O.0F).
Dro versus shaw ucupuarture Por koee pot wos
ssvvidted wit improved GP-OO ratiogs خام
ceverdd heals (P=O.O9) ceed vitctiy (P = 0.0).
True versus shaw ucupuarture Por poor sleep wos
کات سوه improved GP-OO rates vP sovidt
Puurtiocicy (P=O.O9).
صفحه 20:
Acupuncture for severe knee
OA
Ty et al. 2002
OD potieats vo veto fist Por total koee replocewedt surgery
Olocatice foto acupuerture your od coool yup wily
sooiched age od yeuder
سل ولمم acupuacture neqiced weehly Por O whe
Outeowe weusures:
ALospitd Por Gpevtal Gurgery svvres (po, Puortva, wuscke
streanh, joie! ROO, Plexiva dePoreniy, kuee tostabiliy)
SO weter why
SO steps cheobicry
ar sore (OW)
صفحه 21:
Tillu et al. (cont.) - Results
Ooupwacture yup siqeiPiccdly improved ia ull
Duibowes) coud yup siqaiPiccdly worseced ia ull
vuioo wes UPter CO woh
9 avbierts in wupwerture urvup (10%) requested
susprusivd oF surgery due to the improveweuts oF
their مرو
Lixvitativa oP the study? aoe-rondowized, unt bide
صفحه 22:
Acupuncture for OA
(Summary)
or keer OO), stroay neseuck evidewe suppers
the use oP acupuucture Por مرو retieP ocd
9 ی
واه ان جمجيدد كلابب cued jot those
or kip OO, acupwarture vod be revowwewdted
Por a trict oP poic netic;
(Por other OO, the evideure is wt clear pet.
صفحه 23:
Other
types of
arthritis
صفحه 24:
Rheumatoid Arthritis
per ses for tis, ار
لاب عمجم موه نوات نجل
(0<) دنه وه هه
رت عنم Outiple jvicts tevolvexredt tochudtagy sued
ارو
daoreused ESR, CORP
صفحه 25:
Acupuncture for RA
* Ooxbustion کاس موی و ۱
1 ۷
© Cire weed
صفحه 26:
Review by Wang et. al. (2008
Arthritis and Rheumatism)
Gearck ia IC dotcbuses Prow (E09 ty Oak
00060
عسه ها اه مه حصنان) ®otk
Geteviioe criteria: noedowized ,علمض اوه 600
hk criteria, clear puloowe weusures
© studies (GOO subievts) fachided Prow couctries
(Conrada, OK, Prez, Chia) (OPR-COOT
صفحه 27:
Review on acupuncture for RA
(cont.)
& aqaivet show vootrol: plazebo order (9),
superficidl uvupuartune
agaiest utive podtrot OTX 10 رو
۲ 2-6 ۹ ۲
Ol wih pu usess weds, O dso wik CGR und
0006 - 9 skew und 9 اوه هه
Orca study عم اس 6 +10 :یت P-COwks)
Qeco cuber oP asupuccture sessives: PC + 0
(re 1-00.)
صفحه 28:
Review on acupuncture for RA
(Cont.)
9 له ) unive coil, C shaw cout!) showed سكاميد
reductive oP pot powpored to oooirols (derreuse oP trader joict
vant by 1.S t7 0.9)
studies (9 unive vocal, | shaw vow!) showed siquiPiccat
ممص اجر oP worsicy siPPoess (“CO wicutes); however, جم
امه diPRereuve Prow voutrols
S shales (9 untive coil, C shaw cout!) showed siqaiPiccdt
دا مصتص اجر EGR (-O.Owwlkr); 9 studies (C uiive ,اجه
1 (-
S.0w_dd); 1 study (anive coil) showed siqaiPicadt reductiog
fa bots CGR aad ORP
Guoolec jpict pouets — ww dP erreur beter iotervection ond
ی امود
صفحه 29:
Acupuncture for RA
(summary)
Linvited studies sucgest the use oP مجح Por
iproviey (RO suxwopiows und possible suwe
Results ore ut ovachusive.
صفحه 30:
Gouty Arthritis
© Detabolic
© One oid aystd deposition
ta the jpici(s)
لور ,حول 4doPecrctioa ©
كمم تاه
صفحه 31:
Acupuncture for gouty
arthritis
Ou SOO
O=PC (FC experiwecta; OO vwatrvl)
Rucdowized (how?), av bherciery
Exp: Orupuactune daly x ID (cae course) — tora?
