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Research Article

2020; 13(6): 180-186

Published online December 1, 2020 https://doi.org/10.1016/j.jams.2020.10.003

Copyright © Medical Association of Pharmacopuncture Institute.

Effects of Acupressure and Acupuncture-Like Transcutaneous Electrical Nerve Stimulation on Sleep Quality Among Pregnant Women

1 Physiotherapy Department, Faculty of Allied Health WSciences, Bayero University Kano, Nigeria
2 Obstrtrics and Gynaecology Department, Faculty of Clinical Sciences, Bayero University Kano, Kano, Nigeria
3 Department of Medical Rehabilitation, Nnamdi Azikwe University, Nigeria

Correspondence to:Physiotherapy Department, Faculty of Allied Health Science, Bayero University Kano, PMB 3011, Kano, Kano-State, Nigeria.
E-mail addresses: ganiyusokunbi@gmail.com (G. Sokunbi), takaiidris@yahoo.co.uk (I.U. Takai), iphiedoc@gmail.com (I.B. Nwosu), Rashida34482971@gmail.com (R. Balarabe).

Received: March 23, 2020; Revised: October 12, 2020; Accepted: October 18, 2020

Abstract

<b>Background:</b> Despite the adverse consequences of poor sleep during pregnancy, relatively few safe interventions exist for improving sleep among pregnant women. Nonpharmacological interventions are increasingly gaining acceptance. However, the effects of acupressure and acupuncture-like transcutaneous electrical nerve stimulation (ACUTENS) have not been widely reported. <br /><b>Objectives:</b> The purpose of this study is to investigate the effects of low-frequency transcutaneous electrical nerve stimulation, otherwise known as ACUTENS, and acupressure on sleep quality among pregnant women. <br /><b>Methods:</b> Purposive sampling of 42 pregnant women with sleep disorders was conducted, and the participants were randomized into 3 groups, i.e., acupressure, ACUTENS, and usual care. interventions, which were carried out twice weekly for six weeks. The Pittsburgh Sleep Quality index was used to determine the overall sleep quality. <br /><b>Results:</b> The preintervention scores of sleep quality were 12.5 (3.75), 12.5 (4.0), and 13.0 (3.5) in the ACUTENS, acupressure, and usual care groups, respectively. The KruskaleWallis test did not show any significant difference in the preintervention sleep quality scores (H = 0.379, <i>p</i> = 0.827). Participants in the usual care group recorded the least improvement, with a score of 5.0 (2.25), the ACUTENS group recorded a score of 4.5 (3.0), and the greatest improvement was recorded in the acupressure group, with a score of 4.0 (2.2) after 6 weeks of intervention. The KruskaleWallis test did not show any significant difference in the postintervention sleep quality scores among the 3 groups (H = 0.666, <i>p</i> = 0.717). <br /><b>Conclusion:</b> This study showed that ACUTENS and acupressure as an adjunct to usual care are not more effective than usual care alone in improving sleep quality among pregnant women.

Keywords: acupressure, ACUTENS, sleep pregnancy

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