ประสิทธิผลของยาพอกเข่ากรุงเขมาต่ออาการปวดข้อเข่าในผู้สูงอายุที่มีภาวะเข่าเสื่อม

Guntima Phueakchroey; Pronchita Joknak

Authors

Guntima Phueakchroey Department of Thai traditional medicine, Faculty of Natural resources, Rajamangala University of Technology Isan, Sakon Nakhon campus
Pronchita Joknak Department of Thai traditional medicine, Faculty of Natural resources, Rajamangala University of Technology Isan, Sakon Nakhon campus

Keywords:

Elderly people, Knee poultice, Krung Khemad herbal

Abstract

Knee osteoarthritis (KOA) is a common disease among the elderly population, primarily due to the degeneration of the articular cartilage beneath the knee joint surface. As the knee is a large joint that bears the body's weight directly and undergoes extensive movement during walking, it is highly susceptible to degeneration.In Traditional Thai Medicine (TTM), there is an approach to manage and treat knee pain through the application of an established herbal poultice formula on the knee area. This method utilizes readily available medicinal herbs for care and treatment.Objective This study aimed to measure the effectiveness of the Krung Khemad herbal poultice formula by comparing the mean scores of knee pain levels before and after its application in elderly patients with KOA diagnosed by conventional medical doctors. Methods The study collected data from 30 elderly KOA patients at Ban Suk Kasem Health Promoting Hospital, Hai Yong Sub-district, Phang Khon District, Sakon Nakhon Province. The instruments used included a general information questionnaire, the Visual Analog Scale (VAS) for pain assessment, the Oxford Knee Score, and a goniometer to assess the range of motion (ROM) of the knee joint. The subjects applied the poultice once daily to the painful area for 15 minutes each time, every other day, for a total duration of 1 week. The results were analyzed using the Paired t-test with the SPSS Statistics Version 27 software.

Results The mean pain score (VAS) before and after the application of the Krung Khe Ma knee poultice was 3.37±1.15 points. The mean pain level after the intervention was significantly lower than before the intervention. Furthermore, the mean range of motion (ROM) of the knee joint increased significantly p<0.05. Specifically, the ROM for the left knee increased from 3.90 ± 2.49 points before the trial to 4.57± 3.24 points after the trial. For the right knee, the ROM increased from 2.97 ± 2.18 points before the trial to 5.60 ± 2.78 points after the trial. Conclusion The application of the Krung Khemad herbal poultice formula can alleviate pain and increase the range of motion of the degenerated knee joint in the elderly within a 1week period.

Author Biography

Guntima Phueakchroey, Department of Thai traditional medicine, Faculty of Natural resources, Rajamangala University of Technology Isan, Sakon Nakhon campus

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