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Article: Acupuncture for chronic low back pain in older patients: A randomized, controlled trial

TitleAcupuncture for chronic low back pain in older patients: A randomized, controlled trial
Authors
Issue Date2003
PublisherOxford University Press. The Journal's web site is located at http://rheumatology.oxfordjournals.org/
Citation
Rheumatology, 2003, v. 42 n. 12, p. 1508-1517 How to Cite?
AbstractObjective. To determine if acupuncture is an effective, safe adjunctive treatment to standard therapy for chronic low back pain (LBP) in older patients. Methods. The inclusion criteria for subjects were: (i) LBP ≥12 weeks and (ii) age ≥60 yr; the exclusion criteria were (i) spinal tumour, infection or fracture and (ii) associated neurological symptoms. The subjects were randomized to two groups. The control group of subjects continued their usual care as directed by their physicians, i.e. NSAIDs, muscle relaxants, paracetamol and back exercises. Subjects in the acupuncture group in addition received biweekly acupuncture with electrical stimulation for 5 weeks. Outcome was measured by the modified Roland Disability Questionnaire (RDQ) at weeks 0, 2, 6 and 9. The primary outcome measure was change in RDQ score between weeks 0 and 6. Results. Fifty-five patients were enrolled, with eight drop-outs. Twenty-four subjects were randomized to the acupuncture group and 23 were randomized to the control group. Acupuncture subjects had a significant decrease in RDQ score of 4.1 ± 3.9 at week 6, compared with a mean decrease of 0.7 ± 2.8 in the control group (P = 0.001). This effect was maintained for up to 4 weeks after treatment at week 9, with a decrease in RDQ of 3.5 ± 4.4 from baseline, compared with 0.43 ± 2.7 in the control group (P = 0.007). The mean global transition score was higher in the acupuncture group, 3.7 ± 1.2, indicating greater improvement, compared with the score in the control group, 2.5 ± 0.9 (P < 0.001). Fewer acupuncture subjects had medication-related side-effects compared with the control group. Conclusions. Acupuncture is an effective, safe adjunctive treatment for chronic LBP in older patients.
Persistent Identifierhttp://hdl.handle.net/10722/188553
ISSN
2015 Impact Factor: 4.524
2015 SCImago Journal Rankings: 1.449
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMeng, CFen_US
dc.contributor.authorWang, Den_US
dc.contributor.authorNgeow, Jen_US
dc.contributor.authorLao, Len_US
dc.contributor.authorPeterson, Men_US
dc.contributor.authorPaget, Sen_US
dc.date.accessioned2013-09-03T04:10:14Z-
dc.date.available2013-09-03T04:10:14Z-
dc.date.issued2003en_US
dc.identifier.citationRheumatology, 2003, v. 42 n. 12, p. 1508-1517en_US
dc.identifier.issn1462-0324en_US
dc.identifier.urihttp://hdl.handle.net/10722/188553-
dc.description.abstractObjective. To determine if acupuncture is an effective, safe adjunctive treatment to standard therapy for chronic low back pain (LBP) in older patients. Methods. The inclusion criteria for subjects were: (i) LBP ≥12 weeks and (ii) age ≥60 yr; the exclusion criteria were (i) spinal tumour, infection or fracture and (ii) associated neurological symptoms. The subjects were randomized to two groups. The control group of subjects continued their usual care as directed by their physicians, i.e. NSAIDs, muscle relaxants, paracetamol and back exercises. Subjects in the acupuncture group in addition received biweekly acupuncture with electrical stimulation for 5 weeks. Outcome was measured by the modified Roland Disability Questionnaire (RDQ) at weeks 0, 2, 6 and 9. The primary outcome measure was change in RDQ score between weeks 0 and 6. Results. Fifty-five patients were enrolled, with eight drop-outs. Twenty-four subjects were randomized to the acupuncture group and 23 were randomized to the control group. Acupuncture subjects had a significant decrease in RDQ score of 4.1 ± 3.9 at week 6, compared with a mean decrease of 0.7 ± 2.8 in the control group (P = 0.001). This effect was maintained for up to 4 weeks after treatment at week 9, with a decrease in RDQ of 3.5 ± 4.4 from baseline, compared with 0.43 ± 2.7 in the control group (P = 0.007). The mean global transition score was higher in the acupuncture group, 3.7 ± 1.2, indicating greater improvement, compared with the score in the control group, 2.5 ± 0.9 (P < 0.001). Fewer acupuncture subjects had medication-related side-effects compared with the control group. Conclusions. Acupuncture is an effective, safe adjunctive treatment for chronic LBP in older patients.en_US
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://rheumatology.oxfordjournals.org/en_US
dc.relation.ispartofRheumatologyen_US
dc.subject.meshAcupuncture Analgesia - Adverse Effects - Methods - Psychologyen_US
dc.subject.meshAgeden_US
dc.subject.meshAnalgesics, Non-Narcotic - Adverse Effects - Therapeutic Useen_US
dc.subject.meshAnalysis Of Varianceen_US
dc.subject.meshAnti-Inflammatory Agents, Non-Steroidal - Adverse Effects - Therapeutic Useen_US
dc.subject.meshCombined Modality Therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_US
dc.subject.meshHumansen_US
dc.subject.meshLow Back Pain - Drug Therapy - Therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPain Measurement - Methodsen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleAcupuncture for chronic low back pain in older patients: A randomized, controlled trialen_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.doi10.1093/rheumatology/keg405en_US
dc.identifier.pmid12890859-
dc.identifier.scopuseid_2-s2.0-0344668704en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0344668704&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume42en_US
dc.identifier.issue12en_US
dc.identifier.spage1508en_US
dc.identifier.epage1517en_US
dc.identifier.isiWOS:000187109300010-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridMeng, CF=8106801300en_US
dc.identifier.scopusauthoridWang, D=55713317800en_US
dc.identifier.scopusauthoridNgeow, J=26031654600en_US
dc.identifier.scopusauthoridLao, L=7005681883en_US
dc.identifier.scopusauthoridPeterson, M=8870115000en_US
dc.identifier.scopusauthoridPaget, S=35495344900en_US

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