Guia Lumbalgia (cambios 8 feb).FH10 - Digemid

10646.Triano JJ, McGregor M, Hondras MA, Brennan PC (1995) Manipulative therapy versus educationprograms in chronic low back pain. Spine, 20(8): 948-55.47.UK BEAM trial team. Brealey S, Coulton S, Farrin A, Morton V, Torgerson D, Burton AK, GarrattA, Harvey E, Letley L, Martin J, Vickers M, Whyte K, Manca A, Klaber Moffett J, Russell I,Underwood M, Williams M (2004a) UK Back pain Exercise And Manipulation (UK BEAM)randomised trial: Cost-effectiveness of physical treatments for back pain in primary care. BritishMedical Journal, In Press. (2004, Nov 29; [Epub ahead of print]) BMJ,doi:10.1136/bmj.38282.607859.AE (published 29 November 2004)48.UK BEAM trial team. Brealey S, Coulton S, Farrin A, Morton V, Torgerson D, Burton AK, GarrattA, Harvey E, Letley L, Martin J, Vickers M, Whyte K, Manca A, Klaber Moffett J, Russell I,Underwood M, Williams M (2004b) UK Back pain Exercise And Manipulation (UK BEAM)randomised trial: effectiveness of physical treatments for back pain in primary care. British MedicalJournal, In Press. (2004, Nov 29; [Epub ahead of print]) BMJ, doi:10.1136/bmj.38282.669225.AE(published 29 November 2004)49.van Tulder MW, Assendelft WJ, Koes BW, Bouter LM (1997) Method guidelines for systematicreviews in the Cochrane Collaboration Back Review Group for Spinal Disorders. Spine, 22(20):2323-30.50.Waagen GN, Haldeman S, Cook G, Lopez D, DeBoer KF (1986) Short term trial of chiropracticadjustments for the relief of chronic low back pain. Manual Med, 2: 63-7.51.White AR, Ernst E (2000) Economic analysis of complementary medicine: a systematic review.Complement Ther Med, 8(2): 111-852.Kovacs FM, Lazaro P, Muriel A, Abraira V, Zamora J, Fernandez C et al. Doesthe UK BEAM trial really support the use of manipulation? URL:http://bmj.com/cgi/content/full/329/7479/1377#responses (available on line12 January 2005)6.3.12. AcupunturaRecomendaciónNo se recomienda prescribir acupuntura para la lumbalgia inespecíficaEvidenciaLa evidencia sobre la eficacia de la acupuntura versus placeboes contradictoriaLa efectividad de la acupuntura es inferior a la del masaje y lamanipulación vertebralLa efectividad de la acupuntura es similar a la del TENS y lasinfiltraciones en puntos gatilloLa efectividad de la acupuntura es similar a la educación sanitariaen higiene postural o en manejo activoLa adición de la acupuntura mejora un programa de tratamiento"habitual" (definido como ejercicio, antiinflamatorios y analgésicos)o convencional (definido como fisioterapia, barros, infrarrojos,ejercicio, escuelas de la espalda y diclofenaco)Nivel CNivel CNivel BNivel CNivel C