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Author Diener, H. C.; Kronfeld, K.; Boewing, G.; Lungenhausen, M.; Maier, C.; Molsberger, A.; Tegenthoff, M.; Trampisch, H. J.; Zenz, M.; Meinert, R. url  openurl
  Title Efficacy of acupuncture for the prophylaxis of migraine: a multicentre randomised controlled clinical trial Type of Study RCT
  Year 2006 Publication The Lancet. Neurology Abbreviated Journal Lancet Neurol  
  Volume 5 Issue 4 Pages 310-316  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Penetrating Sham; Migraine; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Superficial Needling Depth; Sham Acupoint Control; Sham Control; Usual Care Control, Pharmaceutical; Traditional Diagnosis Based Point Selection; TCM Acupuncture Style; Headache Disorders  
  Abstract BACKGROUND: Our aim was to assess the efficacy of a part-standardised verum acupuncture procedure, in accordance with the rules of traditional Chinese medicine, compared with that of part-standardised sham acupuncture and standard migraine prophylaxis with beta blockers, calcium-channel blockers, or antiepileptic drugs in the reduction of migraine days 26 weeks after the start of treatment. METHODS: This study was a prospective, randomised, multicentre, double-blind, parallel-group, controlled, clinical trial, undertaken between April 2002 and July 2005. Patients who had two to six migraine attacks per month were randomly assigned verum acupuncture (n=313), sham acupuncture (n=339), or standard therapy (n=308). Patients received ten sessions of acupuncture treatment in 6 weeks or continuous prophylaxis with drugs. Primary outcome was the difference in migraine days between 4 weeks before randomisation and weeks 23-26 after randomisation. This study is registered as an International Standard Randomised Controlled Trial, number ISRCTN52683557. FINDINGS: Of 1295 patients screened, 960 were randomly assigned to a treatment group. Immediately after randomisation, 125 patients (106 from the standard group) withdrew their consent to study participation. 794 patients were analysed in the intention-to-treat popoulation and 443 in the per-protocol population. The primary outcome showed a mean reduction of 2 .3 days (95% CI 1.9-2.7) in the verum acupuncture group, 1.5 days (1.1-2.0) in the sham acupuncture group, and 2.1 days (1.5-2.7) in the standard therapy group. These differences were statistically significant compared with baseline (p<0.0001), but not across the treatment groups (p=0.09). The proportion of responders, defined as patients with a reduction of migraine days by at least 50%, 26 weeks after randomisation, was 47% in the verum group, 39% in the sham acupuncture group, and 40% in the standard group (p=0.133). INTERPRETATION: Treatment outcomes for migraine do not differ between patients treated with sham acupuncture, verum acupuncture, or standard therapy  
  Address Department of Neurology, University Essen, Essen, Germany. h.diener@uni-essen.de  
  Publisher
  Language Number of Treatments 10  
  Treatment Follow-up 20 Weeks Frequency >1/WK Number of Participants 960  
  Time in Treatment 6 Weeks Condition Migraine
  Disease Category Headache Disorders OCSI Score (down) 96  
  Notes Approved no  
  Call Number Serial 245  
Permanent link to this record
 

 
Author Cherkin, D. C.; Eisenberg, D.; Sherman, K. J.; Barlow, W.; Kaptchuk, T. J.; Street, J.; Deyo, R. A. url  openurl
  Title Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain Type of Study RCT
  Year 2001 Publication Archives of internal medicine Abbreviated Journal Arch Intern Med  
  Volume 161 Issue 8 Pages 1081-1088  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Low Back Pain, Chronic; Cupping; Electroacupuncture; Exercise; Exercise Therapy; Individualized Acupuncture Protocol; Low Back Pain; Massage; Moxibustion; Pain; RCT; Self Care; TCM Acupuncture Style; Heat Lamp; Traditional Diagnosis Based Point Selection; Back Pain  
  Abstract BACKGROUND: Because the value of popular forms of alternative care for chronic back pain remains uncertain, we compared the effectiveness of acupuncture, therapeutic massage, and self-care education for persistent back pain. METHODS: We randomized 262 patients aged 20 to 70 years who had persistent back pain to receive Traditional Chinese Medical acupuncture (n = 94), therapeutic massage (n = 78), or self-care educational materials (n = 90). Up to 10 massage or acupuncture visits were permitted over 10 weeks. Symptoms (0-10 scale) and dysfunction (0-23 scale) were assessed by telephone interviewers masked to treatment group. Follow-up was available for 95% of patients after 4, 10, and 52 weeks, and none withdrew for adverse effects. RESULTS: Treatment groups were compared after adjustment for prerandomization covariates using an intent-to-treat analysis. At 10 weeks, massage was superior to self-care on the symptom scale (3.41 vs 4.71, respectively; P =.01) and the disability scale (5.88 vs 8.92, respectively; P<.001). Massage was also superior to acupuncture on the disability scale (5.89 vs 8.25, respectively; P =.01). After 1 year, massage was not better than self-care but was better than acupuncture (symptom scale: 3.08 vs 4.74, respectively; P =.002; dysfunction scale: 6.29 vs 8.21, respectively; P =.05). The massage group used the least medications (P<.05) and had the lowest costs of subsequent care. CONCLUSIONS: Therapeutic massage was effective for persistent low back pain, apparently providing long-lasting benefits. Traditional Chinese Medical acupuncture was relatively ineffective. Massage might be an effective alternative to conventional medical care for persistent back pain  
  Address  
  Publisher
  Language Number of Treatments 10  
  Treatment Follow-up 52 Weeks Frequency 1/WK Number of Participants 262  
  Time in Treatment 10 Weeks Condition Low Back Pain, Chronic
  Disease Category Back Pain OCSI Score (down) 85  
  Notes Approved no  
  Call Number Serial 161  
Permanent link to this record
 

