Effects of Aroma Massage on Pain, Activities of Daily Living and Fatigue in Patients with Knee Osteoarthritis

무릎 골관절염 환자에게 시행한 아로마 마사지가 통증, 일상활동 능력 및 피로에 미치는 효과

  • Published : 2009.11.30


Purpose: The effects of aroma massage on pain, activities of daily living, and fatigue were investigated in the patients who have knee osteoarthritis. Method: A quasi-experimental design with non-equivalent control group pretest-posttest measures was used. Twenty one and twenty subjects were included in control and experimental group, respectively. Subjects in experimental group had aroma massage which used lavender, chamomile, and ginger oil on painful knee. They were encouraged to implement aroma massage at least two times a day for 2 weeks. Subjects in the control group had conventional oil massage implementing by exactly same method as did in the experimental group. GRS(graphic rating scale), Korean version of WOMAC (Western Ontario and McMaster) osteoarthritis index, and MAF(multidimensional assessment of fatigue) were used to measure the outcome variables such as pain, activities of daily living and fatigue, respectively. Results: After 2 weeks, those in the experimental group reported significantly less pain and fatigue and better activities of daily living than those in the control group. Conclusion: Based on these results, aroma massage could be recommended as a self managed intervention for the patients with knee osteoarthritis.


  1. Altman, R. D., & Marcussen, K. C. (2001). Effects of a ginger extract on knee pain in patients with osteoarthritis. Arthritis and Rheumatism, 44(11), 2531-2538. https://doi.org/10.1002/1529-0131(200111)44:11<2531::AID-ART433>3.0.CO;2-J
  2. Bae, S. C., Lee, H. S., Yun, H. R., Kim, T. H., Yoo, D. H., & Kim, S. Y. (2001). Crosscultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne Osteoarthritis Indices for clinical research. Osteoarthritis & Cartilage, 9(8), 746-750. https://doi.org/10.1053/joca.2001.0471
  3. Bellamy, N. (1989). Pain assessment in osteoarthritis: experience with osteoarthritis index. Seminars in Arthritis and Rheumatism, 18, 14-17. https://doi.org/10.1016/0049-0172(89)90010-3
  4. Belza, B. L. (1995). Comparison of self-reported fatigue in rheumatoid arthritis and controls. Journal of Rheumatology, 22, 639-43.
  5. Brand, C. A. (2008). The role of self management in designing care for people with osteoarthritis of hip and knee. Journal of American Medical Association,189, 525-528.
  6. Brooks, P. M. (2002). Impact of osteoarthritis on individuals and society: How much disability? Social consequences and health economic implications. Current Opinion in Rheumatism, 14(5), 573-577. https://doi.org/10.1097/00002281-200209000-00017
  7. Brownfield, A. (1998). Aroma therapy in arthritis. Nursing Standard, 13(5), 34-35.
  8. Chang, S. Y. (2008). Effects of aromatherapy hand massage on anxiety, and depression in patients with terminal cancer. Journal of Korean Academy Society, 38(4), 493-502. https://doi.org/10.4040/jkan.2008.38.4.493
  9. Creamer, P., Lethbridge-Cejku, M., & Hochberg, M. C. (2000). Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology (Oxford), 39, 490-496. https://doi.org/10.1093/rheumatology/39.5.490
  10. Ernst, E. (1997). Acupuncture as a symptomatic treatment of osteoarthritis: A systematic review. Scandinavian Journal of Rheumatology, 26, 444-7. https://doi.org/10.3109/03009749709065717
  11. Gedney, J. J., Glover, T. L., & Fillingim, R. B. (2004). Sensory and affective pain discrimination after inhalation of essential oils. Psychosomatics, 66(4), 599-606. https://doi.org/10.1097/01.psy.0000132875.01986.47
  12. Geiger, J. L. (2005). The essential oil of ginger, Zingiber officinale, and anaesthesia. International Journal of Aromatherapy, 15, 7-4. https://doi.org/10.1016/j.ijat.2004.12.002
