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Author (up) Alraek, T.; Soedal, L. I.; Fagerheim, S. U.; Digranes, A.; Baerheim, A. url  openurl
  Title Acupuncture treatment in the prevention of uncomplicated recurrent lower urinary tract infections in adult women Type of Study RCT
  Year 2002 Publication American journal of public health Abbreviated Journal Am J Public Health  
  Volume 92 Issue 10 Pages 1609-1611  
  Keywords Acu Versus No Treatment; Acupuncture; AcuTrials; No Treatment Control; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; TCM Acupuncture Style; Urinary Tract Infection; Urologic Diseases; Women's Health; Traditional Diagnosis Based Point Selection  
  Abstract  
  Address  
  Publisher
  Language Number of Treatments 8  
  Treatment Follow-up 26 Weeks Frequency >1/WK Number of Participants 98  
  Time in Treatment 4 Weeks Condition Urinary Tract Infection
  Disease Category Urologic Diseases OCSI Score 67  
  Notes Approved no  
  Call Number Serial 22  
Permanent link to this record
 

 
Author (up) Alves de Souza, E.; Lawenda, B. openurl 
  Title Acupuncture's effects on relieving symptoms for post-radiation cystitis and prostatitis Type of Study RCT
  Year 2011 Publication The American Acupuncturist Abbreviated Journal American Acupuncturist  
  Volume 57 Issue Pages 19-25  
  Keywords AcuTrials; Urologic Diseases; Cystitis; RCT; Pilot Study; Acu Versus > 1 Control; Acu Versus Sham; Acupuncture; TCM Acupuncture Style; Semi-Individualized Acupuncture Protocol; Traditional Diagnosis Based Point Selection; Restricted Modalities, Acupuncture Only; Wait List Control; Sham Control; Non Penetrating Sham, Mechanical; Sham Acupoint Control; Prostatitis; Men's Health; Genital Diseases, Male  
  Abstract BACKGROUND: The aim of this study was to assess the response to acupuncture of patients who had moderate-to-severe urinary symptoms persisting after 12 months following the completion of radiation therapy for prostate cancer treatment. METHODS: A RCT (n=10) was conducted over an eight week period using three arms (verum, sham/placebo, and control). Subjects received two treatments during week one followed by one treatment each week therafter for a total of nine treatments using points on kidney, bladder, spleen, liver, and lung meridians expected to treat cystitis/prostatitis. Outcome measures were assessed with an International Prostate Symptom Score every 2 weeks during treatment and every two weeks after treatment for a total of 16 weeks. A paired t-test was performed to determine significant changes in IPSS before and after the 4-months treatment period in the randomized arms. RESULTS: Both verum acupuncture and sham acupuncture treatment appear to improve the IPSS scores over the 4-month test period. CONCLUSIONS: Due to the very small sample sizes and large score variances within the groups, it was impossible to say whether the Verum acupuncture treatment protocol or Sham protocol gave more improvement.  
  Address Balboa Naval Hospital San Diego, San Diego, CA  
  Publisher
  Language Number of Treatments 9  
  Treatment Follow-up Frequency >1/WK Number of Participants 10  
  Time in Treatment 8 Weeks Condition Cystitis
  Disease Category Urologic Diseases OCSI Score  
  Notes Approved no  
  Call Number Serial 23  
Permanent link to this record
 

 
Author (up) Ambrosio, E. M.; Bloor, K.; MacPherson, H. url  openurl
  Title Costs and consequences of acupuncture as a treatment for chronic pain: a systematic review of economic evaluations conducted alongside randomised controlled trials Type of Study Systematic Review
  Year 2012 Publication Complementary therapies in medicine Abbreviated Journal Complement Ther Med  
  Volume 20 Issue 5 Pages 364-374  
  Keywords AcuTrials; Systematic Review; Pain; Acupuncture; Musculoskeletal Diseases  
  Abstract BACKGROUND: The economic burden that chronic pain conditions impose on individuals and society is significant. Acupuncture appears to be a clinically effective treatment for some chronic pain conditions. Given the need for policy decisions to be informed by economic evaluations, the objective of this systematic review was to synthesise data from economic evaluations to determine whether acupuncture for the treatment of chronic pain conditions is good value for money. METHODS: A literature search was conducted using health and economics databases, with additional hand-searching. Economic evaluations conducted alongside randomised controlled trials were eligible. RESULTS: Eight economic evaluations were included in this review, seven cost-utility analyses and one cost-effectiveness analysis. Conditions treated included low back pain, neck pain, dysmenorrhoea, migraine and headache, and osteoarthritis. From the seven cost-utility analyses, acupuncture was found to be clinically effective but cost more. The cost per quality adjusted life year (QALY) gained ranged from 2527 pounds to 14,976 pounds per QALY, below the commonly quoted threshold used by the UK National Institute for Health and Clinical Excellence of 20,000 pounds to 30,000 pounds. The one cost-effectiveness study indicated that there might be both clinical benefits and cost savings associated with acupuncture for migraine. There was heterogeneity across the eight trials in terms of professional who provided the acupuncture, style of acupuncture, and country of origin. CONCLUSION: The cost per QALY gained in all seven cost-utility studies was found to be below typical thresholds of willingness to pay. Acupuncture appears to be a cost-effective intervention for some chronic pain conditions.  
  Address Department of Health Sciences, Alcuin C Block, University of York, Heslington, York Y010 5DD, United Kingdom  
  Publisher
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Pain
  Disease Category Pain OCSI Score  
  Notes Approved no  
  Call Number Serial 24  
Permanent link to this record
 

