The effect of acupressure on the severity of pain and sleep quality in patients with osteoarthritis of the knee.

Determining the effect of acupressure on pain intensity and sleep quality in patients with knee osteoarthritis.

A randomized controlled clinical trial with a control group, in parallel, Single blinded groups, on 126 patients, which will be assigned to the intervention, control and treatment groups using permutation blocking method.

The research environment in this study is Rheumatology Clinic affiliated to Birjand University of Medical Sciences. The researcher teaches how to perform acupressure on specific points in person and practical practice and presenting educational pamphlets to patients in groups of 10 people.

Inclusion criteria : -Grade 2 and 3 osteoarthritis of the knee according to the scale (Kellegren-Lawrence) K-L. -Do not take NSAIDs more than 3 times a week (maximum 1500 mg naproxen per week). -Lack of inflammation, infection, or sensory disturbance or neuropathy at the acupressure site. -Not doing acupressure in the last six months, Not being history of joint surgery and steroid injections last month. - BMI less than 35. -Not being take anticoagulants and Lack of history of coagulation disorders -Take more than 5score Petersburg quality sleep questionnaire Not being Mental Illness. Inclusion criteria: Grade 1 osteoarthritis of the knee according to the scale (Kellegren-Lawrence) K-L. BMI more than 35

The researcher teaches how to perform acupressure on specific points in person and practical practice and presenting educational pamphlets to patients in groups of 10 people. In the facade treatment group, the intervention is taught in the same way on false points. The control group also receives routine care.

Pain Sleep Quality

All sample subjects are divided into three equal groups by simple randomized methods. first 126 cards (equal to the number of sample volumes) will be prepared. Then, one of the letters A, B or C will be written on each card (42cards A, 42 cards B and 42cards C).These cards will be placed inside a box. so, no one will be able to see the cards inside the box.After shuffling the cards by the researcher, patients are asked to randomly remove a card from the box (selected cards will not be returned to the box after selection).Thus, Participants are divided into three groups of 42members A, B and C.In this way, three cards are prepared and one of the numbers one, 2 and 3 will be written on each card.Numbers 1, 2 and 3 will belong to intervention, placebo and control, respectively.These cards will be placed in a box and after shuffling, the researcher will randomly select a card for each group (the selected cards will not be returned to the box after selection)

In this study, the assistant researcher will complete the questionnaires to prevent bias in the results. Thus, the assistant researcher will be unaware of the groupings and the type of interventions performed in each group and by each Patient.