Journal List > J Korean Acad Nurs > v.39(1) > 1002508

J Korean Acad Nurs. 2009 Feb;39(1):10-20. Korean.
Published online February 28, 2009.
Copyright © 2009 Korean Society of Nursing Science
The Effects of Hand Acupuncture Therapy on Pain, ROM, ADL and Depression among Elders with Low Back Pain and Knee Joint Pain
Jin-Hyang Yang
Associate Professor, Department of Nursing, Research Institute of Geriatric Health, Inje University, Busan, Korea.

Address reprint requests to: Yang, Jin-Hyang. Department of Nursing, College of Nursing, Inje University, 633-165 Gaegeum-dong, Busanjin-gu, Busan 614-735, Korea. Tel: 82-51-890-6839, Fax: 82-51-896-9840, Email:
Received September 30, 2008; Accepted January 12, 2009.



The purpose of this study was to identify the effects of hand acupuncture therapy on pain, ROM, ADL, and depression among older people with low back pain and knee joint pain.


The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 40 patients, 18 in the experimental group and 22 in the control group. A pretest and 2 posttest were conducted to measure the main variables. For the experimental group, hand acupuncture therapy, consisting of hand acupuncture and press-pellets based on corresponding points, was given.


There were statistically significant differences in pain, ROM in knee joint, and ADL in the experimental group but not in depression compared to the control group over two different times.


The hand acupuncture therapy was effective for low back pain, knee joint pain, ROM in knee joint and ADL among the elders in this study. Therefore, the hand acupuncture therapy can be utilized in the field of geriatric nursing as a nursing intervention for older people with low back pain and knee joint pain.

Keywords: Acupuncture therapy; Aged; Low back pain; Knee joint pain


Figure 1
Research design.

O=Treatment; HAT=hand acupuncture therapy; HE=health education.

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Figure 2
Corresponding points on hands for lowback pain and knee joint pain.
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Table 1
Homogeneity Test of General Characteristics between Experimental and Control Group
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Table 2
Homogeneity Test of Symptom related Characteristics and Dependent Variables between Experimental and Control Group
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Table 3
Repeated Measures ANOVA in Pain, ROM, ADL and Depression
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Table 4
Differences in Pain, ROM, ADL and Depression between Groups Over Time
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This work was supported by the 2007 Inje University Research Grant.

1. Ahn YO, Ryu GY, Park BJ. In: Medical Statistics. Seoul: Seoul National University Press; 2002.
2. Baik KJ. In: A study on the effect of Koryo Sooji Chim on the climacteric disorder of women in the middle age. Seoul: Chung-Ang University; 2002.
Unpublished master's thesis.
3. Cheon EY. The effect of a self-management program on physical function and quality of life of patients with knee osteoarthritis. Journal of Korean Academy of Nursing 2005;35:514–525.
4. Cheon SJ, Kim KM, Park JS, Lee MH, Cho KS, Kim HK, et al. In: Adult Health Nursing. Seoul: Hyunmoonsa; 2005.
5. Cho KJ, Moon HJ, Park SA, Kang HS, Shin HS, Chung SJ, et al. Effect of hand acupuncture on easing dysmenorrhea. Journal of East-West Nursing Research 2001;6:37–45.
6. Chu MS. The effect of hand acupuncture on the shoulder pain in the elderly. The Korean Journal of Women's Health 2004;8:29–48.
7. Chun WJ. In: A study on the effects of hand acupuncture therapy on the insomnia, quality of sleep and depression of middle-aged women. Seoul: Ewha Womans University; 2005.
Unpublished master's thesis.
8. Hwang EH, Kim MY. A study on the effects of the hand acupressure therapy on sleep quality and mood state of insomnia adults. Journal of Korean Academy of Adult Nursing 2008;20:21–32.
9. Jung IK, Kwak DI, Shin DK, Lee MS, Lee HS, Kim JY. A reliability and validity study of geriatric depression scale. Journal of Korean Neuropsychiatric Association 1997;36:103–112.
10. Kim JH, Kim JH. A study for relationship between depression and chronic musculoskeletal pain in elderly by geriatric depression scale. Journal of the Korea Gerontological Society 1998;18:90–102.
11. Kim MH. In: A comparative study of TKR patient's performance of activities of daily living and quality of life. Seoul: Kyung Hee University; 2004.
Unpublished master's thesis.
12. Kim YS, Jeong IS, Jung HM. The effects of a stretching exercise program in elderly women. Journal of Korean Academy of Nursing 2004;34:123–131.
13. Statistics in health · society · welfare. Korea National Statistical Office. 2006 [Retrieved September 20, 2008].
14. Statistics in older population. Korea National Statistical Office. 2008 [Retrieved October 27, 2008].
15. Lawton MP, Brody EM. Assessment of old people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179–186.
16. Lim NY, Yi YJ. The effect of Koryo hand-acupuncture on the patients with chronic low back pain. Journal of Korean Academy of Nursing 2003;33:79–86.
17. OECD health data 2008. Ministry for Health, Welfare and Family Affairs. 2008 [Retrieved September 12, 2008].
18. National Health Insurance Corporation. Health insurance statistical year book. Seoul: Author; 2006.
19. Park JS, Woo SN, Yeo HJ, Kim KS. The effect of hand moxibustion therapy on knee joint pain, joint range of motion and discomfort during ADL in elderly people. Journal of Korean Academy of Fundamentals of Nursing 2003;10:244–253.
20. Park MH, Ko JK, Kim ES, Kim HJ, Park JS, Yang HJ, et al. In: Gerontological Nursing. Seoul: Jungdam Media; 2008.
21. Pontinen PJ, Pothmann R. In: Trigger point and trigger mechanism (H. Choi, Trans.). Seoul: Shinheung Medscience; 2007.
22. Schlager A, Boehler M, Pühringer F. Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery. British Journal of Anaesthesia 2000;85:267–270.
23. Shin HS, Song YA. Effects of Koryo hand therapy on menopausal symptoms and blood lipid levels in middle-aged women. Korean Journal of Women Health Nursing 2006;12:291–300.
24. Shin SJ, Kim KH, Chun WJ. The effectiveness of hand acupuncture therapy on the depression, anxiety, and insomnia in postmenopausal women. The Korean Journal of Women's Health 2007;8:29–48.
25. Sok SR, Kim KB. Effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for Korean elderly women. Journal of Korean Academy of Nursing 2007;37:305–312.
26. Song MS. In: Construction of functional status prediction model for the elderly. Seoul: Seoul National University; 1991.
Unpublished doctoral dissertation.
27. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research 1983;17:37–49.
28. Yoo TW. In: Koryo hand acupuncture textbook for Korean. Seoul: YinyangMaekjin Publishing; 2003.
29. Yoo TW. In: Koryo hand therapy (volume 1). Seoul: YinyangMaekjin Publishing; 2004.