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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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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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