 
Author Giles, L. G.; Muller, R. url  openurl
  Title Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation Type of Study RCT
  Year 2003 Publication Spine Abbreviated Journal Spine  
  Volume 28 Issue 14 Pages 1490-1502  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Ashi Acupuncture Style; Back Pain; Chiropractic; Individualized Acupuncture Protocol; Neck Pain; RCT; Restricted Modalities, Acupuncture Only; Spinal Manipulation; Usual Care Control, Pharmaceutical; Symptom Based Point Selection; TCM Acupuncture Style; Back Pain, Chronic; Pain  
  Abstract STUDY DESIGN A randomized controlled clinical trial was conducted.OBJECTIVE To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 weeks duration) spinal pain because the value of medicinal and popular forms of alternative care for chronic spinal pain syndromes is uncertain.SUMMARY OF BACKGROUND DATA Between February 1999 and October 2001, 115 patients without contraindication for the three treatment regimens were enrolled at the public hospital's multidisciplinary spinal pain unit.METHODS One of three separate intervention protocols was used: medication, needle acupuncture, or chiropractic spinal manipulation. Patients were assessed before treatment by a sports medical physician for exclusion criteria and by a research assistant using the Oswestry Back Pain Disability Index (Oswestry), the Neck Disability Index (NDI), the Short-Form-36 Health Survey questionnaire (SF-36), visual analog scales (VAS) of pain intensity and ranges of movement. These instruments were administered again at 2, 5, and 9 weeks after the beginning of treatment.RESULTS Randomization proved to be successful. The highest proportion of early (asymptomatic status) recovery was found for manipulation (27.3%), followed by acupuncture (9.4%) and medication (5%). Manipulation achieved the best overall results, with improvements of 50% (P = 0.01) on the Oswestry scale, 38% (P = 0.08) on the NDI, 47% (P < 0.001) on the SF-36, and 50% (P < 0.01) on the VAS for back pain, 38% (P < 0.001) for lumbar standing flexion, 20% (P < 0.001) for lumbar sitting flexion, 25% (P = 0.1) for cervical sitting flexion, and 18% (P = 0.02) for cervical sitting extension. However, on the VAS for neck pain, acupuncture showed a better result than manipulation (50% vs 42%).CONCLUSIONS The consistency of the results provides, despite some discussed shortcomings of this study, evidence that in patients with chronic spinal pain, manipulation, if not contraindicated, results in greater short-term improvement than acupuncture or medication. However, the data do not strongly support the use of only manipulation, only acupuncture, or only nonsteroidal antiinflammatory drugs for the treatment of chronic spinal pain. The results from this exploratory study need confirmation from future larger studies  
  Address *National Unit for Multidisciplinary Studies of Spinal Pain, The University of Queensland, The Townsville Hospital, Townsville, Queensland, and the dagger School of Public Health and Tropical Medicine, James Cook University, Townsville, Queensland, A  
  Publisher
  Language Number of Treatments 18  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 115  
  Time in Treatment 9 Weeks Condition Back Pain, Chronic
  Disease Category Back Pain OCSI Score (down) 84  
  Notes Approved no  
  Call Number Serial 382  
Permanent link to this record
 

 
Author Avants, S. K.; Margolin, A.; Holford, T. R.; Kosten, T. R. url  openurl
  Title A randomized controlled trial of auricular acupuncture for cocaine dependence Type of Study RCT
  Year 2000 Publication Archives of internal medicine Abbreviated Journal Arch Intern Med  
  Volume 160 Issue 15 Pages 2305-2312  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Drug Addiction; Auricular Acupuncture; Fixed Acupuncture Protocol; Penetrating Sham; NADA Protocol Acupuncture Style; Non Specific Acupoint Control; RCT; Restricted Modalities, Acupuncture Only; Sham Control; Standard Needling Depth; Substance-Related Disorders; Cocaine-Related Disorders; Group Acupuncture Style; Relaxation; Substance Abuse  
  Abstract BACKGROUND: Partly because of a lack of a conventional, effective treatment for cocaine addiction, auricular acupuncture is used to treat this disorder in numerous drug treatment facilities across the country for both primary cocaine-dependent and opiate-dependent populations. OBJECTIVE: To evaluate the effectiveness of auricular acupuncture for the treatment of cocaine addiction. METHODS: Eighty-two cocaine-dependent, methadone-maintained patients were randomly assigned to 1 of 3 conditions: auricular acupuncture, a needle-insertion control condition, or a no-needle relaxation control. Treatment sessions were provided 5 times weekly for 8 weeks. The primary outcome was cocaine use assessed by 3-times-weekly urine toxicology screens. RESULTS: Longitudinal analysis of the urine data for the intent-to-treat sample showed that patients assigned to acupuncture were significantly more likely to provide cocaine-negative urine samples relative to both the relaxation control (odds ratio, 3.41; 95% confidence interval, 1.33-8.72; P =. 01) and the needle-insertion control (odds ratio, 2.40; 95% confidence interval, 1.00-5.75; P =.05). CONCLUSIONS: Findings from the current study suggest that acupuncture shows promise for the treatment of cocaine dependence. Further investigation of this treatment modality appears to be warranted  
  Address Substance Abuse Center, Yale University School of Medicine, New Haven, CT 06519, USA  
  Publisher
  Language Number of Treatments 40  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 82  
  Time in Treatment 8 Weeks Condition Cocaine-Related Disorders
  Disease Category Substance-Related Disorders OCSI Score (down) 83  
  Notes Approved no  
  Call Number Serial 45  
Permanent link to this record
 

 
Author Johansson, B. B.; Haker, E.; von Arbin, M.; Britton, M.; Langstrom, G.; Terent, A.; Ursing, D.; Asplund, K. url  openurl
  Title Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation: a randomized, controlled trial Type of Study RCT
  Year 2001 Publication Stroke; a journal of cerebral circulation Abbreviated Journal Stroke  
  Volume 32 Issue 3 Pages 707-713  
  Keywords TENS; CAM Control; Acu Versus > 1 Control; Acupuncture; Stroke; AcuTrials; Electroacupuncture; Fixed Acupuncture Protocol; RCT; Restricted Modalities, Acupuncture + Other; Usual Care Control, Physical; TCM Acupuncture Style; Transcutaneous Electric Nerve Stimulation  
  Abstract BACKGROUND AND PURPOSE: In small trials with control groups that receive no intervention, acupuncture has been reported to improve functional outcome after stroke. We studied effects of acupuncture and transcutaneous electrical nerve stimulation on functional outcome and quality of life after stroke versus a control group that received subliminal electrostimulation. METHODS: In a multicenter randomized controlled trial involving 7 university and district hospitals in Sweden, 150 patients with moderate or severe functional impairment were included. At days 5 to 10 after acute stroke, patients were randomized to 1 of 3 intervention groups: (a) acupuncture, including electroacupuncture; (b) sensory stimulation with high-intensity, low-frequency transcutaneous electrical nerve stimulation that induces muscle contractions; and (c) low-intensity (subliminal) high-frequency electrostimulation (control group). A total of 20 treatment sessions were performed over a 10-week period. Outcome variables included motor function, activities of daily living function, walking ability, social activities, and life satisfaction at 3-month and 1-year follow-up. RESULTS: At baseline, patients in each group were closely similar in all important prognostic variables. At 3-month and 1-year follow-ups, no clinically important or statistically significant differences were observed between groups for any of the outcome variables. The 3 treatment modalities were all conducted without major adverse effects. CONCLUSIONS: When compared with a control group that received subliminal electrostimulation, treatment during the subacute phase of stroke with acupuncture or transcutaneous electrical nerve stimulation with muscle contractions had no beneficial effects on functional outcome or life satisfaction  
  Address Department of Neurology, Lund University Hospital, Lund  
  Publisher
  Language Number of Treatments 20  
  Treatment Follow-up 52 Weeks Frequency >1/WK Number of Participants 150  
  Time in Treatment 10 Weeks Condition Stroke
  Disease Category Stroke OCSI Score (down) 82  
  Notes Approved no  
  Call Number Serial 532  
Permanent link to this record
 

