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

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Molsberger 2002 (Continued) All outcomes were taken at the end of the treatment period and 3 months later Costs: not reported Complications: no side effects or complications occurred in any treatment group Notes Language: English Publication: full paper No additional information from authors For results, see the comparisons: 5.1 5.2 5.14 12.1 12.4 12.6 Conclusions: “Together with conservative orthopedic standard therapy, acupuncture helps to decrease pain intensity directly after treatment, and patients’ rating of the acupuncture treatment is significantly better than that of the standard therapy alone. The therapeutic effect lasts for at least 3 months after the end of treatment” Sakai 1998 Methods Participants Interventions -Randomized (method not described). Sealed envelopes. -Not blinded. -Funding: Grant from the Foundation for Training and Licensure Examination in Anma-Massage-Acupressure, Acupuncture and Moxibustion. -Setting: Outpatients in a University Hospital. Tokyo, Japan. -Informed consent was taken orally. No description of ethics approval. -Follow-up: no information -Analysis: No statistical test. 26 patients with non-specific low-back pain of variable duration Excluded: (1) osteoarthritis of lumbar spine, osteoporosis, scoliosis, spondylolysis, spondylolisthesis, herniation of lumbar disc, spinal stenosis or fracture; (2) radiculopathy or neuropathy in the lower extremity; (3) urological problem, gynaecological problem, neurological problem, collagen, diabetes or malignancy; (4) increase of CRP or ESR; (5) medication of corticosteroid, immunosuppressant agent, NSAID or muscle relaxant; (6) problem of general condition; (7) dementia; (8) pregnancy; (9) elderly patient; (10) those who were judged to be inappropriate for the trial by the authors Mean age: 51 years old Gender: 7 males and 19 females Working status: not reported Previous treatments: not reported 1) Needling points in lumbar area were chosen from BL23, 25, 32, 52 and 2 extra channel points near the spinous process of L4 and L5, and that in lower extremity were chosen from BL37, 40, 57, ST36, GB34 by palpation. Manual acupuncture technique such as needle retention and sparrow pecking technique were performed. Electroacupuncture was applied in some cases. Other details in technique not reported. Patients were treated twice a week for two weeks, i.e. four sessions in total. Randomized to this group: 14 Experience: unknown Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 52
Sakai 1998 (Continued) 2) Oral medication, which includes NSAID and/or kampo medicine (Chinese herbs). Randomized to this group: 12 Outcomes Notes 1) Pain relief (VAS) on average on the pervious day, rated by the patient. Higher values are better. 2) JOA (Japan Orthopaedic Association) Score rated by the physician. Subjective symptoms of back pain and restriction of daily activities. Maximum 17 points. Higher values are better Outcomes were measured Immediately at the end of all sessions Costs: not reported Complications: not reported This study reports on two distinct trials, but we used only the data from one trial, which was randomised. The other trial allocated patients using alternation, therefore it was not randomised Language: Japanese Publication: abstract (and unpublished report). We obtained additional information from authors For results, see the comparisons: 10.1 10.4 Conclusions: “Results of acupuncture are the same as those of medication for low-back pain” Sakai 2001 Methods Participants -Multicentric study. -An independent controller in central office prepared an allocation table and sealed envelopes. A computer-generated randomised allocation table was used to make a sequence of sealed opaque envelopes containing the code of intervention. The assigned envelope was opened by acupuncturist at the patient’s entry into the trial -Outcome assessor was blinded. -Funding: Grant from the Foundation for Training and Licensure Examination in Anma-Massage-Acupressure, Acupuncture and Moxibustion. -Setting: Outpatients in a University Hospital. Tokyo, Osaka, Kyoto and Tsukuba, Japan. -Written informed consent was taken from patients. At two of the four centres, judgement of ethics committee was asked and the committees approved the protocol. The other two centres did not have ethics committees. -Follow-up: 64 of 68 randomised (94%) -Analysis: 95%CI and repeated measures ANOVA. 68 patients with low-back pain (at least 2 weeks) and age 20 years or older Diagnoses: lumbago (22), lumbar spondylosis (15), discopathy (9), acute low-back pain (3), spondylolysis (3) , spondylolisthesis (1), sacroiliitis (1) and unclassified (10) Excluded: (1) neurological findings, pain or numbness in lower extremity; (2) malignancy, (3) infection or inflammatory disease; (4) fracture; (5) lumbago due to urological problem, gynaecological problem, digestive problem or cardio-vascular problem; (6) patients who can not stop other conflicting or ongoing treatments; (7) problem of general condition; (8) dementia; (9) pregnancy; (10) other patients who were judged to be inappropriate for participating in the trial Mean age: 37 years old Gender: 35 females and 29 males. Working status: not reported Previous treatments: not reported Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 53
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Acupuncture and dry-needling for lo
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Analysis 5.2. Comparison 5 acupunct
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Analysis 9.1. Comparison 9 acupunct
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improvement (Continued) Li 1997 Imp
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Table 2. Methodological quality ass
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Table 4. Improvement in pain Compar
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Table 5. Adequacy of acupuncture (C
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Table 5. Adequacy of acupuncture (C
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20 factorial$.ti,ab. (2463) 21 foll
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(Continued) 30 October 2004 New cit
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Acupuncture and dry-needling for low back pain (Review)

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