Acupuncture and dry-needling for low back pain (Review)

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Analysis 8.1. Comparison 8 dry-needling versus other intervention ((Sub)acute LBP < 3 months), Outcome 1 global measure (higher values are better). Review: Acupuncture and dry-needling for low back pain Comparison: 8 dry-needling versus other intervention ((Sub)acute LBP < 3 months) Outcome: 1 global measure (higher values are better) Study or subgroup Dry-needling Other intervention Risk Ratio Risk Ratio n/N n/N M-H,Random,95% CI M-H,Random,95% CI 1 Immediately after the end of the sessions Gunn 1980 28/29 16/27 1.63 [ 1.18, 2.24 ] 2 Short-term follow-up (up to 3 months after the end of the sessions) Garvey 1989 (lidoc) 11/20 4/13 1.79 [ 0.72, 4.43 ] Garvey 1989 (spray) 11/20 8/16 1.10 [ 0.59, 2.07 ] Garvey 1989(steroid) 11/20 5/14 1.54 [ 0.69, 3.45 ] Gunn 1980 27/29 14/27 1.80 [ 1.23, 2.62 ] 3 Intermediate-term follow-up (3 months to 1 year) Gunn 1980 21/21 14/23 1.62 [ 1.16, 2.25 ] 0.2 0.5 1 2 5 Favours control Favours dry-needling Analysis 8.2. Comparison 8 dry-needling versus other intervention ((Sub)acute LBP < 3 months), Outcome 2 Side effects / Complications. Review: Acupuncture and dry-needling for low back pain Comparison: 8 dry-needling versus other intervention ((Sub)acute LBP < 3 months) Outcome: 2 Side effects / Complications Study or subgroup Dry-needling Control Risk Ratio Risk Ratio n/N n/N M-H,Random,95% CI M-H,Random,95% CI 1 Short-term follow-up (up to 3 months after the end of the sessions) Garvey 1989 3/20 1/14 2.10 [ 0.24, 18.17 ] 0.05 0.2 1 5 20 Favours dry-needling Favours other interv Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 102
Analysis 9.1. Comparison 9 acupuncture versus placebo or sham intervention (unknown / mixed duration of low back pain), Outcome 1 pain (VAS): lower values are better. Review: Comparison: Outcome: Acupuncture and dry-needling for low back pain 9 acupuncture versus placebo or sham intervention (unknown / mixed duration of low back pain) 1 pain (VAS): lower values are better Study or subgroup Acupuncture placebo / sham Mean Difference Mean Difference N Mean(SD) N Mean(SD) IV,Random,95% CI IV,Random,95% CI 1 Short term (immediately after end of sessions) Inoue 2000 15 3.9 (2.6) 12 3.6 (2.1) 0.30 [ -1.47, 2.07 ] Inoue 2001 10 3.73 (2.44) 11 6.41 (1.35) -2.68 [ -4.39, -0.97 ] -10 -5 0 5 10 favours acupuncture favours control Analysis 9.2. Comparison 9 acupuncture versus placebo or sham intervention (unknown / mixed duration of low back pain), Outcome 2 global measure. Review: Comparison: Outcome: Acupuncture and dry-needling for low back pain 9 acupuncture versus placebo or sham intervention (unknown / mixed duration of low back pain) 2 global measure Study or subgroup Acupuncture placebo / sham Risk Ratio Risk Ratio n/N n/N M-H,Random,95% CI M-H,Random,95% CI 1 Short-term follow-up (up to 3 months after the end of the sessions) Von Mencke 1988 33/35 15/30 1.89 [ 1.31, 2.72 ] 0.2 0.5 1 2 5 favours placebo/sham favours acupuncture Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 103
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Acupuncture and dry-needling for lo
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Analysis 5.2. Comparison 5 acupunct
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[Intervention Review] Acupuncture a
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traditional meridian acupuncture po
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of experts in acupuncture treatment
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ack pain. The average improvement i
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Figure 2. Acupuncture compared to a
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245 patients who received acupunctu
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Although the conclusions showed som
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R E F E R E N C E S References to s
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Wu 1991 {published data only} Wu YC
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treatments by traditional acupunctu
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Araki 2001 (Continued) Conclusion:
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Ceccherelli 2002 Methods Participan
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Cherkin 2001 (Continued) or acupunc
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Ding 1998 Methods Participants Inte
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Garvey 1989 Methods Participants In
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Giles 1999 Methods Participants Int
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Giles 2003 Methods Participants Int
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Grant 1999 Methods Participants Int
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Gunn 1980 (Continued) varied) Costs
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Inoue 2000 (Continued) Notes Langua
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Kerr 2003 (Continued) For results,
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Kurosu 1979(b) Methods Participants
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Lehmann 1986 (Continued) Conclusion
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Li 1997 (Continued) Interventions O
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MacDonald 1983 (Continued) Language
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Page 59 and 60: Takeda 2001 (Continued) Mean age: 2
Page 61 and 62: Tsukayama 2002 Methods Participants
Page 63 and 64: Wang 1996 Methods Participants Inte
Page 65 and 66: Yeung 2003 Methods Participants Int
Page 67 and 68: (Continued) Kinoshita 1981 Koike 19
Page 69 and 70: GerAc (Continued) Interventions Out
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Page 99 and 100: Analysis 5.14. Comparison 5 acupunc
Page 103 and 104: pain and function (adjusted for bas
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Page 109 and 110: Analysis 10.3. Comparison 10 acupun
Page 113 and 114: improvement (Continued) Li 1997 Imp
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Page 129 and 130: Table 5. Adequacy of acupuncture (C
Page 131 and 132: Table 5. Adequacy of acupuncture (C
Page 133 and 134: 20 factorial$.ti,ab. (2463) 21 foll
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