Abstract Title:
The Effect of Acupressure on the Severity of Nausea, Vomiting, and Retching in Pregnant Women: A Randomized Controlled Trial.
Abstract Source:
Complement Med Res. 2020 Feb 4:1-8. Epub 2020 Feb 4. PMID: 32018274
Abstract Author(s):
Fatemeh Tara, Hamidreza Bahrami-Taghanaki, Masoud Amini Ghalandarabad, Ziba Zand-Kargar, Hamideh Azizi, Habibollah Esmaily, Hoda Azizi
Article Affiliation:
Fatemeh Tara
Abstract:
INTRODUCTION: Nausea and vomiting are common problems during pregnancy. Previous studies have shown that stimulation at Neiguan (PC6) acupoint can be effective in controlling pregnancy-induced nausea and vomiting. However, more evidence is required for approving this method on controlling pregnancy-induced nausea and vomiting. The aim of this study was to determine the efficacy of PC6 acupoint pressure stimulation on the severity of nausea, vomiting, and retching in pregnant women.
METHOD: This randomized, multi-center clinical trial was conducted on pregnant women referring to Health Centers and Ommolbanin Hospital in Mashhad, Iran, during December 2016 to September 2017. Women with first singleton pregnancy and below 12 weeks were included. Patients were randomly allocated into three groups of (1) PC6 pressure (4 times a day, for 10 min), (2) sham acupressure, and (3) medication with vitamin B6 and metoclopramide. Assessment of severity of nausea, vomiting, and retching was done based on the Rhodes Index on the first and fifth day (before and after the intervention). Pearson chi-square test, one-way ANOVA, Kruskal-Wallis, and Wilcoxon tests were used for statistical analysis using SPSS version 18. This clinical trial was registered at the Iranian Registry of Clinical Trials (IRCT) with the code IRCT201512187265N6.
RESULTS: Ninety patients with a mean age of 26.40± 4.73 years were studied in 3 groups of 30. There was no significant difference between the 3 groups in terms of the severity outcomes before the intervention, while, after the intervention, the three groups were significantly different on the fifth day in terms of vomiting frequency, distress from retching, distress from vomiting, duration of nausea, distress from nausea, amount of vomiting, frequency of nausea, and frequency of retching (p<0.001 for each outcome). According to the linear regression analysis, the correlation between occupation with vomiting frequency (beta coefficient = 0.252) and nausea severity (beta coefficient = -0.213) was statistically significant.
CONCLUSION: It seems that PC6 acupoint pressure can reduce the severity of nausea, vomiting, and retching in pregnant women.
Article Published Date : Feb 03, 2020
Abstract Title:
Effects of acupressure at the P6 and LI4 points on the anxiety level of soldiers in the Iranian military.
Abstract Source:
BMJ Mil Health. 2020 Feb 2. Epub 2020 Feb 2. PMID: 32015185
Abstract Author(s):
Saeid Amini Rarani, N Rajai, S Sharififar
Article Affiliation:
Saeid Amini Rarani
Abstract:
INTRODUCTION: Military service is a stressful environment. Methods to reduce stress may result in the mental health promotion of military forces. There are various methods for relieving anxiety. Acupressure is one of them. Hence, this study was carried out to explore effects of acupressure at the P6 and LI4 acupressure points on the anxiety level of army soldiers.
METHODS: A randomised double-blind design was undertaken. A total of 120 Iranian army soldiers were randomly assigned to three groups, namely P6, LI4 and control. The P6 and LI4 acupressure points are effective in lowering the anxiety level. In the intervention groups, acupressure was applied at the P6 and LI4 points three times for 10 min at 30 min intervals. In the control group, the thumb pad, which is not an acupressure point, was pressed. The anxiety level of the subjects was measured before the intervention and 30 min after the last intervention. The instruments included a demographics questionnaire and the State-Trait Anxiety Inventory.
RESULTS: There was no significant difference between the three groups with respect to the anxiety level in the preintervention phase. However, the mean anxiety score in the P6 group decreased significantly from 53.35±9.7 to 49.02±9.3 (p=0.005). The mean anxiety score in the LI4 group also decreased significantly from 53.37±8.39 to 45.47±8.16 (p<0.001). In the control group, there was no significant difference between the preintervention and postintervention phases (p=0.16). In the postintervention phase, the analysis of variance test showed a significant difference between the three groups in terms of the anxiety level (p=0.04).
CONCLUSIONS: Acupressure can reduce soldiers' anxiety at the acupressure points, especially at the LI4 point. It is recommended that this simple and cost-effective intervention be used to relieve soldiers' anxiety in stressful situations.
TRIAL REGISTRATION NUMBER: 20150715023216N4.
Article Published Date : Feb 01, 2020
Abstract Title:
Traditional Chinese acupressure massage ameliorates systemic inflammatory responses and joint mobility limitation after acute repeated jumping exercise.
Abstract Source:
Explore (NY). 2020 Jan - Feb;16(1):26-34. Epub 2019 Aug 12. PMID: 31488342
Abstract Author(s):
Wei-Gang Chang, Chung-Yu Chen, Wen-Fen Li, Chun-Chung Chou, Yi-Hung Liao
Article Affiliation:
Wei-Gang Chang
Abstract:
CONTEXT: Alternative medical and training approaches to accelerate recovery among athletes are growing in popularity. The potential benefits of acupressure massage on attenuating muscle soreness and promoting post-exercise recovery capacity are still unclear.
OBJECTIVE: This study compares the effects of traditional Chinese acupressure massage (TCAM) and active recovery, on subject recovery capacity after acute repeated jumping exercise.
DESIGN: Twenty healthy male athletes were randomly assigned to traditional Chinese acupressure massage (TCAM; N = 10) or active recovery (AR; performing low-intensity exercise during post-exercise recovery; N = 10) groups. TCAM and AR intervention were applied after repeated jumping exercise. Pain scale, knee active/passive range of motion (AROM/PROM), jumping performance, quadriceps maximum voluntary contraction force, creatine kinase, and leukocyte subpopulations were measured at baseline, after and 48 h after exercise.
RESULTS: No significant interaction effects were observed between the jumping performance, quadriceps maximum voluntary contraction (MVC) force, power-to-weight ratio for the two groups before the exercise, after the exercise, and 48 h post exercise. However, the knee flexion AROM/PROM was greater in the TCAM group than that for the AR group (p = 0.005). There were no differences in the VAS, MVC, and jumping performance between treatments. The white blood cell (p = 0.024), and monocytes (p = 0.023) responses were lower in the TCAM group.
CONCLUSIONS: We demonstrated that TCAM generates beneficial effects on attenuating joint mobility limitations and lowering systemic inflammatory responses after acute exercise in athletes. These findings suggest that TCAM may be a practical alternative approach for athletes participating in consecutive competitions containing eccentric elements.
Article Published Date : Jan 31, 2020
Abstract Title:
Effects of Massage and Acupressure on Relieving Labor Pain, Reducing Labor Time, and Increasing Delivery Satisfaction.
Abstract Source:
J Nurs Res. 2020 Feb ;28(1):e68. PMID: 31524645
Abstract Author(s):
Ilknur Munevver Gönenç, Füsun Terzioğlu
Article Affiliation:
Ilknur Munevver Gönenç
Abstract:
BACKGROUND: Several recent studies have documented the effects of massage and acupressure in reducing labor pain and labor time and in satisfaction with the delivery. However, few studies have investigated the comparative effects of these two therapies.
PURPOSE: The aim of this study was to compare the effects of massage and acupressure on labor-related pain management, duration, and satisfaction with delivery.
METHODS: This randomized controlled trial (n = 120) included three intervention groups (massage only, acupressure only, and massage + acupressure) and one control group, in which patients received no massage or acupressure treatment. A personal information form, Pregnant Watch Form, and Visual Analog Scale (VAS) were used to collect data. Frequency and percentage calculations, chi-square test, Student's t test, Tukey's honestly significant difference test, and one-way variance analysis were used for data analysis.
RESULTS: In the latent phase of labor, the mean VAS scores of the massage-only group and massage + acupressure group were lower (4.56± 1.36 and 4.63 ± 1.52, respectively) than that of the control group (6.16 ± 1.46; p<.01). In the active and transition phases, the mean VAS scores of the massage-only group, acupressure-only group, and massage + acupressure group were significantly lower than that of the control group (p<.01 and p<.001, respectively). During postpartum, the mean VAS score of the massage + acupressure group was lower (2.30± 0.70) than that of the control group (2.96 ± 0.72; p = .003). Cervical dilatation completion time and 1- and 5-minute Apgar scores were similar among all of the groups (p>.05). The three intervention groups reported relatively more positive feelings than the control group, and all three of the interventions were found to be effective in improving satisfaction.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The results of this study indicate that the dual application of massage and acupressure is relatively more effective than either therapy applied alone and that massage is more effective than acupressure.
Article Published Date : Jan 31, 2020
Abstract Title:
Acupressure on Anxiety and Sleep Quality After Cardiac Surgery: A Randomized Controlled Trial.
Abstract Source:
J Perianesth Nurs. 2019 Dec ;34(6):1222-1231. Epub 2019 Jul 11. PMID: 31303389
Abstract Author(s):
Dilek Aygin, Sevim Şen
Article Affiliation:
Dilek Aygin
Abstract:
PURPOSE: To determine the effect of acupressure on anxiety and sleep quality after cardiac surgery.
DESIGN: A randomized pre-post test control group design.
METHODS: Patients after cardiac surgery were divided into two groups: the intervention group (n = 50), who received acupressure on four different acupoints plus standard care, and the control group (n = 50), who received only standard care. Patients were admitted to the surgical clinic from the intensive care unit after 3 or 4 days of surgery. The levels of anxiety and sleep quality were evaluated during three postoperative days starting from their first day in the surgical clinic.
FINDINGS: Among the patients in the intervention group, the usage of acupressure decreased the level of anxiety and increased the sleep quality significantly compared with the control group (P<.05).
CONCLUSIONS: Our findings showed that acupressure decreased the level of anxiety and improved the sleep quality in the surgical clinic after cardiac surgery.
Article Published Date : Nov 30, 2019
Abstract Title:
The effect of acupressure on quality of life among female nurses with chronic back pain.
Abstract Source:
Appl Nurs Res. 2019 Nov 20:151175. Epub 2019 Nov 20. PMID: 31831270
Abstract Author(s):
Maryam Movahedi Najafabadi, Somayeh Ghafari, Fatemeh Nazari, Mahboubeh Valiani
Article Affiliation:
Maryam Movahedi Najafabadi
Abstract:
BACKGROUND: Chronic back pain is one of the most common work-related diseases and most important of musculoskeletal disorders in nursing professionals and because of the physical and psychological effects, has a significant impact on quality of life (QOL). Acupressure is a holistic form of complementary medicine. This study aimed to investigate the effect of acupressure on QOL among female nurses with chronic back pain.
MATERIALS AND METHODS: This randomized single-blind clinical trial was conducted on 50 nurses with chronic back pain working at the selected hospitals in Isfahan, Iran. After convenient sampling, the subjects were randomly allocated, through lottery, to the two groups of experimental (n = 25) and sham (n = 25). In the experimental group, acupressure techniques were performed during 9 sessions, 3 times a week for 14 min for each patient. In the sham group, points within 1 cm of the main points were only touched. Data were collected using the SF36 questioner, before, and immediately, 2 weeks, and 4 weeks after the intervention. Data analysis was performed using SPSS software.
RESULTS: Independent t-test showed that the mean total score of QOL before the intervention was not significantly different between the two groups before the intervention (P = .68). However, it was significantly higher in the experimental group compared to the Sham group, immediately, 2 weeks, and 1 month after the intervention (P < .001).
CONCLUSIONS: Acupressure on specific points of the foot and back improves back pain and as a result, increases QOL. Therefore, acupressure can be used as a drug-free and low-cost approach without side effects to improve QOL in nurses with chronic back pain.
Article Published Date : Nov 19, 2019
Abstract Title:
Self-administered acupressure for knee osteoarthritis in middle-aged and older adults: a pilot randomized controlled trial.
Abstract Source:
Acupunct Med. 2019 Nov 13:964528419883269. Epub 2019 Nov 13. PMID: 31718229
Abstract Author(s):
Denise Shuk Ting Cheung, Wing-Fai Yeung, Lorna Kwai-Ping Suen, Tsz Chung Chong, Yuan-Shan Ho, Branda Yee-Man Yu, Lily Ying-Tung Chan, Hai-Yong Chen, Li-Xing Lao
Article Affiliation:
Denise Shuk Ting Cheung
Abstract:
OBJECTIVE: To test the acceptability and feasibility of self-administered acupressure as an intervention for knee pain among middle-aged and older adults with knee osteoarthritis (KOA).
METHODS: In this pilot randomized controlled trial, 35 participants with KOA were randomized to receive self-administered acupressure (n = 17, two self-administered acupressure training sessions followed by self-practice for 6 weeks) or knee health education (n = 18, two health education sessions about KOA management followed by self-care for 6 weeks). Current pain intensity (primary outcome) was measured using a NumericRating Scale (NRS) at baseline and weeks 1, 2, 4 and 6 (post-intervention). Secondary outcome measures included worst and least pain intensity, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion (ROM) of the knee joints and Short-Form Six-Dimension (SF-6D) scores for health-related quality of life.
RESULTS: Participants in both groups attended all training sessions. In the self-administered acupressure group, all subjects mastered the acupressure technique and passed a consistency check. Both groups showed a decreasing trend in current knee pain intensity measured using NRS post-intervention. A medium between-group effect size (0.40) was found, but between-group differences were not statistically significant. The other secondary outcome measures were also comparable between both groups post-intervention (all p > 0.05).
CONCLUSION: A two-session self-administered acupressure training was acceptable to and feasible in participants with KOA. The data generated allowed for calculation of a sample size for a definitive randomized controlled trial (RCT) to confirm whether self-acupressure is effective for pain management in KOA. Furthermore trials with adequate power and longer follow-up periods are warranted.
Article Published Date : Nov 12, 2019
Abstract Title:
Systematic Review and Meta-Analysis on Using Acupressure to Promote the Health of Older Adults.
Abstract Source:
J Appl Gerontol. 2019 Aug 19:733464819870027. Epub 2019 Aug 19. PMID: 31426687
Abstract Author(s):
Meng-Chin Chen, Li-Yen Yang, Kuei-Min Chen, Hui-Fen Hsu
Article Affiliation:
Meng-Chin Chen
Abstract:
Acupressure is noninvasive, safe, and appropriate for use among older adults. However, there remains little evidence of the common elements that contribute to the effectiveness of acupressure in promoting the health of older adults. A systematic review using meta-analysis was designed to examine the effects of acupressure on the health promotion in older adults. Studies published between 2012 and 2017 were searched for in 11 electronic databases. Acupressure was highly effective for improving sleep quality and cognitive functioning (0.85, 95% confidence interval [CI] = [0.49, 1.22]; 1.23, 95% CI = [0.88, 1.59]). A slight to moderate effect was found in alleviating constipation (0.37, 95% CI = [0.03, 0.71]), and a moderate effect was found for alleviating pain and improving quality of life (0.71, 95% CI = [0.09, 1.32]; 0.59 95% CI = [0.36, 0.82]).
Article Published Date : Aug 18, 2019
Abstract Title:
Efficacy of acupressure to prevent adverse reactions to anti-tuberculosis drugs: Randomized controlled trials.
