The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial
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, 1...
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BMC
2024-11-01
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| Series: | BMC Complementary Medicine and Therapies |
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| Online Access: | https://doi.org/10.1186/s12906-024-04693-x |
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| author | Elaheh Shourabi Seyyed Abolfazl Vagharseyyedin Hamidreza Bahrami Taghanaki Zeinab Saremi |
| author_facet | Elaheh Shourabi Seyyed Abolfazl Vagharseyyedin Hamidreza Bahrami Taghanaki Zeinab Saremi |
| author_sort | Elaheh Shourabi |
| collection | DOAJ |
| description | 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). |
| format | Article |
| id | doaj-art-7ad0d78a96814f098fe95ac5990d0775 |
| institution | Kabale University |
| issn | 2662-7671 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Complementary Medicine and Therapies |
| spelling | doaj-art-7ad0d78a96814f098fe95ac5990d07752024-12-01T12:09:36ZengBMCBMC Complementary Medicine and Therapies2662-76712024-11-0124111110.1186/s12906-024-04693-xThe effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trialElaheh Shourabi0Seyyed Abolfazl Vagharseyyedin1Hamidreza Bahrami Taghanaki2Zeinab Saremi3Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical SciencesDepartment of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical SciencesDepartment of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical SciencesDepartment of Internal Medicine, Clinical Research and Development Unit, Valiasr hospital, Birjand University of Medical SciencesAbstract 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).https://doi.org/10.1186/s12906-024-04693-xAcupressureKnee osteoarthritisPainSleep quality |
| spellingShingle | Elaheh Shourabi Seyyed Abolfazl Vagharseyyedin Hamidreza Bahrami Taghanaki Zeinab Saremi The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial BMC Complementary Medicine and Therapies Acupressure Knee osteoarthritis Pain Sleep quality |
| title | The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial |
| title_full | The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial |
| title_fullStr | The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial |
| title_full_unstemmed | The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial |
| title_short | The effect of self-administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis: a randomized controlled trial |
| title_sort | effect of self administered acupressure on pain severity and sleep quality of patients with knee osteoarthritis a randomized controlled trial |
| topic | Acupressure Knee osteoarthritis Pain Sleep quality |
| url | https://doi.org/10.1186/s12906-024-04693-x |
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