Your browser does not support the NLM PubReader view.

Go to this page to see a list of supporting browsers.

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

Article information

Res Community Public Health Nurs. 2010;21(2):229-241
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2010.21.2.229
Young-Ock Lee1, Chungnam Kim2
1Director, Sungseo Urban Primary Health Care Center, Korea.
2Professor, College of Nursing, Keimyung University, Korea.
Address reprint requests to: Kim, Chungnam, College of Nursing, Keimyung University, 1000 Sindang-dong, Dalseo-gu, Daegu 704-701, Korea. Tel: 82-53-580-3909, Fax: 82-53-580-3916, jnk584@kmu.ac.kr
Received 2010 April 27; Revised 2010 June 21; Accepted 2010 June 21.

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.

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

References

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.

Article information Continued

© 2010 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figure 1

Figure 1

The points of ceramic seoammoxa & seoampellet theapy

Table 1

Homogeneity Test on General Characteristics (N=78)

Table 1

S/D/O=sons/daughters/others; ES=elementary school; MS=middle school; SPD=shoulder pain duration.

†Fisher's exact test.

Table 2

Homogeneity Test on Shoulder Pain, ADL/IADL and Sleep Disorders (N=78)

Table 2

Table 3

Repeated Measure ANOVA on Shoulder Pain, ADL/IADL, Sleep Disorders (N=78)

Table 3

Post verification *Shoulder pain: Exp. A, Exp. B, Exp. C < Cont.

*ADL/IADL: Exp. B, Exp. C > Cont.

*Sleep disorders: Exp. C < Cont.

Table 4

Comparison of Pain, ADL/IADL and Sleep Disorders before and after 3 Weeks among 3 Exp. Group (N=78)

Table 4

Exp.=experimental group.

Table 5

Comparison of Pain, ADL/IADL and Sleep Disorders before and after 6 Weeks among 3 Exp. Group (N=78)

Table 5

Exp.=experimental group.