College of Nursing, Ewha Womans University, South Korea.
College of Nursing, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, South Korea.
Appl Nurs Res. 2019 Feb;45:12-16. doi: 10.1016/j.apnr.2018.11.005. Epub 2018 Nov 7.
The aim of this study was to examine the effect of auricular acupressure (AA) on pain, pain threshold (PT), disability, and cervical range of motion in adults with chronic neck pain.
About 30-50% of the world's population suffers from chronic neck pain, and the cost of treatment is increasing.
This single-blind, randomized sham-controlled study was conducted on 48 adults with chronic neck pain in South Korea. The experimental group (n = 25) received AA on specific acupoints for neck pain, whereas the control group (n = 23) received AA on unspecific acupoints. Participants received 4 weeks of auricular-acupressure intervention. Outcomes were assessed by the visual analog scale (VAS), PT, neck-disability index (NDI), and cervical range of motion. Measurements were taken 3 times: before intervention, 2 weeks into the intervention, and after the intervention.
Statistical differences between the two groups emerged in PT (p = .003), the NDI (p = .033), cervical flexion (p = .004), and left rotation (p = .004), but not on the VAS.
This study showed that AA leads to improvements on PT, neck disability, and cervical range of motion. Therefore, AA can be used as an alternative nursing intervention for chronic neck pain.
本研究旨在探讨耳穴按压（AA）对慢性颈痛成人疼痛、痛觉阈值（PT）、残疾和颈椎活动度的影响。
世界上约有 30-50%的人口患有慢性颈痛，治疗费用不断增加。
这是一项在韩国进行的单盲、随机假对照研究，纳入了 48 名慢性颈痛成人患者。实验组（n=25）接受针对颈痛的特定穴位 AA，对照组（n=23）接受非特定穴位 AA。参与者接受为期 4 周的耳穴按压干预。使用视觉模拟评分（VAS）、PT、颈痛残疾指数（NDI）和颈椎活动度来评估结果。在干预前、干预 2 周后和干预后 3 次进行测量。
两组在 PT（p=0.003）、NDI（p=0.033）、颈椎前屈（p=0.004）和左侧旋转（p=0.004）方面存在统计学差异，但 VAS 无差异。
本研究表明，AA 可改善 PT、颈痛残疾和颈椎活动度。因此，AA 可作为慢性颈痛的替代护理干预措施。