 
Author (up) An, L. X.; Chen, X.; Ren, X. J.; Wu, H. F. url  doi
openurl 
  Title Electro-Acupuncture Decreases Postoperative Pain and Improves Recovery in Patients Undergoing a Supratentorial Craniotomy Type of Study RCT
  Year 2014 Publication The American Journal of Chinese Medicine Abbreviated Journal Am J Chin Med  
  Volume Issue Pages 1-11  
  Keywords Acu + Usual Care Versus Usual Care; RCT; Anesthesia and Analgesia; Pain, Postoperative; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; PONV; Postoperative Nausea and Vomiting; Electroacupuncture; TCM Acupuncture Style; Usual Care Control, Pharmaceutical  
  Abstract We performed this study to examine the effect of electro-acupuncture (EA) on postoperative pain, postoperative nausea and vomiting (PONV) and recovery in patients after a supratentorial tumor resection. Eighty-eight patients requiring a supratentorial tumor resection were anesthetized with sevoflurane and randomly allocated to a no treatment group (Group C) or an EA group (Group A). After anesthesia induction, the patients in Group A received EA at LI4 and SJ5, at BL63 and LR3 and at ST36 and GB40 on the same side as the craniotomy. The stimulation was continued until the end of the operation. Patient-controlled intravenous analgesia (PCIA) was used for the postoperative analgesia. The postoperative pain scores, PONV, the degree of dizziness and appetite were recorded. In the first 6 hours after the operation, the mean total bolus, the effective times of PCIA bolus administrations and the VAS scores were much lower in the EA group (p < 0.05). In the EA group, the incidence of PONV and degree of dizziness and feeling of fullness in the head within the first 24 hours after the operation was much lower than in the control group (p < 0.05). In the EA group, more patients had a better appetite than did the patients in group C (51.2% vs. 27.5%) (p < 0.05). The use of EA in neurosurgery patients improves the quality of postoperative analgesia, promotes appetite recovery and decreases some uncomfortable sensations, such as dizziness and feeling of fullness in the head.  
  Address Department of Anesthesia, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 88  
  Time in Treatment 1 Day Condition Pain, Postoperative
  Disease Category Anesthesia and Analgesia OCSI Score  
  Notes Approved no  
  Call Number Serial 25  
Permanent link to this record
 

 
Author (up) Anastasi, J. K.; Capili, B.; McMahon, D. J.; Scully, C. url  doi
openurl 
  Title Acu/Moxa for distal sensory peripheral neuropathy in HIV: a randomized control pilot study Type of Study RCT
  Year 2013 Publication The Journal of the Association of Nurses in AIDS Care : JANAC Abbreviated Journal J Assoc Nurses AIDS Care  
  Volume 24 Issue 3 Pages 268-275  
  Keywords AcuTrials; Peripheral Neuropathy; HIV Infections; RCT; Pilot Study; Acu Versus Sham; Acupuncture; TCM Acupuncture Style; Sham Control; Penetrating Sham; Superficial Needling Depth; Non Specific Acupoint Control; Restricted Modalities, Acupuncture + Other; Fixed Acupuncture Protocol; Moxa; Indirect Moxibustion; Moxibustion  
  Abstract  
  Address Founding Director, Division of Special Studies in Symptom Management, New York University College of Nursing, New York, New York, USA.  
  Publisher
  Language Number of Treatments 12  
  Treatment Follow-up 15 Weeks Frequency >1/WK Number of Participants 50  
  Time in Treatment 6 Weeks Condition Peripheral Neuropathy
  Disease Category HIV Infections OCSI Score  
  Notes Approved no  
  Call Number Serial 26  
Permanent link to this record
 

 
Author (up) Anastasi, J. K.; McMahon, D. J.; Kim, G. H. url  openurl
  Title Symptom management for irritable bowel syndrome: a pilot randomized controlled trial of acupuncture/moxibustion Type of Study RCT
  Year 2009 Publication Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates. Abbreviated Journal Gastroenterol Nurs  
  Volume 32 Issue 4 Pages 243-255 JA - Gastroente  
  Keywords Acu Versus Sham; Acupuncture; AcuTrials; Gastrointestinal Diseases; Individualized Acupuncture Protocol; Penetrating Sham; Irritable Bowel Syndrome; Moxibustion; Near Verum Acupoint Control; Pilot Study; RCT; Restricted Modalities, Acupuncture + Other; Superficial Needling Depth; Sham Control; Sham Moxa; TCM Acupuncture Style; Traditional Diagnosis Based Point Selection; IBS  
  Abstract The purpose of this pilot study was to assess the effect of an individualized traditional Chinese medicine (TCM) acupuncture and moxibustion (Acu/Moxa) treatment on symptom control in patients with irritable bowel syndrome (IBS) in a preliminary, randomized, sham/placebo-controlled trial. Twenty-nine men and women with IBS were randomized to either individualized Acu/Moxa (treatment group) or sham/placebo Acu/Moxa (control group). All subjects were assessed by a diagnostic acupuncturist for a TCM evaluation and individualized point prescription. Only those subjects assigned to the experimental group received the individually prescribed treatment. The diagnostic acupuncturist did not administer treatments and was blind to treatment assignments. All subjects kept a symptom diary for the duration of the study, enabling measurement of symptom frequency, severity, and improvement. The Clinical Global Impression Scale was administered preintervention to establish baseline severity and on completion of the 4-week, eight-session treatment intervention. After 4 weeks of twice-weekly Acu/Moxa treatment, average daily abdominal pain/discomfort improved whereas the control group showed minimal reduction. This between-group difference adjusted for baseline difference was statistically significant. The intestinal gas, bloating, and stool consistency composite score showed a similar pattern of improvement. The findings indicate that Acu/Moxa treatment shows promise in the area of symptom management for IBS  
  Address Columbia University School of Nursing, New York, NY 10032, USA. jka8@columbia.edu  
  Publisher
  Language Number of Treatments 8  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 29  
  Time in Treatment 4 Weeks Condition Irritable Bowel Syndrome
  Disease Category Gastrointestinal Diseases OCSI Score  
  Notes Approved no  
  Call Number Serial 27  
Permanent link to this record
 

