Proposal Summary


Investigator(s)

Submitter Kinzang Dechen
Pemagatshel District Hospital
Kinzang Dechen Mail
Principal Investigator Kinzang Dechen
Pemagatshel District Hospital
Kinzang Dechen Mail
Co-Investigator(s) Tashi Tenzin
Sarpang District Hospital
Tashi Tenzin Mail
Co-Investigator(s) Kinzang Wangdi
Dagana 10 Bedded Hospital
Kinzang Wangdi Mail
Co-Investigator(s) Chesung Dorji
Jigme Dorji Wangchuk Military Hospital, Dewathang
Chesung Dorji Mail
Co-Investigator(s) Ugyen Chophel
Wangdue Hospital, Wangdue Phodrang
Ugyen Chophel Mail
Co-Investigator(s) Thinley Dorji
Central Regional Referral Hospital, Gelephu
Thinley Dorji Mail


Title(s) and abstract

Scientific title Impact of Four-point Gold Needle Therapy on chronic knee pain among patients visiting Traditional Medicine Units in selected hospitals: a cross-sectional study
Public title Impact of Four-point Gold Needle Therapy on chronic knee pain among patients visiting Traditional Medicine Units in selected hospitals: a cross-sectional study
 
Background Globally, musculoskeletal-related disorders are a common condition and are projected to have 10.6 million prevalent cases in 2050, representing a 115% increase from 2020. Knee osteoarthritis is a common cause of knee pain and is projected to increase in prevalence to a billion cases in 2050 due to increased life expectancy and obesity. The availability of allopathic treatment for knee-related pain is a common practice around the world. Different treatment options are available and practiced in Traditional Medicine for knee-related pain. However, there is limited evidence documented in scientific literature. This study aims to describe the impact of Gold needle therapy in managing chronic knee-related pain.
Objectives Research Question: What is the impact of Four-point Gold Needle Therapy on the intensity of chronic knee joint pain among patients visiting Traditional Medicine Units in selected hospitals? OBJECTIVES: Among patients with chronic knee joint pain being treated with the standard regime of Four-point (pumoi gozhi) Knee Joint Gold Needle Therapy at Traditional Medicine Units in selected hospitals from June to October 2025, to describe: ● Socio-demographic profile of patients. ● Clinical description of knee joint pain (site, duration, intensity, functional disability). ● Weekly assessment of pain score in the first month and monthly assessment of pain score for 3 months thereafter. ● Comparison of disability status at baseline and after the last session of therapy.
Study Methods This study will employ a cross-sectional design with a sample size of 106 participants. The study will adopt a convenient sampling approach, including all knee pain patients who visit the respective hospitals during the study period. The intensity of knee pain will be assessed using the Visual Analog Scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) before and after administering Gold Needle Therapy. These tools will be used to assess pain and functional status at various time points to monitor the therapeutic effects over time. All data will be collected through self-designed survey questionnaires and observation after administering Gold Needle Therapy.
Expected outcomes and use of results The study is expected to generate valuable data on the socio-demographic and clinical characteristics of patients with chronic knee joint pain receiving Four-point Gold Needle Therapy in selected Traditional Medicine Units. The findings will contribute to the evidence base for the effectiveness of Gold Needle Therapy in managing chronic knee joint pain. This evidence can support the integration of such traditional therapies into chronic pain management guidelines and inform policy decisions related to the strengthening and standardization of Traditional Medicine services. Additionally, the results may encourage further research and capacity building in traditional pain management approaches within the national healthcare system.
 
Keywords Acupuncture; Complementary therapy; Medicine; Osteoarthritis; Traditional Medicine


Research Details

Student research No
Start Date 07-Apr-2025
End Date 31-Dec-2025
Key Implementing Institution Ministry of Health
Multi-country research No
Nationwide research No
  Bhutan, Bhutan, Bhutan, Bhutan
Research Domain(s) Non-communicable diseases & Healthy Lifestyles
Research field(s) Non-communicable Disease
Involves human subjects Yes
  Qualitative Study
Data Collection Primary data
Proposal reviewed by other Committee No