Abstract

Study Objectives. To examine the stimulation effect of auricular magnetic press pellet therapy on older female adults with sleep disturbance as determined by polysomnography (PSG). Design. Randomized, single-blind, experimental-controlled, parallel-group. Setting. Community. Participants. Twenty-seven older female adults with sleep disturbance according to the Pittsburgh Sleep Quality Index (PSQI) >5 for at least 3 months were recruited. Participants were screened by both the Hospital Anxiety and Depression Scale (HADS) and the Mini-Mental State Examination (MMSE), as well as polysomnography prior to randomization. Interventions. All eligible participants were randomly allocated into the experimental or control group. Both groups were taped with magnetic press pellet on auricular points for 3 weeks. The experimental group was treated by applying pressure on the magnetic press pellets 3 times per day while no stimulation was applied on the control group. Measurements and Results. Both groups were measured by PSG and PSQI at the beginning of the study and 3 weeks after the study. Both groups showed improvements on PSQI scores compared to the baseline. One-way analysis of covariance adjusted for baseline scores showed that significant improvements of PSG-derived sleep parameters, such as sleep efficiency, were found in the experimental group. However, no significant differences between groups were observed in the proportion of sleep stages with the exception of Stage 2. Conclusions. Auricular therapy using magnetic pellets and stimulation by pressing was more effective in improving the sleep quality compared to auricular therapy without any stimulation.

Highlights

  • Sleep is a periodic state of rest for the body and mind

  • The nonrapid eye movement (NREM) sleep does not occur with rapid eye movement and is associated with tissue repair

  • Seven acupoints for sleep improvement were chosen based on the principles of Traditional Chinese Medicine (TCM) and a standardized protocol published by Suen et al [29]

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Summary

Introduction

Sleep is a periodic state of rest for the body and mind. In humans, normal sleep has five stages that cyclically repeat themselves during an episode of sleep. Changes in sleep patterns with advancing age characterized by decreased total nocturnal sleep time and frequent nocturnal awakening often result in the older adults experiencing a lighter and more interrupted sleep [9]. Their total sleep time and sleep efficiency decline with age [10]. Evidence has shown that auricular therapies hold great potential on having positive effects on the improvement of insomnia [17,18,19,20]. The main purpose of this study is to further examine the stimulation effect of auricular press pellet therapy on older adult women with sleep disturbance by using the polysomnography (PSG) measurements

Methods
Subjective Sleep Measures
Objective Sleep Measures
Results
Discussion
F P value
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