Volume 9, Issue 4 (Autumn 2023)                   JCCNC 2023, 9(4): 297-308 | Back to browse issues page


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Raygan L, Jahani S, Elahi N, Maraghi E, Fakoor M, Najafi S. The Impact of Self-acupressure on the Pain, Joint Stiffness, and Physical Functioning of Patients With Knee Osteoarthritis. JCCNC 2023; 9 (4) :297-308
URL: http://jccnc.iums.ac.ir/article-1-467-en.html
1- Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2- Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , jahanisimin50@yahoo.com
3- Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4- Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5- Department of Orthopedics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
6- Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract:   (868 Views)
Background: People with knee osteoarthritis have a low quality of life due to joint pain and stiffness, severely limiting their daily activities. This study aims to investigate the impact of self-acupressure on the pain, joint stiffness, and physical functioning of patients with knee osteoarthritis.
Methods: This randomized clinical trial was conducted on 78 patients aged 50 to 70 with knee osteoarthritis, referred to Imam Khomeini Hospital and private orthopedic clinics in Ahvaz City, Iran, in 2018. The patients were recruited based on the inclusion criteria and then randomly assigned to three groups: self-acupressure (n=26), sham (n=26), and control (n=26). Patients in the intervention group applied daily self-acupressure to 5 specific points around their knees for 8 consecutive weeks. The sham group applied pressure on the points different from those used by the intervention group. The control group received no intervention. The study data were collected using the Western Ontario and McMaster osteoarthritis index (WOMAC), visual analog scale (VAS), and a checklist for daily recordings of pain medication. The obtained data were analyzed using the chi-square test and analysis of variance in SPSS software, version 20. The significance level was set at P<0.05.
Results: The comparison of changes within the group showed that the intensity of pain in the intervention group decreased over time (P<0.0001). Also, the joint stiffness, physical functioning, and total WOMAC score significantly decreased in the intervention group (P<0.0001). The frequency of analgesic use was also reduced in the intervention group over time (P=0.026).
Conclusion: According to the results, self-acupressure effectively reduces the intensity of pain and joint stiffness and improves the physical performance of older adults with knee osteoarthritis. Overall, this easy and affordable intervention is recommended for this group.
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Osteoarthritis of the knee joint leads to pain and stiffness and impairs physical performance by reducing the knee’s range of motion. 
• Self-acupressure reduces the intensity of pain and joint stiffness in people with knee osteoarthritis.
• Self-acupressure increases physical performance in people with knee osteoarthritis.
• Self-acupressure reduces the use of analgesics in people with knee osteoarthritis.
Plain Language Summary 
Knee osteoarthritis presents as one of the common causes of pain in people over 40. However, acupressure may be beneficial for several pain conditions. Our study showed that self-acupressure reduces pain intensity and joint stiffness and improves knee movements in older adults with knee osteoarthritis. This easy and affordable method is suggested to be used by this group of people to manage the symptoms of knee osteoarthritis. 

Type of Study: Research | Subject: General
Received: 2023/02/26 | Accepted: 2023/07/15 | Published: 2023/11/1

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