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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 5.5.<br />

Comparison 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months),<br />

Outcome 5 improvement in physical examination.<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 />

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

Outcome:<br />

5 improvement in physical examination<br />

Study or subgroup Treatment Control 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 />

Edelist 1976 6/15 5/15 1.33 [ 0.30, 5.91 ]<br />

0.1 0.2 0.5 1 2 5 10<br />

Favours control<br />

Favours acupuncture<br />

Analysis 5.6.<br />

Comparison 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months),<br />

Outcome 6 Sick leave (higher values mean worse).<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 />

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

Outcome:<br />

6 Sick leave (higher values mean worse)<br />

Study or subgroup <strong>Acupuncture</strong> placebo / sham Risk Ratio Weight Risk 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 Intermediate-term fol<strong>low</strong>-up (3 months to 1 year)<br />

Carlsson 2001 3/21 5/11 38.5 % 0.31 [ 0.09, 1.08 ]<br />

Lehmann 1986 6/13 7/13 61.5 % 0.86 [ 0.40, 1.86 ]<br />

Subtotal (95% CI) 34 24 100.0 % 0.58 [ 0.22, 1.54 ]<br />

Total events: 9 (<strong>Acupuncture</strong>), 12 (placebo / sham)<br />

Heterogeneity: Tau 2 = 0.24; Chi 2 = 1.89, df = 1 (P = 0.17); I 2 =47%<br />

Test <strong>for</strong> overall effect: Z = 1.09 (P = 0.28)<br />

0.05 0.2 1 5 20<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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