Abstract Source:
J Adv Nurs. 2019 Mar ;75(3):640-651. Epub 2019 Feb 11. PMID: 30375013
Abstract Author(s):
Chia-Ju Hsieh, Wei-Juin Su, Shiao-Chi Wu, Jen-Hwey Chiu, Li-Chan Lin
Article Affiliation:
Chia-Ju Hsieh
Abstract:
AIM: To determine whether acupressure can prevent or relieve the adverse drug reactions (ADRs) of anti-tuberculosis drugs.
BACKGROUND: People receiving drug treatment for TB often experience ADRs that may cause them to stop taking their medication. Acupressure is a form of traditional Chinese medicine that can be applied to alleviate or prevent disease symptoms.
DESIGN: A double-blinded, repeated-measures clinical trial in hospitals in Taiwan was carried out from April 2015 - May 2017.
METHODS: Convenience sampling was used to select 32 people (15 for the experimental group and 17 for the control group) aged>20 years who were taking anti-tuberculosis drugs. The people were randomized to receive 4-week of true acupressure and 4-weeks of sham acupressure. Acupressure therapy was given by a researcher in all cases. Both groups received treatment once per day on weekdays, with 15 min for each acupressure session. Outcomes (gastrointestinal irritation and adverse skin reactions) were assessed according to the people feedback and the physicians' recordings during the treatment course, and during monthly follow-up visits for 6 months thereafter.
RESULTS: Both groups typically experienced gastrointestinal irritation and adverse skin reactions within 2 months of beginning anti-tuberculosis drug treatment. The 4-weeks intervention involving relevant acupressure points successfully relieved both types of side effects in both immediate and delayed manner.
CONCLUSIONS: When correctly implemented, acupressure can prevent and relieve the ADRs of anti-tuberculosis drugs, and motivate people to complete their treatment course.
Article Published Date : Feb 28, 2019
Abstract Title:
Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases.
Abstract Source:
Healthcare (Basel). 2019 Feb 11 ;7(1). Epub 2019 Feb 11. PMID: 30754687
Abstract Author(s):
Zohre Rahmani Vasokolaei, Nahid Rejeh, Majideh Heravi-Karimooi, Seyed Davood Tadrisi, Kiarash Saatchi, Zahra Poshtchaman, Christina Sieloff, Mojtaba Vaismoradi
Article Affiliation:
Zohre Rahmani Vasokolaei
Abstract:
Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized placebo-controlled trial with a pre- and post-intervention design was conducted on 135 female patients with coronary artery diseases. Female patients hospitalized in a cardiac care unit were randomly divided into three groups of hand reflexology, acupressure and placebo (= 45 patients in each group) using blocking and a table of random numbers. Data was collected using the Spielberger anxiety inventory. Also, their vital signs were measured before, immediately after and half an hour after the intervention. Data analysis was performed using descriptive and analytical statistics. Before the intervention, there was no statistically significant difference in anxiety levels between the groups (>0.05). Also, the effects of hand reflexology and acupressure immediately and half an hour later on the reduction of anxiety and vital signs were equal (<0.05). Implementation of hand reflexology and acupressure can have positive effects on anxiety and vital signs in patients with coronary artery diseases. They can reduce patients' anxiety with an equal effectiveness.
Article Published Date : Feb 10, 2019
Abstract Title:
Self-Administered Acupressure for Chronic Low Back Pain: A Randomized Controlled Pilot Trial.
Abstract Source:
Pain Med. 2019 12 1 ;20(12):2588-2597. PMID: 31237610
Abstract Author(s):
Susan Lynn Murphy, Richard Edmund Harris, Nahid Roonizi Keshavarzi, Suzanna Maria Zick
Article Affiliation:
Susan Lynn Murphy
Abstract:
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 reporteddisability 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.
Article Published Date : Dec 31, 2018
Abstract Title:
Ameliorative potential of acupressure on gestational diabetes mellitus: A randomized controlled trial.
Abstract Source:
J Complement Integr Med. 2018 Jun 21 ;16(1). Epub 2018 Jun 21. PMID: 29927746
Abstract Author(s):
Fayiz F El-Shamy, Sanad S El-Kholy, Mahmoud Labib, Ahmed M Kabel
Article Affiliation:
Fayiz F El-Shamy
Abstract:
Background and aim Gestational diabetes mellitus (GDM) poses a threat to the mother and child. The aim of this study was to examine the effect of acupressure on the glycemic control and insulin requirement of GDM females. Materials and methods Thirty GDM female patients were randomized to either the study group (SG; n=15), which was treated with acupressure and the standard antenatal care, or the control group (CG; n=15), which was treated with the standard antenatal care. Fasting and 2-h post-prandial blood glucose levels, requirement for insulin and insulin resistance were measured at 24 and 36 weeks' gestation (WG). Also, neonatal outcomes were registered at delivery. Results The pre intervention showed no statistically significant differences between SG and CG for baseline characteristics of participants (p>0.05). Within group analyses, after 12 weeks intervention had shown that 75 g oral glucose tolerance test (OGTT), insulin resistance, number of required insulin and measure of utilized insulin were significantly reduced (p<0.05), with significant increase in body mass index (BMI) (p<0.05) in both groups. All outcome measures were not significantly changed (p>0.05) between both groups at 24 and 36 WG. No significant differences (p>0.05) in pregnancy and neonatal outcomes between both groups at labor. Conclusions Acupressure may help to reduce gestational diabetes or insulin treatment for overweight female patients with GDM.
Article Published Date : Jun 20, 2018
Abstract Title:
The Effect of Acupressure on Physiological Parameters of Myocardial Infarction Patients: A Randomized Clinical Trial.
Abstract Source:
Iran J Nurs Midwifery Res. 2018 Mar-Apr;23(2):143-148. PMID: 29628963
Abstract Author(s):
Marzieh Batvani, Hojatollah Yousefi, Mahboubeh Valiani, Javad Shahabi, Hossein Mardanparvar
Article Affiliation:
Marzieh Batvani
Abstract:
Background: Myocardial infarction is a major complication of coronary heart disease, and due to high mortality, is a part of important medical emergencies. Today, complementary and alternative medicine, as nonpharmacological and health promotion methods is considered. Therefore, this study was designed to evaluate the effectiveness of acupressure on physiological parameters of patients with myocardial infarction.
Materials and Methods: This clinical trial was carried out among two groups and three stages in 2015. Study participants included 64 patients hospitalized in Iran, Isfahan Shahid Chamran hospital. Acupressure in five points and at any point for 2 minutes, twice per day for 3 days was done in the experimental group and as the same at a false point for the control group. Physiological parameters were recorded before, immediately, and 30 minutes after intervention. Data were analyzed using SPSS 20 and independent-tests, Chi-square, Mann-Whitney test, repeated-measurements analysis of variance.
Results: Independent-test immediately and 30 minutes after the intervention showed that mean systolic blood pressure and arterial oxygen saturation in the intervention group were significantly lower and higher than the control group, respectively; however, mean diastolic blood pressure and heart rate were not significantly different. However, 30 minutes after intervention, diastolic blood pressure and heart rate were significantly lower in the intervention group.
Conclusions: Acupressure in five points of body had a positive effect on physiological parameters, and showed that after a short time of interventions these parameters lead to promotion over time.
Article Published Date : Feb 28, 2018
Abstract Title:
Effect of Meridian Acupressure on Aerobic Performance of Healthy Young Population: A Randomized Controlled Study.
Abstract Source:
J Altern Complement Med. 2018 Feb 20. Epub 2018 Feb 20. PMID: 29461858
Abstract Author(s):
Shahin Ahmedov, Baris Filiz
Article Affiliation:
Shahin Ahmedov
Abstract:
OBJECTIVES: An enhancement of aerobic capacity has always been in the scope of various exercise programs. Apart from traditional, like endurance training, methods to improve aerobic performance, there is growing interest to alternative bodywork techniques, like massage, yoga, and acupuncture. This study aimed to investigate the acupressure effect on maximal aerobic capacity (VOmax) in healthy young adult males.
DESIGN: Forty young healthy participants were randomly divided into intervention (n = 20) and control (n = 20) groups. The inferred VOmax level in groups was assessed by the 6-min Harvard step test twice: at baseline and after acupressure session.
INTERVENTION: Three-minute finger-tip point massage of Neiguan, Juque, and Xinshu acupoints covered by 1 cmsticky capsaicin-dressed heat plasters was applied in the intervention group, whereas in the control group, placebo acupressure was utilized.
RESULTS: The inferred VOmax in the intervention group increased from baseline 2.38 ± 0.48 L/min to 2.57 ± 0.6 L/min (p < 0.003), whereas inferred VOmax of the control group remained unchanged (2.46 ± 0.5 L/min at baseline and 2.47 ± 0.4 L/min after placebo acupressure, p > 0.9).
CONCLUSIONS: The results of the study demonstrated that finger-tip acupressure increases aerobic performance of young healthy males on more than 10%. Acupressure probably decreased anxiety level, which allowed better utilization of available energy sources.
Article Published Date : Feb 19, 2018
Abstract Title:
Effectiveness of acupressure on the experience of nausea and vomiting among patients receiving chemotherapy.
Abstract Source:
Can Oncol Nurs J. 2018 ;28(2):132-138. Epub 2018 Apr 1. PMID: 31148822
Abstract Author(s):
Anju Byju, Sheela Pavithran, Regina Antony
Article Affiliation:
Anju Byju
Abstract:
The study was conducted for a period of six weeks among 40 cancer patients selected by purposive sampling to explore the impact of acupressure on nausea and vomiting for patients receiving chemotherapy. Data were gathered using a semi-structured interview schedule, semi-structured questionnaire and Rhodes' index of nausea, vomiting and retching. The research design was a quasi experimental 'post-test only, control group design'. Data analysis was done using descriptive and inferential statistics involving frequency, percentage, Chi square and independent 't' test. Results of the study showed that the subjects in the experimental group experienced mild (65%) to moderate (35%) nausea and vomiting, whereas the subjects in the control group experienced moderate (35%) to severe (65%) nausea and vomiting, t (38)= 2.693, 8.270, 8.401 respectively for days 1, 2 and 3; p<0.05). The results point to the fact that acupressure is effective in reducing nausea and vomiting among patients receiving chemotherapy.
Article Published Date : Dec 31, 2017
Abstract Title:
Structural Changes Induced by Acupuncture in the Recovering Brain after Ischemic Stroke.
Abstract Source:
Evid Based Complement Alternat Med. 2018 ;2018:5179689. Epub 2018 May 23. PMID: 29951105
Abstract Author(s):
Ping Wu, Yu-Mei Zhou, Chen-Xi Liao, Yu-Zhi Tang, Yong-Xin Li, Li-Hua Qiu, Wei Qin, Fang Zeng, Fan-Rong Liang
Article Affiliation:
Ping Wu
Abstract:
The aim of this study was to observe the grey matter (GM) tissue changes of ischemic stroke patients, to explore the therapy responses and possible mechanism of acupuncture. 21 stroke patients were randomly assigned to receive either acupuncture plus conventional (Group A) or only conventional (Group B) treatments for 4 weeks. All patients in both groups accepted resting-state functional magnetic resonance (fMRI) scan before and after treatment, and the voxel-based morphometry (VBM) analysis was performed to detect the cerebral grey structure changes. The modified Barthel index (MBI) was used to evaluate the therapeutic effect. Compared with the patients in Group B, the patients in Group A exhibited a more significant enhancement of the changes degree of MBI from pre- to post-treatment intervention. VBM analyses found that after treatment the patients in Group A showed extensive changes in GMV. In Group A, the left frontal lobe, precentral gyrus, superior parietal gyrus, anterior cingulate cortex, and middle temporal gyrus significantly increased, and the right frontal gyrus, inferior parietal gyrus, and middle cingulate cortex decreased (<0.05, corrected). In addition, left anterior cingulate cortex and left middle temporal gyrus are positively related to the increase in MBI score (<0.05, corrected). In Group B, right precentral gyrus and right inferior frontal gyrus increased (<0.05, corrected). In conclusion, acupuncture can evoke pronounced structural reorganization in the frontal areas and the network of DMN areas, which may be the potential therapy target and the potential mechanism where acupuncture improved the motor and cognition recovery.
Article Published Date : Dec 31, 2017
Abstract Title:
Significant Effect of Acupressure in Elevating Blood Stem Cell Factor During Chemotherapy in Patients With Gynecologic Cancer.
Abstract Source:
J Nurs Res. 2017 Dec 9. Epub 2017 Dec 9. PMID: 29232318
Abstract Author(s):
Ya-Wen Shih, Shun-Fa Yang, Ming-Hsien Chien, Ching-Wen Chang, Vincent H S Chang, Hsiu-Ting Tsai
Article Affiliation:
Ya-Wen Shih
Abstract:
BACKGROUND: Chemotherapy is used mainly to treat and control the progression of gynecological cancer. Bone marrow suppression, one of the adverse side effects of chemotherapy, may decrease immune function, increasing the risk of serious, fatal infections.
PURPOSE: The aims of this study were to evaluate the effectiveness of noninvasive acupressure in preventing and diminishing chemotherapy-induced myelosuppression in patients with gynecologic cancer and to determine whether this effect is associated with the regulation of the expressions of granulocyte-macrophage colony-stimulating factor and stem cell factor (SCF).
METHODS: In total, 28 women with gynecological cancer were randomly assigned either to the experimental group (n = 10) or to the control group (n = 18). The experimental group received acupressure of 5-minute duration to the Hegu (LI4), Quchi (LI11), Xuehai (SP10), Sanyinjiao (SP6), Taixi (K3), Zusanli (ST36), Taichong (LR3), and Baihui (GV20) points, respectively, three times per day for 6 weeks. The control group did not receive the acupressure intervention. The blood count, including white blood cells, platelets, and hemoglobin, and serum levels for SCF and granulocyte-macrophage colony-stimulating factor were assessed before (pretest) and 6 weeks after (posttest) the participants' first course of chemotherapy.
RESULTS: At posttest, blood hemoglobin had significantly decreased from (mean± SD) 11.6 ± 2.2 to 10.8 ±1.6 mg/dl (p = .03) in the control group. However, no significant pretest-posttest difference in hemoglobin concentration (11.4 ± 1.0 vs. 10.9 ± 1.1 mg/dl) was detected in the experimental group. Levels of SCF increased significantly between pretest and posttest in both the control group (from 1196.10 ± 293.17 to 1325.05 ± 253.77 ng/ml; p = .01) and the acupressure group (from 1046.78 ± 469.52 to 1387.06 ± 310.00 ng/ml; p = .007). In addition, a borderline difference (p = .05) in mean pretest-posttest SCF increase was found between the acupressure group (340.28 ± 255.46 ng/ml) and the control group (128.94 ± 250.64 ng/ml). Finally, a significant time-dependent interactive effect was found between acupressure and the increased blood level of SCF at posttest (β = 211.34, p = .02).
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The findings support that acupressure on specific acupoints increases blood SCF levels significantly, which may help protect chemotherapy patients from experiencing reduced hemoglobin levels and may relieve chemotherapy-induced myelosuppression in patients with gynecologic cancer. This noninvasive approach is suggested for practical implementation in patients undergoing a course of chemotherapy.
Article Published Date : Dec 08, 2017
Study Type : Human Study
Abstract Title:
Effectiveness of app-based self-acupressure for women with menstrual pain compared to usual care: A randomized pragmatic trial.