 
Author Smith, C.; Crowther, C.; Beilby, J. url  openurl
  Title Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial Type of Study RCT
  Year 2002 Publication Abbreviated Journal Birth  
  Volume 29 Issue 1 Pages 1-9  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Attention Control; Emesis; Penetrating Sham; Nausea; Sham Acupoint Control; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Sham Control; TCM Acupuncture Style; Traditional Diagnosis Based Point Selection; Vomiting; Women's Health; Morning Sickness; Pregnancy Complications;  
  Abstract BACKGROUND: Nausea and vomiting in early pregnancy are troublesome symptoms for some women. We undertook a single blind randomized controlled trial to determine whether acupuncture reduced nausea, dry retching, and vomiting, and improved the health status of women in pregnancy. METHODS: The trial was undertaken at a maternity teaching hospital in Adelaide, Australia, where 593 women less than 14 weeks' pregnant with symptoms of nausea or vomiting were randomized into 4 groups: traditional acupuncture, pericardium 6 (p6) acupuncture, sham acupuncture, or no acupuncture (control). Treatment was administered weekly for 4 weeks. The primary outcomes were nausea, dry retching, vomiting, and health status. Comparisons were made between groups over 4 consecutive weeks. RESULTS: Women receiving traditional acupuncture reported less nausea (p < 0.01) throughout the trial and less dry retching (p < 0.01) from the second week compared with women in the no acupuncture control group. Women who received p6 acupuncture (p < 0.05) reported less nausea from the second week of the trial, and less dry retching (p < 0.001) from the third week compared with women in the no acupuncture control group. Women in the sham acupuncture group (p < 0.01) reported less nausea and dry retching (p < 0.001) from the third week compared with women in the no acupuncture group. No differences in vomiting were found among the groups at any time. CONCLUSION: Acupuncture is an effective treatment for women who experience nausea and dry retching in early pregnancy. A time-related placebo effect was found for some women  
  Address Department of Obstetrics & Gynaecology, Adelaide University, Adelaide, Australia  
  Publisher
  Language Number of Treatments 5  
  Treatment Follow-up N/A Frequency 1/WK Number of Participants 593  
  Time in Treatment 4 Weeks Condition Morning Sickness
  Disease Category Pregnancy Complications OCSI Score (down) 82  
  Notes Approved no  
  Call Number Serial 1076  
Permanent link to this record
 

 
Author Mehling, W. E.; Jacobs, B.; Acree, M.; Wilson, L.; Bostrom, A.; West, J.; Acquah, J.; Burns, B.; Chapman, J.; Hecht, F. M. url  openurl
  Title Symptom management with massage and acupuncture in postoperative cancer patients: a randomized controlled trial Type of Study RCT
  Year 2007 Publication Abbreviated Journal J Pain Symptom Manage  
  Volume 33 Issue 3 Pages 258-266  
  Keywords Acu + Usual Care Versus > 1 Control; Acupuncture; AcuTrials; Cancer; Massage; Nausea; Pain; RCT; Restricted Modalities, Acupuncture + Other; Semi-Individualized Acupuncture Protocol; Usual Care Control, Multimodality; Symptom Based Point Selection; Vomiting; CAM Control; Postoperative Care; Neoplasms;  
  Abstract The level of evidence for the use of acupuncture and massage for the management of perioperative symptoms in cancer patients is encouraging but inconclusive. We conducted a randomized, controlled trial assessing the effect of massage and acupuncture added to usual care vs. usual care alone in postoperative cancer patients. Cancer patients undergoing surgery were randomly assigned to receive either massage and acupuncture on postoperative Days 1 and 2 in addition to usual care, or usual care alone, and were followed over three days. Patients' pain, nausea, vomiting, and mood were assessed at four time points. Data on health care utilization were collected. Analyses were done by mixed-effects regression analyses for repeated measures. One hundred fifty of 180 consecutively approached cancer patients were eligible and consented before surgery. Twelve patients rescheduled or declined after surgery, and 138 patients were randomly assigned in a 2:1 scheme to receive massage and acupuncture (n=93) or to receive usual care only (n=45). Participants in the intervention group experienced a decrease of 1.4 points on a 0-10 pain scale, compared to 0.6 in the control group (P=0.038), and a decrease in depressive mood of 0.4 (on a scale of 1-5) compared to +/-0 in the control group (P=0.003). Providing massage and acupuncture in addition to usual care resulted in decreased pain and depressive mood among postoperative cancer patients when compared with usual care alone. These findings merit independent confirmation using larger sample sizes and attention control  
  Address Osher Center for Integrative Medicine (W.E.M., B.J., M.A., L.W., J.W., J.A., B.B., J.C., F.M.H.), and Department of Epidemiology and Biostatistics (A.B.), University of California, San Francisco, California, USA  
  Publisher
  Language Number of Treatments 2  
  Treatment Follow-up 1 day Frequency N/A Number of Participants 138  
  Time in Treatment 2 Days Condition Postoperative Care
  Disease Category Neoplasms OCSI Score (down) 81  
  Notes Approved no  
  Call Number Serial 846  
Permanent link to this record
 

