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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Analysis 4.1.<br />
Comparison 4 acupuncture versus no treatment. (Chronic LBP: > 3 months), Outcome 1 <strong>pain</strong><br />
(instruments: VAS <strong>and</strong> number of words).<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 />
4 acupuncture versus no treatment. (Chronic LBP: > 3 months)<br />
Outcome:<br />
1 <strong>pain</strong> (instruments: VAS <strong>and</strong> number of words)<br />
Study or subgroup <strong>Acupuncture</strong> No treatment Std. Mean Difference Weight Std. 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 Short-term fol<strong>low</strong>-up (up to 3 months after the end of the sessions)<br />
Coan 1980 25 2.84 (2) 25 4.69 (2) 60.5 % -0.91 [ -1.50, -0.33 ]<br />
Thomas 1994 30 4 (5) 10 6.1 (1.75) 39.5 % -0.46 [ -1.19, 0.26 ]<br />
Subtotal (95% CI) 55 35 100.0 % -0.73 [ -1.19, -0.28 ]<br />
Heterogeneity: Tau 2 = 0.0; Chi 2 = 0.89, df = 1 (P = 0.35); I 2 =0.0%<br />
Test <strong>for</strong> overall effect: Z = 3.16 (P = 0.0016)<br />
2 Intermediate-term fol<strong>low</strong>-up (3 months to 1 year)<br />
Thomas 1994 30 4 (3) 10 6.2 (1.8) 100.0 % -0.78 [ -1.52, -0.04 ]<br />
Subtotal (95% CI) 30 10 100.0 % -0.78 [ -1.52, -0.04 ]<br />
Heterogeneity: not applicable<br />
Test <strong>for</strong> overall effect: Z = 2.07 (P = 0.038)<br />
-2 -1 0 1 2<br />
favours acupuncture<br />
favours no treatment<br />
Analysis 4.2. Comparison 4 acupuncture versus no treatment. (Chronic LBP: > 3 months), Outcome 2<br />
global measure (improvement).<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 />
4 acupuncture versus no treatment. (Chronic LBP: > 3 months)<br />
Outcome:<br />
2 global measure (improvement)<br />
Study or subgroup <strong>Acupuncture</strong> No treatment Odds Ratio Odds Ratio<br />
n/N n/N M-H,R<strong>and</strong>om,95% CI M-H,R<strong>and</strong>om,95% CI<br />
1 Short-term fol<strong>low</strong>-up (up to 3 months after the end of the sessions)<br />
Coan 1980 19/25 5/25 12.67 [ 3.31, 48.50 ]<br />
0.01 0.1 1 10 100<br />
favours no treatment<br />
favours acupuncture<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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