Abstract Source:
Am J Obstet Gynecol. 2017 Nov 15. Epub 2017 Nov 15. PMID: 29155036
Abstract Author(s):
Susanne Blödt, Daniel Pach, Sanna von Eisenhart-Rothe, Fabian Lotz, Stephanie Roll, Katja Icke, Claudia M Witt
Article Affiliation:
Susanne Blödt
Abstract:
BACKGROUND: Primary dysmenorrhea is common among women of reproductive age. Non-steroidal anti-inflammatory drugs and oral contraceptives are effective treatments, although the failure rate is around 20-25%. Therefore additional evidence-based treatments are needed. In recent years, the use of smartphone applications (apps) has increased rapidly and may support individuals in self-management strategies.
OBJECTIVE: We aimed to investigate the effectiveness of app-based self-acupressure in women with menstrual pain.
MATERIALS AND METHODS: A two-armed randomized pragmatic trial was conducted from December 2012 to April 2015 with recruitment until August 2014 in Berlin, Germany, among women aged 18-34 years with self reported cramping pain≥6 on a numeric rating scale (NRS) for the worst pain intensity during the previous menstruation. After randomization women performed either app-based self-acupressure (n=111) or followed usual care only (n=110) for six consecutive menstruation cycles. The primary outcome was the mean pain intensity (NRS 0-10) on the days with pain during the third menstruation. Secondary outcomes included worst pain intensity during menstruation, duration of pain, 50% responder rates (reduction of mean pain by at least 50%), medication intake, sick leave days and body efficacy expectation assessed at the 1st, 2nd, 3rd, and 6th menstruation cycle.
RESULTS: We included 221 women (mean age 24.0 (sd 3.6) years). The mean pain intensity difference during the third menstruation was statistically significant in favor for acupressure (acupressure: 4.4 95% CI [4.0; 4.7]; usual care 5.0 [4.6; 5.3]; mean difference -0.6 [-1.2; -0.1], p=0.026). At the sixth cycle, the mean difference between the groups -1.4 [-2.0; -0.8] (p<0.001) reached clinical relevance. At the third and sixth menstruation cycle, responder rate was 37% and 58% respectively in the acupressure group in contrast to 23% and 24% in the usual care group. Moreover, the worst pain intensity (group difference -0.6 [-1.2; -0.02] and -1.4 [-2.0; -0.7]), the number of days with pain (-0.4 [-0.9; -0.01] and -1.2 [-1.6; -0.7]) and the proportion of women with pain medication at the third and sixth menstruation cycle (odd ratio 0.5 [0.3; 0.9] and 0.3 [0.2; 0.5]) was lower in the acupressure group. At the third cycle hormonal contraceptive use was more common in the usual care group than in the acupressure group (odds ratio 0.5 [0.3;0.97]), but not statistically significant different at the sixth cycle (odds ratio 0.6 [0.3;1.1]). The number of sick leave days and body efficacy expectation (self-efficacy scale) did not differ between groups. On a scale from 0-6, mean satisfaction with the intervention at the third cycle was 3.7 (sd 1.3), recommendation of the intervention to others 4.3 (1.5), appropriateness of acupressure for menstrual pain 3.9 (1.4), and application of acupressure for other pain 4.3 (1.5). The intervention was safe and after the sixth cycle two third of the women (67.6%) still applied acupressure on all days with pain.
CONCLUSION: Smartphone app delivered self-acupressure resulted in a reduction of menstrual pain compared to usual care only. Effects were increasing over time and adherence was good. Future trials should include comparisons to other active treatment options.
Article Published Date : Nov 14, 2017
Abstract Title:
A randomized controlled clinical trial evaluating quality of life when using a simple acupressure protocol in women with primary dysmenorrhea.
Abstract Source:
Complement Ther Med. 2017 Oct ;34:10-15. Epub 2017 Jul 14. PMID: 28917360
Abstract Author(s):
Fatemeh Bazarganipour, Seyed-Abdolvahab Taghavi, Helen Allan, Nazafarin Hosseini, Ahmad Khosravi, Rahimeh Asadi, Shohreh Salari, Raziyeh Dehghani, Zahra Jamshidi, Marziyeh Rezaei, Mansoreh Saberian, Fatemeh Javedan, Zahra Salari, Fahimeh Miri
Article Affiliation:
Fatemeh Bazarganipour
Abstract:
OBJECTIVE: To evaluate a simple acupressure protocol in LIV3 and LI4 acupoints in women with primary dysmenorrhea.
METHODS: This paper reports a randomized, single blinded clinical trial. 90 young women with dysmenorrhea were recruited to three groups to receive 20min acupressure every day in either LIV3 or LI4, or placebo points. Acupressure was timed five days before menstruation for three successive menstrual cycles. On menstruation, each participant completed the Wong Baker faces pain scale, and the quality of life short form -12 (QOL SF-12).
RESULTS: Intensity and duration of pain between the three groups in the second and third cycles during the intervention (p<0.05) differed significantly. Significant differences were seen in all domains of QOL except for mental health (p=0.4), general health (p=0.7) and mental subscale component (p=0.12) in the second cycle, and mental health (p=0.9), and mental subscale component (p=0.14) in the third cycle.
CONCLUSION: Performing the simple acupressure protocol is an effective method to decrease the intensity and duration of dysmenorrhea, and improve the QOL. Registration ID in IRCT: IRCT2016052428038N1.
Article Published Date : Sep 30, 2017
Abstract Title:
Self-administered acupressure for insomnia disorder: a pilot randomized controlled trial.
Abstract Source:
J Sleep Res. 2017 Sep 8. Epub 2017 Sep 8. PMID: 28884877
Abstract Author(s):
Wing-Fai Yeung, Fiona Yan-Yee Ho, Ka-Fai Chung, Zhang-Jin Zhang, Branda Yee-Man Yu, Lorna Kwai-Ping Suen, Lily Ying-Tung Chan, Hai-Yong Chen, Lai-Ming Ho, Li-Xing Lao
Article Affiliation:
Wing-Fai Yeung
Abstract:
Self-administered acupressure has potential as a low-cost alternative treatment for insomnia. To evaluate the short-term effects of self-administered acupressure for alleviating insomnia, a pilot randomized controlled trial was conducted. Thirty-one subjects (mean age: 53.2 years; 77.4% female) with insomnia disorder were recruited from a community. The participants were randomized to receive two lessons on either self-administered acupressure or sleep hygiene education. The subjects in the self-administered acupressure group (n = 15) were taught to practise self-administered acupressure daily for 4 weeks. The subjects in the comparison group (n = 16) were advised to follow sleep hygiene education. The primary outcome was the Insomnia Severity Index (ISI). Other measures included a sleep diary, Hospital Anxiety and Depression Scale and Short-form Six-Dimension. The subjects in the self-administered acupressure group had a significantly lower ISI score than the subjects in the sleep hygiene education group at week 8 (effect size = 0.56, P = 0.03). However, this observed group difference did not reach a statistically significant level after Bonferroni correction. With regard to the secondary outcomes, moderate between-group effect sizes were observed in sleep onset latency and wake after sleep onset based on the sleep diary, although the differences were not significant. The adherence to self-administered acupressure practice was satisfactory, with 92.3% of the subjects who completed the lessons still practising acupressure at week 8. In conclusion, self-administered acupressure taught in a short training course may be a feasible approach to improve insomnia. Further fully powered confirmatory trials are warranted.
Article Published Date : Sep 07, 2017
Abstract Title:
The Effects of Acupressure on Pain Severity in Female Nurses with Chronic Low Back Pain.
Abstract Source:
Iran J Nurs Midwifery Res. 2017 Sep-Oct;22(5):339-342. PMID: 29033985
Abstract Author(s):
Maryam Movahedi, Somayeh Ghafari, Fateme Nazari, Mahboubeh Valiani
Article Affiliation:
Maryam Movahedi
Abstract:
BACKGROUND: Low back pain causes physical and psychological impacts among nurses. This study aimed to investigate the effects of acupressure on the severity of pain in chronic low back pain in female nurses.
MATERIALS AND METHODS: This study is a single-blinded randomized clinical trial conducted among 50 nurses suffering from chronic low back pain. After simple sampling, participants were randomly assigned into acupressure and sham groups using lottery method (25 patients in each group). In the experimental group, the intervention was performed by the researcher three times a week throughout a 3-week period. The sham group received placebo interventions. Data was collected through VAS questionnaire before, immediately after, 2 weeks, and 4 weeks after performing intervention. Data analysis was conducted using SPSS version 18 using descriptive and inferential statistical methods.
RESULTS: There was no significant difference in the mean pain severity scores in the pre-interventions phase between the groups (P = 0.63), however, a significant difference was observed Immediately, 2 weeks, and 4 weeks after performing intervention. Further, the mean pain severity scores in intervention group significantly decreased compared to the sham group (P = 0.000).
CONCLUSIONS: Acupressure on specific points was proved to reduce pain. Thus, acupressure can be used as nonmedicament, inexpensive, and without side effects treatment in reducing pain.
Article Published Date : Aug 31, 2017
Abstract Title:
The effect of acupressure on fatigue among female nurses with chronic back pain.
Abstract Source:
Appl Nurs Res. 2017 Aug ;36:111-114. Epub 2017 Jun 15. PMID: 28720230
Abstract Author(s):
Maryam Movahedi, Somayeh Ghafari, Fateme Nazari, Mahboubeh Valiani
Article Affiliation:
Maryam Movahedi
Abstract:
AIM: To investigate the effect of acupressure on fatigue among female nurses with chronic back pain.
BACKGROUND: Chronic back pain is one of the most common problems among nurses and has numerous physical and psychological effects. One of these effects is fatigue that impairs an individual's life.
MATERIALS AND METHODS: This randomized single-blind clinical trial was conducted on 50 nurses with chronic back pain working at the selected hospitals in Isfahan, Iran. After convenient sampling, the subjects were randomly allocated, through lottery, to the two groups of experimental (n=25) and sham (n=25). In the experimental group, acupressure techniques were performed during 9 sessions, 3 times a week for 14min for each patient. In the sham group, points within 1cm of the main points were only touched. Data were collected using the Fatigue Severity Scale (FSS), before, and immediately, 2weeks, and 4weeks after the intervention. Data analysis was performed using SPSS software.
RESULTS: The mean score of fatigue severity before the intervention was not significantly different between the two groups (P=0.990). However, it was significantly lower in the experimental group than the sham group immediately (P<0.001), 2weeks (P=0.005), and 1month after the intervention (P<0.001).
CONCLUSIONS: Acupressure on specific points of the foot and back improves back pain so, reduces fatigue. Therefore, acupressure can be used as a drug-free and low-cost approach without side effects to improve fatigue in nurses with chronic back pain.
Article Published Date : Jul 31, 2017
Abstract Title:
A randomized controlled trial of acupressure as an adjunctive therapy to sodium valproate on the prevention of chronic migraine with aura.
Abstract Source:
Medicine (Baltimore). 2017 Jul ;96(27):e7477. PMID: 28682918
Abstract Author(s):
Ji-Hua Xu, He-Yin Mi
Article Affiliation:
Ji-Hua Xu
Abstract:
BACKGROUND: The primary objective of the present study was to evaluate the efficacy and safety of using acupressure as an adjunctive therapy to sodium valproate (SV) combined with acupressure (ASV) on the prevention of chronic migraine with aura (CMA).
METHODS: A total of 98 patients with CMA were randomly divided into an intervention group and a control group, with 49 patients in each group. The patients in the intervention group received ASV, while the participants in the control group received SV alone. The primary outcome was measured by the numeric rating scale (NRS). The secondary outcomes including frequency of migraine attacks, the times of using analgesics, and quality of life, measured by the short-form 36 Health Survey Scale (SF-36) score. In addition, adverse events (AEs) were also recorded throughout the trial. The outcomes were measured at the end of the 8-week treatment, and 4-week follow-up.
RESULTS: After the 8-week treatment and 4-week follow-up, ASV efficacy was not greater than that of SV alone regarding pain relief, as measured using the NRS, and frequency of migraine attacks, consumption of analgesics, and quality of life, as measured using the SF-36. However, ASV can significantly reduce the nausea when compared with SV (P = .04).
CONCLUSION: The present results indicate that ASV can decrease migraine-related nausea during treatment, but cannot relieve pain or enhance quality of life in patients with CMA.
Article Published Date : Jun 30, 2017
Study Type : Human Study
Abstract Title:
Acupressure Therapy for Acute Ankle Sprains: A Randomized Clinical Trial.
Abstract Source:
PM R. 2017 Jun 19. Epub 2017 Jun 19. PMID: 28634002
Abstract Author(s):
Mingxing Zhao, Wei Gao, Long Zhang, Wei Huang, Sihua Zheng, Guanliang Wang, Brian Y Hong, Baoyong Tang
Article Affiliation:
Mingxing Zhao
Abstract:
BACKGROUND: Ankle sprains occur frequently among young and active people, accounting for almost 2 million injuries per year. Previous reports suggest that acupressure therapy for acute ankle sprains may shorten the recovery time.
OBJECTIVE: To evaluate whether acupressure therapy can improve ankle sprain recovery compared with standard RICE (rest, ice, compression, and elevation) treatment.
DESIGN: A randomized controlled trial was conducted. The study protocol was registered in the Chinese Clinical Trial Registry with the study registration number: ChiCTR-TRC-14004794.
SETTING: Department of Traditional Chinese Medicine Orthopedics, PLA No.60 Center Hospital, Dali, China, and Department of Orthopedics, Xixi Hospital of Hangzhou, Hangzhou China, between June 2014 and January 2016.
PATIENTS: A total of 68 patients with acute ankle sprains were assessed for study eligibility, and a total of 62 patients were included in the present study.
METHODS: All patients with ankle sprains seen by the Orthopedics Department within 48 hours since the time of injury were identified. Consenting patients were randomized to either (1) standard treatment (ST group), (2) standard treatment + acupressure (AP group), or (3) standard treatment + mock acupressure (mock AP group).
MAIN OUTCOME MEASUREMENTS: Outcomes of interest included a volumetric measurement of the foot, ankle, and lower leg), range of ankle movement, and visual analog pain scores. The American Orthopedic Foot and Ankle Score) and SF12v2 scores were used to assess quality of life.
RESULTS: Among the 62 randomized patients, the mean (95% confidence interval [CI]) volumetric measurement of the foot, ankle, and lower leg in the AP group decreased from 185.24 (95% CI 142.80-227.67) to 62.14 (95% CI 44.03-80.25) after 3 sessions of acupressure treatment. This was a statistically significant difference (P<.01) compared with the means of ST group (119.00; 95% CI 89.14-148.86) and mock AP group (118.18; 95% CI 83.99-152.37). After the first treatment, the mean range of ankle movement, visual analog pain scores, and American Orthopedic Foot and Ankle Scores of the AP group were 31.67 (95% CI 27.78-35.55), 3.33 (95% CI 2.97-3.70), and 55.86 (95% CI 50.03-61.69), respectively. These scores were statistically better (P<.01) than the mean of the ST and mock AP group scores. In addition, the mean SF12v2 scores of AP group at 4 and 8 weeks were 109.95 (95% CI 107.29-112.62) and 119.67 (95% CI 119.27-120.05), respectively. These scores were also significantly greater than those of the ST group and mock AP groups (P<.01).
