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

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Table 2. Methodological quality assessment<br />

(Continued)<br />

patient was not. So it is possible<br />

that the blindness was broken, especially<br />

because the outcomes are<br />

subjective. One of the few studies<br />

that adjusted <strong>for</strong> confounders in<br />

the analysis, but small sample size<br />

<strong>and</strong> did not account <strong>for</strong> attention<br />

effects<br />

Total “Yes” 17 14 14 18, 0, 19 15 15 20 28 16<br />

Total “No” 3 5 3 15, 34, 10 2 3 12 4 10<br />

Total<br />

“DK”<br />

15 16 18 2, 1, 6 18 17 3 3 9<br />

Table 3. Clinical relevance assessment<br />

Study Patients Interventions Relevant<br />

outcomes<br />

Size of effect Benefits <strong>and</strong> harms Serious deficiencies?<br />

Araki 2001 N Y Y DK DK Population is poorly<br />

described. Power to detect<br />

a difference (alpha<br />

0.05, 2-tailed) in <strong>pain</strong><br />

is 12% <strong>and</strong> in function<br />

is 5.1%<br />

Carlsson 2001 Y Y Y Y Y<br />

Ceccherelli 2002 Y Y N DK DK<br />

Cherkin 2001 Y N Y DK Y Intervention is individualized<br />

to each patient.<br />

Pragmatic trial<br />

Coan 1980 Y N Y Y DK Intervention is poorly<br />

described<br />

Ding 1998 Y N Y Y Y The strong <strong>and</strong> deep<br />

<strong>needling</strong> technique<br />

may not be practical<br />

<strong>for</strong> all acupuncture<br />

settings<br />

Edelist 1976 N Y N N DK Irrelevant outcomes.<br />

Garvey 1989 N Y N Y N Benefists do not seem<br />

to be worth the harms<br />

<strong>Acupuncture</strong> <strong>and</strong> <strong>dry</strong>-<strong>needling</strong> <strong>for</strong> <strong>low</strong> <strong>back</strong> <strong>pain</strong> (<strong>Review</strong>)<br />

Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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