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

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Analysis 5.5. Comparison 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months), Outcome 5 improvement in physical examination. Review: Acupuncture and dry-needling for low back pain Comparison: 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months) Outcome: 5 improvement in physical examination Study or subgroup Treatment Control Odds Ratio Odds Ratio n/N n/N M-H,Random,95% CI M-H,Random,95% CI 1 Short-term follow-up (up to 3 months after the end of the sessions) Edelist 1976 6/15 5/15 1.33 [ 0.30, 5.91 ] 0.1 0.2 0.5 1 2 5 10 Favours control Favours acupuncture Analysis 5.6. Comparison 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months), Outcome 6 Sick leave (higher values mean worse). Review: Acupuncture and dry-needling for low back pain Comparison: 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months) Outcome: 6 Sick leave (higher values mean worse) Study or subgroup Acupuncture placebo / sham Risk Ratio Weight Risk Ratio n/N n/N M-H,Random,95% CI M-H,Random,95% CI 1 Intermediate-term follow-up (3 months to 1 year) Carlsson 2001 3/21 5/11 38.5 % 0.31 [ 0.09, 1.08 ] Lehmann 1986 6/13 7/13 61.5 % 0.86 [ 0.40, 1.86 ] Subtotal (95% CI) 34 24 100.0 % 0.58 [ 0.22, 1.54 ] Total events: 9 (Acupuncture), 12 (placebo / sham) Heterogeneity: Tau 2 = 0.24; Chi 2 = 1.89, df = 1 (P = 0.17); I 2 =47% Test for overall effect: Z = 1.09 (P = 0.28) 0.05 0.2 1 5 20 favours acupuncture favours control Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 90
Analysis 5.7. Comparison 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months), Outcome 7 Well being (SF-36). (Higher values are better). Review: Acupuncture and dry-needling for low back pain Comparison: 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months) Outcome: 7 Well being (SF-36). (Higher values are better) Study or subgroup Treatment Control Mean Difference Mean Difference N Mean(SD) N Mean(SD) IV,Fixed,95% CI IV,Fixed,95% CI 1 Immediately after the end of the sessions Kerr 2003 26 63.9 (20.3) 20 57.5 (23.2) 6.40 [ -6.42, 19.22 ] -20 -10 0 10 20 Favours control Favours acupuncture Analysis 5.8. Comparison 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months), Outcome 8 Side effects / Complications. Review: Acupuncture and dry-needling for low back pain Comparison: 5 acupuncture versus placebo or sham intervention (Chronic LBP: > 3 months) Outcome: 8 Side effects / Complications Study or subgroup Treatment Control Risk Difference Risk Difference n/N n/N M-H,Random,95% CI M-H,Random,95% CI 1 Immediately after the end of the sessions Carlsson 2001 0/34 0/16 0.0 [ -0.09, 0.09 ] Leibing 2002 3/35 0/40 0.09 [ -0.02, 0.19 ] 2 Intermediate-term follow-up (3 months to 1 year) Carlsson 2001 0/21 0/6 0.0 [ -0.20, 0.20 ] Lehmann 1986 0/13 0/13 0.0 [ -0.14, 0.14 ] -0.5 -0.25 0 0.25 0.5 Favours acupuncture Favours other interv Acupuncture and dry-needling for low back pain (Review) Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 91
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Acupuncture and dry-needling for lo
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Analysis 5.2. Comparison 5 acupunct
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[Intervention Review] Acupuncture a
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traditional meridian acupuncture po
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of experts in acupuncture treatment
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ack pain. The average improvement i
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Figure 2. Acupuncture compared to a
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245 patients who received acupunctu
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Although the conclusions showed som
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R E F E R E N C E S References to s
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Wu 1991 {published data only} Wu YC
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treatments by traditional acupunctu
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Araki 2001 (Continued) Conclusion:
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Ceccherelli 2002 Methods Participan
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Cherkin 2001 (Continued) or acupunc
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Ding 1998 Methods Participants Inte
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Garvey 1989 Methods Participants In
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Giles 1999 Methods Participants Int
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Giles 2003 Methods Participants Int
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Grant 1999 Methods Participants Int
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Gunn 1980 (Continued) varied) Costs
Page 43 and 44: Inoue 2000 (Continued) Notes Langua
Page 45 and 46: Kerr 2003 (Continued) For results,
Page 47 and 48: Kurosu 1979(b) Methods Participants
Page 49 and 50: Lehmann 1986 (Continued) Conclusion
Page 51 and 52: Li 1997 (Continued) Interventions O
Page 53 and 54: MacDonald 1983 (Continued) Language
Page 55 and 56: Meng 2003 (Continued) 12.7 Conclusi
Page 57 and 58: Sakai 1998 (Continued) 2) Oral medi
Page 59 and 60: Takeda 2001 (Continued) Mean age: 2
Page 61 and 62: Tsukayama 2002 Methods Participants
Page 63 and 64: Wang 1996 Methods Participants Inte
Page 65 and 66: Yeung 2003 Methods Participants Int
Page 67 and 68: (Continued) Kinoshita 1981 Koike 19
Page 69 and 70: GerAc (Continued) Interventions Out
Page 71 and 72: Munglani (Continued) Contact inform
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Page 79 and 80: 3.2 Short-term follow-up (up to 3 m
Page 81 and 82: 5 physical examination 1 Mean Diffe
Page 83 and 84: Analysis 1.2. Comparison 1 acupunct
Page 93: Analysis 5.3. Comparison 5 acupunct
Page 97 and 98: Analysis 5.10. sick leave Compariso
Page 99 and 100: Analysis 5.14. Comparison 5 acupunc
Page 103 and 104: pain and function (adjusted for bas
Page 105 and 106: Review: Analysis 7.2. Comparison 7
Page 109 and 110: Analysis 10.3. Comparison 10 acupun
Page 113 and 114: improvement (Continued) Li 1997 Imp
Page 121 and 122: Table 2. Methodological quality ass
Page 123 and 124: Table 2. Methodological quality ass
Page 125 and 126: Table 3. Clinical relevance assessm
Page 127 and 128: Table 4. Improvement in pain Compar
Page 129 and 130: Table 5. Adequacy of acupuncture (C
Page 131 and 132: Table 5. Adequacy of acupuncture (C
Page 133 and 134: 20 factorial$.ti,ab. (2463) 21 foll
Page 135 and 136: (Continued) 30 October 2004 New cit
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