Kim Manjung, Kim Jaehee
Department of Alternative Medicine, Graduate School, Kyonggi University (Seoul Campus), Seoul, Republic of Korea.
Department of Alternative Medicine, Graduate School of Alternative Medicine, Kyonggi University (Seoul Campus), Seoul, Republic of Korea.
J Altern Complement Med. 2021 Feb;27(2):160-167. doi: 10.1089/acm.2020.0413. Epub 2020 Dec 8.
Acupressure is known to be effective for some types of chronic pain. However, the effect of acupressure on chronic neck pain has not been investigated. Accordingly, the authors aimed to evaluate effects of the 4-week acupressure treatment on pain, neck function, and substance P in women with chronic neck pain. The acupressure treatment was performed two times a week for 4 weeks in an acupressure group ( = 24), meanwhile a control group ( = 26) was untreated. Before and after intervention, pain intensity and physical disability were measured by visual analogue scale (VAS) and neck disability index (NDI), respectively. In addition, cervical range of motion (CROM) and serum substance P were evaluated. Results of two-way analysis of variance with repeated measures revealed that time × group interactions were significant in all outcomes (all < 0.001) except substance P. These results indicate that after 4 weeks, VAS and NDI significantly decreased in the acupressure group compared with those changes in the control group. The CROM values for six cervical movements significantly increased in the acupressure group compared with those changes in the control group. Serum substance P did not change significantly in both groups. However, when the pre- and postintervention data from all subjects were pooled, substance P was significantly correlated with VAS ( = 20; < 0.05; = 100). The 4-week acupressure intervention showed significant reduction in pain and improvement in neck disability and flexibility, suggesting that acupressure intervention is an effective treatment for chronic neck pain. This study was registered with the Korean Clinical Trial Registry and WHO Clinical Trial Registry (KCT0005363).
众所周知，指压疗法对某些类型的慢性疼痛有效。然而，指压疗法对慢性颈部疼痛的影响尚未得到研究。因此，作者旨在评估为期4周的指压疗法对慢性颈部疼痛女性的疼痛、颈部功能和P物质的影响。指压疗法组（n = 24）每周进行两次指压治疗，持续4周，同时对照组（n = 26）不接受治疗。在干预前后，分别通过视觉模拟量表（VAS）和颈部功能障碍指数（NDI）测量疼痛强度和身体残疾程度。此外，还评估了颈椎活动范围（CROM）和血清P物质。重复测量的双向方差分析结果显示，除P物质外，所有结果中的时间×组交互作用均具有显著性（均P < 0.001）。这些结果表明，4周后，与对照组的变化相比，指压疗法组的VAS和NDI显著降低。与对照组的变化相比，指压疗法组六个颈椎运动的CROM值显著增加。两组血清P物质均无显著变化。然而，当汇总所有受试者的干预前后数据时，P物质与VAS显著相关（n = 20；P < 0.05；r = 100）。为期4周的指压疗法干预显示疼痛显著减轻，颈部残疾和灵活性得到改善，表明指压疗法干预是治疗慢性颈部疼痛的有效方法。本研究已在韩国临床试验注册中心和世界卫生组织临床试验注册中心注册（KCT0005363）。
