Acupressure for Knee Pain in Older Adults

NCT02003443 | Completed

• 2 other identifiers: N0157495968
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of this project is to determine whether self-administered acupressure is an effective and feasible self-management strategy for older adults with symptomatic KOA. Participants will be randomized to three treatment groups: pain-relief acupressure, sham acupressure, and usual care (UC). The two acupressure groups will be taught to administer pain-relief and sham acupressure, respectively, on themselves 5 days/week for 8 weeks. The usual care group will not be required to change any of their treatment practice. Outcome data will be collected at baseline, and the 4th and 8th week after baseline.

Conditions

Osteoarthritis

Keywords

Acupressure; Older Adults; Knee pain; Pain Treatment

Outcome Measures

Primary Outcomes (1)

• Pain

  The Western Ontario McMaster Universities Osteoarthritis Index (WOMAC).

  4 and 8 Weeks

Secondary Outcomes (1)

• Physical Function

  4 and 8 weeks

Other Outcomes (1)

• Fatigue

  4 and 8 weeks

Study Arms (3)

Sham Acupressure

PLACEBO COMPARATOR

Participants assigned to sham acupressure will receive similar instruction as those assigned to pain-relief acupressure, except that they will be taught to apply pressure to 10 acupoints that are unrelated to pain. That is, they will conduct self-administered acupressure 5 days/week for 8 weeks, as the pain-relief acupressure group does, but on 'sham' acupoints.

Behavioral: Self-Administered Acupressure

Usual Care

NO INTERVENTION

Participants assigned to the UC group will receive no intervention.

Pain-Relief Acupressure

EXPERIMENTAL

Participants assigned to pain-relief acupressure will be taught to apply physical pressure, using a wooden hand-held device designed for acupressure, to 10 acupoints on their body.That is, they will conduct self-administered acupressure 5 days/week for 8 weeks,on acupoints that are relevant to pain reduction.

Behavioral: Self-Administered Acupressure

Interventions

Self-Administered Acupressure BEHAVIORAL

The intervention involves teaching and supporting subjects to administer acupressure on themselves.

Pain-Relief Acupressure; Sham Acupressure

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Age 65 or older
• Community-living (i.e., own home, senior residence, apartment)
• Have a physician diagnosis of knee OA
• Current persistent pain (pain ≥ 4 on a 1-10 Visual Analogue Scale on 50% or more of days) that has lasted for 3 months or longer
• Ability to speak and write in English
• Adequate cognitive status (score \> 5 on the 6-item screener)
• Adequate functional ability to administer the acupressure protocol (e.g., able to use fingers or device to apply pressure to acupoints, able to easily reach feet to access acupoints)
• Ability to demonstrate understanding of treatment protocol through demonstration after being instructed
• Ambulatory with or without an assistive device
• Adequate hearing and vision to follow study protocol
• Agree not to start any new therapy for pain control during the study period
• Have a telephone and television

You may not qualify if:

• Receiving active cancer treatment
• Have a bleeding diathesis condition
• Have health conditions that could confound the effect of acupressure (e.g., rheumatoid arthritis, lupus, diabetic neuropathy)
• Had knee replacement surgery
• Planned or current involvement in physical therapy, acupuncture or acupressure during the study period or receipt of any of these in the previous 3 months
• Knee injection in prior 6 weeks with no planned injection during the study period
• Chronic use of opioid therapy

Sponsors & Collaborators

• University of Michigan: lead

Study Sites (1)

University of Michigan Chronic Pain and Fatigue Research Center

Ann Arbor, Michigan, 48106, United States

Location

Related Publications (1)

• Li LW, Harris RE, Tsodikov A, Struble L, Murphy SL. Self-Acupressure for Older Adults With Symptomatic Knee Osteoarthritis: A Randomized Controlled Trial. Arthritis Care Res (Hoboken). 2018 Feb;70(2):221-229. doi: 10.1002/acr.23262. Epub 2017 Dec 29.

  PMID: 28437570 DERIVED

MeSH Terms

Conditions

Osteoarthritis; Agnosia

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Lydia Li, PhD

  Regents of the University of Michigan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: December 2, 2013
• First Posted: December 6, 2013
• Study Start: August 1, 2013
• Primary Completion: February 1, 2015
• Study Completion: February 1, 2015
• Last Updated: June 14, 2022

Record last verified: 2022-06

Locations

US (1)