 
Author (up) Andersen, B. B.; Knudsen, B.; Lyndrup, J.; Faelling, A. E.; Illum, D.; Johansen, M.; Borgen, A.; Jager, H.; Bjerre, C.; Secher, N. J. url  doi
openurl 
  Title Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial Type of Study
  Year 2013 Publication Journal of perinatal medicine Abbreviated Journal J Perinat Med  
  Volume 41 Issue 5 Pages 555-560  
  Keywords AcuTrials; RCT; Obstetric Surgical Procedures; Labor, Induced; Women's Health; Acu Versus > 1 Control; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Sweeping Fetal Membranes; Sweeping; Attention Control; Usual Care Control, Physical; Electroacupuncture; TCM Acupuncture Style  
  Abstract Abstract Aims: To evaluate the efficacy of acupuncture, and sweeping of the fetal membranes, as methods for induction of labor. Methods: Four hundred and seven pregnant women with normal singleton pregnancies and cephalic presentations were randomized at three delivery wards in Denmark at day 290 of gestation into groups of acupuncture, sweeping, acupuncture and sweeping and controls. The primary objective was to compare the proportion of women going into labor before induction of labor at 294 days in the four groups. The secondary objective was to compare the combined groups: with and without acupuncture, and with and without sweeping of the fetal membranes. The midwives, completing the forms for the trial at labor or induction, were blinded to group assessments. Results: Four hundred and seventeen women were randomized. Ten were excluded after randomization. One hundred and four women were randomized to acupuncture, 103 to sweeping of the membranes, 100 to both acupuncture and sweeping, and 100 were randomized to the control group. Comparison of the four groups demonstrated no significant difference in the number of women achieving spontaneous labor before planned induction. No difference was demonstrated by comparing the combined groups treated with acupuncture with the groups not treated with acupuncture (P=0.76). However, significantly more women went into labor before planned induction (P=0.02) in the combined groups receiving sweeping, compared with the groups not treated with sweeping. Conclusions: Acupuncture at 41+ weeks of gestation did not reduce the need for induction. The study was of a sufficient size to demonstrate, in parallel, that sweeping of the fetal membranes significantly reduced the need of induction, sparing about 15% for formal induction of labor.  
  Address  
  Publisher
  Language Number of Treatments 2  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 407  
  Time in Treatment 1 Week Condition Labor, Induced
  Disease Category Obstetric Surgical Procedures OCSI Score  
  Notes Approved no  
  Call Number Serial 28  
Permanent link to this record
 

 
Author (up) Andersen, D.; Lossl, K.; Nyboe Andersen, A.; Furbringer, J.; Bach, H.; Simonsen, J.; Larsen, E. C. url  openurl
  Title Acupuncture on the day of embryo transfer: a randomized controlled trial of 635 patients Type of Study RCT
  Year 2010 Publication Reproductive biomedicine online Abbreviated Journal Reprod Biomed Online  
  Volume 21 Issue 3 Pages 366-372  
  Keywords AcuTrials; Reproductive Techniques, Assisted; Embryo Transfer; RCT; Acu Versus Sham; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Sham Control; Non Penetrating Sham, Mechanical; Verum Acupoint Control  
  Abstract This prospective, randomized, controlled and double-blinded trial studied whether acupuncture in relation to embryo transfer could increase the ongoing pregnancy rates and live birth rates in women undergoing assisted reproductive therapy. A total of 635 patients undergoing IVF or intracytoplasmic sperm injection (ICSI) were included. In 314 patients, embryo transfer was accompanied by acupuncture according to the principles of traditional Chinese medicine. In the control group, 321 patients received placebo acupuncture using a validated placebo needle. In the acupuncture group and the placebo group, the ongoing pregnancy rates were 27% (95% CI 22-32) and 32% (95% CI 27-37), respectively. Live birth rates were 25% (95% CI 20-30) in the acupuncture group and 30% (95% CI 25-30) in the placebo group. The differences were not statistically significant. These results suggest that acupuncture administered in relation to embryo transfer has no effect on the outcome of IVF and ICSI.  
  Address The Fertility Clinics, Copenhagen University Hospital, Rigshospitalet, 2100 Copenhagen, Denmark.  
  Publisher
  Language Number of Treatments 2  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 635  
  Time in Treatment 1 Day Condition Embryo Transfer
  Disease Category Reproductive Techniques, Assisted OCSI Score  
  Notes Approved no  
  Call Number Serial 29  
Permanent link to this record
 