Control: alopurtol IDO, bichtid; IhuproP ea
COOwy tid P paicPul arthritis
Outcowe weusures: cloicd issprovesveds oF
supine wed siqes (detal?); sero uric utd,
preutcice, BOO; CPkr urtcary protet votes
Deve poids: buselive, coe مدا واه کلمت
صفحه 32:
Ma (cont.)
Results:
Cxceleut respouse (disuppearsare oP syxopiows ord
sigue, wits ull lab tests wreuized): PSG.O% vs.
CO%;
CPR Revive respouse (improvewed oP له مرو
sigue und lub tests): GO% vs. FO.9%;
Caled respouse (aw vbvivus ipprovewed oF
مرو ood siqes wits oo obvious chore fot bob
tevts): F.O% ,ور ۵
Potd ePPevive rote: O6.O% ve. 99.9%
صفحه 33:
Ma (cont.)
© ete amupuerture orcup, oll hob tests were iteproved
(p<O.0); white
Bt reticerttres 0
reoproved (p<O.O8) without charges ta BOD,
Deuce or uric ۰
صفحه 34:
Acupuncture for Gout
(Summary)
وزرا chic tras sugyest beoePicidl use oF
له ات رنب رید شم و جيجه
م۳ امه اوه
صفحه 35:
Summary (I)
Acupuncture Effects in
Arthriti
Proves pot cootrol
robuble cost ePPeviive Por isoprovieny Gob
Cossible inoproveweuts ia cher related spwptows,
roves io hoe ostevonthriis, esp. وا شاه او
Pewoole potiects
= (robuble ia hip vstevarthritis
Qossible ta vier aneusippes oP arthritis
صفحه 36:
What acupuncture has not be
proven to do...
= Vo reverse structucd dower
| Do slow down diseuse هماو وص جام
© Do reduce keultkowe vost
صفحه 37:
When and how to refer
patients for acupuncture
صفحه 38:
Summary (II)
Treatment Recommendation
(When...)
لبيك
0085/1, مس
(Presortptirs pro crete
Over the counter wedicaivas
Gonos, Physic heron,
proper brace wee, MEDS
Der bos, aot) سود السو mpd heallookd,
جوسای موی بو سوب سیر concn
صفحه 39:
How ...
a (Keow the resvurves ماه( هر و
a (Coow the credeutidiag process ut pour state
۴ هل nePerrd جا یی
صفحه 40:
Something your patients may
ask you about ...
a Gide ePPRevts proPite Por uvupwerture
۴ تسه مضاو)
صفحه 41:
Common adverse reactions
Osudly wioort Loo bleed, bruise, uckicess/paict
bout 0% wik sircay neurtives to ceecticny:
AKU reaniod, moreused put Por OF-
POkours
صفحه 42:
Rare complications
© ویو
© Derve ini
a Olood vessel pevetratios
سح
SOCIETY oF AcufuNcTURISTS
KOOO MLE ل برو« وورون HE
ar 2)
@orinaarist
production nights obtainable For
‘aso Cancensck com
صفحه 43:
Relative contraindications
Ghic fePectiog (ut io the save oreo where wed wil be
iuserted)
leeday disorder/oa Oouadia wits high TOR
1 22-0090-0086
Qacewoker, carcdas orhyikeria, eplepsy (a7
تم هم وت تا
وه ۳ص ۳ ما لا اما GO1 witk tour
derePenia)
reqecany (uot io certaict spots)
On woderde tv forge aout oP ppivids
صفحه 44:
Contact Information
(or inPorevotion ubvut this specific presrotaivd please pvotact
Det Ween, DO, PRO ot who @ewory.rdy
or wy questivas ubput the woah BRECC Cudio
CovPerewe Geries please ovotunt Tiew Polep ot
fo. Potey@ve.qov or val (POP) CCC-FOCO
cooPereuce Por OC cred please vbtoia a تا ارو و
‘(Pacuiy Gudtuatiod Por ه ‘Gotellte Reysteaticd Porc aed
Prov the Gutetite Ovordrrator of you Purity. She Pore oust
be wuled 7 CEG wikia O weeks oP the broodcust.
صفحه 45:
030