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

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Harvard Med School (Continued) Chiropractic, acupuncture and massage therapy scope of practice guidelines for the treatment of acute low back pain have been developed as have detailed data tracking procedures to be used at each patient visit. Symptom relief, functional status, restricted activity days, use of health care, and patient and provider satisfaction will be assessed at 2, 5,12, 26 and 52 weeks after initiation of treatment. Primary outcomes will include: 1) change in symptoms; 2) change in functional status; 3) patient satisfaction; and 4) total utilization of services associated with care for low back pain. Medical records and the HMO’s cost management information system will identify use of services. It is hypothesized that patients offered their choice of expanded benefits will experience a more rapid improvement in symptoms, a faster return to baseline functional status, a decrease in utilization of conventional medical services, and will be more satisfied with their care. The study is a direct examination of the effectiveness of an insurance eligibility intervention, not a test of the efficacy of specific, non-allopathic treatment regimens. The results of this study will provide valuable information to clinicians, patients and third party payers on the relative benefits and costs of an “expanded benefits” treatment option which incorporates chiropractic, acupuncture and massage services for low back Kong Trial name or title Methods Participants Interventions Outcomes Starting date Contact information Notes Munglani Trial name or title Randomised controlled single-blinded trial of deep intra-muscular stimulation in the treatment of chronic mechanical low back pain Methods Participants Out-patients between 18 and 65 years old Interventions Outcomes Starting date Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 66
Munglani (Continued) Contact information Notes Dr Rajesh Munglani Contact details Box No 215 Pain Clinic Addenbrooke’s NHS Trust CB2 2QQ Tel: 2346 Source: www.controlled-trials.com Deep Intra-Muscular Stimulation is a technique that consists of needling the body of contracted or shortened muscles, and it is claimed to relieve muscle spasm more effectively than other treatments, but no randomised controlled trials have been performed, especially to compare its effects with the effects of other needling techniques such as acupuncture or trigger point needling. As the Pain Clinic is at present able to make use of the services of a highly experienced practitioner of this technique, we are planning to conduct a randomised, controlled, single-blinded trial comparing the benefits of deep Intra-Muscular stimulation with superficial needling of subcutaneous tissues in patients with chronic mechanical low back pain. We wish to asses if the needling of deep muscles specifically produces pain relief over and above that produced by needling of more superficial structures. We plan to treat two groups of 25 patients each, or a total of 50 patients, administering four treatment episodes to each patient. Patients will be asked to turn up for four treatment episodes, and to fill in two self-reporting questionnaires (SCL-90 and Pain VAS) before and at 2, 6 and 26 weeks after treatment Thomas Trial name or title Longer term clinical and economic benefits of offering acupuncture to patients with chronic low back pain Methods Participants Interventions patients with low back pain. Age 20-65 years with low back pain or sciatica, greater than 4 weeks and less than 12-months pain this episode i) traditional Chinese acupuncture, up to 10 treatments ii) standard care offered by GP only Outcomes Starting date Contact information Funding: NHS Ms Kate Thomas Address Medical Care Research Unit University of Sheffield ScHARR Regent Court 30 Regent Street City/town Sheffield Zip/Postcode S1 4DA Country United Kingdom Tel +44 0114 222 0753 Fax +44 0114 272 4095 Email k.j.thomas@shef.ac.uk Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 67
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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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Table 2. Methodological quality ass
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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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20 factorial$.ti,ab. (2463) 21 foll
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(Continued) 30 October 2004 New cit
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