 
Author (up) Anderson, B. J.; Haimovici, F.; Ginsburg, E. S.; Schust, D. J.; Wayne, P. M. url  openurl
  Title In vitro fertilization and acupuncture: clinical efficacy and mechanistic basis Type of Study Systematic Review
  Year 2007 Publication Alternative therapies in health and medicine Abbreviated Journal Altern Ther Health Med  
  Volume 13 Issue 3 Pages 38-48  
  Keywords Acupuncture; AcuTrials; Anxiety; Electroacupuncture; In Vitro Fertilization; Infertility, Female; Systematic Review; Women's Health; IVF; Assisted Reproductive Techniques  
  Abstract OBJECTIVE: To provide an overview of the use of acupuncture as an adjunct therapy for in vitro fertilization (IVF), including an evidence-based evaluation of its efficacy and safety and an examination of possible mechanisms of action. DESIGN: Literature review using PubMed, the Science Citation Index, The Cochrane Library (Database of Systematic Reviews and Central Register of Controlled Trials), the New England School of Acupuncture library databases, and a cross-referencing of published data, personal libraries, and Chinese medicine textbooks. RESULTS: Limited but supportive evidence from clinical trials and case series suggests that acupuncture may improve the success rate of IVF and the quality of life of patients undergoing IVF and that it is a safe adjunct therapy. However, this conclusion should be interpreted with caution because most studies reviewed had design limitations, and the acupuncture interventions employed often were not consistent with traditional Chinese medical principles. The reviewed literature suggests 4 possible mechanisms by which acupuncture could improve the outcome of IVF: modulating neuroendocrinological factors; increasing blood flow to the uterus and ovaries; modulating cytokines; and reducing stress, anxiety, and depression. CONCLUSIONS: More high-quality randomized, controlled trials incorporating placebo acupuncture controls, authentic acupuncture interventions, and a range of outcome measures representative of both clinical outcomes and putative mechanistic processes are required to better assess the efficacy of acupuncture as an adjunct for IVF  
  Address Pacific College of Oriental Medicine, New York, USA  
  Publisher
  Language Number of Treatments  
  Treatment Follow-up N/A Frequency N/A Number of Participants  
  Time in Treatment N/A Condition IVF (Women's Health- Pregnancy/Labor)
  Disease Category Reproductive Techniques, Assisted OCSI Score  
  Notes Approved no  
  Call Number Serial 30  
Permanent link to this record
 

 
Author (up) Anderson, D.G.; Jamieson, J.L.; Man, S.C. openurl 
  Title Analgesic Effects of Acupuncture on the Pain of Ice Water: A Double-Blind Study Type of Study Journal Article
  Year 1974 Publication Canadian journal of psychology Abbreviated Journal Canad J Psychol  
  Volume 28 Issue 2 Pages 239-244  
  Keywords AcuTrials; Pain; Rct; Healthy Subjects; Anesthesia and Analgesia; Acu Versus > 1 Control; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Sham Control; Penetrating Sham; Standard Needling Depth; Near Verum Acupoint Control; No Treatment Control  
  Abstract Analgesic effects of acupuncture were demonstrated under double blind conditions. Thirty female subjects were randomly assigned to either an acupuncture condition or one of two placebo conditions, and then tested on the same standardized pain task (immersion of hand in ice water). The acupuncture group's pain ratings were sig-nificantly lower than the ratings of the placebo groups. These results support the position that acupuncture analgesia has a physiological basis, and is not simply due to suggestion.  
  Address 1. Lakehead University 2. Victoria Hospital, Winnipeg  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up Frequency <1/WK Number of Participants 30  
  Time in Treatment 1 Day Condition Anesthesia and Analgesia
  Disease Category Healthy Subjects OCSI Score  
  Notes Date of Input: 4/2/2015; Date Modified: 5/7/2015; Availability: --In File--; Priority: Normal; Anesthesia and Analgesia; 1. Lakehead University 2. Victoria Hospital, Winnipeg Approved no  
  Call Number OCOM @ refbase @ Serial 1721  
Permanent link to this record
 

 
Author (up) Andreescu, C.; Glick, R. M.; Emeremni, C. A.; Houck, P. R.; Mulsant, B. H. url  openurl
  Title Acupuncture for the treatment of major depressive disorder: a randomized controlled trial Type of Study RCT
  Year 2011 Publication The Journal of clinical psychiatry Abbreviated Journal J Clin Psychiatry  
  Volume 72 Issue 8 Pages 1129-1135  
  Keywords AcuTrials; Mental Disorders; Depressive Disorder, Major; Acu Versus Sham; Electroacupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Sham Control; Penetrating Sham; Standard Needling Depth; Sham Acupoint Control; Depression  
  Abstract BACKGROUND: Over 50% of patients with major depressive disorder (MDD) either do not tolerate or do not respond to antidepressant medications. Several preliminary studies have shown the benefits of acupuncture in the treatment of depression. We sought to determine whether a 2-point electroacupuncture protocol (verum acupuncture) would be beneficial for MDD, in comparison to needling at nonchannel scalp points with sham electrostimulation (control acupuncture). METHOD: Fifty-three subjects aged 18-80 years, recruited via advertisement or referral, were included in the primary analysis of our randomized controlled trial, which was conducted from March 2004 through May 2007 at UPMC Shadyside, Center for Complementary Medicine, in Pittsburgh, Pennsylvania. Inclusion criteria were mild or moderate MDD (according to the Structured Clinical Interview for DSM-IV Axis I Disorders) and a score of 14 or higher on the Hamilton Depression Rating Scale (HDRS). Exclusion criteria included severe MDD, seizure disorder or risk for seizure disorder, psychosis, bipolar disorder, chronic MDD, treatment-resistent MDD, and history of substance abuse in the prior 6 months. Patients were randomized to receive twelve 30-minute sessions of verum versus control acupuncture over 6 to 8 weeks. The HDRS was the primary outcome measure. The UKU Side Effect Rating Scale was used to assess for adverse effects. RESULTS: Twenty-eight subjects were randomized to verum electroacupuncture and 25 to control acupuncture. The 2 groups did not differ with regard to gender, age, or baseline severity of depression. Both groups improved, with mean (SD) absolute HDRS score decreases of -6.6 (5.9) in the verum group and -7.6 (6.6) in the control group, corresponding to 37.5% and 41.3% relative decreases from baseline. There were no serious adverse events associated with either intervention, and endorsement of adverse effects was similar in the 2 groups. CONCLUSIONS: We were unable to demonstrate a specific effect of electroacupuncture. Electroacupuncture and control acupuncture were equally well tolerated, and both resulted in similar absolute and relative improvement in depressive symptoms as measured by the HDRS. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00071110.  
  Address Department of Psychiatry University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Center for Integrative Medicine, UPMC Shadyside, Pittsburgh, Pennsylvania.  
  Publisher
  Language Number of Treatments 12  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 57  
  Time in Treatment 6 Weeks Condition Depressive Disorder, Major
  Disease Category Mental Disorders OCSI Score  
  Notes Approved no  
  Call Number Serial 31  
Permanent link to this record
 