 
Author Tsukayama, H.; Yamashita, H.; Amagai, H.; Tanno, Y. url  openurl
  Title Randomised controlled trial comparing the effectiveness of electroacupuncture and TENS for low back pain: a preliminary study for a pragmatic trial Type of Study RCT
  Year 2002 Publication Abbreviated Journal Acupunct Med  
  Volume 20 Issue 4 Pages 175-180  
  Keywords TENS; Acu Versus CAM Control; Low Back Pain, Acute; AcuTrials; Ashi Acupuncture Style; Back Pain; Electroacupuncture; Semi-Individualized Acupuncture Protocol; Low Back Pain; Press Tacks; RCT; Symptom Based Point Selection; Transcutaneous Electric Nerve Stimulation; Restricted Modalities, Acupuncture + Other; External Herbs; Herbal Patch  
  Abstract The objective of this study was to compare the effectiveness of electroacupuncture and TENS for low back pain when the electroacupuncture is applied in a clinically realistic manner. The study was designed as an evaluator-blinded randomised controlled trial (RCT). The study was performed at the Tsukuba College of Technology Clinic in Japan. Twenty subjects, who suffered from low back pain (LBP) without sciatica, were recruited, using leaflets in Tsukuba city. Subjects were allocated to either an electroacupuncture (EA) group (10 patients) or a transcutaneous electrical nerve stimulation (TENS) group (10 patients). The procedure for EA was in accordance with standard practice at our clinic. The main outcome measures were a pain relief scale (100 mm visual analogue scale: VAS) and a LBP score recommended by the Japanese Orthopaedic Association (JOA Score). Mean VAS value during the 2-weeks experimental period of the EA group was significantly smaller than that of the TENS group (65 mm vs 86 mm; 95% CI, 4  
  Address  
  Publisher
  Language Number of Treatments 4  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 20  
  Time in Treatment 2 Weeks Condition Low Back Pain
  Disease Category Back Pain OCSI Score (down) 81  
  Notes Approved no  
  Call Number Serial 1187  
Permanent link to this record
 

 
Author Rosted, P.; Bundgaard, M. url  doi
openurl 
  Title Can acupuncture reduce the induction time of a local anaesthetic?--A pilot study Type of Study RCT
  Year 2003 Publication Abbreviated Journal Acupunct Med  
  Volume 21 Issue 3 Pages 92-99  
  Keywords AcuTrials; Anesthesia and Analgesia; Pain, Intraoperative; Pain, Perioperative; Pain; Anesthesia; Pilot Study; RCT; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Acu Versus > 1 Control; Usual Care Control, Pharmaceutical; CAM Control; Acu Versus Acu; Heterosegmental Superficial Acupuncture  
  Abstract We report on a pilot study we undertook to investigate if segmental acupuncture treatment, given two minutes prior to a regional inferior dental block (ID) with Prilocaine Hydrochloride, would reduce the onset time of a local anaesthetic. Thirty healthy people, who needed a regional inferior dental block (ID) as part of dental treatment in the lower jaw, were randomly allocated to three groups. They received segmental acupuncture, heterosegmental superficial acupuncture, or standard treatment (regional inferior dental block) without acupuncture. In the segmental acupuncture group, acupuncture was given within the innervation of the trigeminal nerve. The needles were left in for two minutes, followed by a regional inferior dental block (ID). In the second group, acupuncture needles were inserted superficially in extra-segmental points and left in for two minutes without stimulation, followed by the regional inferior dental block. A control group received standard treatment only, of a regional inferior dental block. The concept 'pain free for dental work' was defined as 'patients reporting pins and needles in the lower lip' and measured by a drilling test. Patients who reported no pain during the drilling test were included in the study. The time from administration of the injection to the patients' reporting pins and needles was recorded by an independent dental nurse. All tested patients reported sufficient anaesthesia during the drilling test. In the segmental acupuncture group, anaesthesia was achieved after 62 seconds, compared to the heterosegmental superficial acupuncture group, who took 115 seconds and the control group, who received standard treatment only, and took 119 seconds. The difference between the segmental acupuncture group and the heterosegmental superficial acupuncture group was statistically significant (p < 0.015); the difference between the segmental acupuncture group and the control, who received a regional inferior dental block only, was also significant (p < 0.032). No significant difference was found between the heterosegmental superficial acupuncture group and the control group who received a regional inferior dental block only (p < 0.84). It appears from this pilot study that the onset time of local anaesthesia is reduced if segmentally administered acupuncture is given prior to the regional inferior dental block. However, it needs to be reproduced including objective measurements  
  Address Weston Park Hospital, Sheffield, UK. Prosted@aol.com  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 30  
  Time in Treatment 1 Day Condition Pain, Intraoperative
  Disease Category Anesthesia and Analgesia OCSI Score (down) 80  
  Notes Approved yes  
  Call Number Serial 1002  
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Author 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  
  Publisher
  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 (down) 79  
  Notes Approved no  
  Call Number Serial 435  
Permanent link to this record
 

 
Author Margolin, A.; Kleber, H. D.; Avants, S. K.; Konefal, J.; Gawin, F.; Stark, E.; Sorensen, J.; Midkiff, E.; Wells, E.; Jackson, T. R.; Bullock, M.; Culliton, P. D.; Boles, S.; Vaughan, R. url  openurl
  Title Acupuncture for the treatment of cocaine addiction: a randomized controlled trial Type of Study RCT
  Year 2002 Publication Abbreviated Journal JAMA  
  Volume 287 Issue 1 Pages 55-63  
  Keywords CAM Control; Acu Versus > 1 Control; AcuTrials; Drug Addiction; Auricular Acupuncture; Fixed Acupuncture Protocol; Penetrating Sham; NADA Protocol Acupuncture Style; Non Specific Acupoint Control; RCT; Relaxation Techniques; Restricted Modalities, Acupuncture Only; Sham Control; Standard Needling Depth; Substance-Related Disorders; Cocaine-Related Disorders; Substance Abuse; Drug Addiction  
  Abstract CONTEXT: Auricular acupuncture is widely used to treat cocaine addiction in the United States and Europe. However, evidence from controlled studies regarding this treatment's effectiveness has been inconsistent. OBJECTIVE: To investigate the effectiveness of auricular acupuncture as a treatment for cocaine addiction. DESIGN: Randomized, controlled, single-blind clinical trial conducted from November 1996 to April 1999. SETTING: Six community-based clinics in the United States: 3 hospital-affiliated clinics and 3 methadone maintenance programs. PATIENTS: Six hundred twenty cocaine-dependent adult patients (mean age, 38.8 years; 69.2% men); 412 used cocaine only and 208 used both opiates and cocaine and were receiving methadone maintenance. INTERVENTION: Patients were randomly assigned to receive auricular acupuncture (n = 222), a needle-insertion control condition (n = 203), or a relaxation control condition (n = 195). Treatments were offered 5 times weekly for 8 weeks. Concurrent drug counseling was also offered to patients in all conditions. MAIN OUTCOME MEASURES: Cocaine use during treatment and at the 3- and 6-month postrandomization follow-up based on urine toxicology screens; retention in treatment. RESULTS: Intent-to-treat analysis of urine samples showed a significant overall reduction in cocaine use (odds ratio, 1.40; 95% confidence interval, 1.11-1.74; P =.002) but no differences by treatment condition (P =.90 for acupuncture vs both control conditions). There were also no differences between the conditions in treatment retention (44%-46% for the full 8 weeks). Counseling sessions in all 3 conditions were poorly attended. CONCLUSIONS: Within the clinical context of this study, acupuncture was not more effective than a needle insertion or relaxation control in reducing cocaine use. Our study does not support the use of acupuncture as a stand-alone treatment for cocaine addiction or in contexts in which patients receive only minimal concurrent psychosocial treatment. Research will be needed to examine acupuncture's contribution to addiction treatment when provided in an ancillary role  
  Address  
  Publisher
  Language Number of Treatments 40  
  Treatment Follow-up 16 Weeks Frequency >1/WK Number of Participants 620  
  Time in Treatment 8 Weeks Condition Cocaine-Related Disorders
  Disease Category Substance-Related Disorders OCSI Score (down) 79  
  Notes Approved no  
  Call Number Serial 828  
Permanent link to this record
 

