Efficacy and Safety of Derris scandens Benth Extracts in Patients with Knee Osteoarthritis

Objectives: The objectives of this study were to determine the efficacy and safety of Derris scandens Benth extracts in pain reduction and functional improvement in patients with knee osteoarthritis (OA). Design: This was a prospective, randomized, controlled trial, single-blinded (assessor). Settin...

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Veröffentlicht in:The journal of alternative and complementary medicine (New York, N.Y.) N.Y.), 2011-02, Vol.17 (2), p.147-153
Hauptverfasser: Kuptniratsaikul, Vilai, Pinthong, Theerawut, Bunjob, Malee, Thanakhumtorn, Sunee, Chinswangwatanakul, Pornsiri, Thamlikitkul, Visanu
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container_end_page 153
container_issue 2
container_start_page 147
container_title The journal of alternative and complementary medicine (New York, N.Y.)
container_volume 17
creator Kuptniratsaikul, Vilai
Pinthong, Theerawut
Bunjob, Malee
Thanakhumtorn, Sunee
Chinswangwatanakul, Pornsiri
Thamlikitkul, Visanu
description Objectives: The objectives of this study were to determine the efficacy and safety of Derris scandens Benth extracts in pain reduction and functional improvement in patients with knee osteoarthritis (OA). Design: This was a prospective, randomized, controlled trial, single-blinded (assessor). Settings: The study was conducted at the Rehabilitation Medicine Department, Siriraj Hospital. Subjects: One hundred and seven (107) patients with primary OA knee who had pain score of ≥5 were recruited. Interventions: Patients were randomized to receive naproxen 500 mg/day or Derris 800 mg/day for 4 weeks. Outcome measurements: Western Ontario McMaster Osteoarthritis Index (WOMAC) scores and 6-minute walking distance were the outcome measurements. Results: Fifty-five (55) and 52 patients were randomized to Derris and naproxen groups, respectively. The mean differences of all WOMAC scores between 2 groups at week 4 adjusted by week 0 were within ± 1 point. The mean scores of the aforementioned outcomes at weeks 0, 2, and 4 were significantly improved compared to the baseline values. There was no difference of WOMAC scores between groups. The gastrointestinal irritation and dyspepsia were observed more often in the naproxen than in the Derris group. Conclusions: Derris scandens Benth extracts were efficacious and safe for the treatment of knee OA.
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Design: This was a prospective, randomized, controlled trial, single-blinded (assessor). Settings: The study was conducted at the Rehabilitation Medicine Department, Siriraj Hospital. Subjects: One hundred and seven (107) patients with primary OA knee who had pain score of ≥5 were recruited. Interventions: Patients were randomized to receive naproxen 500 mg/day or Derris 800 mg/day for 4 weeks. Outcome measurements: Western Ontario McMaster Osteoarthritis Index (WOMAC) scores and 6-minute walking distance were the outcome measurements. Results: Fifty-five (55) and 52 patients were randomized to Derris and naproxen groups, respectively. The mean differences of all WOMAC scores between 2 groups at week 4 adjusted by week 0 were within ± 1 point. The mean scores of the aforementioned outcomes at weeks 0, 2, and 4 were significantly improved compared to the baseline values. There was no difference of WOMAC scores between groups. The gastrointestinal irritation and dyspepsia were observed more often in the naproxen than in the Derris group. 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subjects Aged
Anti-Inflammatory Agents, Non-Steroidal - pharmacology
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Derris
Female
Humans
Knee - pathology
Male
Middle Aged
Mobility Limitation
Naproxen - adverse effects
Naproxen - pharmacology
Naproxen - therapeutic use
Original Articles
Osteoarthritis, Knee - drug therapy
Osteoarthritis, Knee - pathology
Pain - drug therapy
Pain - etiology
Phytotherapy
Plant Components, Aerial
Plant Extracts - adverse effects
Plant Extracts - pharmacology
Plant Extracts - therapeutic use
Prospective Studies
Severity of Illness Index
Single-Blind Method
Treatment Outcome
Walking - physiology
title Efficacy and Safety of Derris scandens Benth Extracts in Patients with Knee Osteoarthritis
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