Self-Administered Acupressure for Chronic Low Back Pain: A Randomized Controlled Pilot Trial

被引:20
|
作者
Murphy, Susan Lynn [1 ,2 ]
Harris, Richard Edmund [3 ]
Keshavarzi, Nahid Roonizi [4 ]
Zick, Suzanna Maria [5 ,6 ]
机构
[1] Univ Michigan, Dept Phys Med & Rehabil, 24 Frank Lloyd Wright Dr,POB 344, Ann Arbor, MI 48106 USA
[2] Univ Michigan, GRECC, VA Ann Arbor Hlth Care Syst, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Anesthesiol, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Michigan Inst Clin & Hlth Res, Biostat Core, Ann Arbor, MI 48109 USA
[5] Univ Michigan, Dept Family Med, Ann Arbor, MI 48109 USA
[6] Univ Michigan, Dept Nutr Sci, Ann Arbor, MI 48109 USA
关键词
Complementary and Alternative Medicine; Nonpharmacological; MORRIS DISABILITY QUESTIONNAIRE; SLEEP QUALITY; WALK DISTANCE; FATIGUE; PREVALENCE; DEPRESSION; OUTCOMES; ASSOCIATION; INVENTORY; SEVERITY;
D O I
10.1093/pm/pnz138
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective. Chronic low back pain (CLBP) is associated with fatigue, pain, poor sleep, and disability. Acupressure is a low-risk treatment option used to manage symptoms in other groups, but its efficacy, particularly on fatigue and sleep, is unknown in CLBP. This study examined preliminary effects of two types of self-administered acupressure (relaxing and stimulating) on fatigue, pain, sleep, and reported disability. Methods. A randomized pilot trial was conducted (N = 67) in which participants were randomized into six weeks of relaxing acupressure, stimulating acupressure, or usual care. Fatigue was measured by the Brief Fatigue Inventory, pain was measured by the Brief Pain Inventory, sleep was measured by the Pittsburgh Sleep Quality Index, and reported disability was measured by the Roland Morris Scale. Results. Baseline characteristics were similar across groups. An intent-to-treat analysis using general linear models showed positive improvement in pain in acupressure groups compared with usual care. Pain was reduced by 35-36% in the acupressure groups. Improvement in fatigue was also found in stimulating acupressure compared with usual care. Adverse events were minimal and related to application of too much pressure. Discussion. Although this was a small study, acupressure demonstrated promising preliminary support of efficacy for pain and fatigue reduction in this population.
引用
收藏
页码:2588 / 2597
页数:10
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