 
Author Giles, L. G.; Muller, R. url  openurl
  Title Chronic spinal pain syndromes: a clinical pilot trial comparing acupuncture, a nonsteroidal anti-inflammatory drug, and spinal manipulation Type of Study RCT
  Year 1999 Publication Journal of manipulative and physiological therapeutics Abbreviated Journal J Manipulative Physiol Ther  
  Volume 22 Issue 6 Pages 376-381  
  Keywords CAM Control; Acu Versus > 1 Control; AcuTrials; Ashi Acupuncture Style; Back Pain; Chiropractic; Electroacupuncture; Low Back Pain; Neck Pain; Pain; RCT; Spinal Manipulation; Usual Care Control, Pharmaceutical; TCM Acupuncture Style  
  Abstract OBJECTIVE: To compare needle acupuncture, medication (tenoxicam with ranitidine), and spinal manipulation for managing chronic (>13 weeks duration) spinal pain syndromes. DESIGN: Prospective, randomized, independently assessed preintervention and postintervention clinical pilot trial. SETTING: Specialized spinal pain syndrome out-patient unit at Townsville General Hospital, Queensland, Australia. SUBJECTS: Seventy-seven patients (without contraindication to manipulation or medication) were recruited. INTERVENTIONS: One of three separate, clearly defined intervention protocols: needle acupuncture, nonsteroidal anti-inflammatory medication, or chiropractic spinal manipulation. MAIN OUTCOME MEASURES: Main outcome measures were changes (4 weeks vs. initial visit) in the scores of the (1) Oswestry Back Pain Disability Index, (2) Neck Disability Index, and (3) three visual analogue scales of local pain intensity. RESULTS: Randomization was successful. After a median intervention period of 30 days, spinal manipulation was the only intervention that achieved statistically significant improvements (all expressed as percentages of the original scores) with (1) a reduction of 30.7% on the Oswestry scale, (2) an improvement of 25% on the neck disability index, and (3) reductions on the visual analogue scale of 50% for low back pain, 46% for upper back pain, and 33% for neck pain (all P<.001). Neither of the other interventions showed any significant improvement on any of the outcome measures. CONCLUSIONS: The consistency of the results provides, in spite of several discussed shortcomings of this pilot study, evidence that in patients with chronic spinal pain syndromes spinal manipulation, if not contraindicated, results in greater improvement than acupuncture and medicine  
  Address National Unit for Multidisciplinary Studies of Spinal Pain, Townsville General Hospital, Queensland, Australia  
  Publisher
  Language Number of Treatments 6  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 77  
  Time in Treatment 4 Weeks Condition Back Pain
  Disease Category Back Pain OCSI Score (down) 78  
  Notes Approved no  
  Call Number Serial 381  
Permanent link to this record
 

 
Author Michalek-Sauberer, A.; Heinzl, H.; Sator-Katzenschlager, S. M.; Monov, G.; Knolle, E.; Kress, H. G. url  openurl
  Title Perioperative auricular electroacupuncture has no effect on pain and analgesic consumption after third molar tooth extraction Type of Study RCT
  Year 2007 Publication Abbreviated Journal Curr Res Anesth Analg  
  Volume 104 Issue 3 Pages 542-547  
  Keywords Acu + Usual Care Versus > 1 Control; Pain; AcuTrials; Auricular Acupuncture; Auricular Electroacupuncture; Electroacupuncture; Fixed Acupuncture Protocol; Non Penetrating Sham, Electrical; Pain; Pain, Postoperative; RCT; Restricted Modalities, Acupuncture Only; Sham Control; Usual Care Control, Pharmaceutical; TCM Acupuncture Style; Tooth Extraction; Verum Acupoint Control; Anesthesia and Analgesia; Stomatognathic Diseases; CAM Control; Acu Versus Acu; Non Penetrating Sham, Mechanical  
  Abstract BACKGROUND: Auricular acupuncture (AA) has been shown to alleviate acute and chronic pain. We investigated the effects of auricular electroacupuncture (AE) on pain and analgesic drug consumption in the first 48 h after unilateral mandibular third molar tooth extraction under local anesthesia in a prospective, randomized, double-blind, placebo-controlled study in 149 patients. METHODS: Patients received either AA with electrical stimulation (AE, n = 76) or without (AA, n = 37) electrical stimulation at an alternating frequency of 2/100 Hz or a sham AE with metal plates instead of needles and no electrical stimulation, no-needle (NN, n = 36) at the AA points 1 (tooth), 55 (Shen men) and 84 (mouth) during the entire study period. Regularly rated pain intensity (five-point verbal rating scale), consumption of acetaminophen 500 mg tablets and additional rescue medication with mefenamic acid 500 mg were assessed. RESULTS: The median fraction of time when pain was rated as moderate or worse (upper and lower quartile): AE: 33% (12%, 64%), AA: 22% (6%, 56%), NN: 30% (7%, 53%) did not differ significantly among the treatment groups. There were no significant differences in mean number of acetaminophen 500 mg tablets (range): AE: 5.2 (0-12), AA: 4.6 (0-11), NN: 5.4 (0-10) or percentage of patients requiring additional mefenamic acid: AE: 19%, AA: 18%, NN: 19%. CONCLUSION: We conclude that neither AE nor AA alone reduce either pain intensity or analgesic consumption in a molar tooth extraction model of acute pain  
  Address Department of Anesthesiology and General Intensive Care Medicine (B), Medical University of Vienna, Vienna General Hospital, Vienna, Austria. andrea.michalek-sauberer@meduniwien.ac.at  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 149  
  Time in Treatment 2 Days Condition Pain, Postoperative
  Disease Category Stomatognathic Diseases OCSI Score (down) 77  
  Notes Approved no  
  Call Number Serial 869  
Permanent link to this record
 

