• Lisa Li-Chen Hsieh, Chung-Hung Kuo, Liang Huei Lee, Amy Ming-Fang Yen, Kuo-Liong Chien, and Tony Hsiu-Hsi Chen.
• Institute of Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
• BMJ. 2006 Mar 25;332(7543):696-700.

ObjectiveTo evaluate the effectiveness of acupressure in terms of disability, pain scores, and functional status.DesignRandomised controlled trial.SettingOrthopaedic clinic in Kaohsiung, Taiwan.Participants129 patients with chronic low back pain.InterventionAcupressure or physical therapy for one month.Main Outcome MeasuresSelf administered Chinese versions of standard outcome measures for low back pain (primary outcome: Roland and Morris disability questionnaire) at baseline, after treatment, and at six month follow-up.ResultsThe mean total Roland and Morris disability questionnaire score after treatment was significantly lower in the acupressure group than in the physical therapy group regardless of the difference in absolute score (- 3.8, 95% confidence interval - 5.7 to - 1.9) or mean change from the baseline (- 4.64, - 6.39 to - 2.89). Acupressure conferred an 89% (95% confidence interval 61% to 97%) reduction in significant disability compared with physical therapy. The improvement in disability score in the acupressure group compared with the physical group remained at six month follow-up. Statistically significant differences also occurred between the two groups for all six domains of the core outcome, pain visual scale, and modified Oswestry disability questionnaire after treatment and at six month follow-up.ConclusionsAcupressure was effective in reducing low back pain in terms of disability, pain scores, and functional status. The benefit was sustained for six months.

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