 
Author (up) Andronis, L.; Kinghorn, P.; Qiao, S.; Whitehurst, D.G.T.; Durrell, S.; McLeod, H. url  doi
openurl 
  Title Cost-Effectiveness of Non-Invasive and Non-Pharmacological Interventions for Low Back Pain: a Systematic Literature Review Type of Study Journal Article
  Year 2017 Publication Applied Health Economics and Health Policy Abbreviated Journal Appl Health Econ Health Policy  
  Volume 15 Issue 2 Pages 173-201  
  Keywords Cost-Benefit Analysis; Exercise Therapy/economics; Health Care Costs; Humans; Low Back Pain/*economics/therapy; Patient Education as Topic/economics; Physical Therapy Modalities/economics  
  Abstract BACKGROUND: Low back pain (LBP) is a major health problem, having a substantial effect on peoples' quality of life and placing a significant economic burden on healthcare systems and, more broadly, societies. Many interventions to alleviate LBP are available but their cost effectiveness is unclear. OBJECTIVES: To identify, document and appraise studies reporting on the cost effectiveness of non-invasive and non-pharmacological treatment options for LBP. METHODS: Relevant studies were identified through systematic searches in bibliographic databases (EMBASE, MEDLINE, PsycINFO, Cochrane Library, CINAHL and the National Health Service Economic Evaluation Database), 'similar article' searches and reference list scanning. Study selection was carried out by three assessors, independently. Study quality was assessed using the Consensus on Health Economic Criteria checklist. Data were extracted using customized extraction forms. RESULTS: Thirty-three studies were identified. Study interventions were categorised as: (1) combined physical exercise and psychological therapy, (2) physical exercise therapy only, (3) information and education, and (4) manual therapy. Interventions assessed within each category varied in terms of their components and delivery. In general, combined physical and psychological treatments, information and education interventions, and manual therapies appeared to be cost effective when compared with the study-specific comparators. There is inconsistent evidence around the cost effectiveness of physical exercise programmes as a whole, with yoga, but not group exercise, being cost effective. CONCLUSIONS: The identified evidence suggests that combined physical and psychological treatments, medical yoga, information and education programmes, spinal manipulation and acupuncture are likely to be cost-effective options for LBP.  
  Address Health Economics Unit, Public Health Building, University of Birmingham, Birmingham, B15 2TT, UK  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:27550240 Approved no  
  Call Number OCOM @ refbase @ Serial 2183  
Permanent link to this record
 

 
Author (up) Andrzejowski, J.; Woodward, D. openurl 
  Title Semi Permanent Acupuncture Needles in the Prevention of Post-Operative Nausea and Vomiting Type of Study RCT
  Year 1996 Publication Acupuncture in medicine : journal of the British Medical Acupuncture Society Abbreviated Journal Acupunct Med  
  Volume 14 Issue 2 Pages -  
  Keywords Acu + Usual Care Versus Sham + Usual Care; Acupuncture; AcuTrials; Emesis; Fixed Acupuncture Protocol; Penetrating Sham; Nausea; Postoperative Nausea and Vomiting; Press Tacks; RCT; Restricted Modalities, Acupuncture Only; Sham Acupoint Control; Sham Control; Standard Needling Depth; TCM Acupuncture Style; Vomiting  
  Abstract  
  Address  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 36  
  Time in Treatment 2 Days Condition Postoperative Nausea and Vomiting
  Disease Category Vomiting OCSI Score  
  Notes Approved no  
  Call Number Serial 32  
Permanent link to this record
 

 
Author (up) Anhari, I. openurl 
  Title Comparative Effects Acupuncture and Tolterodine on Decreasing Overactive Bladder Symptom Score on Overactive Bladder Type of Study RCT
  Year 2011 Publication International Journal of Clinical Acupuncture Abbreviated Journal Int J Clin Acupunct  
  Volume 20 Issue 2 Pages 49-52  
  Keywords AcuTrials; RCT; Urologic Diseases; Urinary Bladder, Overactive; Acu Versus Usual Care; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Usual Care Control, Pharmaceutical; Urinary Frequency; Urgency  
  Abstract  
  Address  
  Publisher
  Language Number of Treatments 18  
  Treatment Follow-up 2 Weeks Frequency >1/WK Number of Participants 44  
  Time in Treatment 9 Weeks Condition Urinary Bladder, Overactive
  Disease Category Urologic Diseases OCSI Score  
  Notes Approved no  
  Call Number Serial 33  
Permanent link to this record
 

 
Author (up) Appiah, R.; Hiller, S.; Caspary, L.; Alexander, K.; Creutzig, A. url  openurl
  Title Treatment of primary Raynaud's syndrome with traditional Chinese acupuncture Type of Study RCT
  Year 1997 Publication Journal of internal medicine Abbreviated Journal J Intern Med  
  Volume 241 Issue 2 Pages 119-124  
  Keywords Acu Versus No Treatment; Acupuncture; AcuTrials; Fixed Acupuncture Protocol; Moxibustion; No Treatment Control; RCT; Raynaud Disease; Restricted Modalities, Acupuncture + Other; TCM Acupuncture Style; Vascular Diseases; Cardiovascular Diseases  
  Abstract OBJECTIVE: Evaluation of the effects of a standardized acupuncture treatment in primary Raynaud's syndrome. DESIGN: A controlled randomized prospective study. SETTING: A winter period of 23 weeks, angiological clinic of Hannover Medical School. SUBJECTS: Thirty-three patients with primary Raynaud's syndrome (16 control, 17 treatment). INTERVENTIONS: The patients of the treatment group were given seven acupuncture treatments during the weeks 10 and 11 of the observation period. MAIN OUTCOME MEASURES: All patients kept a diary throughout the entire observation period noting daily frequency, duration and severity of their vasospastic attacks. A local cooling test combined with nailfold capillaroscopy was performed for all patients at baseline (week 1) and in weeks 12 and 23, recording flowstop reactions of the nailfold capillaries. RESULTS: The treated patients showed a significant decrease in the frequency of attacks from 1.4 day-1 to 0.6 day-1, P < 0.01 (control 1.6 to 1.2, P = 0.08). The overall reduction of attacks was 63% (control 27%, P = 0.03). The mean duration of the capillary flowstop reaction decreased from 71 to 24 s (week 1 vs. week 12, P = 0.001) and 38 s (week 1 vs. week 23, P = 0.02) respectively. In the control group the changes were not significant. CONCLUSIONS: These findings suggest that traditional Chinese acupuncture is a reasonable alternative in treating patients with primary Raynaud's syndrome  
  Address Medizinische Hochschule Hannover, Department of Angiology, Germany  
  Publisher
  Language Number of Treatments 7  
  Treatment Follow-up 28 Weeks Frequency >1/WK Number of Participants 33  
  Time in Treatment 2 Weeks Condition Raynaud's Disease
  Disease Category Cardiovascular Diseases OCSI Score  
  Notes Approved no  
  Call Number Serial 34  
Permanent link to this record
 

