PTRCTClinical rehabilitation2021

Efficacy of microcurrent therapy for treatment of acute knee pain: A randomized double-blinded controlled clinical trial.

Daryl Lawson, Kevin H Lee, Hyun Bin Kang and 3 others

PMID 33095658

WHAT IT FOUND

For acute knee pain, microcurrent did not lower absolute worst pain more than placebo at any week.

Its reduction from baseline was larger and, after adjustment, reached the study's threshold at week 3.

Key findings

01Absolute worst pain scores did not differ significantly between the active and placebo groups at any weekly comparison.

02The active group's reduction in worst pain from baseline was significantly higher than the placebo group's, especially at week 3 after adjustment (P < 0.01).

03Subgroup analysis found a significant treatment, age group, and BMI interaction (P = 0.047), with older participants with higher BMI showing greater worst pain reduction.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study used a convenience sample of 52 adults from one university site, so it may not apply to broader knee pain populations. The primary absolute worst pain scores did not differ significantly between groups at any week, so the positive result was only about reduction from baseline. The active and placebo groups were not identical at baseline in overall and mental Short Form 12 scores, with the active group scoring higher. The older participants with higher BMI finding came from a subgroup analysis and may be chance. Follow-up stopped at 4 weeks, while natural healing of acute knee pain may continue for longer. Ultrasound effusion results had very small and uneven groups, with 7 active and 17 placebo participants, so they cannot be treated as firm. The device was an Omron Healthcare Co. model PM601 prototype, and Omron Health assisted funding and design, which may affect how the result is weighted. The study excluded several common conditions and medication users, so results may not apply to patients with diabetes, rheumatoid arthritis, ligament injury, or those taking pain or anti-inflammatory medication.

Declared interests

Omron Health assisted with funding for the project, and an Omron employee helped with study design but did not influence data analysis, interpretation, or writing, especially the discussion. Elon University was responsible for the integrity and conduct of the study. The device was an Omron Healthcare Co. model PM601 prototype.

The easy way to misread this

Do not conclude that microcurrent clearly beats placebo for acute knee pain. The active group did not have significantly lower absolute worst pain scores at any week, and the positive finding was greater reduction from baseline, with the older high BMI result based on a small subgroup analysis.

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