Acupuncture and dry-needling for low back pain (Review)
Acupuncture and dry-needling for low back pain (Review)
Acupuncture and dry-needling for low back pain (Review)
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(Continued)<br />
30 October 2004 New citation required <strong>and</strong> conclusions have changed Substantive amendment<br />
30 October 2004 New citation required <strong>and</strong> conclusions have changed The latest literature search was completed in June 2003<br />
<strong>and</strong> the conclusions were updated in October 2004<br />
In contrast to the previous review that concluded that the<br />
poor methodological quality of the trials did not al<strong>low</strong><br />
any conclusions on the effectiveness of acupuncture, the<br />
current update demonstrated the effectiveness of meridian<br />
acupuncture <strong>for</strong> chronic <strong>low</strong>-<strong>back</strong> <strong>pain</strong> in some special<br />
cases:<br />
1) compared to no treatment, acupuncture improved<br />
<strong>pain</strong> <strong>and</strong> function at short-term fol<strong>low</strong>-up<br />
2) compared to sham therapies, acupuncture improved<br />
<strong>pain</strong> at short-term fol<strong>low</strong>-up, but these effects were not<br />
maintained at longer-term fol<strong>low</strong>-up <strong>and</strong> they were not<br />
observed <strong>for</strong> functional outcomes<br />
3) when acupuncture was added to other conventional<br />
therapies, there was better <strong>pain</strong> relief <strong>and</strong> improved function<br />
when compared to the conventional therapies alone.<br />
Also, this updated review examined acupuncture separately<br />
from <strong>dry</strong>-<strong>needling</strong>. The authors concluded that<br />
no clear recommendations could be made about <strong>dry</strong><strong>needling</strong><br />
because of the small sample sizes <strong>and</strong> <strong>low</strong><br />
methodological quality of the studies, although it appeared<br />
that <strong>dry</strong>-<strong>needling</strong> was a useful adjunct to other<br />
therapies <strong>for</strong> chronic <strong>low</strong>-<strong>back</strong> <strong>pain</strong>. Effects in all cases<br />
were only small<br />
2 June 2003 New search has been per<strong>for</strong>med The first version of this review included 11 r<strong>and</strong>omized<br />
trials. This update added 24 more r<strong>and</strong>omized trials, <strong>for</strong><br />
a total of 35. Meta-analyses were per<strong>for</strong>med <strong>for</strong> some<br />
comparison groups<br />
C O N T R I B U T I O N S O F A U T H O R S<br />
- Furlan, van Tulder, Cherkin, Lao, Koes <strong>and</strong> Berman wrote the protocol <strong>for</strong> this review;<br />
- Furlan, van Tulder, Koes conducted the literature search <strong>and</strong> study selection of the English language trials;<br />
- Tsukayama conducted the literature search <strong>and</strong> study selection of the Japanese language trials;<br />
- The Chinese Cochrane Centre conducted the literature search of the Chinese language trials <strong>and</strong> Lao selected the studies;<br />
- Furlan, van Tulder, Cherkin, <strong>and</strong> Koes per<strong>for</strong>med the quality assessment <strong>and</strong> date extraction of the English language trials;<br />
- Lao <strong>and</strong> Tsukayama per<strong>for</strong>med the quality assessment <strong>and</strong> data extraction of the Japanese <strong>and</strong> Chinese language trials;<br />
- All authors were involved in writing the final draft of the manuscript.<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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