J Korean Acad Nurs.  2009 Feb;39(1):10-20.

The Effects of Hand Acupuncture Therapy on Pain, ROM, ADL and Depression among Elders with Low Back Pain and Knee Joint Pain

Affiliations
  • 1Department of Nursing, Research Institute of Geriatric Health, Inje University, Busan, Korea. jhyang@inje.ac.kr

Abstract

PURPOSE: The purpose of this study was to identify the effects of hand acupuncture therapy on pain, ROM, ADL, and depression among older people with low back pain and knee joint pain.
METHODS
The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 40 patients, 18 in the experimental group and 22 in the control group. A pretest and 2 posttest were conducted to measure the main variables. For the experimental group, hand acupuncture therapy, consisting of hand acupuncture and press-pellets based on corresponding points, was given.
RESULTS
There were statistically significant differences in pain, ROM in knee joint, and ADL in the experimental group but not in depression compared to the control group over two different times.
CONCLUSION
The hand acupuncture therapy was effective for low back pain, knee joint pain, ROM in knee joint and ADL among the elders in this study. Therefore, the hand acupuncture therapy can be utilized in the field of geriatric nursing as a nursing intervention for older people with low back pain and knee joint pain.

Keyword

Acupuncture therapy; Aged; Low back pain; Knee joint pain

MeSH Terms

*Activities of Daily Living
*Acupuncture Therapy
Aged
Aged, 80 and over
Analysis of Variance
*Depression
Female
Geriatric Assessment
Hand
Humans
*Knee Joint/physiopathology
Low Back Pain/*therapy
Male
Pain Measurement
*Range of Motion, Articular

Figure

  • Figure 1 Research design. O=Treatment; HAT=hand acupuncture therapy; HE=health education.

  • Figure 2 Corresponding points on hands for lowback pain and knee joint pain.


Reference

1. Ahn YO, Ryu GY, Park BJ. Medical Statistics. 2002. Seoul: Seoul National University Press.
2. Baik KJ. A study on the effect of Koryo Sooji Chim on the climacteric disorder of women in the middle age. 2002. Seoul: Chung-Ang University;Unpublished master's thesis.
3. Cheon EY. The effect of a self-management program on physical function and quality of life of patients with knee osteoarthritis. Journal of Korean Academy of Nursing. 2005. 35:514–525.
4. Cheon SJ, Kim KM, Park JS, Lee MH, Cho KS, Kim HK, et al. Adult Health Nursing. 2005. Seoul: Hyunmoonsa.
5. Cho KJ, Moon HJ, Park SA, Kang HS, Shin HS, Chung SJ, et al. Effect of hand acupuncture on easing dysmenorrhea. Journal of East-West Nursing Research. 2001. 6:37–45.
6. Chu MS. The effect of hand acupuncture on the shoulder pain in the elderly. The Korean Journal of Women's Health. 2004. 8:29–48.
7. Chun WJ. A study on the effects of hand acupuncture therapy on the insomnia, quality of sleep and depression of middle-aged women. 2005. Seoul: Ewha Womans University;Unpublished master's thesis.
8. Hwang EH, Kim MY. A study on the effects of the hand acupressure therapy on sleep quality and mood state of insomnia adults. Journal of Korean Academy of Adult Nursing. 2008. 20:21–32.
9. Jung IK, Kwak DI, Shin DK, Lee MS, Lee HS, Kim JY. A reliability and validity study of geriatric depression scale. Journal of Korean Neuropsychiatric Association. 1997. 36:103–112.
10. Kim JH, Kim JH. A study for relationship between depression and chronic musculoskeletal pain in elderly by geriatric depression scale. Journal of the Korea Gerontological Society. 1998. 18:90–102.
11. Kim MH. A comparative study of TKR patient's performance of activities of daily living and quality of life. 2004. Seoul: Kyung Hee University;Unpublished master's thesis.
12. Kim YS, Jeong IS, Jung HM. The effects of a stretching exercise program in elderly women. Journal of Korean Academy of Nursing. 2004. 34:123–131.
13. Statistics in health · society · welfare. Korea National Statistical Office. 2006. Retrieved September 20, 2008. from http://www.kosis.kr.
14. Statistics in older population. Korea National Statistical Office. 2008. Retrieved October 27, 2008. from http://www.kosis.kr.
15. Lawton MP, Brody EM. Assessment of old people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969. 9:179–186.
16. Lim NY, Yi YJ. The effect of Koryo hand-acupuncture on the patients with chronic low back pain. Journal of Korean Academy of Nursing. 2003. 33:79–86.
17. OECD health data 2008. Ministry for Health, Welfare and Family Affairs. 2008. Retrieved September 12, 2008. from http://www.mw.go.kr/user.tdf?a=user.tbdata.BoardApp&c=2001&board_id=gp_tb_data&skin=p_new_m2_common&mc=P_03_02.
18. National Health Insurance Corporation. Health insurance statistical year book. 2006. Seoul: Author.
19. Park JS, Woo SN, Yeo HJ, Kim KS. The effect of hand moxibustion therapy on knee joint pain, joint range of motion and discomfort during ADL in elderly people. Journal of Korean Academy of Fundamentals of Nursing. 2003. 10:244–253.
20. Park MH, Ko JK, Kim ES, Kim HJ, Park JS, Yang HJ, et al. Gerontological Nursing. 2008. Seoul: Jungdam Media.
21. Pontinen PJ, Pothmann R. Trigger point and trigger mechanism (H. Choi, Trans.). 2007. Seoul: Shinheung Medscience.
22. Schlager A, Boehler M, Pühringer F. Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery. British Journal of Anaesthesia. 2000. 85:267–270.
23. Shin HS, Song YA. Effects of Koryo hand therapy on menopausal symptoms and blood lipid levels in middle-aged women. Korean Journal of Women Health Nursing. 2006. 12:291–300.
24. Shin SJ, Kim KH, Chun WJ. The effectiveness of hand acupuncture therapy on the depression, anxiety, and insomnia in postmenopausal women. The Korean Journal of Women's Health. 2007. 8:29–48.
25. Sok SR, Kim KB. Effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for Korean elderly women. Journal of Korean Academy of Nursing. 2007. 37:305–312.
26. Song MS. Construction of functional status prediction model for the elderly. 1991. Seoul: Seoul National University;Unpublished doctoral dissertation.
27. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research. 1983. 17:37–49.
28. Yoo TW. Koryo hand acupuncture textbook for Korean. 2003. Seoul: YinyangMaekjin Publishing.
29. Yoo TW. Koryo hand therapy (volume 1). 2004. Seoul: YinyangMaekjin Publishing.
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr