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Author (up) Harris, R. E.; Tian, X.; Williams, D. A.; Tian, T. X.; Cupps, T. R.; Petzke, F.; Groner, K. H.; Biswas, P.; Gracely, R. H.; Clauw, D. J. url  openurl
  Title Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency Type of Study RCT
  Year 2005 Publication Abbreviated Journal J Altern Complement Med  
  Volume 11 Issue 4 Pages 663-671  
  Keywords CAM Control; Acu Versus > 1 Control; Acu Versus Acu; Acupuncture; AcuTrials; Analgesia; Auricular Acupuncture; Fatigue; Fibromyalgia; Fixed Acupuncture Protocol; Penetrating Sham; Pain; RCT; Restricted Modalities, Acupuncture + Other; Sham Acupoint Control; Sham Control; Standard Needling Depth; TCM Acupuncture Style; Verum Acupoint Control; Nervous System Diseases  
  Abstract Objectives: The objective of this study was to investigate whether typical acupuncture methods such as needle placement, needle stimulation, and treatment frequency were important factors in fibromyalgia symptom improvement. Design/settings/subjects: A single-site, single-blind, randomized trial of 114 participants diagnosed with fibromyalgia for at least 1 year was performed. Intervention: Participants were randomized to one of four treatment groups: (1) T/S needles placed in traditional sites with manual needle stimulation (n = 29): (2) T/0 traditional needle location without stimulation (n = 30); (3) N/S needles inserted in nontraditional locations that were not thought to be acupuncture sites, with stimulation (n = 28); and (4) N/0 nontraditional needle location without stimulation (n = 2 7). All groups received treatment once weekly, followed by twice weekly, and finally three times weekly, for a total of 18 treatments. Each increase in frequency was separated by a 2-week washout period. Outcome measures: Pain was assessed by a numerical rating scale, fatigue by the Multi-dimensional Fatigue Inventory, and physical function by the Short Form-36. Results: Overall pain improvement was noted with 25%-35% of subjects having a clinically significant decrease in pain; however this was not dependent upon “correct” needle stimulation (t = 1.03; p = 0.307) or location (t = 0.76; p = 0.450). An overall dose effect of treatment was observed, with three sessions weekly providing more analgesia than sessions once weekly (t = 2.10; p = 0.039). Among treatment responders, improvements in pain, fatigue, and physical function were highly codependent (all p </= 0.002). Conclusions: Although needle insertion led to analgesia and improvement in other somatic symptoms, correct needle location and stimulation were not crucial  
  Address Department of Internal Medicine, Division of Rheumatology, University of Michigan, Ann Arbor, MI  
  Language Number of Treatments 18  
  Treatment Follow-up 2 Weeks Frequency >1/WK Number of Participants 114  
  Time in Treatment 13 Weeks Condition Fibromyalgia
  Disease Category Nervous System Diseases OCSI Score 79  
  Notes Approved no  
  Call Number Serial 435  
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