Chao Hsing Yeh1, Lorna Kwai-Ping Suen2, Lung-Chang Chien3, Leah Margolis1, Zhan Liang1, Ronald M Glick4,5,6, Natalia E Morone7. 1. School of Nursing, University of Pittsburgh. 2. School of Nursing, Hong Kong Polytechnic University. 3. Department of Biostatistics, School of Public Health at San Antonio Regional Campus, Research to Advance Community Health Center, University of Texas Health Science Center at San Antonio Regional Campus. 4. Department of Psychiatry, School of Medicine, University of Pittsburgh. 5. Department of Physical Medicine, School of Medicine, University of Pittsburgh. 6. Department of Rehabilitation, School of Medicine, University of Pittsburgh. 7. Department of Medicine, Division of General Internal Medicine, Veterans Administration, Pittsburgh Healthcare System, Geriatric Research Education and Clinical Center, School of Medicine, University of Pittsburgh.
Abstract
OBJECTIVE: The purpose of this study was to determine the effects of a 4-week auricular point acupressure (APA) treatment on chronic low back pain (CLBP) outcomes and examine the day-to-day variability of CLBP in individuals receiving APA for CLBP over 29 days. DESIGN: This was a prospective, randomized controlled trial (RCT). Data were collected at baseline, during each of the four office visits for APA treatment, after the completion of the 4-week intervention, and 1 month after the last treatment. A daily diary was given to each participant to record his or her APA practices, analgesic use, and pain intensity. INTERVENTIONS:APA was used to manage CLBP. The participants received one APA treatment per week for 4 weeks. PATIENTS AND SETTING:Sixty-one participants with CLBP were randomized into either a real APA or sham APA treatment group. Participants were recruited from primary care offices and clinics or through the Research Participant Registry at the University of Pittsburgh. RESULTS: Among participants in the real APA group, a 30% reduction of worst pain was exhibited after the first day of APA treatment, and continuous reduction in pain (44%) was reported by the completion of the 4-week APA. This magnitude of pain reduction reached the clinically significant level of improvement reported in other clinical trials of chronic pain therapies. Analgesic use by participants in the real APA group also was reduced compared with use by participants in the sham group. CONCLUSION: This study shows that APA is a promising pain management strategy that is not invasive and can be self-managed by participants for CLBP. Given the day-to-day fluctuation in ratings, the tighter ecologic assessment of pain scores and other treatment parameters are an important pragmatic aspect of the design of chronic pain studies. Wiley Periodicals, Inc.
RCT Entities:
OBJECTIVE: The purpose of this study was to determine the effects of a 4-week auricular point acupressure (APA) treatment on chronic low back pain (CLBP) outcomes and examine the day-to-day variability of CLBP in individuals receiving APA for CLBP over 29 days. DESIGN: This was a prospective, randomized controlled trial (RCT). Data were collected at baseline, during each of the four office visits for APA treatment, after the completion of the 4-week intervention, and 1 month after the last treatment. A daily diary was given to each participant to record his or her APA practices, analgesic use, and pain intensity. INTERVENTIONS: APA was used to manage CLBP. The participants received one APA treatment per week for 4 weeks. PATIENTS AND SETTING: Sixty-one participants with CLBP were randomized into either a real APA or sham APA treatment group. Participants were recruited from primary care offices and clinics or through the Research Participant Registry at the University of Pittsburgh. RESULTS: Among participants in the real APA group, a 30% reduction of worst pain was exhibited after the first day of APA treatment, and continuous reduction in pain (44%) was reported by the completion of the 4-week APA. This magnitude of pain reduction reached the clinically significant level of improvement reported in other clinical trials of chronic pain therapies. Analgesic use by participants in the real APA group also was reduced compared with use by participants in the sham group. CONCLUSION: This study shows that APA is a promising pain management strategy that is not invasive and can be self-managed by participants for CLBP. Given the day-to-day fluctuation in ratings, the tighter ecologic assessment of pain scores and other treatment parameters are an important pragmatic aspect of the design of chronic pain studies. Wiley Periodicals, Inc.
Entities:
Keywords:
Analgesic Use; Auricular Point Acupressure; Chronic Low Back Pain; Pain Intensity
Authors: Jennifer Kawi; Chao Hsing Yeh; Nada Lukkahatai; Robin L Hardwicke; Thomas Murphy; Paul J Christo Journal: Evid Based Complement Alternat Med Date: 2022-08-29 Impact factor: 2.650
Authors: Caroline de Castro Moura; Denise Hollanda Iunes; Silvia Graciela Ruginsk; Valéria Helena Salgado Souza; Bianca Bacelar de Assis; Erika de Cássia Lopes Chaves Journal: Rev Lat Am Enfermagem Date: 2018-09-03
Authors: Chao Hsing Yeh; Keenan Caswell; Sonaali Pandiri; Haris Sair; Nada Lukkahatai; Claudia M Campbell; Vered Stearns; Barbara Van de Castle; Nancy Perrin; Thomas J Smith; Leorey N Saligan Journal: Glob Adv Health Med Date: 2020-02-13