 
Author Irnich, D.; Behrens, N.; Gleditsch, J.; Stor, W.; Schreiber, M.; Schops, P.; Vickers, A.; Beyer, A. url  openurl
  Title Immediate effects of dry needling and acupuncture at distant points in chronic neck pain: results of a randomized, double-blind, sham-controlled crossover trial Type of Study RCT
  Year 2002 Publication Pain Abbreviated Journal Pain  
  Volume 99 Issue 1-2 Pages 83-  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Auricular Acupuncture; Cross-Over Design; Dry Needling; Myofascial Pain Syndromes; Neck Pain; Non Penetrating Sham, Electrical; Pain; RCT; Restricted Modalities, Acupuncture + Other; Semi-Individualized Acupuncture Protocol; Sham Control; Sham Laser; TCM Acupuncture Style; Trigger Point Acupuncture Style; Verum Acupoint Control; Traditional Diagnosis Based Point Selection  
  Abstract To evaluate immediate effects of two different modes of acupuncture on motion-related pain and cervical spine mobility in chronic neck pain patients compared to a sham procedure. Thirty-six patients with chronic neck pain and limited cervical spine mobility participated in a prospective, randomized, double-blind, sham-controlled crossover trial. Every patient was treated once with needle acupuncture at distant points, dry needling (DN) of local myofascial trigger points and sham laser acupuncture (Sham). Outcome measures were motion-related pain intensity (visual analogue scale, 0-100mm) and range of motion (ROM). In addition, patients scored changes of general complaints using an 11-point verbal rating scale. Patients were assessed immediately before and after each treatment by an independent (blinded) investigator. Multivariate analysis was used to assess the effects of true acupuncture and needle site independently. For motion-related pain, use of acupuncture at non-local points reduced pain scores by about a third (11.2mm; 95% CI 5.7, 16.7; P=0.00006) compared to DN and sham. DN led to an estimated reduction in pain of 1.0mm (95% CI -4.5, 6.5; P=0.7). Use of DN slightly improved ROM by 1.7 degrees (95% CI 0.2, 3.2; P=0.032) with use of non-local points improving ROM by an additional 1.9 degrees (95% CI 0.3, 3.4; P=0.016). For patient assessment of change, non-local acupuncture was significantly superior both to Sham (1.7 points; 95% CI 1.0, 2.5; P=0.0001) and DN (1.5 points; 95% CI 0.4, 2.6; P=0.008) but there was no difference between DN and Sham (0.1 point; 95% CI -1.0, 1.2; P=0.8). Acupuncture is superior to Sham in improving motion-related pain and ROM following a single session of treatment in chronic neck pain patients. Acupuncture at distant points improves ROM more than DN; DN was ineffective for motion-related pain  
  Address  
  Publisher
  Language Number of Treatments 3  
  Treatment Follow-up N/A Frequency 1/WK Number of Participants 36  
  Time in Treatment N/A Condition Neck Pain
  Disease Category Neck Pain OCSI Score (down) 76  
  Notes Approved no  
  Call Number Serial 500  
Permanent link to this record
 

 
Author Mehl-Madrona, L.; Kligler, B.; Silverman, S.; Lynton, H.; Merrell, W. url  openurl
  Title The impact of acupuncture and craniosacral therapy interventions on clinical outcomes in adults with asthma Type of Study RCT
  Year 2007 Publication Abbreviated Journal Explore (NY)  
  Volume 3 Issue 1 Pages 28-36  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Asthma; Attention Control; Craniosacral Therapy; Pilot Study; RCT; Respiratory Tract Diseases; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Sham Craniosacral Therapy; Traditional Diagnosis Based Point Selection; TCM Acupuncture Style; Wait-List Control  
  Abstract OBJECTIVE: Synergy has been proposed between modalities operating at different levels of action. Acupuncture and craniosacral therapy are two very different modalities for which synergy has been proposed. This study sought to test for such synergy and to determine if complementary therapies would improve pulmonary function and quality of life for people suffering from asthma, as well as reducing anxiety, depression, and medication usage. DESIGN: Subjects were randomly assignment to one of five groups: acupuncture, craniosacral therapy, acupuncture and craniosacral, attention control, and waiting list control. METHODS: Subjects received 12 sessions of equal length with pretreatment and posttreatment assessment of pulmonary function, asthma quality of life, depression, and anxiety. Medication use was also assessed. RESULTS: Synergy was not demonstrated. When treatment was compared with the control group, statistically treatment was significantly better than the control group in improving asthma quality of life, whereas reducing medication use with pulmonary function test results remained the same. However, the combination of acupuncture and craniosacral treatment was not superior to each therapy alone. In fact, although all active patients received 12 treatment sessions, those who received all treatments from one practitioner had statistically significant reductions in anxiety when compared with those receiving the same number of treatments from multiple practitioners. No effects on depression were found. CONCLUSIONS: Acupuncture and/or craniosacral therapy are potentially useful adjuncts to the conventional care of adults with asthma, but the combination of the two does not provide additional benefit over each therapy alone  
  Address Department of Family Medicine, University of Saskatchewan College of Medicine, Saskatoon, SK, Canada. lewis.mehl-madrona@usask.ca  
  Publisher
  Language Number of Treatments 12  
  Treatment Follow-up 26 Weeks Frequency >1/WK Number of Participants 89  
  Time in Treatment 6 Weeks Condition Asthma
  Disease Category Respiratory Tract Diseases OCSI Score (down) 76  
  Notes Approved no  
  Call Number Serial 845  
Permanent link to this record
 

