Thermographic evaluation of acupoints in lower limb region of individuals with osteoarthritis: A cross-sectional case-control study protocol

PLoS One. 2023 Apr 14;18(4):e0284381. doi: 10.1371/journal.pone.0284381. eCollection 2023.

Abstract

Purpose: Acupuncture has been widely used in the treatment of knee osteoarthritis (KOA), but the selection of acupoints is indeterminate and lacks biological basis. The skin temperature of acupoints can reflect the state of local tissue and may be a potential factor for guiding acupoint selection. This study aims to compare the skin temperature of acupoints between KOA patients and the healthy population.

Study design and methods: This is a protocol for a cross-sectional case-control study with 170 KOA patients and 170 age- and gender-matched healthy individuals. Diagnosed patients aged 45 to 70 will be recruited in the KOA group. Participants in the healthy group will be matched with the KOA group based on mean age and gender distribution. Skin temperature of 11 acupoints (ST35, EX-LE5, GB33, GB34, EX-LE2, ST34, ST36, GB39, BL40, SP9, SP10) will be extracted from infrared thermography (IRT) images of the lower limbs. Other measurements will include demographic data (gender, age, ethnicity, education, height, weight, BMI) and disease-related data (numerical rating scale, pain sites, duration of pain, pain descriptors, pain activities).

Discussion: The results of this study will provide biological evidence for acupoint selection. This study is a precondition for follow-up studies, in which the value of optimized acupoint selection will be verified.

Trial registration: ChiCTR2200058867.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy* / methods
  • Case-Control Studies
  • Cross-Sectional Studies
  • Humans
  • Lower Extremity
  • Osteoarthritis, Knee* / therapy
  • Pain
  • Thermography
  • Treatment Outcome

Associated data

  • ChiCTR/ChiCTR2200058867

Grants and funding

Bao-Hong Mi received funding from The National Natural Science Foundation of China (No. 82104693; No.81825024) and The China Postdoctoral Science Foundation (No.2021M690477). The funders had and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.