CONCLUSION: Acupressure therapy may improve recovery after acute ankle sprain injury, yielding shortened time of disability and improved quality of life.
LEVEL OF EVIDENCE: To be determined.
Article Published Date : Jun 18, 2017
Abstract Title:
Effects of Auricular Acupressure on Sleep Quality, Anxiety, and Depressed Mood in RN-BSN Students With Sleep Disturbance.
Abstract Source:
J Nurs Res. 2017 Jun 6. Epub 2017 Jun 6. PMID: 28591024
Abstract Author(s):
Ke-Hsin Chueh, Chia-Chuan Chang, Mei-Ling Yeh
Article Affiliation:
Ke-Hsin Chueh
Abstract:
BACKGROUND: Students in 2-year registered nurse to Bachelor of Science in nursing (RN-BSN) programs usually work full-time and study part-time. Sleep disturbance, anxiety, and depression are known to be common health problems among these students. Prior research has described the effectiveness of auricular acupressure (AA) in reducing sleep disturbance and improving mood.
PURPOSE: The aim of this study was to evaluate the effect of using a 4-week AA program that adheres to a magnetic pellet on the shenmen acupoint on sleep quality, anxiousness, and depressed moods in nursing students with sleep disturbance.
METHODS: This study used a one-group, quasi-experimental design with repeated measures. Eligible students were recruited from an RN-BSN program offered by a university in northern Taiwan, and all were currently experiencing sleep disturbance. A 4-week AA intervention that applied a magnetic pellet on the shenmen acupoint was used. The Pittsburgh Sleep Quality Index, Beck Anxiety Inventory, and Beck Depression Inventory-II were used to measure sleep quality and mood outcomes each week during the 4-week intervention. Improvements in sleep quality, anxiety, and depressed moods were analyzed using the generalized estimating equation.
RESULTS: Thirty-six participants with a mean age of 32 years were enrolled as participants. After adjusting for confounding factors, continuous and significant improvements in sleep quality, anxiety, and depressed mood (p<.05) were observed throughout the intervention, with 4-week improvements in sleep quality, anxiety, and depressed mood averaging 26.7%, 43.5%, and 25%, respectively.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: This study showed the efficacy of using a 4-week AA that applies a magnetic pellet on the shenmen acupoint in terms of improving sleep quality, anxiousness, and depressed mood in RN-BSN students experiencing sleep disturbances. Especially, the emotional mood of participants improved significantly as early as the first week. The 4-week AA for reducing sleep disturbance, and improving students' anxiety, and depressed moods may be applied on primary healthcare.
Article Published Date : Jun 05, 2017
Abstract Title:
Nonpharmacological Treatments for Post-Stroke Depression: An Integrative Review of the Literature.
Abstract Source:
Res Gerontol Nurs. 2017 May 30:1-14. Epub 2017 May 30. PMID: 28556875
Abstract Author(s):
Niloufar Niakosari Hadidi, Roberta L Huna Wagner, Ruth Lindquist
Article Affiliation:
Niloufar Niakosari Hadidi
Abstract:
Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studies have investigated the impact of pharmacological interventions on PSD, there is a significant gap in knowledge regarding the efficacy of nonpharmacological measures for treatment of PSD. The purpose of the current integrative literature review was to synthesize the state of knowledge on selected nonpharmacological treatments for PSD and present findings regarding the efficacy of investigated treatments. Twenty-one studies published from 1992-2016 were identified and synthesized. Results indicated that studies demonstrating improvement in depressive symptoms included ecosystem-focused therapy, life review therapy, problem solving therapy, meridian acupressure, repetitive transcranial magnetic stimulation, music therapy, exercise, light therapy, motivational interviewing, and robotic-assisted neurorehabilitation. [Res Gerontol Nurs. 2017; x(x):xx-xx.].
Article Published Date : May 29, 2017
Abstract Title:
Comparisons for Effectiveness of Aromatherapy and Acupressure Massage on Quality of Life in Career Women: A Randomized Controlled Trial.
Abstract Source:
J Altern Complement Med. 2017 May 15. Epub 2017 May 15. PMID: 28504569
Abstract Author(s):
Yu-Hsiu Kao, Yi-Ching Huang, Ue-Lin Chung, Wen-Ni Hsu, Yi-Ting Tang, Yi-Hung Liao
Article Affiliation:
Yu-Hsiu Kao
Abstract:
OBJECTIVES: This study was aimed to compare the effectiveness of aromatherapy and acupressure massage intervention strategies on the sleep quality and quality of life (QOL) in career women.
DESIGN: The randomized controlled trial experimental design was used in the present study. One hundred and thirty-two career women (24-55 years) voluntarily participated in this study and they were randomly assigned to (1) placebo (distilled water), (2) lavender essential oil (Lavandula angustifolia), (3) blended essential oil (1:1:1 ratio of L. angustifolia, Salvia sclarea, and Origanum majorana), and (4) acupressure massage groups for a 4-week treatment. The Pittsburgh Sleep Quality Index and Short Form 36 Health Survey were used to evaluate the intervention effects at pre- and postintervention.
RESULTS: After a 4-week treatment, all experimental groups (blended essential oil, lavender essential oil, and acupressure massage) showed significant improvements in sleep quality and QOL (p < 0.05). Significantly greater improvement in QOL was observed in the participants with blended essential oil treatment compared with those with lavender essential oil (p < 0.05), and a significantly greater improvement in sleep quality was observed in the acupressure massage and blended essential oil groups compared with the lavender essential oil group (p < 0.05).
CONCLUSIONS: The blended essential oil exhibited greater dual benefits on improving both QOL and sleep quality compared with the interventions of lavender essential oil and acupressure massage in career women. These results suggest that aromatherapy and acupressure massage improve the sleep and QOL and may serve as the optimal means for career women to improve their sleep and QOL.
Article Published Date : May 14, 2017
Abstract Title:
Self-Acupressure for Older Adults with Symptomatic Knee Osteoarthritis: A Randomized Controlled Trial.
Abstract Source:
Arthritis Care Res (Hoboken). 2017 Apr 24. Epub 2017 Apr 24. PMID: 28437570
Abstract Author(s):
Lydia W Li, Richard E Harris, Alex Tsodikov, Laura Struble, Susan L Murphy ScD
Article Affiliation:
Lydia W Li
Abstract:
OBJECTIVES: This double-blind RCT aimed to test the efficacy of self-administered acupressure for pain and physical function improvement for older adults with knee osteoarthritis (KOA).
METHODS: Community-living adults with symptomatic KOA (N=150; mean age=73) participated and were randomized to verum acupressure, sham acupressure, or usual care. Verum and sham, but not usual care, participants were taught to self-apply acupressure once daily, five days/week for eight weeks. Assessments were collected during center visits at baseline, four and eight weeks. The numeric rating scale (NRS) for pain was administered during weekly phone calls to check on the participants. Outcomes included the WOMAC pain subscale (primary), the NRS and physical function measures (secondary). Linear mixed regression was conducted to test between group differences in mean changes from baseline for the outcomes at eight weeks.
RESULTS: Compared with usual care, both verum and sham participants experienced significant improvements in WOMAC pain (mean difference: -1.27 units; 95% CI: -1.95 to -.58, and -1.24; 95% CI: -1.92 to -.55, respectively), NRS pain (-.74; 95% CI: -1.24 to -.24, and -.51; 95% CI: -1.01 to -.01, respectively) and WOMAC function (-4.83; 95% CI: -6.99 to -2.67, and -4.21; 95% CI: -6.37 to -2.04, respectively) at 8 weeks. There were no significant differences between verum and sham acupressure groups in any outcomes.
CONCLUSION: Self-administered acupressure is superior to usual care in pain and physical function improvement for older people with KOA. The reason for the benefits is unclear and placebo effects may have played a role. This article is protected by copyright. All rights reserved.
Article Published Date : Apr 23, 2017
Abstract Title:
Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy: A double-blind randomized controlled trial.
Abstract Source:
J Obstet Gynaecol Res. 2017 Apr ;43(4):662-668. PMID: 28418209
Abstract Author(s):
Aizura-Syafinaz Adlan, Kar Yoke Chooi, Noor Azmi Mat Adenan
Article Affiliation:
Aizura-Syafinaz Adlan
Abstract:
AIM: To evaluate the efficacy of acupressure at the Neiguan point (Pericardium [P]6) as adjuvant treatment during inpatient management of severe nausea and vomiting in pregnancy.
METHODS: Low risk, spontaneously conceived singleton pregnancies were randomly assigned to a treatment group, who received an acupressure band placed at the Neiguan point (P6) or a placebo group who received an otherwise identical non-stimulating wristband. Participants wore the band for 12 h daily for the first three days of admission. The primary outcome measure was the severity of symptoms of nausea, vomiting and retching, recorded according to Pregnancy-Unique Quantification of Emesis and Nausea score.
RESULTS: There was a statistically significant improvement in Pregnancy-Unique Quantification of Emesis and Nausea scores from day 1 until day 3 of admission in the treatment group compared with the placebo. Patients who received Neiguan point acupressure also showed a significant improvement in their ketonuria scores. The treatment group required a shorter hospital stay compared with the placebo. The only reported side effect of the acupressure band was redness on the wrist.
CONCLUSIONS: The use of the acupressure band at the Neiguan point (P6) for 12 h daily for three days for inpatients with hyperemesis gravidarum significantly reduced the symptoms of nausea, vomiting and retching and ketonuria and led to a reduction in hospital stay. We recommend the use of the acupressure band at the Neiguan point (P6) as an adjunct/supplementary therapy to co-exist with the standard care of management for hyperemesis gravidarum, particularly in low-risk pregnant women.
Article Published Date : Mar 31, 2017
Abstract Title:
Effect of Acupressure on Symptoms of Postoperative Ileus After Cesarean Section.
Abstract Source:
J Acupunct Meridian Stud. 2017 Apr ;10(2):114-119. Epub 2016 Dec 27. PMID: 28483182
Abstract Author(s):
Faezeh Abadi, Maryam Shahabinejad, Foziyeh Abadi, Majid Kazemi
Article Affiliation:
Faezeh Abadi
Abstract:
Postoperative ileus (POI) is a common complication after most abdominal surgeries including cesarean section. It is associated with longer hospitalization and increased medical costs. This study is a randomized controlled trial investigating the effect of acupressure, and low-cost noninvasive traditional treatment, on POI symptoms after cesarean section. A total of 120 patients were randomly divided into two groups; the treatment group received two sessions of acupressure (an hour after attending the women's division; and 3 hours after the first session), each lasting 20 minutes. The time of flatus and defecation, time to presence of bowel sounds, and duration of postoperative bed rest were monitored. Patients in the treatment group had a shorter time to presence of bowel sounds compared with those in the control group (p<0.001), as well as shorter time to first passage of flatus (p<0.001) and shorter postoperative bed rest (p=0.005). However, the time to first defecation was not statistically significant (p=0.311). Acupressure has potential positive impacts on attenuating POI symptoms after cesarean section, and can be used as a low-cost noninvasive nursing care to reduce POI incidence and intensity after cesarean section.
Article Published Date : Mar 31, 2017
Abstract Title:
Effectiveness of Acupressure at the Zusanli (ST-36) Acupoint as a Comfortable Treatment for Diabetes Mellitus: A Pilot Study in Indonesia.
Abstract Source:
J Acupunct Meridian Stud. 2017 Apr ;10(2):96-103. Epub 2016 Dec 16. PMID: 28483191
Abstract Author(s):
Fitrullah, Addison Rousdy
Article Affiliation:
Fitrullah
Abstract:
Diabetes mellitus is a dangerous disease worldwide. Indonesia has 10 million diabetic and 17.9 million prediabetic citizens. Unfortunately, less than half of these diabetic individuals are aware of their conditions and less than 1% of those receiving medical treatment achieve their healing targets. Because acupressure is believed to be an effective treatment without the use of drugs, in this study we investigated acupressure as a comfortable and effective way of treating patients with diabetes mellitus. This pilot study involved 30 participants who were split into two groups: 15 each in the experimental and the control groups. The experimental group underwent acupressure at the Zusanli (ST-36) acupoint for 30 minutes per visit for 11 weeks, whereas the control group continued their regular treatment; participants in both groups had their blood glucose randomly checked weekly. Data were analyzed using the Generalized Estimating Equation model; the result showed that the two groups were significantly different (p=0.331>α=0.05; mean difference=99.14; Bonferroni sig. p=0.000<α=0.05) and that acupressure at ST-36 was effective in reducing blood sugar. This research showed that acupressure was an effective method for reducing blood glucose and was helpful for reducing complications due to diabetes.
Article Published Date : Mar 31, 2017
Abstract Title:
Comparison of the Effect of Acupressure and Pilates-Based Exercises on Sleep Quality of Postmenopausal Women: A Randomized Controlled Trial.
Abstract Source:
Iran J Nurs Midwifery Res. 2017 Mar-Apr;22(2):140-146. PMID: 28584553
Abstract Author(s):
Maryam Ahmadinezhad, Marzieh Kargar, Fatemeh Vizeshfar, Mohammad J Hadianfard
Article Affiliation:
Maryam Ahmadinezhad
Abstract:
BACKGROUND: Postmenopausal women experience a variety of symptoms, among which sleep disorder is one of the most common problems. Acupressure and Pilates exercise programs are effective nonpharmaceutical treatments which can improve sleep quality. In the present study, we aimed to compare the effects of acupressure and Pilates-based exercises on the sleep quality of postmenopausal women referred to medical clinics.
MATERIALS AND METHODS: In this single-blinded randomized controlled clinical trial, we recruited 108 women aged 40-60 years who were randomly assigned into one control and two intervention groups using balanced block randomization method (three groups of 36 each). The patients in the Pilates exercise group participated in an exercise training program of three 1-hour sessions per week for 6 consecutive weeks. The participants of acupressure group received acupressure intervention three times a week for 6 weeks. The sleep quality of all participants was assessed and recorded using the Pittsburgh Sleep Quality Index (PSQI) once before and once after the intervention.
RESULTS: The results showed no statistically significant difference among the three groups on the total scores of sleep quality after the intervention. The intragroup comparison revealed that the changes in the mean total scores were significant in both the intervention groups (P<0.001) but not in the control group (P = 0.76).
CONCLUSIONS: Pilates-based exercises and acupressure can effectively improve women's sleep quality. Both techniques can be applied as effective alternative and complementary methods for improving sleep quality during the postmenopausal period.
Article Published Date : Feb 28, 2017
Abstract Title:
Acupressure, Sleep, and Quality of Life in Institutionalized Older Adults: A Randomized Controlled Trial.
Abstract Source:
J Am Geriatr Soc. 2017 Feb 2. Epub 2017 Feb 2. PMID: 28152177
Abstract Author(s):
Fu-Chih Lai, I-Hui Chen, Pao-Ju Chen, I-Ju Chen, Hui-Wen Chien, Chih-Fen Yuan
Article Affiliation:
Fu-Chih Lai
Abstract:
OBJECTIVES: Nursing home (NH) residents suffer from sleep disturbances which are associated with a low quality of life (QoL). The purpose of this study was to explore the effectiveness of comparing acupressure on specific acupoints with acupressure on non-specific acupoints in older NH residents with sleep disturbances.
DESIGN: A randomized control trial with a pre- and post-test design.
SETTING: One NH in Taiwan.
