TREATMENT OF LOW BACK PAIN BY ACUPRESSURE AND PHYSICAL THERAPY: RANDOMISED CONTROLLED TRIAL
Resource
BRITISH MEDICAL JOURNAL v.332 n.7543 pp.696-698A
Journal
BRITISH MEDICAL JOURNAL
Journal Volume
v.332
Journal Issue
n.7543
Pages
696-698A
Date Issued
2006
Date
2006
Author(s)
HSIEH, LISA, LI-CHEN
KUO, CHUNG-HUNG
LEE, LIANG-HUEI
YEN, AMY, MING-FANG
CHIEN, KUO-LIONG
Abstract
Objective To evaluate the effectiveness of acupressure for treating low back pain in terms of disability, pain scores, and functional status. Design Randomised controlled trial. Setting Orthopaedic clinic in Kaohsiung, Taiwan. Participants 129 patients with chronic low back pain. Intervention Acupressure or physical therapy for one month. Main outcome measures Self administered Chinese versions of standard outcome measures for low back pain (primary outcome : Roland and Morris disability questionnaire) at baseline, after treatment, and at six month follow-up. Results The mean total Roland and Morris disability questionnaire score after treatment was significantly lower in die acupressure group than in the physical therapy group regardless of the difference in absolute score (- 3.8, 95% confidence interval - 5.7 to - 1.9) or mean change from the baseline (- 4.64, - 6.39 to - 2.89). Acupressure conferred an 89% (95% confidence interval 61% to 97%) reduction in significant disability compared with physical therapy. The improvement in disability score in the acupressure group compared with the physical group remained at six month follow-up. Statistically significant differences also occurred between the two groups for all six domains of the core outcome, pain visual scale, and modified Oswestry disability questionnaire after treatment and at six month follow-up. Conclusions Acupressure was effective in reducing low back pain in terms of disability, pain scores, and functional status. The benefit was sustained for six months.
Subjects
ALTERNATIVE MEDICINE
QUESTIONNAIRE
Type
journal article
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