J Korean Acad Community Health Nurs.  2010 Jun;21(2):229-241. 10.12799/jkachn.2010.21.2.229.

The Effects of Hand Acupuncture & Moxibustion Therapy on Elders' Shoulder Pain, ADL/IADL and Sleep Disorders

• Lee YO
• Kim C

• KMID: 2292903
• DOI: http://doi.org/10.12799/jkachn.2010.21.2.229

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of hand acupuncture.moxibustion therapy on elders' shoulder pain, ADL/IADL and sleep disorder.
METHODS
This is quasi-experimental with none equivalent control group pretest posttest design. The subjects were randomly assigned to one of Experimental Group A (Ceramic Seoammoxa therapy) (n=20), Experimental Group B (Seoampellet therapy) (n=18), Experimental Group C (Ceramic Seoammoxa and Seoampellet therapy) (n=20), and a control group (n=20). The intervention was applied 3 times per week for 6 weeks. NRS, Song's ADL/IADL scale, Oh, Shin and Kim's sleep disorders scale were used.
RESULTS
Hypothesis "Both shoulder pain and the level of sleep disorders of the experimental group A, B and C would be lower than the control group" was supported (p<.001). Hypothesis "ADL/IADL of the experimental group A, B and C would be higher than the control group" was supported (p<.001). In 3 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p=.013). In 6 weeks after the experiment, the experimental group A, B and C showed significant difference in change of ADL/IADL (p<.001) and sleep disorders (p<.001).
CONCLUSION
Consequently, the hand acupuncture.moxibustion was an effective therapy in relieving shoulder pain and sleep disorders and improving ADL/IADL among elders.

Keyword

Aged; acupuncture; Moxibustion; Shoulder pain; Activities of daily living; Sleep disorders

MeSH Terms

Activities of Daily Living
Acupuncture*
Hand*
Moxibustion*
Shoulder Pain*
Shoulder*
Sleep Wake Disorders*

Figure

• 

  Figure 1 The points of ceramic seoammoxa & seoampellet theapy

Reference

1. Baek GJ. Study on the effect of (Koryo sooji chim)the clicacteric disorder of women in the middle age. Seoul: Chung-Ang University;2002.

2. Cassou B, Derriennic F, Monfort C, Norton J, Touranchet A. Chronic neck and shoulder pain, age, and working conditions: Longitudinal result from a large random sample in France. Occup Environ Med. 2002; 9(8):537–544.

3. Chard MD, Hazleman R, Hazleman BL. Shoulder disorders in the elderly: A community survey. Arthritis Rheum. 1991; 34:766–769.

4. Chu MS. The effects of hand acupuncture nursing intervention on female senior's shoulder pain. Seoul: Ewha Womans University;2005. Unpublished doctoral dissertaion.

5. Daigneault J, Cooney LM. Shoulder pain in older people. J Am Geriatr Soc. 1998; 46:1144–1151.

6. He D, Veiersted KB, Høstmark AT, Medbø JI. Effect of acupuncture treatment on chronic neck and shoulder pain in sedentary female workers: A6-month and 3-year follow-up study. Pain. 2004; 109(3):299–307.

7. Hazneci B, Yil Y, Sekir U, Aydin T, Kalyon TA. Efficacy of isokinetic exercise on joint position sense and muscle strength in patellofemoral pain syndrome. Am J Phys Med Rehabil. 2005; 84(7):521–527.

8. Janwantanakul P, Magarey ME, Jones MA, Dansie BR. Variation in shoulder position sense at mid and extreme range of motion. Arch Phys Med Rehabil. 2001; 82(6):840–844.

9. Jeon OK. A case study of Seogeum therapy on insomnia. J Koryo Hand Acupunct Ther. 2008; 19(5):128–133.

10. Kihasa MA. Sleep apnea in CAPD. Adv Perit Dial. 1998; 13:88–92.

11. Kim GS. The study of oriental and occidental medicine on the type categorization of shoulder and arm pain and acupuncture therapy. J Korean Acupunct Moxibustion Soc. 1985; 2(1):81–88.

12. Korea Institute for Health and Service Affairs. Elder's life survey and welfare for the aged policy. Seoul: Korea Institute for Health and Service Affairs;1998.

13. Lawton MP, Brody EM. Assessment of older people, self mainting and instrumental activities of daily living. Gerontologist. 1969; 9:179–186.

14. Lee JY, Park JY, Won JH, Lim ST, Park HG, Yoo MJ. The prevalence of shoulder pain in adults over 40 years old in rural area of Chonan city. J Korean Orthop Assoc. 2003; 37(3):374–378.

15. Lim NY, Yi YJ. The effects of Koryo hand-acupuncture on the patients with chronic low back pain. J Korean Acad Nurs. 2003; 33(1):92–96.

16. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population: A sysmatic review. Scand J Rheumatol. 2004; 33(2):73–81.

17. Mahoney FI, Barthal DW. Functional evaluation, the Barthel index. Md State Med J. 1965; 14:61–65.

18. McCaffery M, Beebe A. Pain, clinical manual for nursing practice. St. Louis: Mosby company;1989.

19. Na SS, Kim SS, Park JS, Lee GN. The clinical effects of hand acupuncture sangung therapy and kigong therapy on shoulder pain. J Korean Acad Kigong Ther. 1998; 2(1):25–34.

20. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. J Korean Acad Nurs. 1998; 28(3):563–572.

21. Omari A, Bunker TD. Open surgical release for frozen shoulder: Surgical findings and results of the release. J Shoulder Elbow Surg. 2001; 10(4):353–357.

22. Park JS, Kwon SJ, Kwon YS. The effects of Dogbi (ST35) & Sulan moxibustion on knee joint pain, range of motion and discomfort during ADL in theaged. J Korean Acad Nurs. 2006; 36(1):189–196.

23. Park JS, Woo SN, Yeo HJ, Kim KS. The effects of hand moxibustion therapy on knee joint pain, joint range of motion and discomfort during ADL in elderly people. J Korean Acad Fundam Nurs. 2003; 10(2):244–253.

24. Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Res Nurs Health. 1987; 10:155–163.

25. Song MS. Gerontology Nursing. Seoul: Seoul National University Press;1999.

26. The National Statistical Office. Funeral population census. Seoul: The National Statistical Office;2007.

27. Yoo TW. Case study of frozen shoulder. Korea-Japan Hand Acupunct Symp. 1995; 14:470–471.

28. Yoo TW. A study of Koryo hand acupuncture. Seoul: Yin and yang press;2003.

29. Yoo TW. Seogeum Therapy Lecture. Seoul: Koryo hand acupuncture press;2007.

30. Yoon HW. Effects of Seoammoxa therapy on gastric cancer and chemotherapy. J Koryo Hand Acupunct Ther. 2006; 18(4):45–51.