PARTICIPANTS: Sixty-two older NH residents were randomly assigned to an experimental group (n = 31) and a sham-controlled group (n = 31).
INTERVENTION: The experimental group received acupressure on the Tian-Zhu, Ju-Que, Yong-Quan, Bai-Hui, and Nei-Guan acupoints three times a week for 8 weeks, for 24 minutes each time, while the control group received a massage at locations with no acupoints, which were 10 mm from the true points, at the same frequency as the experimental group.
MEASUREMENTS: The primary outcome was measured using the Pittsburgh Sleep Quality Index (PSQI) and the secondary outcome was measured using the Short-form 36 (SF-36). Data were collected at baseline, the end of treatment, and 4 weeks after completion of treatment.
RESULTS: Compared to the control group, the experimental group had significantly better scores on the PSQI (t = -7.72, P<0.001) and SF-36 (t = 1.34, P<0.001) during the intervention period. The improvements in the PSQI and SF-36 scores were still significant (P<0.001) after adjusting for confounding variables by generalized estimating equations.
CONCLUSIONS: Results suggest that acupressure on the Tian-Zhu, Ju-Que, Yong-Quan, Bai-Hui, and Nei-Guan acupoints can improve the quality of sleep and life among NH residents. Acupressure is a promising intervention that may improve well-being for NH residents with sleep disturbances.
Article Published Date : Feb 01, 2017
Abstract Title:
The SIESTA Trial: A Randomized Study Investigating the Efficacy, Safety, and Tolerability of Acupressure versus Sham Therapy for Improving Sleep Quality in Patients with End-Stage Kidney Disease on Hemodialysis.
Abstract Source:
Evid Based Complement Alternat Med. 2017 ;2017:7570352. Epub 2017 Feb 21. PMID: 28316636
Abstract Author(s):
Kunyu Shen, Yeoungjee Cho, Elaine M Pascoe, Carmel M Hawley, Veronica Oliver, Kathryn M Hughes, Richard Baer, Jeremy Frazier, Elizabeth Jarvis, Ken-Soon Tan, Xusheng Liu, Glenda Gobe, David W Johnson
Article Affiliation:
Kunyu Shen
Abstract:
Objectives. To compare the effectiveness of real acupressure versus sham acupressure therapy in improving sleep quality in patients receiving hemodialysis (HD) or hemodiafiltration (HDF). Methods. A multicenter, single-blind, randomized controlled trial was conducted in two Australian dialysis units located in Princess Alexandra Hospital and Logan Hospital, respectively. Forty-two subjects with self-reported poor sleep quality were randomly assigned to real (n = 21) or sham (n = 21) acupressure therapy delivered thrice weekly for four consecutive weeks during routine dialysis sessions. The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) score measured at week four adjusted for baseline PSQI measurements. Secondary outcomes were quality of life (QOL) (SF-8), adverse events, and patient acceptability (treatment acceptability questionnaire, TAQ). Results. The two groups were comparable on global PSQI scores (difference 0.19, 95% confidence interval [CI] -1.32 to 1.70) and on the subscale scores. Similar results were observed for QOL both in the mental (difference -3.88, 95% CI -8.63 to 0.87) and the physical scores (difference 2.45, 95% CI -1.69 to 6.58). There were no treatment-related adverse events and acupressure was perceived favorably by participants. Conclusion. Acupressure is a safe, well-tolerated, and highly acceptable therapy in adult hemodialysis patients in a Western healthcare setting with uncertain implications for therapeutic efficacy.
Article Published Date : Dec 31, 2016
Abstract Title:
Effect of Acupressure on Nausea-Vomiting in Patients With Acute Myeloblastic Leukemia.
Abstract Source:
Holist Nurs Pract. 2016 Sep-Oct;30(5):257-62. PMID: 27501207
Abstract Author(s):
Hatice Sevil Avc, Nimet Ovayolu, Özlem Ovayolu
Article Affiliation:
Hatice Sevil Avc
Abstract:
The aim of this study was to assess the effect of acupressure, applied at P6 (Neiguan) acupuncture point, on chemotherapy-induced nausea and vomiting in patients with acute myeloblastic leukemia. This was a randomized controlled trial conducted on patients with myeloblastic leukemia. A total of 90 patients, who received the same chemotherapy regimen and antiemetic therapy, were included in the study as 30 patients in the control group, 30 patients in the band group, and 30 patients in the pressure group. Although acupressure was applied by placing wristbands at P6 acupuncture point of both wrists in patients of the band group for totally 4 days, acupressure was applied with the use of finger pressure in patients of the pressure group for totally 4 days. No intervention was made in patients of the control group other than the routine antiemetic therapy. The data of the study were collected by using a questionnaire and nausea-vomiting chart. Severity of nausea-vomiting was assessed by using the visual analog scale on this chart. It was determined that the acupressure band applied to the patients included in the study reduced number and severity of nausea-vomiting (P<.05); however, the acupressure applied with pressure did not affect number and severity of nausea-vomiting (P>.05). It was found that the acupressure band was effective for reducing the chemotherapy-induced nausea and vomiting.
Article Published Date : Aug 31, 2016
Abstract Title:
Effectiveness of Acupressure in Promoting Sleep Quality: A Systematic Review of Randomized Controlled Trials.
Abstract Source:
Holist Nurs Pract. 2016 Sep-Oct;30(5):283-93. PMID: 27501211
Abstract Author(s):
Nant Thin Thin Hmwe, Pathmawathi Subramaniam, Li Ping Tan
Article Affiliation:
Nant Thin Thin Hmwe
Abstract:
This review aimed to evaluate the effectiveness of acupressure in promoting sleep quality among adults. Study findings included in the review showed that acupressure significantly improved sleep quality compared with the control group, but no superior effect of acupressure was found compared with sham acupressure.
Article Published Date : Aug 31, 2016
Abstract Title:
The Effect of Acupressure on Agitation and Salivary Cortisol in People with Dementia: A Pilot Study.
Abstract Source:
J Altern Complement Med. 2016 Aug 30. Epub 2016 Aug 30. PMID: 27575576
Abstract Author(s):
Rick Y C Kwan, Mason C P Leung, Claudia K Y Lai
Article Affiliation:
Rick Y C Kwan
Abstract:
OBJECTIVES: This study aimed to identify the acupressure effect over time, compare the efficacy in different dosages, and identify feasibility issues with saliva sample collection and acupressure implementation in agitated nursing home residents with dementia.
DESIGN: Time serial design with eight dosage-combination groups.
SETTING: Three residential care homes (RCHs) in Hong Kong.
PARTICIPANTS: Agitated RCH residents with dementia.
INTERVENTIONS: Acupressure was performed for 9 minutes altogether on five acupoints: Fengchi (GB 20), Baihui (GV 20), Shenmen (HT 7), Niguan (PC 6), and Yingtang (EX-HN 3). Two frequencies (once and twice a day) and four durations (1, 2, 3, and 4 weeks) formed eight dosage combinations.
OUTCOME MEASURES: The primary outcome was agitation, measured by the Cohen Mansfield Agitation Inventory. The secondary outcome was stress, measured by salivary cortisol.
RESULTS: Twenty-four participants from three RCHs completed the study. Acupressure was successfully completed for 88% of total sessions, and 79.17% of participants completed more than 80% of expected sessions. The effect of acupressure on agitation onset was seen immediately at week 1 (p < 0.001), resurged at week 4 (p = 0.001), and was sustained until week 6 (p < 0.001). The effect on stress began immediately to a mild extent at week 1 (p = 0.011) and peaked at week 4 (p = 0.010). Acupressure was observed to show the largest effect when it was performed twice a day (p = 0.026) for 2 weeks (p = 0.005). Valid saliva samples were collected for 53.33% of participants. Hyposalivation caused this unsatisfactory yield of valid saliva samples.
CONCLUSION: Acupressure can be conducted on agitated RCH residents with dementia, but low yield of saliva samples related to participants' hyposalivation is a problem. Preliminary findings suggest that acupressure is effective in reducing both agitation and stress. Its onset of effect was immediate, and the effect was sustained until 6 weeks after the intervention. The optimal dosage appears to be a course of acupressure twice a day for 2 weeks.
Article Published Date : Aug 29, 2016
Abstract Title:
Meta-analysis of the effect of acupressure on duration of labor and mode of delivery.
Abstract Source:
Int J Gynaecol Obstet. 2016 Jul 29. Epub 2016 Jul 29. PMID: 27569023
Abstract Author(s):
Somayeh Makvandi, Khadigeh Mirzaiinajmabadi, Ramin Sadeghi, Mitra Mahdavian, Leila Karimi
Article Affiliation:
Somayeh Makvandi
Abstract:
BACKGROUND: Acupressure is increasing in popularity as an alternative treatment in obstetrics and gynecology.
OBJECTIVES: To summarize and assess evidence regarding the effects of acupressure on duration of labor and mode of delivery.
SEARCH STRATEGY: Four major databases and Google Scholar were searched using terms related to labor and acupressure, without language restrictions, up to November 2015.
SELECTION CRITERIA: Randomized controlled trials were included if they examined the effect of acupressure at any acupoint during childbirth on duration of labor and/or mode of delivery.
DATA COLLECTION AND ANALYSIS: Two reviewers independently extracted data. The outcome measures were duration of labor and mode of delivery. Random-effects models were used to pool results.
MAIN RESULTS: Thirteen studies were included in meta-analyses. Acupressure increased the chance of vaginal delivery when compared with placebo/no intervention (odds ratio [OR] 2.329, 95% confidence interval [CI] 1.348-4.024, P=0.002; risk difference [RD] 8.9%, 95% CI 2.7%-15.0%, P=0.005). Acupressure decreased the duration of the active phase by 1.310 hours (95% CI -1.738 to -0.882; P<0.001) and the second stage of labor by 5.808 minutes (95% CI -1.615 to -0.807; P<0.001).
CONCLUSIONS: Acupressure could have a role in reducing the rate of cesarean delivery and decreasing the duration of labor in parturient women. However, there is a need for more reliable randomized controlled trials.
Article Published Date : Jul 28, 2016
Abstract Title:
Investigation of 2 Types of Self-administered Acupressure for Persistent Cancer-Related Fatigue in Breast Cancer Survivors: A Randomized Clinical Trial.
Abstract Source:
JAMA Oncol. 2016 Jul 7. Epub 2016 Jul 7. PMID: 27388752
Abstract Author(s):
Suzanna M Zick, Ananda Sen, Gwen K Wyatt, Susan L Murphy, J Todd Arnedt, Richard E Harris
Article Affiliation:
Suzanna M Zick
Abstract:
Importance: Fatigue is a common and debilitating late-term effect of breast cancer that is associated with poor sleep and decreased quality of life, yet therapies remain limited. Acupressure has reduced fatigue in previous small studies, but rigorous clinical trials are needed.
Objectives: To investigate if 6 weeks of 2 types of self-administered acupressure improved fatigue, sleep, and quality of life vs usual care in breast cancer survivors and to determine if changes were sustained during a 4-week washout period.
Design, Setting, and Participants: Phase 3 randomized, single-blind, clinical trial conducted from March 1, 2011, through October 31, 2014. Women were recruited from the Michigan Tumor Registry.
Interventions: Randomization (1:1:1) to 6 weeks of daily self-administered relaxing acupressure, stimulating acupressure, or usual care.
Main Outcomes and Measures: The primary outcome was change in the Brief Fatigue Inventory score from baseline to weeks 6 and 10. Secondary analyses were sleep (Pittsburgh Sleep Quality Index) and quality of life (Long-Term Quality of Life Instrument).
Results: A total of 424 survivors of stages 0 to III breast cancer who had completed cancer treatments at least 12 months previously were screened, and 288 were randomized, with 270 receiving relaxing acupressure (n = 94), stimulating acupressure (n = 90), or usual care (n = 86). One woman withdrew owing to bruising at the acupoints. At week 6, the percentages of participants who achieved normal fatigue levels (Brief Fatigue Inventory score<4) were 66.2% (49 of 74) in relaxing acupressure, 60.9% (42 of 70) in stimulating acupressure, and 31.3% (26 of 84) in usual care. At week 10, a total of 56.3% (40 of 71) in relaxing acupressure, 60.9% (42 of 69) in stimulating acupressure, and 30.1% (25 of 83) in usual care continued to have normal fatigue. At neither time point were the 2 acupressure groups significantly different. Relaxing acupressure, but not stimulating acupressure, showed significant improvements in sleep quality compared with usual care at week 6, but not at week 10. Only relaxing acupressure significantly improved quality of life vs usual care at weeks 6 and 10.
Conclusions and Relevance: Both acupressure arms significantly reduced persistent fatigue compared with usual care, but only relaxing acupressure had significant effects on sleep quality and quality of life. Relaxing acupressure offers a possible low-cost option for managing symptoms.
Trial Registration: clinicaltrials.gov Identifier: NCT01281904.
Article Published Date : Jul 06, 2016
Abstract Title:
Effectiveness of Acupressure on the Taichong Acupoint in Lowering Blood Pressure in Patients with Hypertension: A Randomized Clinical Trial.
Abstract Source:
Evid Based Complement Alternat Med. 2016 ;2016:1549658. Epub 2016 Aug 10. PMID: 27803727
Abstract Author(s):
Gan-Hon Lin, Wei-Chun Chang, Kuan-Ju Chen, Chen-Chen Tsai, Sung-Yuan Hu, Li-Li Chen
Article Affiliation:
Gan-Hon Lin
Abstract:
Objectives. To evaluate the effectiveness of acupressure on the Taichong acupoint in lowering systolic and diastolic blood pressure (BP) in hypertensive patients. Methods. Eighty patients with hypertension attending a cardiology outpatient department in central Taiwan were included in this randomized clinical trial. Acupressure was applied to the Taichong acupoint in the experimental group (n = 40) and to the first metatarsal (sham acupoint) in the control group (n = 40). Blood pressure was measured by electronic monitoring before and immediately 15 min and 30 min after acupressure. Results. The average age of the experimental and control participants was 59.3 ± 9.2 years and 62.7 ± 8.4 years, respectively. The two groups were similar for demographics and antihypertensive drug use. Mean systolic and diastolic BP in the experimental groupdecreased at 0, 15, and 30 min after acupressure (165.0/96.3, 150.4/92.7, 145.7/90.8, and 142.9/88.6 mmHg); no significant changes occurred in the control group. There was a significant difference in systolic and diastolic BP between the experimental and control groups immediately and 15 and 30 min after acupressure (p<0.05). Conclusion. Acupressure on the Taichong acupoint can lower BP in hypertensive patients and may be included in the nursing care plan for hypertension. However, additional studies are needed to determine the optimal dosage, frequency, and long-term effects of this therapy.
Article Published Date : Dec 31, 2015
Abstract Title:
Effects of acupressure on fatigue of lung cancer patients undergoing chemotherapy: an experimental pilot study.
Abstract Source:
Complement Ther Med. 2014 Aug ;22(4):581-91. Epub 2014 May 20. PMID: 25146059
Abstract Author(s):
Woung-Ru Tang, Wan-Jung Chen, Chih-Teng Yu, Yue-Cune Chang, Chuan-Mei Chen, Chiu-Hua Wang, Sien-Hung Yang
Article Affiliation:
Woung-Ru Tang
Abstract:
BACKGROUND: This study explored the effects of acupressure on fatigue of lung cancer patients undergoing chemotherapy.
