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

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

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3.1 Short-term fol<strong>low</strong>-up (up<br />

to 3 months after the end of<br />

the sessions)<br />

3.2 Intermediate-term<br />

fol<strong>low</strong>-up (3 months to 1 year)<br />

4 limitation of activity (higher<br />

values are worse)<br />

4.1 Short-term fol<strong>low</strong>-up (up<br />

to 3 months after the end of<br />

the sessions)<br />

5 functional status (st<strong>and</strong>ardized<br />

measures)<br />

5.1 Short-term fol<strong>low</strong>-up (up<br />

to 3 months after the end of<br />

the sessions)<br />

5.2 Intermediate-term<br />

fol<strong>low</strong>-up (3 months to 1 year)<br />

1 Mean Difference (IV, R<strong>and</strong>om, 95% CI) Not estimable<br />

1 Mean Difference (IV, R<strong>and</strong>om, 95% CI) Not estimable<br />

1 Mean Difference (IV, Fixed, 95% CI) Totals not selected<br />

1 Mean Difference (IV, Fixed, 95% CI) Not estimable<br />

2 Effect size (R<strong>and</strong>om, 95% CI) Subtotals only<br />

2 90 Effect size (R<strong>and</strong>om, 95% CI) 0.63 [0.19, 1.08]<br />

1 40 Effect size (R<strong>and</strong>om, 95% CI) 0.03 [-0.70, 0.76]<br />

Comparison 5.<br />

acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months)<br />

Outcome or subgroup title<br />

No. of<br />

studies<br />

No. of<br />

participants Statistical method Effect size<br />

1 <strong>pain</strong> (<strong>low</strong>er values mean better) 5 Mean Difference (IV, R<strong>and</strong>om, 95% CI) Subtotals only<br />

1.1 Immediately after the end<br />

of the sessions<br />

4 314 Mean Difference (IV, R<strong>and</strong>om, 95% CI) -10.21 [-14.99, -<br />

5.44]<br />

1.2 Short-term fol<strong>low</strong>-up (up<br />

to 3 months after the end of<br />

2 138 Mean Difference (IV, R<strong>and</strong>om, 95% CI) -17.79 [-25.50, -<br />

10.07]<br />

the sessions)<br />

1.3 Intermediate-term<br />

2 96 Mean Difference (IV, R<strong>and</strong>om, 95% CI) -5.74 [-14.72, 3.25]<br />

fol<strong>low</strong>-up (3 months to 1 year)<br />

1.4 Long-term fol<strong>low</strong>-up<br />

(more than 1 year)<br />

1 27 Mean Difference (IV, R<strong>and</strong>om, 95% CI) -12.0 [-41.83,<br />

17.83]<br />

2 global improvement (higher 6 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) Subtotals only<br />

values are better)<br />

2.1 Immediately after the end 3 234 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) 1.23 [1.04, 1.46]<br />

of the sessions<br />

2.2 Short-term fol<strong>low</strong>-up (up 3 171 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) 1.44 [0.92, 2.24]<br />

to 3 months after the end of<br />

the sessions)<br />

2.3 Intermediate-term<br />

1 40 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) 1.19 [0.89, 1.60]<br />

fol<strong>low</strong>-up (3 months to 1 year)<br />

2.4 Long-term fol<strong>low</strong>-up 1 50 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) 3.29 [0.85, 12.80]<br />

(more than 1 year)<br />

3 <strong>pain</strong> disability index (<strong>low</strong>er 1 Mean Difference (IV, R<strong>and</strong>om, 95% CI) Totals not selected<br />

values are better)<br />

3.1 Immediately after the end<br />

of the sessions<br />

1 Mean Difference (IV, R<strong>and</strong>om, 95% CI) Not estimable<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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