 
Author Tukmachi, E.; Jubb, R.; Dempsey, E.; Jones, P. url  openurl
  Title The effect of acupuncture on the symptoms of knee osteoarthritis--an open randomised controlled study Type of Study RCT
  Year 2004 Publication Abbreviated Journal Acupunct Med  
  Volume 22 Issue 1 Pages 14-22  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Arthritis; Electroacupuncture; Fixed Acupuncture Protocol; Osteoarthritis, Knee; Pain; RCT; Usual Care Control, Pharmaceutical; TCM Acupuncture Style; Restricted Modalities, Acupuncture Only;  
  Abstract BACKGROUND: Using an open randomised controlled study, we examined the effectiveness of manual and electroacupuncture on symptom relief for patients with osteoarthritis of the knee. METHODS: Patients with symptomatic osteoarthritis of the knee were randomised to one of three treatment groups. Group A had acupuncture alone, group B had acupuncture but continued on their symptomatic medication, and group C used their symptomatic medication for the first five weeks and then had a course of acupuncture added. Patients receiving acupuncture were treated twice weekly over five weeks. Needles were inserted (with manual and electrical stimulation) in acupuncture points for pain and stiffness, selected according to traditional acupuncture theory for treating Bi syndrome. Patients were assessed by a blinded observer before treatment, after five weeks' treatment and at one month follow up, using a visual analogue pain scale (VAS) and the Western Ontario McMaster (WOMAC) questionnaire for osteoarthritis of the knee. RESULTS: The 30 patients in our study were well matched for age, body mass index, disease duration, baseline VAS pain score and baseline WOMAC scores. Repeated measure analyses gave a highly significant improvement in pain (VAS) after the courses of acupuncture in groups A (P = 0.012) and B (P=0.001); there was no change in group C until after the course of acupuncture, when the improvement was significant (P = 0.001). Similarly significant changes were seen with the WOMAC pain and stiffness scores. These benefits were maintained during the one month after the course of acupuncture. Patients' rating of global assessment was higher than that of the acupuncturist. CONCLUSION: We conclude that manual and electroacupuncture causes a significant improvement in the symptoms of osteoarthritis of the knee, either on its own or as an adjunct therapy, with no loss of benefit after one month  
  Address Selly Oak Hospital, Birmingham, UK  
  Publisher
  Language Number of Treatments 10  
  Treatment Follow-up 4 Weeks Frequency 1/WK Number of Participants 30  
  Time in Treatment 5 Weeks Condition Osteoarthritis, Knee
  Disease Category Arthritis OCSI Score (down) 76  
  Notes Approved no  
  Call Number Serial 1189  
Permanent link to this record
 

 
Author Irnich, D.; Behrens, N.; Molzen, H.; Konig, A.; Gleditsch, J.; Krauss, M.; Natalis, M.; Senn, E.; Beyer, A.; Schops, P. url  openurl
  Title Randomised trial of acupuncture compared with conventional massage and “sham” laser acupuncture for treatment of chronic neck pain Type of Study RCT
  Year 2001 Publication BMJ : British medical journal / British Medical Association Abbreviated Journal BMJ  
  Volume 322 Issue 7302 Pages 1574-1578  
  Keywords CAM Control; Acu Versus > 1 Control; Acupuncture; AcuTrials; Auricular Acupuncture; Dry Needling; Individualized Acupuncture Protocol; Massage; Myofascial Pain Syndromes; Neck Pain; Non Penetrating Sham, Electrical; Pain; RCT; Restricted Modalities, Acupuncture Only; Sham Control; Sham Laser; Traditional Diagnosis Based Point Selection; TCM Acupuncture Style; Trigger Point Acupuncture Style; Verum Acupoint Control  
  Abstract OBJECTIVES: To compare the efficacy of acupuncture and conventional massage for the treatment of chronic neck pain. DESIGN: Prospective, randomised, placebo controlled trial. Setting: Three outpatient departments in Germany. PARTICIPANTS: 177 patients aged 18-85 years with chronic neck pain. Interventions: Patients were randomly allocated to five treatments over three weeks with acupuncture (56), massage (60), or “sham” laser acupuncture (61). MAIN OUTCOME MEASURES: Primary outcome measure: maximum pain related to motion (visual analogue scale) irrespective of direction of movement one week after treatment. Secondary outcome measures: range of motion (3D ultrasound real time motion analyser), pain related to movement in six directions (visual analogue scale), pressure pain threshold (pressure algometer), changes of spontaneous pain, motion related pain, global complaints (seven point scale), and quality of life (SF-36). Assessments were performed before, during, and one week and three months after treatment. Patients' beliefs in treatment were assessed. RESULTS: One week after five treatments the acupuncture group showed a significantly greater improvement in motion related pain compared with massage (difference 24.22 (95% confidence interval 16.5 to 31.9), P=0.0052) but not compared with sham laser (17.28 (10.0 to 24.6), P=0.327). Differences between acupuncture and massage or sham laser were greater in the subgroup who had had pain for longer than five years (n=75) and in patients with myofascial pain syndrome (n=129). The acupuncture group had the best results in most secondary outcome measures. There were no differences in patients' beliefs in treatment. CONCLUSIONS: Acupuncture is an effective short term treatment for patients with chronic neck pain, but there is only limited evidence for long term effects after five treatments  
  Address  
  Publisher
  Language Number of Treatments 5  
  Treatment Follow-up 12 Weeks Frequency >1/WK Number of Participants 175  
  Time in Treatment 3 Weeks Condition Neck Pain
  Disease Category Neck Pain OCSI Score (down) 75  
  Notes Approved no  
  Call Number Serial 501  
Permanent link to this record
 

 
Author Dyson-Hudson, T. A.; Shiflett, S. C.; Kirshblum, S. C.; Bowen, J. E.; Druin, E. L. url  openurl
  Title Acupuncture and Trager psychophysical integration in the treatment of wheelchair user's shoulder pain in individuals with spinal cord injury Type of Study RCT
  Year 2001 Publication Archives of physical medicine and rehabilitation Abbreviated Journal Arch Phys Med Rehabil  
  Volume 82 Issue 8 Pages 1038-1046  
  Keywords CAM Control; Acu Versus CAM Control; Acupuncture; AcuTrials; Ashi Acupuncture Style; Pain; Paralysis; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Shoulder Pain; Spinal Cord Injuries; Symptom Based Point Selection; TCM Acupuncture Style; Trager Psychophysical Integration; Wounds and Injuries  
  Abstract OBJECTIVE: To determine the effectiveness of acupuncture and Trager Psychophysical Integration (a form of manual therapy) in decreasing chronic shoulder pain in wheelchair users with spinal cord injury (SCI). DESIGN: A prospective clinical trial, with subjects randomized to acupuncture or Trager treatment condition. Subjects served as their own controls by including a 5-week pretreatment baseline period and a 5-week posttreatment follow-up period. SETTING: Rehabilitation hospital research department. PARTICIPANTS: Eighteen subjects with chronic SCI and chronic shoulder pain who used manual wheelchairs as their primary means of mobility. INTERVENTION: Ten acupuncture or 10 Trager treatments over a 5-week period. MAIN OUTCOME MEASURES: Changes in performance-corrected Wheelchair User's Shoulder Pain Index (PC-WUSPI) scores during baseline, treatment, and follow-up periods were assessed by using analysis of variance. RESULTS: The mean PC-WUSPI score +/- standard deviation of the 18 subjects at entry was 48.9 +/- 24.6 (range, 8.0-94). No significant change in mean PC-WUSPI scores occurred during the pretreatment baseline period. Mean PC-WUSPI scores decreased significantly during the treatment period in both the acupuncture (53.4%; 23.3 points) and Trager (53.8%; 21.7 points) treatment groups. The reduced PC-WUSPI scores were maintained in both groups throughout the 5-week posttreatment follow-up period. CONCLUSION: Acupuncture and Trager are both effective treatments for reducing chronic shoulder pain associated with functional activities in persons with SCI  
  Address Center for Research in Complementary and Alternative Medicine, Kessler Medical Rehabilitation Research and Education Corp, West Orange, NJ 07052, USA. tdyson-hudson@kmrrec.org  
  Publisher
  Language Number of Treatments 10  
  Treatment Follow-up 5 Weeks Frequency >1/WK Number of Participants 18  
  Time in Treatment 5 Weeks Condition Shoulder Pain
  Disease Category Shoulder Pain OCSI Score (down) 73  
  Notes Approved no  
  Call Number Serial 276  
Permanent link to this record
 

