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144 ��"

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EFFECT OF THAI HERBAL MASSAGE ON KNEE JOINT PAIN, KNEE

JOINT STIFFNESS, ELECTROMYOGRAM BIOFEEDBACK AND ACTIVITY

OF DAILY LIVING IN OLDER ADULTS WITH KNEE OSTEOARTHRITIS

SAICHON SRIPANG 5337087 RACN/M

M.N.S. (COMMUNITY HEALTH NURSE PRACTITIONER)

THESIS ADVISORY COMMITTEE: LADAVAL OUNPRASERTPONG

NICHAROJANA, D.N.S., NOPPAWAN PIASEU, Ph.D. (NURSING)

ABSTRACT

This experimental research aimed to examine the effects of Thai herbal

massage on knee joint pain, knee joint stiffness, electromyogram biofeedback levels

and activity of daily living in older adult with knee osteoarthritis. The sample

population was 70 elderly Thais with knee osteoarthritis receiving Thai herbal

massage treatment at Baan Wat Kampaeng Health Promoting Hospital selected by

using simple random sampling, 35 persons in the experimental and 35 in the control

group. In this regard, the control group received Diclofenac, 25 mg 3 times a day after

meals for 7 days, consecutively. The experimental group received Diclofenac 25mg 3

times a day after meals together with 1 hour Thai herbal massage treatment for 7 days,

consecutively. The instrument used to test the effects of Thai massage was an

electromyogram biofeedback (EMG) machine, and data was analyzed by descriptive

statistics, independent t- test, and paired t-test.

The results revealed that after the experiment, the mean of the

experimental group of knee joint pain, knee joint stiffness, and difficulty of activity of

daily living in older adults with knee osteoarthritis was smaller than the control group

with statistical significance (p<.001). The mean of the experimental group for

electromyogram biofeedback was smaller than the control group and was statistically

insignificant (p>.05). This study shows that Thai herbal massage can alleviate knee

joint pain, knee joint stiffness, electromyogram biofeedback levels, and activity of

daily living in older adults with knee osteoarthritis. Moreover, older adults with knee

osteoarthritis felt benefits from herbal compression. So, these results show that a Thai

herbal ball compress could complement pharmacologic treatment for relieving pain

and joint stiffness, and increase comfort in older adults with knee osteoarthritis.

Herbal ball massage can be combined with modern medicine as a nursing intervention

for knee osteoarthritis.

KEY WORDS: THAI HERBAL MASSAGE / ELECTROMYOGRAM

BIOFEEDBACK / KNEE OSTEOARTHRITIS /

COMPLEMENTARY AND ALTERNATIVE MEDICINE /

OLDER ADULTS

144 pages

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