 
Author (up) Arab, Z.; Shariati, A.R.; Asayesh, H.; Vakili, M.A.; Bahrami-Taghanaki, H.; Azizi, H. url  openurl
  Title A sham-controlled trial of acupressure on the quality of sleep and life in haemodialysis patients Type of Study Journal Article
  Year 2016 Publication Acupuncture in Medicine Abbreviated Journal Acupuncture in Medicine  
  Volume 34 Issue 1 Pages 2-6  
  Keywords Acupressure; ANALYSIS of variance; CHI-squared test; CORRELATION (Statistics); HEALTH surveys; Hemodialysis; QUALITY assurance; QUALITY of life; Questionnaires; RESEARCH -- Finance; Sleep; SLEEP disorders; Statistics; DATA analysis; RANDOMIZED controlled trials; DATA analysis -- Software; MANN Whitney U Test; KRUSKAL-Wallis Test  
  Abstract Background Sleep disorder in haemodialysis patients can lead to disturbance in their psychosocial function and interpersonal relations, and reduced quality of life. The aim of the present study was to investigate the effect of acupressure on the quality of sleep of haemodialysis patients. Methods In a randomised controlled trial, 108 haemodialysis patients were randomly divided into three groups: true acupressure, placebo acupressure, and no treatment. The two acupressure groups received treatment three times a week for 4 weeks during dialysis. Routine care only was provided for the no treatment group. The main study outcome was sleep quality. Results The total Pittsburgh Sleep Quality Index score decreased significantly from 11.9±3.13 to 6.2±1.93 in the true acupressure group, from 11.3±3.69 to 10.6±3.82 in the sham acupressure group, and from 10.9±4.10 to 10.7±3.94 in the no treatment group. There was a significant difference between groups (p<0.001). Conclusions Acupressure seems to have a positive effect on the sleep quality in haemodialysis patients.  
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  Notes Accession Number: 113683039; Source Information: Feb2016, Vol. 34 Issue 1, p2; Subject Term: ACUPRESSURE; Subject Term: ANALYSIS of variance; Subject Term: CHI-squared test; Subject Term: CORRELATION (Statistics); Subject Term: HEALTH surveys; Subject Term: HEMODIALYSIS; Subject Term: QUALITY assurance; Subject Term: QUALITY of life; Subject Term: QUESTIONNAIRES; Subject Term: RESEARCH -- Finance; Subject Term: SLEEP; Subject Term: SLEEP disorders; Subject Term: STATISTICS; Subject Term: DATA analysis; Subject Term: RANDOMIZED controlled trials; Subject Term: DATA analysis -- Software; Subject Term: MANN Whitney U Test; Subject Term: KRUSKAL-Wallis Test; Subject Term: ; Number of Pages: 5p; ; Illustrations: 5 Charts; ; Document Type: Article; Approved no  
  Call Number OCOM @ refbase @ Serial 2261  
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Author (up) Aranha, M.F.M.; Müller, C.E.E.; Gavião, M.B.D. url  doi
openurl 
  Title Pain intensity and cervical range of motion in women with myofascial pain treated with acupuncture and electroacupuncture: a double-blinded, randomized clinical trial Type of Study RCT
  Year 2015 Publication Brazilian Journal of Physical Therapy Abbreviated Journal Braz J Phys Ther  
  Volume 19 Issue 1 Pages 34-43  
  Keywords AcuTrials; Pain; Myofascial Pain Syndromes; Musculoskeletal Diseases; RCT; Acu Versus Sham; Acu Versus CAM Control; Acu Versus Acu; Acupuncture; Electroacupuncture; Ashi Acupuncture Style; TCM Acupuncture Style; Semi-Individualized Acupuncture Protocol; Symptom-Based Point Selection; Acupuncture Only; Sham Control; Penetrating Sham; Standard Needling Depth; Near Verum Acupoint Control; CAM Control; Acu Versus Acu; Neck Pain; Cervical Pain  
  Abstract Background: Acupuncture stimulates points on the body, influencing the perception of myofascial pain or altering physiologic functions. Objective: The aim was to evaluate the effect of electroacupuncture (EAC) and acupuncture (AC) for myofascial pain of the upper trapezius and cervical range of motion, using SHAM acupuncture as control. Method: Sixty women presenting at least one trigger point at the upper trapezius and local or referred pain for more than six months were randomized into EAC, AC, and SHAM groups. Eight sessions were scheduled and a follow-up was conducted after 28 days. The Visual Analog Scale assessed the intensity of local and general pain. A fleximeter assessed cervical movements. Data were analyzed using paired t or Wilcoxon's tests, ANOVA or Friedman or Kruskal-Wallis tests and Pearson's correlation (?=0.05). Results: There was reduction in general pain in the EAC and AC groups after eight sessions (P<0.001). A significant decrease in pain intensity occurred for the right trapezius in all groups and for the left trapezius in the EAC and AC groups. Intergroup comparisons showed improvement in general pain in the EAC and AC groups and in local pain intensity in the EAC group (P<0.05), which showed an increase in left rotation (P=0.049). The AC group showed increases in inclination (P=0.005) sustained until follow-up and rotation to the right (P=0.032). Conclusion: EAC and AC were effective in reducing the pain intensity compared with SHAM. EAC was better than AC for local pain relief. These treatments can assist in increasing cervical range of motion, albeit subtly.  
  Address Departamento de Morfologia, Faculdade de Odontologia de Piracicaba (FOP), Universidade Estadual de Campinas (UNICAMP), Piracicaba, SP, Brazil  
  Publisher Brazilian Journal of Physical Therapy / Revista Brasileira de Fisioterapia
  Language Number of Treatments 8  
  Treatment Follow-up Frequency >1/WK Number of Participants 72  
  Time in Treatment 4 Weeks Condition Myofascial Pain Syndromes
  Disease Category Pain OCSI Score  
  Notes Approved yes  
  Call Number OCOM @ refbase @ Serial 2337  
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Author (up) Arias-Buria, J.L.; Fernandez-de-Las-Penas, C.; Palacios-Cena, M.; Koppenhaver, S.L.; Salom-Moreno, J. url  doi
openurl 
  Title Exercises and Dry Needling for Subacromial Pain Syndrome: A Randomized Parallel-Group Trial Type of Study Journal Article
  Year 2016 Publication The Journal of Pain : Official Journal of the American Pain Society Abbreviated Journal J Pain  
  Volume Issue Pages  
  Keywords Subacromial pain syndrome; dry needling; exercise; trigger point  
  Abstract This randomized clinical trial investigated the effectiveness of exercise versus exercise plus trigger point (TrP) dry needling (TrP-DN) in subacromial pain syndrome. A randomized parallel-group trial, with 1-year follow-up was conducted. Fifty subjects with subacromial pain syndrome were randomly allocated to receive exercise alone or exercise plus TrP-DN. Participants in both groups were asked to perform an exercise program of the rotator cuff muscles twice daily for 5 weeks. Further, patients allocated to the exercise plus TrP-DN group also received dry needling to active TrPs in the muscles reproducing shoulder symptoms during the second and fourth sessions. The primary outcome was pain-related disability assessed using the Disabilities of the Arm, Shoulder, and Hand questionnaire. Secondary outcomes included mean current pain and the worst pain experienced in the shoulder during the previous week. They were assessed at baseline, 1 week, and 3, 6, and 12 months after the end of treatment. Analysis was according to intention to treat with mixed analysis of covariance adjusted for baseline outcomes. At 12 months, 47 patients (94%) completed follow-up. Statistically larger improvements (all, P < .01) in shoulder disability was found for the exercise plus TrP-DN group at all follow-up periods (post: Delta -20.6 [95% confidence interval (CI) -23.8 to -17.4]; 3 months: Delta -23.2 [95% CI -28.3 to -18.1)]; 6 months: Delta -23.6 [95% CI -28.9 to -18.3]; 12 months: Delta -13.9 [95% CI -17.5 to -10.3]). Both groups exhibited similar improvements in shoulder pain outcomes at all follow-up periods. The inclusion of TrP-DN with an exercise program was effective for improving disability in subacromial pain syndrome. No greater improvements in shoulder pain were observed. PERSPECTIVE: This study found that the inclusion of 2 sessions of TrP-DN into an exercise program was effective for improving shoulder pain-related disability at short-, medium-, and long-term; however, no greater improvement in shoulder pain was observed.  
