Write your message
Volume 10, Issue 4 (3-2021)                   cmja 2021, 10(4): 308-327 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Pourmohammadi M, Tagharrobi Z, Sharifi K, Sooki Z, Zare Joshaghani F. Effect of Auriculotherapy on Sleep Quality in Elderly With Chronic Low Back Pain: A Single-blind Randomized Clinical Trial. cmja 2021; 10 (4) :308-327
URL: http://cmja.arakmu.ac.ir/article-1-767-en.html
Effect of Auriculotherapy on Sleep Quality in Elderly With Chronic Low Back Pain: A Single-blind Randomized Clinical Trial
Maryam Pourmohammadi1 , Zahra Tagharrobi * 2, Khadijeh Sharifi1 , Zahra Sooki1 , Fatemeh Zare Joshaghani1
1- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
2- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. , tagharrobi_z@yahoo.com
Abstract:   (3498 Views)
Objective: One of the common problems that leads to poor sleep quality in the elderly is low back pain. This study aims to evaluate the effect of auriculotherapy (ear acupressure) on the sleep quality of elderly people with chronic low back pain. 
Methods: This single-blind randomized clinical trial was conducted in 2019 on 70 older adults with chronic low back pain in Kashan, Iran, who were selected using a convenience sampling technique. After obtaining a written informed consent, they were assigned into intervention and sham groups using the block randomization method. In the intervention group, the pressure was applied to ShenMen, sympathetic, subcortex and low back points of the ear, while in the sham group, the pressure was applied to the points that were not associated with the low back pain. The Pittsburgh Sleep Quality Index (PSQI) and McGill Pain Questionnaire (MPQ) were completed at the beginning of the study, at the end of intervention, and one month after the end of intervention. Six patients from the Sham group and 2 patients from the intervention group were excluded from the study. The data of 62 elderly (in sham group 29 and in intervention group 33) according to Per-Protocol (PP) and data of all samples as Intention to Treat (ITT) were analyzed using covariance analysis and repeated measures ANOVA. 
Results: There was a statistically significant difference between the intervention and sham groups in terms of the duration of disease at baseline (P=0.012). The interaction effect of time and group on the sleep quality was significant (P<0.0001). Sleep quality in the intervention group was significantly better than in the sham group at the end of the intervention and also during the one-month follow-up period (P<0.0001). Within-group comparison results reported a significant difference in the sleep quality between three evaluation times in the intervention group (P<0.0001).
Conclusion: Auriculotherapy can improve sleep quality in the elderly with chronic low back pain. It is recommended to use auriculotherapy as a complementary therapy for treating these elderly groups.
Keywords: Auriculotherapy, Low back pain, Sleep, Aging, Chronic pain
Full-Text [PDF 8425 kb]   (1810 Downloads) |   |   Full-Text (HTML)  (5214 Views)  
Type of Study: Research | Subject: Traditional medicine
References
1. Nahin RL. Severe Pain in Veterans: The Effect of Age and Sex, and Comparisons With the General Population. J Pain. 2017;18(3): 247-54. [DOI:10.1016/j.jpain.2016.10.021] [PMID] [PMCID]
2. Wong AY, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis spinal Disord. 2017; 12: 14. [DOI:10.1186/s13013-017-0121-3] [PMID] [PMCID]
3. Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, et al. Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis. Rev Bras Reumatol. 2016; 56(3): 258-69. [DOI:10.1016/j.rbr.2016.01.004]
4. Waterman BR, Belmont PJJ, Schoenfeld AJ. Low back pain in the United States: incidence and risk factors for presentation in the emergency setting. Spine J. 2012; 12(1): 63-70. [DOI:10.1016/j.spinee.2011.09.002] [PMID]
5. Shirazi M, Manoochehri H, Alipour V, Saeidimehr S. Prevalence of chronic pain and its characteristics among elderly people in Ahvaz city: A cross sectional study. J Geriatr Nurs. 2016; 2(1): 62.
