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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Munglani<br />
(Continued)<br />
Contact in<strong>for</strong>mation<br />
Notes<br />
Dr Rajesh Munglani<br />
Contact details Box No 215<br />
Pain Clinic<br />
Addenbrooke’s NHS Trust<br />
CB2 2QQ<br />
Tel: 2346<br />
Source: www.controlled-trials.com<br />
Deep Intra-Muscular Stimulation is a technique that consists of <strong>needling</strong> the body of contracted or shortened<br />
muscles, <strong>and</strong> it is claimed to relieve muscle spasm more effectively than other treatments, but no r<strong>and</strong>omised<br />
controlled trials have been per<strong>for</strong>med, especially to compare its effects with the effects of other <strong>needling</strong><br />
techniques such as acupuncture or trigger point <strong>needling</strong>. As the Pain Clinic is at present able to make use of<br />
the services of a highly experienced practitioner of this technique, we are planning to conduct a r<strong>and</strong>omised,<br />
controlled, single-blinded trial comparing the benefits of deep Intra-Muscular stimulation with superficial<br />
<strong>needling</strong> of subcutaneous tissues in patients with chronic mechanical <strong>low</strong> <strong>back</strong> <strong>pain</strong>. We wish to asses if the<br />
<strong>needling</strong> of deep muscles specifically produces <strong>pain</strong> relief over <strong>and</strong> above that produced by <strong>needling</strong> of more<br />
superficial structures. We plan to treat two groups of 25 patients each, or a total of 50 patients, administering<br />
four treatment episodes to each patient. Patients will be asked to turn up <strong>for</strong> four treatment episodes, <strong>and</strong><br />
to fill in two self-reporting questionnaires (SCL-90 <strong>and</strong> Pain VAS) be<strong>for</strong>e <strong>and</strong> at 2, 6 <strong>and</strong> 26 weeks after<br />
treatment<br />
Thomas<br />
Trial name or title<br />
Longer term clinical <strong>and</strong> economic benefits of offering acupuncture to patients with chronic <strong>low</strong> <strong>back</strong> <strong>pain</strong><br />
Methods<br />
Participants<br />
Interventions<br />
patients with <strong>low</strong> <strong>back</strong> <strong>pain</strong>. Age 20-65 years with <strong>low</strong> <strong>back</strong> <strong>pain</strong> or sciatica, greater than 4 weeks <strong>and</strong> less<br />
than 12-months <strong>pain</strong> this episode<br />
i) traditional Chinese acupuncture, up to 10 treatments ii) st<strong>and</strong>ard care offered by GP only<br />
Outcomes<br />
Starting date<br />
Contact in<strong>for</strong>mation<br />
Funding: NHS<br />
Ms Kate Thomas<br />
Address Medical Care Research Unit<br />
University of Sheffield<br />
ScHARR<br />
Regent Court<br />
30 Regent Street<br />
City/town Sheffield<br />
Zip/Postcode S1 4DA<br />
Country United Kingdom<br />
Tel +44 0114 222 0753<br />
Fax +44 0114 272 4095<br />
Email k.j.thomas@shef.ac.uk<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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