  Address Department of Physical Therapy, Universidad Francisco de Vitoria, Madrid, Spain; Catedra de Investigacion y Docencia en Fisioterapia, Terapia Manual y Puncion Seca, Universidad Rey Juan Carlos, Alcorcon, Spain  
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  Language English Number of Treatments  
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  Notes PMID:27720812 Approved no  
  Call Number OCOM @ refbase @ Serial 2143  
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Author (up) Arias-Buria, J.L.; Valero-Alcaide, R.; Cleland, J.A.; Salom-Moreno, J.; Ortega-Santiago, R.; Atin-Arratibel, M.A.; Fernandez-de-Las-Penas, C. doi  openurl
  Title Inclusion of Trigger Point Dry Needling in a Multimodal Physical Therapy Program for Postoperative Shoulder Pain: A Randomized Clinical Trial Type of Study Journal Article
  Year 2015 Publication Journal of manipulative and physiological therapeutics Abbreviated Journal J Manipulative Physiol Ther  
  Volume Issue Pages  
  Keywords Shoulder Pain; Rct; Postoperative; Pain, Perioperative; Acu + Usual Care Versus Usual Care; Acupuncture; Dry Needling, With Acupuncture Needle; Semi-Individualized Acupuncture Protocol; Symptom Based Point Selection; Trigger Point Acupuncture Style; Restricted Modalities, Acupuncture Only; Usual Care Control, Physical  
  Abstract OBJECTIVE: The purpose of this study was to evaluate the effects of including 1 session of trigger point dry needling (TrP-DN) into a multimodal physiotherapy treatment on pain and function in postoperative shoulder pain. METHODS: Twenty patients (5 male; 15 female; age, 58 +/- 12 years) with postoperative shoulder pain after either open reduction and internal fixation with Proximal Humeral Internal Locking System plate plate or rotator cuff tear repair were randomly divided into 2 groups: physiotherapy group (n = 10) who received best evidence physical therapy interventions and a physical therapy plus TrP-DN group (n = 10) who received the same intervention plus a single session of TrP-DN targeted at active TrPs. The Constant-Murley score was used to determine pain, activities of daily living, range of motion, and strength, which was captured at baseline and 1 week after by an assessor blinded to group assignment RESULTS: Analysis of variance showed that subjects receiving TrP-DN plus physical therapy exhibited greater improvement in the Constant-Murley total score (P < .001) and also activities of daily living (P < .001) and strength (P = .019) subscales than those receiving physical therapy alone. Between-group effect sizes were large in favor of the TrP-DN group (0.97 < SMD < 1.45). Both groups experienced similar improvements in pain (P < .001) and range of motion (P < .001). CONCLUSIONS: Our results suggest that including a single session of TrP-DN in the first week of a multimodal physical therapy approach may assist with faster increases in function in individuals with postoperative shoulder pain.  
  Address  
  Publisher Copyright (c) 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
  Language Number of Treatments  
  Treatment Follow-up Frequency Journal of manipulative and physiological therapeutics Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes Date of Input: 3/10/2015; Date Modified: 4/7/2015; Availability: --In File--; Priority: Normal; Shoulder Pain; Clinician, Department of Physical Therapy, Hospital Universitario Gregorio Maranon, Madrid, Spain; Eng; Web: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=25666690 Approved no  
  Call Number OCOM @ refbase @ Serial 1744  
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Author (up) Armour, M.; Dahlen, H.G.; Zhu, X.; Farquhar, C.; Smith, C.A. url  doi
openurl 
  Title The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial Type of Study RCT
  Year 2017 Publication PloS one Abbreviated Journal PLoS One  
  Volume 12 Issue 7 Pages 1-20  
  Keywords AcuTrials; RCT; Menstruation Disturbances; Dysmenorrhea; Women's Health; Gynecology; Acu Versus Acu; Acu Versus CAM Control; Acupuncture; Electroacupuncture; Moxibustion; Indirect Moxibustion; Moxa; TCM Acupuncture Style; Semi-Individualized Acupuncture Protocol; Traditional Diagnosis Based Point Selection; Restricted Modalities; Acupuncture + Other; CAM Control  
  Abstract OBJECTIVES: We examined the effect of changing treatment timing and the use of manual, electro acupuncture on the symptoms of primary dysmenorrhea. METHODS: A randomised controlled trial was performed with four arms, low frequency manual acupuncture (LF-MA), high frequency manual acupuncture (HF-MA), low frequency electro acupuncture (LF-EA) and high frequency electro acupuncture (HF-EA). A manualised trial protocol was used to allow differentiation and individualized treatment over three months. A total of 74 women were randomly assigned to one of the four groups (LF-MA n = 19, HF-MA n = 18, LF-EA n = 18, HF-EA n = 19). Twelve treatments were performed over three menstrual cycles, either once per week (LF groups) or three times in the week prior to menses (HF groups). All groups received a treatment in the first 48 hours of menses. The primary outcome was the reduction in peak menstrual pain at 12 months from trial entry. RESULTS: During the treatment period and nine month follow-up all groups showed statistically significant (p < .001) reductions in peak and average menstrual pain compared to baseline but there were no differences between groups (p > 0.05). Health related quality of life increased significantly in six domains in groups having high frequency of treatment compared to two domains in low frequency groups. Manual acupuncture groups required less analgesic medication than electro-acupuncture groups (p = 0.02). HF-MA was most effective in reducing secondary menstrual symptoms compared to both-EA groups (p<0.05). CONCLUSION: Acupuncture treatment reduced menstrual pain intensity and duration after three months of treatment and this was sustained for up to one year after trial entry. The effect of changing mode of stimulation or frequency of treatment on menstrual pain was not significant. This may be due to a lack of power. The role of acupuncture stimulation on menstrual pain needs to be investigated in appropriately powered randomised controlled trials.  
  Address The National Institute of Complementary Medicine, Western Sydney University, Sydney, Australia  
  Publisher
  Language English Number of Treatments 12  
  Treatment Follow-up 52 Weeks Frequency <1/WK Number of Participants 74  
  Time in Treatment N/A Condition Dysmenorrhea
  Disease Category Menstruation Disturbances OCSI Score  
  Notes Approved no  
  Call Number OCOM @ refbase @ Serial 2416  
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