  13. Ha, B. J. (2000). Aromatherapy, Seoul: Soomoonsa.
  14. Han, S. H., Hur, M. H., & Kang, J. Y. (2000). Effects of aromatherapy on the stress response of college women with dysmenorrhea during menstruation. Journal of Korean Academy Society, 32(3), 317-326.
  15. Han, S. H., Hur, M. H., Park, J. H., Lee, E. J., & Park, M. K. (2002). Women health and aroma therapy. Seoul: Hyunmoonsa.
  16. Hopman-Rock M., & Westoff, M. H. (2000). The effects of a health education and exercise program on older adults with osteoarthritis of the hip or knee. Journal of Rheumatology, 27, 1947-54.
  17. Kohara, H., Miyauchi, T., Suehiro, Y., Ueoka, H., Takeyama, H., & Morita, T. (2004). Combine (20o(ality treatment of aromatherapy, footsoak, and reflexology relieves fatigue in patients with cancer. Journal of Palliative Medicine, 7(6), 791-6. https://doi.org/10.1089/jpm.2004.7.791
  18. Lee, E. O., & Song, M. S. (1987). Development of Korean pain rating scale. Seoul Journal of Nursing, 2(1), 27-40.
  19. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Research and statistics in nursing & medical field (3rd eds.). Seoul: Soomoonsa.
  20. Lee, H. J., Lee, Y. S., Shin, H. Y., Song, E. Y., Son, H. J., Kim, I. O., et al. (2006). Effects of abdomen massage using aroma oil and conventional oil on dysmenorrhea and menstrual pain in nurses. Clinical Research, 11(2), 121-133.
  21. Osborne, R. H., Wilson, T., Lorig, K. R., & McColl, G. J. (2007). Does self-management lead to sustainable health benefits in people with arthritis? A 2-year transition study of 452 Australians. Journal of Rheumatology, 34(5), 906-7.
  22. Polit, D. F., & Beck, C. T. (2003). Essentials of nursing research: methods. appraisal. and utilization. Philadelphia: Lippincott Williams and Wilkins.
  23. Rosemann, T., Joos, S., Koerner, T., Szccscnyi, J., & Laux, G.. (2006). Comparison of AIMS2-SF, WOMAC, x-ray and a global physician assessment in order to approach quality of life in patients suffering from osteoarthritis. BMC Musculoskeletal Disorders, 26, 7:6.
  24. Salaffi, F., De Angelis, R., & Grassi, W. (2005). Prevalence of musculoskeletal conditions in an Italian population sample: results of a regional community-based study. I. The MAPPING study. Clinical Experimental Rheumatology, 23(6), 819-828.
  25. Shin, B. C., & Lee, M. S. (2007). Effects of aromatherapy acupressure on hemiplegic shoulder pain and motor power in stroke patients: A pilot study. Journal of Alternative and Complementary Medicine, 13(2), 247-51. https://doi.org/10.1089/acm.2006.6189
  26. Suh, G. H., & KWon, Y. E. (2007). Factors related to fatigue in women with rhuematoid arthritis. Journal of Muscle and Joint Health, 14(1), 61-69.
  27. Suurmeijer, P. B. M., Walt, M., Moum, T., Guillemin, F., Van Sonderen, F. L. P., Briancon, S., et al. (2001). Quality of life profiles in the first years of rheumatoid arthritis: results from the EURlDISS longitudinal study. Arthritis Care Research, 45, 111-121. https://doi.org/10.1002/1529-0131(200104)45:2<111::AID-ANR162>3.0.CO;2-E
  28. Tack, B. B. (1991). Dimensions and correlates of fatigue in older adults with rheumatoid arthritis. Unpublished doctoral dissertation, University of California in San Francisco, USA.
  29. Wolfe, F., & Michaud, K. (2004). Fatigue, rheumatoid arthritis, and anti-tumor necrosis factor therapy: an investigation in 24,831 patients. Journal of Rheumatology, 31(11), 2115-20.
  30. Yip, Y. B., & Tam, A. C. Y. (2008). An experimental study on the effectiveness of massage with aromatic ginger and orange essential oil for moderate-tosevere knee pain among the elderly in Hong Kong. Complementary Therapies in Medicine, 16, 131-38. https://doi.org/10.1016/j.ctim.2007.12.003