The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial.

IF 3.3 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
Elaheh Shourabi, Seyyed Abolfazl Vagharseyyedin, Hamidreza Bahrami Taghanaki, Zeinab Saremi
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Abstract

Background: Pain in the knee joint area and reduced sleep quality are prevalent symptoms of knee osteoarthritis. This study examines the impact of self-administered acupressure on pain severity and sleep quality in patients with knee osteoarthritis.

Methods: In this trial conducted in 2023, 126 patients were enrolled. They completed a demographic characteristics form, the Visual Analogue Scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI). Afterward, they were randomly allocated to three groups: acupressure, sham, and control. While the control group received routine care, patients in the acupressure and sham groups were instructed to apply pressure on selected acupoints daily for one minute for a duration of one month. All participants completed the PSQI and the VAS one month after the intervention began and one month after it ended. Data analysis involved Fisher's exact tests, chi-square, Kruskal-Wallis, and one-way ANOVA tests. Also, per-protocol analyses were conducted with linear mixed-effects models.

Results: No significant effects associated with group allocation were observed on pain VAS scores in acupressure and sham groups compared to the control group. However, participants in the acupressure group showed a significant decrease in pain VAS scores as time progressed. PSQI scores significantly decreased over time. Interaction effects showed that PSQI scores decreased more in the acupressure than in the control group over time. Finally, PSQI scores in the acupressure group demonstrated a significant decrease from pretest to follow-up, while no significant change was observed over time in the sham group.

Conclusions: Self-administered acupressure may be useful in improving sleep quality in patients with knee osteoarthritis. This work may be informative in developing acupressure interventions with more effective outcomes in future research.

Trial registration: This trial is registered on the Iranian Registry of Clinical Trials website with the identifier IRCT20211221053475N1 (Date: 10/01/2022).

自我穴位按压对膝骨关节炎患者疼痛严重程度和睡眠质量的影响:一项随机对照试验。
背景:膝关节疼痛和睡眠质量下降是膝关节骨性关节炎的常见症状。本研究探讨自我穴位按压对膝骨关节炎患者疼痛严重程度和睡眠质量的影响。方法:该试验于2023年进行,纳入126例患者。他们完成了人口统计特征表、视觉模拟量表(VAS)和匹兹堡睡眠质量指数(PSQI)。之后,他们被随机分为三组:穴位按压组、假手术组和对照组。在对照组接受常规护理的同时,穴位按压组和假手术组的患者被指示每天在选定的穴位上按压一分钟,持续一个月。所有参与者在干预开始后一个月和结束后一个月分别完成PSQI和VAS。数据分析包括Fisher精确检验、卡方检验、Kruskal-Wallis检验和单因素方差分析检验。此外,采用线性混合效应模型进行了协议分析。结果:与对照组相比,穴位按压组和假手术组的疼痛VAS评分均无明显差异。然而,随着时间的推移,穴位按压组的参与者疼痛VAS评分显着下降。PSQI分数随时间显著下降。交互效应显示,穴位按压组PSQI评分随时间的下降幅度大于对照组。最后,穴位按压组的PSQI评分从测试前到随访期间显著下降,而假手术组的PSQI评分随时间没有显著变化。结论:自我穴位按压可能有助于改善膝骨关节炎患者的睡眠质量。这项工作可能为未来研究开发更有效的指压干预提供信息。试验注册:该试验在伊朗临床试验注册网站上注册,标识符为IRCT20211221053475N1(日期:10/01/2022)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Complementary Medicine and Therapies
BMC Complementary Medicine and Therapies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.10
自引率
2.60%
发文量
300
审稿时长
19 weeks
期刊介绍:
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