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Article: Self-administered Acupressure for Knee Osteoarthritis in Middle-aged and Older Adults: A Pilot Randomized Controlled Trial

TitleSelf-administered Acupressure for Knee Osteoarthritis in Middle-aged and Older Adults: A Pilot Randomized Controlled Trial
Authors
Keywordsintervention
knee pain
osteoarthritis of the knee
self-administered acupressure
Issue Date2019
PublisherSAGE Publications. The Journal's web site is located at http://v2.sherpa.ac.uk/id/publisher/65
Citation
Acupuncture in Medicine, 2019, v. 38 n. 2, p. 75-85 How to Cite?
AbstractObjective: 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 Numeric Rating 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.
Persistent Identifierhttp://hdl.handle.net/10722/287381
ISSN
2020 Impact Factor: 2.267
2020 SCImago Journal Rankings: 0.620
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, DST-
dc.contributor.authorYeung, WF-
dc.contributor.authorSuen, LKP-
dc.contributor.authorChong, TC-
dc.contributor.authorHo, YS-
dc.contributor.authorYu, BYM-
dc.contributor.authorChan, LYT-
dc.contributor.authorChen, HY-
dc.contributor.authorLao, LX-
dc.date.accessioned2020-09-22T03:00:12Z-
dc.date.available2020-09-22T03:00:12Z-
dc.date.issued2019-
dc.identifier.citationAcupuncture in Medicine, 2019, v. 38 n. 2, p. 75-85-
dc.identifier.issn0964-5284-
dc.identifier.urihttp://hdl.handle.net/10722/287381-
dc.description.abstractObjective: 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 Numeric Rating 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.-
dc.languageeng-
dc.publisherSAGE Publications. The Journal's web site is located at http://v2.sherpa.ac.uk/id/publisher/65-
dc.relation.ispartofAcupuncture in Medicine-
dc.rightsAcupuncture in Medicine. Copyright © SAGE Publications.-
dc.subjectintervention-
dc.subjectknee pain-
dc.subjectosteoarthritis of the knee-
dc.subjectself-administered acupressure-
dc.titleSelf-administered Acupressure for Knee Osteoarthritis in Middle-aged and Older Adults: A Pilot Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.emailCheung, DST: denisest@hku.hk-
dc.identifier.emailChen, HY: haiyong@hku.hk-
dc.identifier.emailLao, LX: lxlao1@hku.hk-
dc.identifier.authorityCheung, DST=rp02526-
dc.identifier.authorityChen, HY=rp01923-
dc.identifier.authorityLao, LX=rp01784-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0964528419883269-
dc.identifier.pmid31718229-
dc.identifier.scopuseid_2-s2.0-85075154303-
dc.identifier.hkuros314290-
dc.identifier.volume38-
dc.identifier.issue2-
dc.identifier.spage75-
dc.identifier.epage85-
dc.identifier.isiWOS:000528939400002-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0964-5284-

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