PATIENTS AND METHODS: For this experimental study, 57 subjects were randomly assigned to three groups: acupressure with essential oils (n=17), acupressure only (n=24), and sham acupressure (n=16). Acupoints were Hegu (LI4), Zusanli (ST36), and Sanyingjiao (SP6). All subjects received acupressure once every morning for 5 months, with each acupoint pressed for 1 min. Fatigue, functional status, anxiety, depression, and sleep quality were measured before initial chemotherapy (T0), on Day 1 of third chemotherapy (T1), and on Day 1 of sixth chemotherapy (T2). Outcome differences between groups were analyzed at T0, T1, and T2 by general estimating equations.
RESULTS: After controlling for baseline outcome values, age, and adherence to acupressure, subjects who received acupressure with essential oils and acupressure had significantly less fatigue in daily living activities and sleep better quality at T1 than subjects who received sham acupressure. Subjects who received acupressure with essential oils had significantly better sleep quality at T2 than the sham acupressure group. Subjects who received acupressure with or without essential oils had greater odds of better functional status at T1 than the sham group.
CONCLUSION: It is plausible that acupressure with or without essential oils helps lung cancer patients undergoing chemotherapy reduce cancer-related fatigue and increase activity level. Further study is wanted to test this hypothesis.
Article Published Date : Jul 31, 2014
Abstract Title:
Thai massage, and Thai herbal compress versus oral ibuprofen in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial.
Abstract Source:
Biomed Res Int. 2014 ;2014:490512. Epub 2014 Sep 1. PMID: 25254207
Abstract Author(s):
Natthakarn Chiranthanut, Nutthiya Hanprasertpong, Supanimit Teekachunhatean
Article Affiliation:
Natthakarn Chiranthanut
Abstract:
The aim of this study was to verify the clinical responses to Thai massage (TM) and Thai herbal compression (THC) for treating osteoarthritis (OA) of the knee in comparison to oral ibuprofen. This study was a randomized, evaluator-blind, controlled trial. Sixty patients with OA of the knee were randomly assigned to receive either a one-hour session of TM or THC (three times weekly) or oral ibuprofen (three times daily). The duration of treatment was three weeks. The clinical assessments included visual analog scale assessing pain and stiffness, Lequesne's functional index, time for climbing up ten steps, and physician's and patient's overall opinions on improvement. In a within-group comparison, each treatment modality caused a significant improvement of all variables determined for outcome assessments. In an among group comparison, all modalities provided nearly comparable clinical efficacy after a three-week symptomatic treatment of OA of the knee, in which a trend toward greatest improvement was likely to be found in THC group. In conclusion, TM and THC generally provided comparable clinical efficacy to oral ibuprofen after three weeks of treatment and could be considered as complementary and alternative treatments for OA of the knee.
Article Published Date : Dec 31, 2013
Abstract Title:
Acupressure to reduce labor pain: a randomized controlled trial.
Abstract Source:
Acta Obstet Gynecol Scand. 2010 Nov;89(11):1453-9. Epub 2010 Sep 8. PMID: 20822474
Abstract Author(s):
Anna Hjelmstedt, Sheela T Shenoy, Elisabeth Stener-Victorin, Mats Lekander, Mamta Bhat, Leena Balakumaran, Ulla Waldenström
Article Affiliation:
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
OBJECTIVE: To evaluate the effect of acupressure administered during the active phase of labor on nulliparous women's ratings of labor pain. DESIGN: Randomized controlled trial. SETTING: Public hospital in India. SAMPLE: Seventy-one women randomized to receive acupressure at acupuncture point spleen 6 (SP6) on both legs during contractions over a 30-minute period (acupressure group), 71 women to receive light touch at SP6 on both legs during the same period of time (touch group) and 70 women to receive standard care (standard care group). METHODS: Experience of in-labor pain was assessed by visual analog scale at baseline before treatment, immediately after treatment, and at 30, 60 and 120 minutes after treatment. MAIN OUTCOME MEASURE: Labor pain intensity at different time intervals after treatment compared with before treatment. RESULTS: A reduction of in-labor pain was found in the acupressure group and was most noticeable immediately after treatment (acupressure group vs. standard care group p<0.001; acupressure group vs. touch group p<0.001). CONCLUSION: Acupressure seems to reduce pain during the active phase of labor in nulliparous women giving birth in a context in which social support and epidural analgesia are not available. However, the treatment effect is small which suggests that acupressure may be most effective during the initial phase of labor.
Article Published Date : Nov 01, 2010
Abstract Title:
Intraocular pressure-lowering effect of auricular acupressure in patients with glaucoma: a prospective, single-blinded, randomized controlled trial.
Abstract Source:
J Altern Complement Med. 2010 Nov;16(11):1177-84. PMID: 21058884
Abstract Author(s):
Jiann-Shyan Her, Po-Len Liu, Neng-Chin Cheng, Hung-Chang Hung, Po-Hsun Huang, Yuh-Lien Chen, Chih-Pei Lin, Chao-Hsin Lee, Chun-Chien Chiu, Jung-Sheng Yu, Hong-Song Wang, Yuan-Ju Lee, Jui-Lung Shen, Wen-Chi Chen, Yung-Hsiang Chen
Article Affiliation:
1 Graduate Institute of Integrated Medicine, College of Chinese Medicine, Department of Urology, China Medical University and Hospital , Taichung, Taiwan .
Abstract:
Abstract Objective: The objective of the study was to evaluate the effect of auricular acupressure in controlling intraocular pressure (IOP) in patients with glaucoma. Design: Thirty-three (33) patients were recruited through advertisement at the clinic for glaucoma. These patients were divided into the auricular acupressure group (16 patients, 28 glaucoma eyes) and the sham group (17 patients, 32 glaucoma eyes). Patients in the acupressure group received auricular acupoint (kidney, liver, and eye) stimulator tapping and regular massage twice a day for 4 weeks. Patients in the sham group received tapping at sham auricular acupoints (wrist, shoulder, and jaw) without massage stimulation. The IOP and visual acuity (VA) were assessed before and after the treatment in the first 4 weeks and followed up, up to 8 weeks. Results: After the treatment and at the 8-week follow-up, IOP and VA improved significantly in the acupressure group when compared with pretreatment (p < 0.05). The most significant IOP-lowering effect was seen at about 3-4 weeks after auricular acupressure. IOP returned to the initial level after acupressure had been discontinued for 4 weeks. Significant improvement of the uncorrected VA (UCVA) was noted at about 2-4 weeks in the acupressure group. UCVA improvement was also noted in the sham group. The difference was only significant in week 3. Improvement of the best-corrected VA was noted in both groups, but was only significant in week 2. Conclusions: Our data suggest that auricular acupressure can be used as a complementary treatment toameliorate IOP and VA for patients with glaucoma.
Article Published Date : Nov 01, 2010
Abstract Title:
Acupressure as a non-pharmacological intervention for traumatic brain injury (TBI).
Abstract Source:
J Neurotrauma. 2010 Oct 27. Epub 2010 Oct 27. PMID: 20979460
Abstract Author(s):
Kristina L McFadden, Kyle M Healy, Miranda L Dettmann, Jesse T Kaye, Tiffany A Ito, Theresa D Hernández
Article Affiliation:
University of Colorado, Psychology and Neuroscience, Boulder, Colorado, United States; This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract:
Acupressure is a complementary and alternative medicine (CAM) treatment using fingertips to stimulate acupoints on the skin. While suggested to improve cognitive function, acupressure has not been previously investigated with a controlled design in traumatic brain injury (TBI) survivors, who could particularly benefit from a non-pharmacological intervention for cognitive impairment. A randomized, placebo-controlled, single-blind design assessed the effects of acupressure (8 treatments over 4 weeks) on cognitive impairment and state of being following TBI, including assessment of event-related potentials (ERPs) during Stroop and auditory oddball tasks. It was hypothesized that active acupressure treatments would confer greater cognitive improvement than placebo treatments, perhaps due to enhanced relaxation response induction and resulting stress reduction. Significant treatment effects were found comparing pre- to post-treatment change between groups. During the Stroop task, the active group showed greater reduction in both P300 latency (p = 0.010, partialη2 = 0.26) and amplitude (p = 0.011, partial η2 = 0.26), as well as a reduced Stroop effect on accuracy (p = 0.008, partial η2 = 0.21) compared to the placebo group. Additionally, the active group improved more than placebo on the Digit Span test (p = 0.043, Cohen's d = 0.68). Together, these results suggest an enhancement in working memory function associated with active treatments. Since acupressure emphasizes self-care and can be taught to novice individuals, it warrants further study as an adjunct treatment for TBI.
Article Published Date : Oct 27, 2010
Abstract Title:
The effect of acupressure on quality of sleep in Iranian elderly nursing home residents.
Abstract Source:
Complement Ther Clin Pract. 2010 May;16(2):81-5. Epub 2009 Aug 19. PMID: 20347838
Abstract Author(s):
Hoseinabadi Reza, Nourozi Kian, Zahra Pouresmail, Karimlu Masood, Maddah Sadat Seyed Bagher, Mohammad Ali Cheraghi
Article Affiliation:
Department of Nursing, USWR, Iran. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
INTRODUCTION: Sleep disturbances are very common in elderly people and Traditional Chinese acupressure a noninvasive technique that promotes health and comfort recently has been used in this regard. The purpose of the present study was to evaluate the potential beneficial effects of acupressure on a group of institutionalized elders experiencing sleep disturbances. METHOD: A randomized controlled clinical trial was conducted to test the effectiveness of acupressure on quality of sleep of elderly residing in a Nursing home. The Pittsburgh Sleep Quality index (PSQI) questionnaire was used as a screening tool to select 90 residents with moderate to marked sleep disturbances. The elders were randomly assigned to an acupressure group, a sham acupressure group and a control group by Balanced randomization method. RESULTS: There were significant differences between the acupressure group and the control group in subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency and sleep disturbance. But no significant differences were found in sleep indices between the sham acupressure group and the control group. Sleep log data showed a significant decrease in nocturnal awakenings in acupressure group compared to other two groups. CONCLUSION: The findings of this study indicated that acupressure has an effect on improvement of sleep quality and endorsed it as a non-pharmacological and complementary therapy for sleep-disturbed elderly people.
Article Published Date : May 01, 2010
Abstract Title:
Effects of acupressure on menstrual distress in adolescent girls: a comparison between Hegu-Sanyinjiao matched points and Hegu, Zusanli single point.
Abstract Source:
J Clin Nurs. 2010 Apr;19(7-8):998-1007. PMID: 20492044
Abstract Author(s):
Huei-Mein Chen, Chung-Hey Chen
Article Affiliation:
Chung Hwa University of Medical Technology, Tainan, Taiwan.
Abstract:
AIM AND OBJECTIVES: To examine a comparison between Hegu and Sanyinjiao matched points and Hegu, Zusanli single point on adolescent girls' menstrual distress, pain and anxiety perception. BACKGROUND: Primary dysmenorrhoea is a major cause of temporary disability, with a prevalence ranging from 60-93%, depending upon the population and study. No one has yet compared the effects of single point and multiple point acupressures. Design. A single blind randomised experimental study was used. METHODS: Adolescents (n = 134) randomly assigned to experimental groups Zusanli (n = 30), Hegu (n = 33) and Hegu-Sanyinjiao Matched Points (n = 36) received acupressure intervention protocol for 20 minutes, while the control group (n = 35) did not receive any acupressure intervention. Four instruments were used to collect data: (1) the Visual Analog Scale for Pain; (2) the Menstrual Distress Questionnaire Short Form; (3) the Short-Form McGill Pain Questionnaire and (4) the Visual Analog Scale for Anxiety. RESULTS: During the six-month follow-up, acupressure at matched points Hegu and Sanyinjiao reduced the pain, distress and anxiety typical of dysmenorrhoea. Acupressure at single point Hegu was found, effectively, to reduce menstrual pain during the follow-up period, but no significant difference for reducing menstrual distress and anxiety perception was found. Zusanli acupressure had no significant effects of reducing menstrual pain, distress and anxiety perception. CONCLUSION: This controlled trial provides preliminary evidence that six-month acupressure therapy provides female adolescents with dysmenorrhoea benefits. RELEVANCE TO CLINICAL PRACTICE: Acupressure is an effective and safe non-pharmacologic strategy for the treatment of primary dysmenorrhoea. We recommend the use of acupressure for self-care of primary dysmenorrhoea at Hegu and Sanyinjiao matched points and single point Hegu, as pressure placement at these points is easy for adolescent girls to learn and practice.
Article Published Date : Apr 01, 2010
Abstract Title:
Cardiovascular benefits of acupressure (Jin Shin) following stroke.
Abstract Source:
Complement Ther Med. 2010 Feb;18(1):42-8. Epub 2010 Feb 6. PMID: 20178877
Abstract Author(s):
Kristina L McFadden, Theresa D Hernández
Article Affiliation:
Department of Psychology and Neuroscience, UCB 345, University of Colorado at Boulder, 1905 Colorado Avenue, Boulder, CO 80309, United States.
Abstract:
OBJECTIVES: Acupressure, a complementary and alternative medicine (CAM) treatment, uses fingertips, rather than needles, to stimulate acupoints on the skin and has been implicated as a successful treatment for a variety of medical disorders. However, acupressure's underlying mechanisms remain unclear. One theory is that acupoint stimulation modulates autonomic nervous system activity. Previous studies have suggested that acupressure may positively affect heart rate and blood pressure. The current study investigated the effects of a type of acupressure, Jin Shin, on cardiovascular function in stroke survivors, a population that could especially benefit from a treatment promoting cardiovascular health. The study tested the hypothesis that active acupressure treatments would reduce heart rate and blood pressure (i.e., induce a greater relaxation response) above and beyond that seen during placebo acupressure treatments. METHODS: A randomised, placebo-controlled, single-blind crossover design was utilised, in which 16 participants received 8 weeks of either active or placebo acupressure followed by washout and crossover into the opposite treatment condition. Heart rate and blood pressure measurements were taken throughout treatments. RESULTS: Active acupressure treatments were associated with a significantly greater (p=.043, eta(2)=.30) and faster (p=.002, eta(2)=.76) reduction in heart rate compared to that seen during placebo treatments. No treatment effect on blood pressure was found. CONCLUSIONS: Active acupressure reduced heart rate significantly more than did placebo acupressure during treatments. Although no treatment effect on blood pressure was found, this could be due to 67% of participants taking antihypertensive medications during the study.
Article Published Date : Feb 01, 2010
Abstract Title:
Effect of acupressure on thirst in hemodialysis patients.
Abstract Source:
Kidney Blood Press Res. 2010;33(4):260-5. Epub 2010 Jul 2. PMID: 20606475
Abstract Author(s):
Li-Yu Yang, Patsy Yates, Chi-Chun Chin, Tsung-Kuei Kao
Article Affiliation:
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC.