6. Garner B K, Hopkinson S G, Ketz AK, Landis C A, Trego L L. Auricular Acupuncture for Chronic Pain and Insomnia: A Randomized Clinical Trial. Medical acupuncture, 2018; 30(5), 262-72. [DOI:10.1089/acu.2018.1294] [PMID] [PMCID]
7. Axén I. Pain-related Sleep Disturbance: A Prospective Study With Repeated Measures. Clin J Pain. 2016; 32(3): 254-9. [DOI:10.1097/AJP.0000000000000249] [PMID]
8. Kuss K, Leonhardt C, Quint S, Seeger D, Pfingsten M, Wolf Pt U, et al. Graded Activity for Older Adults with Chronic Low Back Pain: Program Development and Mixed Methods Feasibility Cohort Study. Pain Med. 2016; 17(12): 2218-29. [DOI:10.1093/pm/pnw062] [PMID]
9. Kim SH, Sun JM, Yoon KB, Moon JH, An JR, Yoon DM. Risk factors associated with clinical insomnia in chronic low back pain: a retrospective analysis in a university hospital in Korea. Korean J Pain. 2015; 28(2):137-43. https://doi.org/10.3344/kjp.2021.34.2.137 [DOI:10.3344/kjp.2015.28.2.137] [PMCID]
10. Traeger A, Buchbinder R, Harris I, Maher C. Diagnosis and management of low-back pain in primary care. J l'Association medicale Can. 2017; 189(45):1386-95. [DOI:10.1503/cmaj.170527] [PMID] [PMCID]
11. Yeh CH, Morone NE, Chien L-C, Cao Y, Lu H, Shen J, et al. Auricular point acupressure to manage chronic low back pain in older adults: a randomized controlled pilot study. Evid Based Complement Alternat Med. 2014;11. [DOI:10.1155/2014/375173] [PMID] [PMCID]
12. Daoust R, Paquet J, Cournoyer A, Piette É, Morris J, Lessard J, et al. Side effects from opioids used for acute pain after emergency department discharge. Am J Emerg Med. 2020; 38(4): 695-701. [DOI:10.1016/j.ajem.2019.06.001] [PMID]
13. Dentino A, Medina R, Steinberg E. Pain in the Elderly: Identification, Evaluation, and Management of Older Adults with Pain Complaints and Pain-related Symptoms. Prim Care. 2017; 44(3): 519-28. [DOI:10.1016/j.pop.2017.04.009] [PMID]
14. Patti A, Bianco A, Paoli A, Messina G, Montalto MA, Bellafiore M, et al. Effects of Pilates exercise programs in people with chronic low back pain: a systematic review. Medicine (Baltimore). 2015 Jan; 94(4): 383. [DOI:10.1097/MD.0000000000000383] [PMID] [PMCID]
15. Lakhan SE, Sheafer H, Tepper D. The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis. Pain Res Treat. 2016; 7: 1-13. [DOI:10.1155/2016/8158693] [PMID] [PMCID]
16. Liu L, Skinner M, McDonough S, Mabire L, Baxter GD. Acupuncture for low back pain: an overview of systematic reviews. Evid Based Complement Alternat Med. 2015; 328196. [DOI:10.1155/2015/328196] [PMID] [PMCID]
17. Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthc (Basel, Switzerland). 2016; 4(2). [DOI:10.3390/healthcare4020022] [PMID] [PMCID]
18. Oleson T. Auriculotherapy manual: Chinese and Western systems of ear acupuncture. Health Sciences. New York: Elsevier; 2014.
19. Yeh CH, Chien LC, Balaban D, Sponberg R, Primavera J, Morone NE, et al. A randomized clinical trial of auricular point acupressure for chronic low back pain: a feasibility study. Evid Based Complement Alternat Med. 2013; 2013:196978. [DOI:10.1155/2013/196978] [PMID] [PMCID]
20. Lin W-C, Yeh CH, Chien L-C, Morone NE, Glick RM, Albers KM. The Anti-Inflammatory Actions of Auricular Point Acupressure for Chronic Low Back Pain. Evid Based Complement Alternat Med. 2015; 9: 103570. [DOI:10.1155/2015/103570] [PMID] [PMCID]
21. Chaw SM, Dezinno P, Lin EC, Lin H, Yue JJ, Berman MR. Auricular acupuncture as a treatment for pregnant women who have low back and posterior pelvic pain: a pilot study. Am J Obstet Gynecol. 2015; 201(3): 271-79. [DOI:10.1016/j.ajog.2009.04.028] [PMID] [PMCID]
22. Fagner S, Janaina C, Oliveira C. Evaluation of the Effect of Auriculotherapy on Pain Control and Sleep Quality in Chronic Patients. 19th International Conference on Applications of Traditional Medicine and Acupuncture, At Paris, France. 2017;
23. Vas J, Modesto M, Aguilar I, Goncalo C, Rivas-Ruiz F. Efficacy and safety of auriculopressure for primary care patients with chronic non-specific spinal pain: a multicentre randomised controlled trial. Acupunct Med. 2014 Jun; 32(3): 227-35. [DOI:10.1136/acupmed-2013-010507] [PMID]
24. Jouya S, Golmakani N, Mazloum SR, Abdi H YZ. Effect of Auriculotherapy with Vaccaria Seeds on the Anxiety of Female Colposcopy Candidates. 2018; 21(1): 70-79 (Persian).
