Evidence map›Paper›PMID 40152243›Full record

Trial reportPain medicine (Malden, Mass.)2025

Auricular point acupressure for older adults with chronic low back pain: a randomized controlled trial.

Jennifer Kawi, Chao Hsing Yeh, Nada Lukkahatai, Hulin Wu, Natalia E Morone, Ronald Glick, Elizabeth A Schlenk, Claudia Campbell, Johannes Thrul, Xinran Huang and 4 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03589703 nacompletednot on this map

Management of Chronic Low Back Pain in Older Adults Using Auricular Point Acupressure

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2019 to 2023Enrolled272ConditionsChronic Low Back PainArmsTarget ear points related to chronic low back pain (T-APA), Non-Target ear Points not related to chronic low back pain (NT-APA), Enhanced Educational Control Group (CG-2)
NCT07530042 nacompletednot on this mapstarted 2026, after this paper: background citation

Efficacy of Electroacupuncture Combined With Auricular Acupressure in Patients With Chronic Low Back Pain Due to Lumbar Spondylosis With Kidney Yin Deficiency Syndrome: A Randomized Controlled Trial.

TypeinterventionalSponsorUniversity of Medicine and Pharmacy at Ho Chi Minh CityRan2026 to 2026Enrolled76ConditionsChronic Low Back Pain (CLBP), Lumbar SpondylosisArmsElectroacupuncture, Auricular Acupressure, Sham Auricular Acupressure
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jennifer KawiCizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.ORCID 0000-0003-3359-1946
Chao Hsing YehCizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.ORCID 0000-0001-5326-6660
Nada LukkahataiSchool of Nursing, Johns Hopkins University, Baltimore, MD 21205, United States.
Hulin WuSchool of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.
Natalia E MoroneChobanian & Avedisian School of Medicine, Boston University, Boston, MA 02118, United States.ORCID 0000-0002-8405-5396
Ronald GlickSchool of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, United States.
Elizabeth A SchlenkSchool of Nursing, University of Pittsburgh, Pittsburgh, PA 15213, United States.ORCID 0000-0001-7361-1951
Claudia CampbellPsychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD 21205, United States.ORCID 0000-0002-5420-4207
Johannes ThrulDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States.ORCID 0000-0001-8929-9579
Xinran HuangSchool of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.
Hongyu WangCizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.
Hejingzi Monica JiaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States.
Paul ChristoSchool of Medicine, Johns Hopkins University, Baltimore, MD 21205, United States.
Constance JohnsonCizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.

Funding

Optimizing Self-Monitoring Smartphone App to Promote Adherence to COVID-19 Preventative Behaviors in African AmericansR01AG056587 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI JOHNSON, CONSTANCE MARGARET, LUKKAHATAI, NADA · 2018 to 2022
$3.8M
NIA NIH HHSNIA NIH HHS R01 AG056587NIH HHS R01AG056587
6 · The paper itself

Abstract

objectiveEfficacious modalities are limited in chronic low back pain (cLBP). We determined the efficacy of auricular point acupressure (APA) in older adults with cLBP.

design3-arm randomized controlled trial.

settingBaltimore, Maryland.

participantsParticipants, ≥60 years with cLBP, were randomized (1:1:1) to APA with ear points targeted to cLBP (T-APA, n = 92), points nontargeted to cLBP (NT-APA, n = 91), or waitlist education control (n = 89), and followed up to 6 months (6M). Participants in the APA groups received 4 weekly APA sessions; the education control group received 4 weekly educational sessions.

interventionAPA. MAIN OUTCOMES AND MEASURES: Primary outcomes were pain (Numerical Rating Scale) and function (Roland-Morris Disability Questionnaire).

resultsThere were 272 participants (174 women [64%]; mean [SD] age 70.0 [6.95] years; 62% non-White). Compared to control, the T-APA group had significant improvement on pain from baseline to postintervention and 1-month (1M) follow-up by 1.73 and 1.26 points (P ≤ .001) respectively. The NT-APA group achieved similar improvements in pain. The improvement in function by T-APA and NT-APA was significant at postintervention by 1.89 and 2.68 points (P = .04 and .004) respectively, minimal at 1M follow-up, but significant at 6M in both APA groups. There were no statistically significant differences in treatment responses between the APA groups. Both APA groups had higher responder rates in pain and function at postintervention and 1M follow-up compared to the control group (odds ratio ranged from 2.11 to 6.32). The APA effects were sustained at 6M follow-up.

conclusionsAPA treatments significantly improved pain and function compared to control; effects were sustained at 6M. APA should be recommended as a nonpharmacologic therapy for older adults with cLBP. CLINICAL TRIAL REGISTRATION NUMBER: Trial registry: Clinicaltrials.gov; Trial ID: NCT03589703; URL: https://clinicaltrials.gov/ct2/show/record/NCT03589703.

Indexed as

AcupressureAcupuncture PointsChronic PainLow Back PainAgedFemaleHumansMaleMiddle AgedPain MeasurementTreatment Outcomeacupressureauricular point acupressureauriculotherapychronic low back paincomplementary and integrative medicineolder adults

Identifiers

PMID40152243
PMCPMC12405757

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.