Auriculotherapy and pain intensity and functional disability in older adults with chronic low back pain: randomised single-blind clinical trial.

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Maryam Pourmohammadi, Zahra Tagharrobi, Khadijeh Sharifi, Zahra Sooki, Mohammad Zare, Fatemeh Zare Joshaghani
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引用次数: 0

Abstract

Introduction: Considering the importance of chronic low back pain in disability in older adults, the present study aimed to investigate the effect of auriculotherapy on pain intensity and functional disability in this group.

Materials and methods: This single-blind clinical trial was conducted on older adults with chronic low back pain in Kashan, Iran, 2019-2020. Seventy eligible older people were allocated to the intervention and sham groups via block randomisation. In the intervention group, pressure was applied using Varcaria seeds on the Shenmen, sympathetic, nerve subcortex and low back points. The visual analogue scale was completed at the beginning (T0), weekly (T1-T4) and 1 month after intervention (T5). Functional disability was assessed using Oswestry Disability Index at T0, T4 and T5. Data were analysed in per-protocol and intention-to-treat designs using repeated measures analysis of variance and analysis of covariance.

Results: There was a significant difference between the two groups regarding disease duration (p=0.012). The interaction effect of time and intervention was significant on pain intensity and functional disability (effect size (ES)=0.858 and ES=0.789, p<0.0001). The pain intensity in the intervention group was significantly lower than in the sham group at T2-T5 (p<0.0001). The functional disability score in the intervention group was significantly lower than in the sham group at T4 and T5 (p<0.0001).

Conclusion: Auriculotherapy can reduce pain intensity and functional disability in older adults with chronic low back pain; it can be used as a complementary medicine in care programmes for older adults with chronic low back pain.

老年慢性腰痛患者的听觉治疗、疼痛强度和功能障碍:随机单盲临床试验
导读:考虑到慢性腰痛在老年人残疾中的重要性,本研究旨在探讨耳疗对老年人疼痛强度和功能残疾的影响。材料与方法:该单盲临床试验于2019-2020年在伊朗卡尚地区对患有慢性腰痛的老年人进行研究。70名符合条件的老年人通过分组随机分配到干预组和假组。干预组在肾门穴、交感穴、神经皮层下穴、下背穴施加瓦氏籽压。视觉模拟量表分别于干预开始(T0)、每周一次(T1-T4)和干预后1个月(T5)完成。在T0、T4和T5时采用Oswestry残疾指数评估功能残疾。采用重复测量方差分析和协方差分析,按方案和意向治疗设计对数据进行分析。结果:两组患者病程差异有统计学意义(p=0.012)。时间和干预对疼痛强度和功能障碍的交互作用显著(效应值分别为0.858和0.789)。结论:耳穴疗法可减轻老年慢性腰痛患者的疼痛强度和功能障碍;它可以作为老年人慢性腰痛护理方案的补充药物。
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来源期刊
BMJ Supportive & Palliative Care
BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)
CiteScore
4.60
自引率
7.40%
发文量
170
期刊介绍: Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
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