 
Author Elden, H.; Ladfors, L.; Olsen, M. F.; Ostgaard, H. C.; Hagberg, H. url  openurl
  Title Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial Type of Study RCT
  Year 2005 Publication BMJ : British medical journal / British Medical Association Abbreviated Journal BMJ  
  Volume 330 Issue 7494 Pages 761-  
  Keywords CAM Control; Acu + Usual Care Versus > 1 Control; Acupuncture; AcuTrials; Exercise Therapy; Pain; Pelvic Pain; Pregnancy Complications; RCT; Restricted Modalities, Acupuncture Only; Semi-Individualized Acupuncture Protocol; Usual Care Control, Multimodality; Symptom Based Point Selection; TCM Acupuncture Style; Women's Health  
  Abstract OBJECTIVES: To compare the efficacy of standard treatment, standard treatment plus acupuncture, and standard treatment plus stabilising exercises for pelvic girdle pain during pregnancy. DESIGN: Randomised single blind controlled trial. Settings East Hospital, Gothenburg, and 27 maternity care centres in Sweden. PARTICIPANTS: 386 pregnant women with pelvic girdle pain. INTERVENTIONS: Treatment for six weeks with standard treatment (n = 130), standard treatment plus acupuncture (n = 125), or standard treatment plus stabilising exercises (n = 131). MAIN OUTCOME MEASURES: Primary outcome measure was pain (visual analogue scale); secondary outcome measure was assessment of severity of pelvic girdle pain by an independent examiner before and after treatment. RESULTS: After treatment the stabilising exercise group had less pain than the standard group in the morning (median difference = 9, 95% confidence interval 1.7 to 12.8; P = 0.0312) and in the evening (13, 2.7 to 17.5; P = 0.0245). The acupuncture group, in turn, had less pain in the evening than the stabilising exercise group (-14, -18.1 to -3.3; P = 0.0130). Furthermore, the acupuncture group had less pain than the standard treatment group in the morning (12, 5.9 to 17.3; P < 0.001) and in the evening (27, 13.3 to 29.5; P < 0.001). Attenuation of pelvic girdle pain as assessed by the independent examiner was greatest in the acupuncture group. CONCLUSION: Acupuncture and stabilising exercises constitute efficient complements to standard treatment for the management of pelvic girdle pain during pregnancy. Acupuncture was superior to stabilising exercises in this study  
  Address Perinatal Center, Department of Obstetrics and Gynecology, Institute for the Health of Women and Children, Sahlgrenska Academy, East Hospital, 41685 Gothenburg, Sweden. helen.elden@vgregion.se  
  Publisher
  Language Number of Treatments 12  
  Treatment Follow-up 1 Week Frequency >1/WK Number of Participants 386  
  Time in Treatment 6 Weeks Condition Pelvic Pain
  Disease Category Pregnancy Complications OCSI Score (down) 73  
  Notes Approved no  
  Call Number Serial 286  
Permanent link to this record
 

 
Author Sim, C. K.; Xu, P. C.; Pua, H. L.; Zhang, G.; Lee, T. L. url  openurl
  Title Effects of electroacupuncture on intraoperative and postoperative analgesic requirement Type of Study RCT
  Year 2002 Publication Abbreviated Journal Acupunct Med  
  Volume 20 Issue 2-3 Pages 56-65  
  Keywords CAM Control; Acu Versus > 1 Control; Pain; AcuTrials; Anesthesia and Analgesia; Electroacupuncture; Fixed Acupuncture Protocol; Non Penetrating Sham, Electrical; Non Penetrating Sham, Mechanical; Pain; Pain, Postoperative; RCT; Restricted Modalities, Acupuncture Only; Sham Acupoint Control; Sham Control; Sham Electroacupuncture; TCM Acupuncture Style; Pain, Intraoperative; Pain, Perioperative  
  Abstract Acupuncture has been shown to be effective in experimental and clinical acute pain settings. This study aims to evaluate the effect of preoperative electroacupuncture (EA) on intraoperative and postoperative analgesic (alfentanil and morphine) requirement in patients scheduled for gynaecologic lower abdominal surgery. Ninety patients were randomly assigned to one of three groups: Group I (control group)--received placebo EA for 45 minutes before induction of general anaesthesia (GA); Group II--preoperative EA instituted 45 minutes before induction of GA; Group III--45 minutes of postoperative EA. The Bispectral Index monitor was used intraoperatively to monitor the hypnotic effect of anaesthetic drugs, and alfentanil was titrated to maintain the blood pressure and pulse rate within +/- 15% of basal values. Postoperative pain was managed by intravenous morphine via a patient-controlled analgesia (PCA) device. Patients in Group II (0.44 +/- .15microg/kg/min) received less alfentanil than those in Group III (0.58 +/- .22 microg/kg/min) (p = p.024), but not significantly less than those in Group I 10.51 +/- 0.21 microg/kg/min) (p = 0.472). Postoperative morphine consumption was numerically lower in Group II compared with the other groups; however, the difference was statistically significant only during the period of 6-12 hours between Group II [0.03 (0.05) mg/kg] and Group I [0.10 (0.11) mg/kg] (p = 0.015), and Group II and Group III [0.08 (0.10) mg/kg] (p = 0.010). The 24-hour cumulative morphine consumption for Group II (0.52 +/- .19mg/kg) was less than that for either Group I I0.68 +/- 38mg/kg) or Group III (0.58 +/- .27mg/kg), but the difference did not reach significance. In conclusion, preoperative EA leads to a reduced intraoperative alfentanil consumption, though this effect may not be specific, and has a morphine sparing effect during the early postoperative period  
  Address  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up 1 day Frequency N/A Number of Participants 90  
  Time in Treatment N/A Condition Pain, Perioperative
  Disease Category Anesthesia and Analgesia OCSI Score (down) 72  
  Notes Approved no  
  Call Number Serial 1054  
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