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

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Analysis 12.2. Comparison 12 acupuncture plus intervention versus other intervention alone. (Chronic LBP: > 3 months), Outcome 2 pain: difference between within group changes. Review: Acupuncture and dry-needling for low back pain Comparison: 12 acupuncture plus intervention versus other intervention alone. (Chronic LBP: > 3 months) Outcome: 2 pain: difference between within group changes Study or subgroup differences between (SE) differences between Weight differences between IV,Random,95% CI IV,Random,95% CI 1 Immediately after the end of the sessions Leibing 2002 -1.7 (0.53) 42.9 % -1.70 [ -2.74, -0.66 ] Meng 2003 -0.6 (0.33) 57.1 % -0.60 [ -1.25, 0.05 ] Subtotal (95% CI) 100.0 % -1.07 [ -2.14, 0.00 ] Heterogeneity: Tau 2 = 0.41; Chi 2 = 3.10, df = 1 (P = 0.08); I 2 =68% Test for overall effect: Z = 1.97 (P = 0.049) 2 Short-term follow-up (up to 3 months after the end of the sessions) Meng 2003 -0.7 (0.32) 100.0 % -0.70 [ -1.33, -0.07 ] Subtotal (95% CI) 100.0 % -0.70 [ -1.33, -0.07 ] Heterogeneity: not applicable Test for overall effect: Z = 2.19 (P = 0.029) 3 Intermediate-term follow-up (3 months to 1 year) Leibing 2002 -0.8 (0.51) 100.0 % -0.80 [ -1.80, 0.20 ] Subtotal (95% CI) 100.0 % -0.80 [ -1.80, 0.20 ] Heterogeneity: not applicable Test for overall effect: Z = 1.57 (P = 0.12) -4 -2 0 2 4 Favours acup + inter Favours interv alone Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 110
Analysis 12.3. Comparison 12 acupuncture plus intervention versus other intervention alone. (Chronic LBP: > 3 months), Outcome 3 pain disability index (lower values are better). Review: Acupuncture and dry-needling for low back pain Comparison: 12 acupuncture plus intervention versus other intervention alone. (Chronic LBP: > 3 months) Outcome: 3 pain disability index (lower values are better) Study or subgroup Acup + interv Interv alone Mean Difference Mean Difference N Mean(SD) N Mean(SD) IV,Random,95% CI IV,Random,95% CI 1 Immediately after the end of the sessions Leibing 2002 40 11.3 (15) 46 22.3 (7.8) -11.00 [ -16.17, -5.83 ] 2 Intermediate-term follow-up (3 months to 1 year) Leibing 2002 40 16.2 (12.5) 46 22.6 (10) -6.40 [ -11.23, -1.57 ] -20 -10 0 10 20 Favours acup + inter Favours interv alone Analysis 12.4. Comparison 12 acupuncture plus intervention versus other intervention alone. (Chronic LBP: > 3 months), Outcome 4 Pain: percentage of patients with >50% pain reduction. Review: Acupuncture and dry-needling for low back pain Comparison: 12 acupuncture plus intervention versus other intervention alone. (Chronic LBP: > 3 months) Outcome: 4 Pain: percentage of patients with >50% pain reduction Study or subgroup Acup + intervention Intervention alone 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 Molsberger 2002 39/60 23/53 1.50 [ 1.05, 2.15 ] 2 Short-term follow-up (up to 3 months after the end of the sessions) Molsberger 2002 36/47 5/36 5.51 [ 2.41, 12.63 ] 0.05 0.2 1 5 20 Favours interv alone Favours acup + inter Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 111
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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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Meng 2003 (Continued) 12.7 Conclusi
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Sakai 1998 (Continued) 2) Oral medi
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Takeda 2001 (Continued) Mean age: 2
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Tsukayama 2002 Methods Participants
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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 97 and 98: Analysis 5.10. sick leave Compariso
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Page 103 and 104: pain and function (adjusted for bas
Page 105 and 106: Review: Analysis 7.2. Comparison 7
Page 109 and 110: Analysis 10.3. Comparison 10 acupun
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Page 123 and 124: Table 2. Methodological quality ass
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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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Acupuncture and dry-needling for low back pain (Review)

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