Effects of Acupressure and Lymphatic Massage on Chronic Neck Pain, Stress and Sleep Quality in Middle-aged Women

Abstract

This study investigated the effects of acupressure and lymphatic massage on pain, stress, and sleep quality in middle-aged women with chronic neck pain. Forty-five women were randomly assigned into acupressure group (n=15), lymphatic massage group (n=15), and untreated control group (n=15). Acupressure and lymphatic massage treatments were performed twice a week for 4 weeks. Neck pain intensity was measured using visual analogue scale (VAS) and difficulties of daily life due to neck pain was assessed by neck disability index (NDI). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Stress was evaluated by perceived stress scale (PSS) and symptoms of stress Inventory (SOSI). The significance of interaction between group and time was analyzed using a two-way ANOVA with repeated measures. The results of ANOVA showed that time main effects and interaction effects of VAS and NDI were significant (all <i>p</i><.001) indicating that acupressure and lymphatic massage are effective in reducing pain. Time main effect (<i>p</i><.01) and interaction effect (<i>p</i><.01) of PSQI total score were significant showing that acupressure and lymphatic massage affect the quality of sleep. Time (<i>p</i><.05) and interaction effects (<i>p</i><.05) of PSS were significant. Additionally, time (<i>p</i><.01) and interaction effects (<i>p</i><.01) of the total score of SOSI were significant. These results indicated that acupressure and lymphatic massage affect the stress response pattern. In conclusion, both acupressure and lymphatic massage are effective for reducing chronic neck pain, improving the quality of sleep, and relieving stress.