Adams Angela, Eschman Joseph, Ge Weiqing
Department of Physical Therapy, Youngstown State University, USA.
Eschman Physical Therapy, LLC, USA.
J Phys Ther Sci. 2017 Aug;29(8):1416-1420. doi: 10.1589/jpts.29.1416. Epub 2017 Aug 10.
[Purpose] Low back pain (LBP) is the leading cause of global disability. Acupressure is a manual approach that can be used for self-management of LBP. The purpose of the study was to determine the effectiveness of acupressure in treating chronic LBP. [Subjects and Methods] The research design was a single system study utilizing an AB design. The subject was recruited using convenience sampling. During phase A, the subject received traditional physical therapy interventions. During phase B, the subject received acupressure in addition to traditional physical therapy interventions. Outcomes included the Visual Analog Scale (VAS), the Patient Specific Functional Scale (PSFS), and the Oswestry Disability Index (ODI). [Results] For the VAS, the pain was 38.8 mm at baseline, decreased to 11.3 mm after phase A, and decreased to 2.5 mm after phase B. For the PSFS, the subject's function was 5/10 at baseline, remained the same after phase A, and increased to 9/10 after phase B. For the ODI, the subject's disability was moderate (30%) at the baseline, decreased to minimal (14%) after phase A, and completely resolved (0%) after phase B. [Conclusion] The data indicated that integrating acupressure in physical therapy could reduce pain, increase function, and decrease disability.
[目的] 下背痛（LBP）是全球致残的主要原因。指压是一种可用于LBP自我管理的手动疗法。本研究的目的是确定指压治疗慢性LBP的有效性。[对象与方法] 研究设计为采用AB设计的单系统研究。采用便利抽样法招募研究对象。在A阶段，研究对象接受传统物理治疗干预。在B阶段，研究对象除接受传统物理治疗干预外，还接受指压治疗。观察指标包括视觉模拟评分法（VAS）、患者特异性功能量表（PSFS）和Oswestry功能障碍指数（ODI）。[结果] 对于VAS，基线时疼痛为38.8 mm，A阶段后降至11.3 mm，B阶段后降至2.5 mm。对于PSFS，研究对象的功能在基线时为5/10，A阶段后保持不变，B阶段后增至9/10。对于ODI，研究对象的功能障碍在基线时为中度（30%），A阶段后降至轻度（14%），B阶段后完全缓解（0%）。[结论] 数据表明，在物理治疗中结合指压可减轻疼痛、增强功能并减少功能障碍。
