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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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5.2 Short-term fol<strong>low</strong>-up (up 1 differences between (R<strong>and</strong>om, 95% CI) -3.1 [-5.26, -0.94]<br />

to 3 months after the end of<br />

the sessions)<br />

5.3 Intermediate-term<br />

1 differences between (R<strong>and</strong>om, 95% CI) -6.8 [-12.60, 1.00]<br />

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

6 global measure 1 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) Totals not selected<br />

6.1 Immediately after the end 1 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) Not estimable<br />

of the sessions<br />

6.2 Short-term fol<strong>low</strong>-up (up 1 Risk Ratio (M-H, R<strong>and</strong>om, 95% CI) Not estimable<br />

to 3 months after the end of<br />

the sessions)<br />

7 <strong>back</strong> specific functional status 3 Std. Mean Difference (IV, R<strong>and</strong>om, 95% CI) Subtotals only<br />

(<strong>low</strong>er scores mean better). Ex:<br />

RDQ, Oswestry <strong>and</strong> Aberdeen<br />

7.1 Immediately after the end 3 173 Std. Mean Difference (IV, R<strong>and</strong>om, 95% CI) -0.95 [-1.27, -0.63]<br />

of the sessions<br />

7.2 Short-term fol<strong>low</strong>-up (up 2 99 Std. Mean Difference (IV, R<strong>and</strong>om, 95% CI) -0.95 [-1.37, -0.54]<br />

to 3 months after the end of<br />

the sessions)<br />

7.3 Intermediate-term<br />

2 115 Std. Mean Difference (IV, R<strong>and</strong>om, 95% CI) -0.55 [-0.92, -0.18]<br />

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

8 spine range of motion: difference 1 difference between (R<strong>and</strong>om, 95% CI) Totals not selected<br />

between within group changes<br />

8.1 Immediately after the end 1 difference between (R<strong>and</strong>om, 95% CI) Not estimable<br />

of the sessions<br />

8.2 Intermediate-term<br />

1 difference between (R<strong>and</strong>om, 95% CI) Not estimable<br />

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

9 Side effects / Complications 2 Risk Difference (M-H, R<strong>and</strong>om, 95% CI) Totals not selected<br />

9.1 Immediately after the end<br />

of the sessions<br />

2 Risk Difference (M-H, R<strong>and</strong>om, 95% CI) Not estimable<br />

Analysis 1.1. Comparison 1 acupuncture versus placebo or sham intervention ((Sub)acute LBP: < 3<br />

months), Outcome 1 <strong>pain</strong> (VAS) (<strong>low</strong>er values are better).<br />

<strong>Review</strong>:<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><br />

Comparison:<br />

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

Outcome:<br />

1 <strong>pain</strong> (VAS) (<strong>low</strong>er values are better)<br />

Study or subgroup <strong>Acupuncture</strong> placebo / sham Mean Difference Mean Difference<br />

N Mean(SD) N Mean(SD) IV,R<strong>and</strong>om,95% CI IV,R<strong>and</strong>om,95% CI<br />

1 Immediately after end of sessions<br />

Araki 2001 20 49.55 (22.63) 20 55.65 (27.41) -6.10 [ -21.68, 9.48 ]<br />

-50 -25 0 25 50<br />

favours acupuncture<br />

favours control<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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