Abstract:
BACKGROUND: Thirst and dry mouth are common among hemodialysis (HD) patients. This paper reports a study to evaluate the impact of an acupressure program on HD patients' thirst and salivary flow rates. METHODS: The acupressure program included placebo, followed by true acupressure each applied for 4 weeks. Twenty-eight patients (mean age 57.6, SD = 16.13 years) first received a sticker as placebo acupressure at two acupoints CV23 and TE17 three times a week for 4 weeks, and then received true acupressure in the same area for the next 4 weeks. Salivary flow rate and thirst intensity were measured at baseline, during and after treatment completion for both the placebo and true acupressure program. RESULTS: The true acupressure program was associated with significantly increased salivary flow rate (0.09 +/- 0.08 ml/min at baseline to 0.12 +/- 0.08 ml/min after treatments completion, p = 0.04). The mean thirst intensity also improved from 4.21 +/- 2.66 at baseline to 2.43 +/- 2.32 (p = 0.008) after treatment completion in HD patients. There was no statistically significant difference in pre-post program salivary flow rate; however, significant improvement in thirst intensity scores was observed (p = 0.009) in the placebo acupressure program. CONCLUSION: This study provides preliminary evidence that acupressure may be effective in improving salivary flow rates and thirst intensity.
Article Published Date : Jan 01, 2010
Abstract Title:
Acupressure therapy inhibits the development of diabetic complications in Chinese patients with type 2 diabetes.
Abstract Source:
J Altern Complement Med. 2009 Sep;15(9):1027-32. PMID: 19757980
Abstract Author(s):
Ke-Ke Jin, Lei Chen, Jing-Ye Pan, Jian-Min Li, Yang Wang, Fang-Yan Wang
Abstract:
OBJECTIVES: The objectives of this study were to investigate the effects of acupressure therapy (AT) on the development and progression of diabetic complications in Chinese patients with type 2 diabetes (T2D). DESIGN AND METHODS: A total of 80 patients with T2D were recruited for a randomized clinical study of the effect of AT on the progression and development of diabetic complications, and 64 patients were followed up for 3 years. All patients with T2D were treated with regular medicines and participated in diet and exercise programs for the control of hyperglycemia and hypertension. The patients in the AT group received additional treatment of a 90-minute AT 4-6 times per week for 3 consecutive years. Their blood lipids, fasting glucose levels, and heart and kidney functions and nerve conduction velocity (NCV) were longitudinally monitored before and every 12 months after AT. RESULTS: Following AT therapy for 3 years, significantly lower levels of total cholesterol, triglycerides, low-density lipoprotein-cholesterol, and higher levels of high-density lipoprotein-cholesterol (HDL-C) were observed and no significantly increased levels of serum creatinine and urine protein were detected in the AT group, as compared with that in controls. Furthermore, the mean values of NCV in the AT group at 2 years post-treatment were significantly greater than those of controls and were further elevated at the end of this study. Therefore, AT inhibited the progression of hyperlipidemia and improved diabetes-associated kidney function and neuropathy in Chinese patients with T2D. CONCLUSIONS: AT may be an effective nonpharmacological adjunctive strategy for alleviating the development and progression of T2D-related complications.
Article Published Date : Sep 01, 2009
Abstract Title:
Efficacy of wrists overnight compression (HT 7 point) on insomniacs: possible role of melatonin?
Abstract Source:
Minerva Med. 2008 Dec;99(6):539-47. PMID: 19034253
Abstract Author(s):
M Nordio, F Romanelli
Abstract:
AIM: Insomnia is a major problem which decreases life quality. Many causes are involved with it and anxiety is often associated. The underlying mechanism is not completely understood, even though different factors seem to be associated. Among them melatonin and its circadian rhythm is thought to have an important role. In addition, acupressure and acupuncture are known to ameliorate insomnia and anxiety, when a specific wrist point is stimulated (HT 7 Shenmen). With these bases, the aim of the present study has been to evaluate the efficacy of an acupressure device, ''H7-insomnia control'', positioned on HT 7 points, during the night, in terms of general health and anxiety levels, together with the evaluation of sleep quality and the urinary melatonin metabolite 6-hydroxymelatonin sulphate determination, in a number of insomniacs. METHODS: Forty patients with insomnia were divided into two groups and randomly received either the H7 or placebo treatments, in a double-blind protocol, for 20 nights. Before and after treatments every subject answered a series of questionnaires (General Health Questionnaire 28 items; State-Trait Anxiety Inventory; Pittsburgh Sleep Quality Index) and collected 24 h urines, divided into two samples of 12 h each. Urinary melatonin metabolite was then determined using a RIA method. RESULTS: Data obtained indicate that the device H7-insomnia control is efficacious to ameliorate quality of sleep and reduce anxiety levels in insomniacs, at a higher extent than in the placebo group. In addition, the 24 hours urinary melatonin metabolite rhythm, obtained at the end of treatment, was considered as being normal in a higher percentage of H7-treated patients, with respect to the placebo group. CONCLUSION: It is plausible to hypothesize that the wrist acupressure device might be considered a valid tool, without adverse effects since it does not contain pharmaceutical products, that is able to naturally ameliorate sleep quality in insomniacs, acting through a not jet completely clarified mechanism, that may involve melatonin.
Article Published Date : Dec 01, 2008
Abstract Title:
Effects of acupressure on dysmenorrhea and skin temperature changes in college students: a non-randomized controlled trial.
Abstract Source:
Int J Nurs Stud. 2007 Aug;44(6):973-81. Epub 2006 Jun 16. PMID: 16782102
Abstract Author(s):
Eun-Mi Jun, Soonbok Chang, Duck-Hee Kang, Sue Kim
Article Affiliation:
Department of Nursing, College of Natural Science, Dong-eui University, Kaya-dong, Pusan, Republic of Korea. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND: Complementary and alternative therapies may be adopted as nursing interventions to alleviate dysmenorrhea and improve productivity, creativity, work performance, and quality of life. OBJECTIVES: This study aimed to evaluate the efficacy of San Yin Jiao (SP6) acupressure as a non-pharmacologic nursing intervention for dysmenorrhea and identify its effects on temperature changes in two related acupoints as an explanatory mechanism of chi circulation. DESIGN: A non-equivalent control group pre and post-test design was employed to verify the effects of SP6 acupressure on skin temperature and dysmenorrhea. SETTING AND PARTICIPANTS: Young college women with primary dysmenorrhea were recruited from classrooms at two universities in Korea and 58 eligible participants were allotted to either a SP6 acupressure group or placebo group that received light touch on the SP6 acupoint. METHODS: The experimental group received acupressure treatment within the first 8h of menstruation, and severity of dysmenorrhea and skin temperature changes in the Zhongwan (CV2) and Qugu (CV12) acupoints were assessed prior to and 30 min, 1, 2, and 3h following treatment. RESULTS: There was a significant difference in severity of dysmenorrhea between the two groups immediately after (F=18.50, p=0.000) and for up to 2h (F=8.04, p=0.032) post treatment. Skin temperature was significantly elevated at 30 min after acupressure at the suprapubic CV2 acupoint in the experimental group compared to the control group. Temperature elevation was also noted at the epigastric CV12 acupoint post treatment but group differences were not significant, indicating that SP6 acupressure relieves dysmenorrhea primarily by temperature elevation in the CV2 pathway. CONCLUSIONS: Acupressure to the SP6 meridian can be an effective non-invasive nursing intervention for alleviation of primary dysmenorrhea, with effects lasting 2h post treatment.
Article Published Date : Aug 01, 2007
Abstract Title:
The effect of acupressure with massage on fatigue and depression in patients with end-stage renal disease.
Abstract Source:
Biol Pharm Bull. 2007 Aug;30(8):1557-60. PMID: 15136963
Abstract Author(s):
Yi-Ching Cho, Shiow-Luan Tsay
Article Affiliation:
Department of Nursing, National Tainan Institute of Nursing.
Abstract:
Fatigue and depressive mood are the most significant symptoms experienced by patients with end-stage renal disease. The purpose of this study was to examine the effectiveness of acupressure with massage in fatigue and depression in patients with end-stage renal disease (ESRD) receiving hemodialysis treatment. The study applied an experimental pretest and posttest design. Sixty-two hemodialysis patients participated in the study. Data were collected from two hemodialysis clinics in major hospitals in southern Taiwan. Following consent to the study, subjects were randomly assigned to an acupressure group or a control group. Patients in the acupressure group received acupoint massage for 12 minutes per day, three days per week, for four weeks. Subjects in the control group only received routine unit care. The measures included the Revised Piper Fatigue Scale, and Beck ' s Depression Inventory. Descriptive statistics, chi 2 tests, t-test and analyses of covariance were used for data analysis. The results indicate that subjects experienced a moderate level of fatigue. Nearly 65 % of hemodialysis patients had a depressed mood. ANCOVA results indicated that fatigue (F((1.54)) = 9.05, p =.004) and depression (F((1.54)) = 4.20, p =.045) among patients in the acupressure group showed significantly greater improvement than patients in the control group. The findings of this study provide an interventional model for nurses taking care of ESRD patients.
Article Published Date : Aug 01, 2007
Abstract Title:
Collateral meridian acupressure therapy effectively relieves postregional anesthesia/analgesia backache.
Abstract Source:
Complement Ther Clin Pract. 2007 Aug;13(3):174-83. Epub 2007 Apr 23. PMID: 19864998
Abstract Author(s):
Chun-Chang Yeh, Ching-Tang Wu, Billy K Huh, Sabina M Lee, Chih-Shung Wong
Article Affiliation:
Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China.
Abstract:
Epidural and spinal aesthesia may cause backache. In fact, the overall incidence of postneuraxial block backache is 9% to 50% and the incidence of back pain on the third postoperative day ranges from 5.91% to 22% after spinal anesthesia. Five patients suffering from postneuraxial block backache after regional anesthesia or analgesia are reported. Despite administering conventional treatment modalities including bed rest, cold/warm packing, physical therapy, and medications with nonsteroidal anti-inflammatory drugs (NSAIDs), strong analgesics, and opioids, the backache persisted and disturbed the patients' daily life. Surprisingly, utilization of a new acupressure technique, collateral meridian acupressure therapy (CMAT), relieved the backache dramatically.
Article Published Date : Aug 01, 2007
Abstract Title:
Acupressure for chemotherapy-induced nausea and vomiting: a randomized clinical trial.
Abstract Source:
Oncol Nurs Forum. 2007 Jul;34(4):813-20. PMID: 17723973
Abstract Author(s):
Suzanne L Dibble, Judy Luce, Bruce A Cooper, Jill Israel, Misha Cohen, Brenda Nussey, Hope Rugo
Article Affiliation:
Institute for Health and Aging, School of Nursing, University of California, San Francisco, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
PURPOSE/OBJECTIVES: To compare differences in the chemotherapy-induced nausea and vomiting (CINV) among three groups of women (acupressure, placebo acupressure, and usual care) undergoing chemo-therapy for breast cancer.
DESIGN: A multicenter, longitudinal, randomized clinical trial throughout one cycle of chemotherapy.
SETTING: Ten community clinical oncology programs associated with the M.D. Anderson Cancer Center and nine independent sites located throughout the United States.
SAMPLE: 160 women who were beginning their second or third cycle of chemotherapy for breast cancer treatment and had moderate nausea intensity scores with their previous cycles.
METHODS: Subjects were randomized to one of three groups: acupressure to P6 point (active), acupressure to SI3 point (placebo), or usual care only. Subjects in the acupressure group were taught to apply an acupressure wrist device by research assistants who were unaware of the active acupressure point. All subjects completed a daily log for 21 days containing measures of nausea and vomiting and recording methods (including antiemetics and acupressure) used to control these symptoms.
MAIN RESEARCH VARIABLES: Acute and delayed nausea and vomiting.
RESULTS: No significant differences existed in the demographic, disease, or treatment variables among the treatment groups. No significant differences were found in acute nausea or emesis by treatment group. With delayed nausea and vomiting, the acupressure group had a statistically significant reduction in the amount of vomiting and the intensity of nausea over time when compared with the placebo and usual-care groups. No significant differences were found between the placebo and usual-care groups in delayed nausea or vomiting.
CONCLUSIONS: Acupressure at the P6 point is a value-added technique in addition to pharmaceutical management for women undergoing treatment for breast cancer to reduce the amount and intensity of delayed CINV.
IMPLICATIONS FOR NURSING: Acupressure is a safe and effective tool for managing delayed CINV and should be offered to women undergoing chemotherapy for breast cancer.
Article Published Date : Jul 01, 2007
Abstract Title:
The psychologic consequences of chronic dyspnea in chronic pulmonary obstruction disease: the effects of acupressure on depression.
Abstract Source:
J Altern Complement Med. 2007 Mar;13(2):253-61. PMID: 17388769
Abstract Author(s):
Hua-Shan Wu, Li-Chan Lin, Shiao-Chi Wu, Jaung-Geng Lin
Abstract:
OBJECTIVES: The onset of depression is often triggered by breathlessness in persons with chronic obstructive pulmonary disease (COPD). It is hypothesized that these are the psychologic consequences of chronic dyspnea. Lessening dyspnea might alleviate depressive symptoms. Acupressure has been shown in other studies to produce relaxation. The aim of this study was to determine if it would lessen dyspnea and reduce depression in patients with COPD. SUBJECTS AND DESIGN: Subjects diagnosed with COPD were chosen from one medical center and three regional hospitals in Taipei, Taiwan. A randomized, block experimental design was used, with subjects and the data collector blinded. Using age, gender, pulmonary function, smoking, and steroid use as matching factors, 44 subjects were randomly assigned to either the true acupressure or the sham acupressure groups. The true acupressure group received a program of acupressure using appropriate acupoints that promote relaxation and relieve dyspnea. The sham acupressure group received acupressure using sham acupoints different from the meridians and ganglionic sections of the true acupressure group. Both acupressure programs lasted 4 weeks, with five sessions per week that lasted 16 minutes per session. OUTCOME MEASURES: The Geriatric Depression Scale (GDS) and Dyspnea Visual Analogue Scale (DVAS) were administered prior to the program as a baseline, and again following the completion of the 4-week program. Oxygen saturation and other physiological indicators were measured before and after each session. RESULTS: The results of this study showed that the GDS scores, DVAS scores, oxygen saturation, and physiological indicators of the true acupressure group were significantly improved, compared to those of the sham acupressure group. CONCLUSIONS: These findings provide health professionals with an evidence-based intervention to use with persons with COPD. Applying this acupressure program in clinical practice, communities, and long-term care units may lessen chronic dyspnea and depression in persons with COPD.
Article Published Date : Mar 01, 2007
Abstract Title:
Effect of acupressure and trigger points in treating headache: a randomized controlled trial.
Abstract Source:
Brain Res Mol Brain Res. 2005 Oct 31;140(1-2):45-54. Epub 2005 Sep 8. PMID: 20128040
Abstract Author(s):
Lisa Li-Chen Hsieh, Horng-Huei Liou, Liang-Huei Lee, Tony Hsiu-Hsi Chen, Amy Ming-Fang Yen
Article Affiliation:
Department of Rehabilitation, Kaohsiung Medical University, Taiwan. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
The efficacy of acupressure in relieving pain has been documented; however, its effectiveness for chronic headache compared to the muscle relaxant medication has not yet been elucidated. To address this, a randomized, controlled clinical trial was conducted in a medical center in Southern Taiwan in 2003. Twenty-eight patients suffering chronic headache were randomly assigned to the acupressure group (n = 14) or the muscle relaxant medication group (n = 14). Outcome measures regarding self-appraised pain scores (measured on a visual analogue scale; VAS) and ratings of how headaches affected life quality were recorded at baseline, 1 month after treatment, and at a 6-month follow-up. Pain areas were recorded in order to establish trigger points. Results showed that mean scores on the VAS at post-treatment assessment were significantly lower in the acupressure group (32.9+/-26.0) than in the muscle relaxant medication group (55.7+/-28.7) (p = 0.047). The superiority of acupressure over muscle relaxant medication remained at 6-month follow-up assessments (p = 0.002). The quality of life ratings related to headache showed similar differences between the two groups in the post treatment and at six-month assessments. Trigger points BL2, GV20, GB20, TH21, and GB5 were used most commonly for etiological assessment. In conclusion, our study suggests that 1 month of acupressure treatment is more effective in reducing chronic headache than 1 month of muscle relaxant treatment, and that the effect remains 6 months after treatment. Trigger points help demonstrate the treatment technique recommended if a larger-scale study is conducted in the future.
