Research Article

The Anti-Inflammatory Actions of Auricular Point Acupressure for Chronic Low Back Pain

Table 3

Mean changes from pre- to post-APA treatment of biomarkers and clinical outcomes.

Cytokine change after treatmentReal APA group Sham APA group Difference valueEffect size
Mean (SD)Mean (SD)Mean (SD)

Proinflammatory cytokines
 IL-1−1.33 (5.00)−0.39 (2.09)−0.94 (3.88)0.35−0.24
 IL-2−1.24 (6.51)−0.39 (5.34)−0.85 (5.98)0.58−0.14
 IL-6−2.18 (9.68)−1.28 (16.19)−0.90 (13.58)0.80−0.07
 TNF-2.55 (24.39)−5.61 (22.96)8.16 (23.71)0.200.34
Anti-inflammatory cytokines
 IL-40.40 (2.46)−0.93 (2.52)1.33 (2.49)0.050.53
 IL-10−2.28 (7.22)−1.38 (7.07)−0.90 (7.15)0.63−0.13
Neuropeptides
 CGRP−6.19 (17.91)2.69 (8.41)−8.87 (14.19)0.04−0.63
-endorphin−8.67 (21.57)−7.88 (24.49)−0.79 (12.07)0.90−0.03
Clinical outcomes
 Pain−3.66 (2.78)−0.79 (2.46)−2.86 (2.63)<0.01−1.09
 Physical function−2.86 (3.97)−0.43 (4.52)−0.43 (3.99)0.06−0.11

Note. SD: standard deviation; APA: auricular point acupressure; CGRP: calcitonin gene-related peptide.
The effect size is calculated from Cohen’s .