Efficacy of an Acupressure Mat in Association with Therapeutic Exercise in the Management of Chronic Low Back Pain: A Prospective Randomized Controlled Study
Source abstract
Abstract
(1) Background: Acupressure is a noninvasive, low-cost technique that makes use of physical pressure on specific points using a finger or a device and shows positive effects on chronic pain as an adjunctive method to the rehabilitation exercises. The study’s aim was to evaluate the therapeutic efficacy on pain, disability, and life quality of an acupressure mat associated with a rehabilitation program in patients with chronic low back pain. (2) Methods: All participants underwent a specific rehabilitation program, initially with 10 supervised exercise sessions, then as home exercise for 6 months. The subjects in the experimental group (EG) were additionally provided with an acupressure mat and used it for 60 min per day. (3) Results: 44 patients (31 females) were equally divided among the treatment groups. A significant time interaction was found in both groups for McGill Pain Questionnaire, Oswestry Disability Index, and EuroQol-5D, and only in the EG for Visual Analog Scale. (4) Conclusions: The acupressure mat is simple and provides an additional benefit for patients in relieving pain and improving function and quality of life, especially in the medium-to-long term.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Musculoskeletal pain and rehabilitation · Spine and Intervertebral Disc Pathology · Acupuncture Treatment Research Studies
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Rehabilitation Medicine Service, University Hospital of Parma, Via Gramsci, 14, 43126 Parma, Italy
Department of Physical and Rehabilitation Medicine, University of Padua, 35100 Padua, Italy
IRCCS Santa Lucia Foundation, 00179 Rome, Italy
References (48)
Show source-provided references
1. Epidemiological features of chronic low-back pain10.1016/S0140-6736(99)01312-4 ↗
2. US national prevalence and correlates of low back and neck pain among adults10.1002/art.22684 ↗
3. The influence of sleep disorders on the quality of life in patients with chronic low back pain10.1111/scs.12610 ↗
4. Fatigue and depression in sick-listed chronic low back pain patients10.1111/pme.12435 ↗
5. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation10.2106/00004623-199072030-00013 ↗
6. Multidisciplinary approach to chronic back pain: Prognostic elements of the outcome
7. Chronic Low Back Pain IPD Meta-Analysis Group. Exercise treatment effect modifiers in persistent low back pain: An individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials10.1136/bjsports-2019-101205 ↗
8. Frizziero, A., Pellizzon, G., Vittadini, F., Bigliardi, D., and Costantino, C. (2021). Efficacy of Core Stability in Non-Specific Chronic Low Back Pain. J. Funct. Morphol. Kinesiol., 6.10.3390/jfmk6020037 ↗
9. Systematic review: Opioid treatment for chronic back pain: Prevalence, efficacy, and association with addiction10.7326/0003-4819-146-2-200701160-00006 ↗
10. Chapter 4. European guidelines for the management of chronic nonspecific low back pain
11. Cost-effectiveness of naturopathic care for chronic low back pain
12. Functional chronic pain syndromes and naturopathic treatments: Neurobiological foundations10.1159/000121321 ↗
13. Acupressure for chronic low back pain: A single system study10.1589/jpts.29.1416 ↗
14. The effectiveness of acupressure on relieving pain: A systematic review10.1016/j.pmn.2012.12.005 ↗
15. Beyond Pills: Acupressure Impact on Self-Rated Pain and Anxiety Scores10.1089/acm.2018.0422 ↗
16. Efficacy of acupressure for chronic low back pain: A systematic review10.1016/j.ctcp.2020.101146 ↗
17. Relaxing on a bed of nails: An exploratory study of the effects on the autonomic, cardiovascular, and respiratory systems, and saliva cortisol10.1089/acm.2010.0135 ↗
18. The benefit of a mechanical needle stimulation pad in patients with chronic neck and lower back pain: Two randomized controlled pilot studies10.1155/2012/753583 ↗
19. Stem cells, angiogenesis and muscle healing: A potential role in massage therapies?10.1136/bjsports-2012-091685 ↗
20. Naturopathic reflex therapies for the treatment of chronic back and neck pain—Part 1: Neurobiological foundations
21. Assessment of mechanisms in localized and widespread musculoskeletal pain10.1038/nrrheum.2010.107 ↗
22. Pain: A review of three commonly used pain rating scales10.1111/j.1365-2702.2005.01121.x ↗
23. The McGill Pain Questionnaire: Major properties and scoring methods10.1016/0304-3959(75)90044-5 ↗
24. The Oswestry Disability Index10.1097/00007632-200011150-00017 ↗
25. L’EuroQol-5D (EQ-5D): Uno strumento per la misura della qualità della vita (EuroQol-5D (EQ-5D): An instrument for measuring quality of life)
26. A unified approach to rank tests for mixed models10.1016/S0378-3758(96)00177-2 ↗
27. Nonparametric analysis of ordinal data in designed factorial experiments10.1094/PHYTO.2004.94.1.33 ↗
28. National Guideline Centre (UK) (2016). Low Back Pain and Sciatica in over 16s: Assessment and Management, National Institute for Health and Care Excellence.
29. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care10.1007/s00586-010-1502-y ↗
30. Education in the management of low back pain: Literature review and recall of key recommendations for practice10.1016/j.rehab.2011.06.001 ↗
31. Butler, D.S., and Moseley, G.L. (2013). Explain Pain, Noigroup Publications. [2nd ed.].
32. Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials10.1177/0269215515570379 ↗
33. Prevention and treatment of low back pain: Evidence, challenges, and promising directions10.1016/S0140-6736(18)30489-6 ↗
34. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment10.1007/s11916-019-0757-1 ↗
35. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis10.1136/bjsports-2019-100886 ↗
36. Lumbar segmental ‘instability’: Clinical presentation and specific stabilizing exercise management10.1054/math.1999.0213 ↗
37. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis10.1097/00007632-199611150-00014 ↗
38. Spinal segmental stabilisation exercises for chronic low back pain: Programme adherence and its influence on clinical outcome10.1007/s00586-009-1093-7 ↗
39. Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: A randomized controlled trial10.1177/0269215520927076 ↗
40. Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: A randomized clinical trial10.1016/j.spinee.2011.01.036 ↗
41. Does relaxation on a bed of nails (spike mat) induce beneficial effects? A randomized controlled pilot study10.4081/ams.2011.e5 ↗
42. The effect of an acupressure backrest on pain and disability in office workers with chronic low back pain: A randomized, controlled study and patients’ preferences10.1016/j.ctim.2015.03.005 ↗
43. Zilberter, T., and Roman, J. (1999, January 26–28). Reflexo-therapy with mechanical skin stimulation: Pilot study. Proceedings of the Symposium on Integrative Medicine, New York, NY, USA.
44. The cortical representation of pain10.1016/S0304-3959(98)00184-5 ↗
45. Tactile discrimination, but not tactile stimulation alone, reduces chronic limb pain10.1016/j.pain.2007.10.021 ↗
46. I can’t find it! Distorted body image and tactile dysfunction in patients with chronic back pain10.1016/j.pain.2008.08.001 ↗
47. Comparison of trunk proprioception between patients with low back pain and healthy controls10.1016/j.apmr.2010.06.004 ↗
48. Efficacy of perceptive rehabilitation in the treatment of chronic nonspecific low back pain through a new tool: A randomized clinical study10.1177/0269215511414443 ↗