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Article: The effectiveness of acupuncture in the management of acute and chronic low back pain: A systematic review within the framework of the cochrane collaboration back review group

TitleThe effectiveness of acupuncture in the management of acute and chronic low back pain: A systematic review within the framework of the cochrane collaboration back review group
Authors
Issue Date1999
PublisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.com
Citation
Spine, 1999, v. 24 n. 11, p. 1113-1123 How to Cite?
AbstractStudy Design. A systematic review of randomized controlled trials. Objectives. To evaluate the efficacy and effectiveness of acupuncture for the management of nonspecific low back pain. Summary of Background Data. Acupuncture is one of the oldest forms of therapy, but little is known about the effectiveness of acupuncture for low back pain. Methods. Randomized controlled trials were done to assess the effectiveness of all types of acupuncture treatment, which involves needling for subjects with nonspecific low back pain. Two reviewers blinded with respect to authors, institution, and journal independently assessed the methodologic quality of the studies. Because data were statistically and clinically too heterogeneous, a qualitative review was performed. The evidence was classified into four levels: strong, moderate, limited, or no evidence. Results. Eleven randomized controlled trials were included. Overall, the methodologic quality was low. Only two studies met the preset 'high quality' level for this review. No study clearly evaluated acupuncture for acute low back pain. The results indicate that there was no evidence showing acupuncture to be more effective than no treatment. There was moderate evidence indicating that acupuncture is not more effective than trigger-point injection or transcutaneous electrical nerve stimulation, and there was limited evidence that acupuncture is not more effective than placebo or sham acupuncture for the management of chronic low back pain. Conclusions. Because this systematic review did not clearly indicate that acupuncture is effective in the management of back pain, the authors would not recommend acupuncture as a regular treatment for patients with low back pain. There clearly is a need for more high-quality randomized controlled trials.
Persistent Identifierhttp://hdl.handle.net/10722/188534
ISSN
2015 Impact Factor: 2.439
2015 SCImago Journal Rankings: 1.459
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorVan Tulder, MWen_US
dc.contributor.authorGherkin, DCen_US
dc.contributor.authorBerman, Ben_US
dc.contributor.authorLao, Len_US
dc.contributor.authorKoes, BWen_US
dc.date.accessioned2013-09-03T04:10:09Z-
dc.date.available2013-09-03T04:10:09Z-
dc.date.issued1999en_US
dc.identifier.citationSpine, 1999, v. 24 n. 11, p. 1113-1123en_US
dc.identifier.issn0362-2436en_US
dc.identifier.urihttp://hdl.handle.net/10722/188534-
dc.description.abstractStudy Design. A systematic review of randomized controlled trials. Objectives. To evaluate the efficacy and effectiveness of acupuncture for the management of nonspecific low back pain. Summary of Background Data. Acupuncture is one of the oldest forms of therapy, but little is known about the effectiveness of acupuncture for low back pain. Methods. Randomized controlled trials were done to assess the effectiveness of all types of acupuncture treatment, which involves needling for subjects with nonspecific low back pain. Two reviewers blinded with respect to authors, institution, and journal independently assessed the methodologic quality of the studies. Because data were statistically and clinically too heterogeneous, a qualitative review was performed. The evidence was classified into four levels: strong, moderate, limited, or no evidence. Results. Eleven randomized controlled trials were included. Overall, the methodologic quality was low. Only two studies met the preset 'high quality' level for this review. No study clearly evaluated acupuncture for acute low back pain. The results indicate that there was no evidence showing acupuncture to be more effective than no treatment. There was moderate evidence indicating that acupuncture is not more effective than trigger-point injection or transcutaneous electrical nerve stimulation, and there was limited evidence that acupuncture is not more effective than placebo or sham acupuncture for the management of chronic low back pain. Conclusions. Because this systematic review did not clearly indicate that acupuncture is effective in the management of back pain, the authors would not recommend acupuncture as a regular treatment for patients with low back pain. There clearly is a need for more high-quality randomized controlled trials.en_US
dc.languageengen_US
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.comen_US
dc.relation.ispartofSpineen_US
dc.subject.meshAcupuncture Analgesiaen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshDatabases, Factualen_US
dc.subject.meshHumansen_US
dc.subject.meshLow Back Pain - Therapyen_US
dc.subject.meshRandomized Controlled Trials As Topicen_US
dc.subject.meshResearch Designen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleThe effectiveness of acupuncture in the management of acute and chronic low back pain: A systematic review within the framework of the cochrane collaboration back review groupen_US
dc.typeArticleen_US
dc.identifier.emailLao, L: lxlao1@hku.hken_US
dc.identifier.authorityLao, L=rp01784en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00007632-199906010-00011en_US
dc.identifier.pmid10361661-
dc.identifier.scopuseid_2-s2.0-0033024398en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0033024398&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume24en_US
dc.identifier.issue11en_US
dc.identifier.spage1113en_US
dc.identifier.epage1123en_US
dc.identifier.isiWOS:000080577800009-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridVan Tulder, MW=7004580975en_US
dc.identifier.scopusauthoridGherkin, DC=14119180500en_US
dc.identifier.scopusauthoridBerman, B=35458606800en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridKoes, BW=7006794878en_US

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