Laser Acupuncture Analgesia on Postpartum Low Back Pain: A Prospective Randomized Controlled Study.


Journal

Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606

Informations de publication

Date de publication:
02 2023
Historique:
received: 23 12 2021
revised: 28 06 2022
accepted: 17 07 2022
pubmed: 5 9 2022
medline: 15 2 2023
entrez: 4 9 2022
Statut: ppublish

Résumé

Unresolved postpartum LBP may affect women...s physical and psychological health. To investigate the analgesic effects of laser acupuncture therapy (LAT) for postpartum LBP. Postpartum women with LBP were recruited and randomly assigned to the intervention group or the control group from November 2017 to July 2018. The participants in the intervention group received LAT and standard care. The participants in the control group received only standard care. The primary outcome was the Visual Analogue Scale for LBP. Secondary outcomes were limitation of daily activities and physical activity; perceived stress scale; and salivary cortisol values. In all, 106 participants were recruited and assigned to the intervention group or the control group. As compared with the control group, the participants in the LAT group had significantly lower intensity of LBP (mean ± SD: 1.21 ± 0.99 vs 3.25 ± 1.14; p < .001), limitations of daily activities (mean ± SD: 3.17 ± 2.09 vs 10.40 ± 4.72; p < .001) and physical activity (mean ± SD: 3.04 ± 2.17 vs 9.79 ± 4.71; p < .001), perceived stress (mean ± SD: 26.13 ± 3.97 vs 28.85 ± 4.26; p = .001), and salivary cortisol levels (mean ± SD: 0.194 ± 0.131 vs 0.280 ± 0.234; p = .02) post-intervention. For postpartum LBP, LAT combined with standard care had greater analgesic efficacy, lower perceived stress, lower limitations of daily activities and physical activity, and lower salivary cortisol levels than standard care alone.

Sections du résumé

BACKGROUND
Unresolved postpartum LBP may affect women...s physical and psychological health.
AIM
To investigate the analgesic effects of laser acupuncture therapy (LAT) for postpartum LBP.
METHOD
Postpartum women with LBP were recruited and randomly assigned to the intervention group or the control group from November 2017 to July 2018. The participants in the intervention group received LAT and standard care. The participants in the control group received only standard care. The primary outcome was the Visual Analogue Scale for LBP. Secondary outcomes were limitation of daily activities and physical activity; perceived stress scale; and salivary cortisol values.
RESULTS
In all, 106 participants were recruited and assigned to the intervention group or the control group. As compared with the control group, the participants in the LAT group had significantly lower intensity of LBP (mean ± SD: 1.21 ± 0.99 vs 3.25 ± 1.14; p < .001), limitations of daily activities (mean ± SD: 3.17 ± 2.09 vs 10.40 ± 4.72; p < .001) and physical activity (mean ± SD: 3.04 ± 2.17 vs 9.79 ± 4.71; p < .001), perceived stress (mean ± SD: 26.13 ± 3.97 vs 28.85 ± 4.26; p = .001), and salivary cortisol levels (mean ± SD: 0.194 ± 0.131 vs 0.280 ± 0.234; p = .02) post-intervention.
CONCLUSIONS
For postpartum LBP, LAT combined with standard care had greater analgesic efficacy, lower perceived stress, lower limitations of daily activities and physical activity, and lower salivary cortisol levels than standard care alone.

Identifiants

pubmed: 36058819
pii: S1524-9042(22)00149-7
doi: 10.1016/j.pmn.2022.07.007
pii:
doi:

Substances chimiques

Hydrocortisone WI4X0X7BPJ
Analgesics 0

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

89-95

Informations de copyright

Copyright © 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest The author(s) declare that they have no conflict of interests.

Auteurs

Hsuesh-Yu Cheng (HY)

Department of Nursing, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.

Bei-Yu Wu (BY)

Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Fooyin University College of Nursing, Kaohsiung, Taiwan.

Tao-Hsin Tung (TH)

Department of Medical Research and Education, Cheng-Hsin General Hospital, Taipei, Taiwan.

Carol Shieh (C)

Department of Community and Health Systems & Department of Science of Nursing Care, Indiana University School of Nursing, Indianapolis, Indiana.

Chun-Ting Liu (CT)

Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan. Electronic address: juntin0214@gmail.com.

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Classifications MeSH