25. Mousavi FS, Golmakani N, Bahrami Taghanaki HR, Saki A, Akhlaghi F. Effects of auriculotherapy on post cesarean anxiety.Iran J Obstet Gynecol Reprod. 2017; 20(6): 50-60. (Persian).
26. Rastegarzade H, Abedi P, Valiani M, haghighi MH. The effect of auriculotherapy on labor pain intensity in nulliparous women. jap. 2015; 6(1): 54-63. (Persian).
27. Yang L-H, Duan P-B, Hou Q-M, Du S-Z, Sun J-F, Mei S-J, et al. Efficacy of Auricular Acupressure for Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2017; 2017: 6383649. [DOI:10.1155/2017/6383649] [PMID] [PMCID]
28. Charbel T, M El Hajj M, G Abi Fares FH. Auriculotherapy effect on pain and function following knee Arthroscopic Menisectomy: A randomized prospective study. WJA. 2017; 4(3). [DOI:10.17352/2455-3476.000034]
29. Yeh CH, Suen LK-P, Shen J, Chien L-C, Liang Z, Glick RM, et al. Changes in Sleep With Auricular Point Acupressure for Chronic Low Back Pain. Behav Sleep Med. 2016; 14(3): 279-94. [DOI:10.1080/15402002.2014.981820] [PMID]
30. Asher GN, Jonas DE, Coeytaux RR, Reilly AC, Loh YL, Motsinger-Reif AA, et al. Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials. J Altern Complement Med. 2010; 16(10):1097-108. [DOI:10.1089/acm.2009.0451] [PMID] [PMCID]
31. Zheng L-W, Chen Y, Chen F, Zhang P, Wu L-F. Effect of acupressure on sleep quality of middle-aged and elderly patients with hypertension. Int J Nurs Sci. 2014; 1(4): 334-8. [DOI:10.1016/j.ijnss.2014.10.012]
32. Suen LKP, Wong TKS, Chung JWY, Yip VYB. Auriculotherapy on low back pain in the elderly. Complement Ther Clin Pract. 2007 Feb; 13(1): 63-9. [DOI:10.1016/j.ctcp.2006.10.005] [PMID]
33. Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation between Visual Analogue Scale and Short form of McGill Questionnaire in Patients with Chronic Low Back Pain. .Qom Univ Med Sci J. 2012; 6(1): 31-4 (Persian).
34. Lotfi M-S, Tagharrobi Z, Sharifi K, Abolhasani J. Psychometric Evaluation of the Cognitive State Test (COST) in a Sample of Iranian Elderly People. IRAN RED CRESCENT ME Journal. 2016;18(5) (Persian). [DOI:10.5812/ircmj.23786]
35. Lotfi M., Tagharrobi Z., Sharifi K., Abolhasani J. Diagnostic Accuracy of the Cognitive State Test in the Detection of Dementia Among Iranian Older Adults. Res Gerontol Nurs .2015. 8(6) 293-299 (Persian). [DOI:10.3928/19404921-20150521-01] [PMID]
36. Farrahi J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Psychometric properties of the Persian version of the Pittsburgh Sleep Quality Index addendum for PTSD (PSQI-A).. Sleep Breath. 2008; 13(3): 259 (Persian). [DOI:10.1007/s11325-008-0233-3] [PMID]
37. Khosravi M, Sanambar S, Moradi Sh, Zendeh del. Persian-McGill pain questionnaire translation, adaptation and reliability in cancer patients: a brief report.. Tehran Univ Med J. 2013; 71(1): 53-8.
38. Suen LKP, Molassiotis A, Yeh CH, Yeung SKW. Auriculotherapy for insomnia in elderly people: a 6 week, double-blinded, randomised pilot study. Lancet. 2017; 390: S58. [DOI:10.1016/S0140-6736(17)33196-3]
39. Yeh CH, Chien LC, Lin WC, Bovbjerg DH, Van Londen GJ. Pilot randomized controlled trial of auricular point acupressure to manage symptom clusters of pain, fatigue, and disturbed sleep in breast cancer patients. Cancer Nursing. 2016; 39(5): 402-10. [DOI:10.1097/NCC.0000000000000303] [PMID]
40. Kelly GA, Blake C, Power CK, O'keeffe D, Fullen BM. The association between chronic low back pain and sleep: a systematic review. Clin J Pain. 2011; 27(2):169-81. [DOI:10.1097/AJP.0b013e3181f3bdd5] [PMID]
41. Santoro A, Nori L, Lorusso C, Secondulfo M, Viggiano A. "Auricular acupressure can modulate pain threshold," Evidence-based Complementary and Alternative Medicine, 2015, 7. [DOI:10.1155/2015/457390] [PMID] [PMCID]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Complementary Medicine Journal

Designed & Developed by : Yektaweb