Article Published Date : Oct 31, 2005
Abstract Title:
Effects of acupressure at the Sanyinjiao point on primary dysmenorrhoea.
Abstract Source:
J Adv Nurs. 2004 Nov;48(4):380-7. PMID: 15500532
Abstract Author(s):
Huei-Mein Chen, Chung-Hey Chen
Abstract:
AIM: This paper presents the findings of a study that assessed the effects of acupressure at the Sanyinjiao point on symptoms of primary dysmenorrhoea among adolescent girls. BACKGROUND: Dysmenorrhoea is the most common gynaecological disorder among adolescents. Traditional Chinese acupressure derived from acupuncture is a non-invasive technique. Despite renewed interest in the use of acupressure, relatively few studies have been undertaken to examine its effects on primary dysmenorrhoea. METHODS: An experimental study was conducted between December 2000 and August 2001. Participants were female students attending a technical college in Taiwan. None of the 69 participants had a prior history of gynaecological disease or secondary dysmenorrhoea, and all were rated higher than five for pain on a visual analogue scale from 0 to 10. The experimental group (n = 35) received acupressure at Sanyinjiao (above the ankle) while the control group (n = 34) rested for 20 min, while the control group underwent rest in the school health centre for 20 min without receiving acupressure. Fifty participants (30 experimental, 20 control) completed the 4-6-week follow-up session. Five instruments were used to collect pretest and post-test data at each session: (1) Visual Analogue Scale for pain; (2) the Short-Form McGill Pain Questionnaire; (3) the Menstrual Distress Questionnaire; (4) the Visual Analogue Scale for anxiety; and, for the experimental group only, (5) the Acupressure Self-Assessment Form. Data were analysed using the chi-square test, two-sample t-test and repeated measures two-way anova. RESULTS: Acupressure at Sanyinjiao during the initial session reduced the pain and anxiety typical of dysmenorrhoea. In the self-treatment follow-up session, acupressure at Sanyinjiao significantly reduced menstrual pain but not anxiety. Thirty-one (87%) of the 35 experimental participants reported that acupressure was helpful, and 33 (94%) were satisfied with acupressure in terms of its providing pain relief and psychological support during dysmenorrhoea. CONCLUSION: The findings suggest that acupressure at Sanyinjiao can be an effective, cost-free intervention for reducing pain and anxiety during dysmenorrhoea, and we recommend its use for self-care of primary dysmenorrhoea.
Article Published Date : Nov 01, 2004
Abstract Title:
Effectiveness of acupressure for residents of long-term care facilities with insomnia: a randomized controlled trial.
Abstract Source:
Rheumatol Int. 2004 Sep;24(5):278-82. Epub 2003 Sep 17. PMID: 20056221
Abstract Author(s):
Jia-Ling Sun, Mei-Sheng Sung, Mei-Yu Huang, Guang-Chih Cheng, Chia-Chin Lin
Article Affiliation:
Department of Nursing, Yuanpei University, Hsinchu, Taiwan; Graduate Institute of Nursing, Taipei Medical University, Taiwan.
Abstract:
BACKGROUND: Acupressure on the Shenmen point (indexed as HT7) can improve insomnia, but there has been no longitudinal study to evaluate its efficacy for residents of long-term care facilities. No evidence from the existing literature indicates how long its efficacy can be maintained after stopping acupressure. OBJECTIVE: The aim of this study was to evaluate the effectiveness of acupressure on the Shenmen point for residents of long-term care facilities with insomnia. METHODS: Fifty residents with insomnia in long-term care facilities were enrolled in a randomized controlled trial, with 25 participants allocated to the experimental group and 25 participants to the control group. For a 5-week period, the experimental group received standard acupressure on the HT7 points of both wrists, whereas the control group received only light touch on the same places. Insomnia was measured with the Athens Insomnia Scale-Taiwan form (AIS-T). Participants' self-reported scores were done at baseline, during the 5-week period, and after intervention. This study was analyzed on an intention-to-treat procedure. RESULTS: The experimental group has significantly better scores on the AIS-T compared to the control group, not only during the intervention period, but also extending after intervention, as shown by generalized estimating equations (p<0.05). CONCLUSIONS: Offering acupressure on a regular basis has the potential to improve insomnia in residents of long-term care facilities. Acupressure on the HT7 point may improve insomnia for up to 2 weeks after the intervention.
Article Published Date : Sep 01, 2004
Abstract Title:
[Differences of cesarean section rates according to San-Yin-Jiao(SP6) acupressure for women in labor].
Abstract Source:
Taehan Kanho Hakhoe Chi. 2004 Apr;34(2):324-32. PMID: 15314328
Abstract Author(s):
Soon-Bok Chang, Yong-Won Park, Jae-Sung Cho, Mi-Kyeong Lee, Byung-Chul Lee, Su-Jeong Lee
Abstract:
PURPOSE: The purpose of this study was to explain differences of cesarean section rates according to San-Yin-Jiao(SP6) acupressure for women in labor. METHOD: A nonequivalent control group pre test--post test design was used to explain differences of cesarean section rates according to SP6 acupressure. The participants were 209 women who were assigned to one of three groups SP6 acupressure(n=86), SP6 touch(n=47), and control group(n=76). For 30 minutes, the SP6 acupressure group received SP6 acupressure,and the SP6 touch group received SP6 touch for the duration of each uterine contraction. The Control group was encouraged to deep breath and relax for the duration of each uterine contraction for 30 minutes. RESULT: The rates of cesarean section were 12.8%, 29.8%, and 22.4% for the SP6 acupressure group, SP6 touch group, and control group respectively. There was a significant difference among groups (p=0.049). Cesarean section rates were significantly different between the SP6 acupressure and non-SP6 acupressure group(p=0.035). CONCLUSION: This finding shows that 30 minutes of SP6 acupressure was effective in decreasing the cesarean section rate. Therefore, SP6 acupressure during labor could be applied as an effective nursing intervention.
Article Published Date : Apr 01, 2004
Abstract Title:
Acupressure and fatigue in patients with end-stage renal disease-a randomized controlled trial.
Abstract Source:
Int J Nurs Stud. 2004 Jan;41(1):99-106. PMID: 14670399
Abstract Author(s):
Shiow-Luan Tsay
Article Affiliation:
Graduate Institute of Nursing, National Taipei College of Nursing, Pei-Tou, Taipei, Taiwan, ROC. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
The purpose of the study is to investigate the effectiveness of acupressure on fatigue in patients with end-stage renal-disease (ESRD). The study was a randomized control trial; qualified patients were randomly assigned into acupressure group, sham group or control group. A total of 106 participants were included in the study. The measures included the revised Piper Fatigue Scale (PFS), VAS of Fatigue, the Pittsburgh Sleep Quality Index and the Beck Depression Inventory. Data of fatigue measures were collected at pretreatment and a week following treatment. Sleep quality and depression were collected during post-test only. The statistical methods included the descriptive statistics, one-way ANOVA, ANCOVA, and repeated-measures ANOVA. ANCOVA that adjusted for differences in baseline fatigue scores (PFS), post-test of depression and sleep quality, result was significant, F(2,100)=3.99, p=0.02. Post-hoc tests revealed that patients in the acupressure group were significantly having lower scores of fatigue than patients in the control group. ANCOVA results also significant for VAS of Fatigue among groups, F(2,100)=5.63, p=0.003. Comparisons indicated that there were significant differences between the acupressure group and the control group (p=0.01) and between the sham group and control group (p=0.003). Predialysis fatigue was assessed routinely by using a rating of 0-10. Repeated-measures ANOVA results demonstrate the group main effect was significant in the perceived fatigue (F(2,88)=19.46, p<0.001). Follow-up tests indicated there were significant differences between the acupressure group and the control group (p<0.001) and between the sham group and control group (p<0.001). The study provided an alternative method for health care providers to managing ESRD patients with fatigue.
Article Published Date : Jan 01, 2004
Abstract Title:
[Effects of SP-6 acupressure on dysmenorrhea, cortisol, epinephrine and norepinephrine in the college students].
Abstract Source:
Taehan Kanho Hakhoe Chi. 2003 Dec;33(7):1038-46. PMID: 15314382
Abstract Author(s):
Soon-Bok Chang, Eun-Mi Jun
Abstract:
PURPOSE: The purpose of this study was to identify effects of the SP-6 acupressure on dysmenorrhea, and level of cortisol, epinephrine and norepinephrine in the college students. METHOD: Data were collected from May 1 to August 31, 2002. A total of 58 students from two universities participated in the study. Both groups were pretested before the intervention for three variables, the intensity of dysmenorrhea, level of cortisol, epinephrine and norepinephrine. Then, SP-6 acupressure was provided for 20 minutes for students in the experimental group. The instruments used in this study included the Visual Analogue Scale developed by Johnson(1974), Menstrual Attitudes Questionnaire Scale developed by Brooks-Gunn&Ruble(1980), and Stress scale developed by Cheun and Kim(1990). RESULT: There were statistically significant differences in the intensity of dysmenorrhea at the time immediately after, 30 minutes after, one hour after, and two hours after the intervention. The experimental group had a lower intensity than the control group. There was a statistically significant difference in level of norepinephrine at the time 30 minutes after the intervention with the experimental group. CONCLUSION: The SP-6 acupressure reduced the subjective perception of dysmenorrhea and the levels of norepinephrine. It was found out that the lasting period of 20 minutes of the SP-6 acupressure was two hours for college students.
Article Published Date : Dec 01, 2003
Abstract Title:
Acupoints massage in improving the quality of sleep and quality of life in patients with end-stage renal disease.
Abstract Source:
J Adv Nurs. 2003 Apr;42(2):134-42. PMID: 12670382
Abstract Author(s):
Shiow-Luan Tsay, Jiin-Ru Rong, Pay-Fan Lin
Article Affiliation:
Graduate Institute of Nursing, National Taipei College of Nursing, Pei-tou, Taipei, Taiwan. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
BACKGROUND: Traditional Chinese acupressure is a noninvasive technique that employs pressure and massage to acupoints in order to stimulate the balance of life energy that promotes health and comfort. Sleep disturbance is common in patients with end-stage renal disease but no intervention studies have addressed this problem. Aim. The purpose of the present study was to test the effectiveness of acupoints massage for patients with end-stage renal disease and experiencing sleep disturbances and diminished quality of life. METHODS: The study was a randomized control trial. A total of 98 end-stage renal disease patients with sleep disturbances were randomly assigned into an acupressure group, a sham acupressure group, and a control group. Acupressure and sham acupressure group patients received acupoints or no acupoints massage three times a week during haemodialysis treatment for a total of 4 weeks. The measures included the Pittsburgh Sleep Quality Index, Sleep Log, and the Medical Outcome Study - Short Form 36. FINDINGS: The results indicated significant differences between the acupressure group and the control group in Pittsburgh Sleep Quality Index subscale scores of subjective sleep quality, sleep duration, habitual sleep efficiency, sleep sufficiency, and global Pittsburgh Sleep Quality Index scores. Sleep log data revealed that the acupressure group significantly decreased wake time and experienced an improved quality of sleep at night over the control group. Medical Outcome Study - Short Form 36 data also documented that acupressure group patients experienced significantly improved quality of life. CONCLUSION: This study supports the effectiveness of acupoints massage in improving the quality of sleep and life quality of end-stage renal disease patients, and offers a noninvasive therapy for sleep-disturbed patients.
Article Published Date : Apr 01, 2003
Abstract Title:
Acupressure for nausea: results of a pilot study.
Abstract Source:
Oncol Nurs Forum. 2000 Jan-Feb;27(1):41-7. PMID: 10660922
Abstract Author(s):
S L Dibble, J Chapman, K A Mack, A S Shih
Article Affiliation:
Institute for Health and Aging, University of California, San Francisco, USA. This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract:
PURPOSE/OBJECTIVES: To compare differences in nausea experience and intensity in women undergoing chemotherapy for breast cancer between those receiving usual care plus acupressure training and treatment and those receiving only usual care.
DESIGN: Single-cycle, randomized clinical trial.
SETTING: Outpatient oncology clinic in a major teaching medical center and a private outpatient oncology practice.
SAMPLE: Seventeen women participated in the study. The typical participant was 49.5 years old (SD = 6.0), Caucasian (59%), not married/partnered (76%), on disability (53%), born a U.S. citizen (76%), and heterosexual (88%); lived alone (59%); had at least graduated from high school (100%); and had an annual personal income of $50,000 or greater (65%).
METHODS: The intervention included finger acupressure bilaterally at P6 and ST36, acupressure points located on the forearm and by the knee. Baseline and poststudy questionnaires plus a daily log were used to collect data.
MAIN RESEARCH VARIABLES: Nausea experience measured by the Rhodes inventory of Nausea, Vomiting, and Retching and nausea intensity.
FINDINGS: Significant differences existed between the two groups in regard to nausea experience (p<0.01) and nausea intensity (p<0.04) during the first 10 days of the chemotherapy cycle, with the acupressure group reporting less intensity and experience of nausea.
CONCLUSIONS: Finger acupressure may decrease nausea among women undergoing chemotherapy for breast cancer.
IMPLICATIONS FOR NURSING PRACTICE: This study must be replicated prior to advising patients about the efficacy of acupressure for the treatment of nausea.
Article Published Date : Jan 01, 2000
Abstract Title:
Pressure on acupoints decreases postoperative pain.
Abstract Source:
Clin J Pain. 1996 Dec;12(4):326-9. PMID: 8969878
Abstract Author(s):
D Felhendler, B Lisander
Article Affiliation:
Department of Anesthesiology, Faculty of Health Sciences, Linköping, Sweden.
Abstract:
Our objective was to study the analgesic effect of acupoint pressure on postoperative pain in a controlled single-blind study. Forty patients undergoing knee arthroscopy in an ambulatory surgery unit in a university-affiliated hospital were randomized to receive either an active stimulation (AS) or a placebo stimulation (PS) 30 min after awakening from anesthesia. We stimulated 15 classical acupoints in the AS group, on the side contralateral to surgery, with a firm pressure and a gliding movement across the acupoint. In the PS group, 15 nonacupoints were subjected to light pressure in the same areas as the acupoints in the AS group. We assessed pain using a 100-mm visual analog scale (VAS) before sensory stimulation, after 30 and 60 min, and after 24 h. We recorded heart rate, systolic arterial pressure, and skin temperature before stimulation and after 30 and 60 min. We assessed skin blood flow with laser Doppler before stimulation and after 1 and 30 min. Sixty minutes and 24 h after AS, VAS pain scores were lower than in the placebo group (p<0.05 and 0.0001, respectively). There were no significant changes in the autonomic variables. The results indicate that pressure on acupoints can decrease postoperative pain.
Article Published Date : Dec 01, 1996
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