Abstract
Background: Knee osteoarthritis is known as one of the common causes of disability worldwide. Despite the elderly tendency towards the use of traditional medicine, there is no clear consensus regarding acupressure efficacy to manage symptoms of knee osteoarthritis.
Objective: This study aimed to determine the effect of acupressure on knee osteoarthritis symptoms in the elderly.
Methods: This double-blind randomized clinical trial was performed from February 2017 to July 2018. Ninety-six patients were selected from comprehensive health care centers in Rafsanjan, Iran, according to inclusion criteria and then equally allocated into three groups (acupressure, sham and control) randomly, by the minimization method. The acupressure group received acupressure bilaterally at 6 points in 10 sessions for two minutes for each point in 10-seconds pressure and 2-seconds rest periods. Subjects In the sham group received only touches without any pressure with the same pattern as the acupressure group and the control group received no intervention. The osteoarthritis symptoms were measured before, immediately and one month after intervention on WOMAC scale. Data was analyzed by IBM-SPSS version 22 using Chi-square goodness of fit and repeated measure ANOVA at 0.05 level of significance.
Results: There were no significant differences between-groups regarding demographic characteristics. The mean of WOMAC score were significantly different between the three consecutive measurements (the time effect), (p=0.001, effect size = 0.082). But there was no significant difference between-groups (group effect) (p=0.852, effect size = 0.003). There was a significant difference in the interaction between time and group (p=0.001, effect size = 0.106). 
Conclusion: The study showed that acupressure was able to correct the WOMAC and pain scores in long and short term and improve physical function in short term in patients with knee osteoarthritis. Accordingly, acutherapy as an effective approach can be applied in self-care programs for knee osteoarthritis symptom management in the elderly, but in the sham groups, the selection of acupoint positions could be a crucial factor. 
Trial registration: This trial was registered at the Iranian Registry of Clinical Trials with clinical trial registration number: IRCT20180114038366N1. 
Funding: This study was financially sported by Deputy of Research and Technology of Rafsanjan University of Medical Sciences (Ref: 20.1056).
 
Keywords: Acupressure, Complementary therapy, Elderly, Osteoarthritis

 

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ΝΕΕΣ ΠΑΡΑΛΑΒΕΣ 2020

Current Issue

Volume 12, issue 2, April-June 2020

 


 

The worldwide spread of COVID-19 as an emerging, rapidly evolving situation, and the dramatic need of urgent medicine or vaccine, has rapidly brought new hypotheses for pathophysiology and potential medicinal agents to the fore. It is crucial that the research community provide a way to publish this research in a timely manner.

To contribute to this important public health discussion, the Electronic Physician Journal is excited to announce a fast-track procedure to help researchers publish their articles on COVID-19 related subjects that fall under the broad definition of public health, internal medicine, and pharmacology. We are especially welcome to all hypotheses about the pathological basis of the COVID-19 infection and the possible characteristics of potential medicine and vaccine. Submit your manuscript here


 

The 6th World Conference on Research Integrity (WCRI) is to be held on June 2-5, 2019 in Hong Kong.

The WCRI is the largest and most significant international conference on research integrity. Since the first conference in Lisbon in 2007, it has given researchers, teachers, funding agencies, government officials, journal editors, senior administrators, and research students opportunities to share experiences and to discuss and promote integrity in research. Read more:


 

TDR Clinical Research and Development Fellowships

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Deadline for submission: 7 March 2019, 16:00 (GMT)

TDR provides fellowships for early- to mid-career researchers and clinical trial staff (e.g. clinicians, pharmacists, medical statisticians, data managers, other health researchers) in low- and middle-income countries (LMICs) to learn how to conduct clinical trials. Read more:


Meta-Analysis Workshops in New York, USA, and London, UK, in April and May 2019

Don't miss this exceptional opportunity to learn how to perform and report a Meta-analysis correctly. Two Meta-analysis workshops are organized in April and May 2019 by Dr. Michael Borenstein in New York, USA (April 08-10, 2019) and London, UK (May 27-29).

About the Instructor

Dr. Michael Borenstein, one of the authors of Introduction to Meta-Analysis, is widely recognized for his ability to make statistical concepts accessible to researchers as well as to statisticians. He has lectured widely on meta-analysis, including at the NIH, CDC, and FDA. Read more: