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Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2438  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2479  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2520  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2561  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2602  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2639  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2680  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2725  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2766  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2807  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2848  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2889  
Permanent link to this record
 

 
Author Oka, H.; Matsudaira, K.; Takano, Y.; Kasuya, D.; Niiya, M.; Tonosu, J.; Fukushima, M.; Oshima, Y.; Fujii, T.; Tanaka, S.; Inanami, H. url  doi
openurl 
  Title (up) A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study) Type of Study Journal Article
  Year 2018 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 18 Issue 1 Pages 19  
  Keywords *Acupuncture Therapy; Aged; Conservative Treatment; Female; Humans; Lumbar Vertebrae/*physiopathology; Male; Patient Satisfaction; *Physical Therapy Modalities; Spinal Stenosis/*physiopathology/*therapy; Acupuncture; Conservative management; Exercise; Lumbar spinal stenosis; Medication; Zurich claudication questionnaire  
  Abstract BACKGROUND: Although the efficiency of conservative management for lumbar spinal stenosis (LSS) has been examined, different conservative management approaches have not been compared. We have performed the first comparative trial of three types of conservative management (medication with acetaminophen, exercise, and acupuncture) in Japanese patients with LSS. METHODS: Patients with L5 root radiculopathy associated with LSS who visited our hospital for surgical treatment were enrolled between December 2011 and January 2014. In this open-label study, patients were assigned to three treatment groups (medication, exercise, acupuncture) according to the visit time. The primary outcomes were Zurich claudication questionnaire (ZCQ) scores before and after 4 weeks of treatment. Least square mean analysis was used to assess the following dependent variables in the treatment groups: changes in symptom severity and physical function scores of the ZCQ and the ZCQ score of patient's satisfaction after treatment. RESULTS: Thirty-eight, 40, and 41 patients were allocated to the medication, exercise, and acupuncture groups, respectively. No patient underwent surgical treatment during the study period. The symptom severity scores of the ZCQ improved significantly after treatment in the medication (p = 0.048), exercise (p = 0.003), and acupuncture (p = 0.04) groups. The physical function score improved significantly in the acupuncture group (p = 0.045) but not in the medication (p = 0.20) and exercise (p = 0.29) groups. The mean reduction in the ZCQ score for physical function was significantly greater for acupuncture than for exercise. The mean ZCQ score for treatment satisfaction was significantly greater for acupuncture than for medication. CONCLUSIONS: Acupuncture was significantly more effective than physical exercise according to the physical function score of the ZCQ and than medication according to the satisfaction score. The present study provides new important information that will aid decision making in LSS treatment. TRIAL REGISTRATION: This study was registered with the UMIN Clinical Trials Registry ( UMIN000006957 ).  
  Address Department of Orthopedic Surgery, Iwai Orthopaedic Medical Hospital, Tokyo, Japan  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29351748; PMCID:PMC5775532 Approved no  
  Call Number OCOM @ refbase @ Serial 2930  
Permanent link to this record
 

 
Author Kim, B.H.; Kim, K.; Nam, H.J. url  doi
openurl 
  Title (up) A comparative study on the effects of systemic manual acupuncture, periauricular electroacupuncture, and digital electroacupuncture to treat tinnitus: A randomized, paralleled, open-labeled exploratory trial Type of Study RCT
  Year 2017 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 17 Issue 1 Pages 85  
  Keywords AcuTrials; RCT; Ear Diseases; Tinnitus; Hearing Disorders; Acu Versus Acu; Acupuncture; Electroacupuncture; Auricular Electroacupuncture; TCM Acupuncture Style; CAM Control; Fixed Acupuncture Protocol; Traditional Diagnosis Based Point Selection; Restricted Modalities, Acupuncture Only  
  Abstract BACKGROUND: Many previous studies of electroacupuncture used combined therapy of electroacupuncture and systemic manual acupuncture, so it was uncertain which treatment was effective. This study evaluated and compared the effects of systemic manual acupuncture, periauricular electroacupuncture and distal electroacupuncture for treating patients with tinnitus. METHODS: A randomized, parallel, open-labeled exploratory trial was conducted. Subjects aged 20-75 years who had suffered from idiopathic tinnitus for > 2 weeks were recruited from May 2013 to April 2014. The subjects were divided into three groups by systemic manual acupuncture group (MA), periauricular electroacupuncture group (PE), and distal electroacupuncture group (DE). The groups were selected by random drawing. Nine acupoints (TE 17, TE21, SI19, GB2, GB8, ST36, ST37, TE3 and TE9), two periauricular acupoints (TE17 and TE21), and four distal acupoints (TE3, TE9, ST36, and ST37) were selected. The treatment sessions were performed twice weekly for a total of eight sessions over 4 weeks. Outcomes were the tinnitus handicap inventory (THI) score and the loud and uncomfortable visual analogue scales (VAS). Demographic and clinical characteristics of all participants were compared between the groups upon admission using one-way analysis of variance (ANOVA). One-way ANOVA was used to evaluate the THI, VAS loud, and VAS uncomfortable scores. The least significant difference test was used as a post-hoc test. RESULTS: Thirty-nine subjects were eligible and their data were analyzed. No difference in THI and VAS loudness scores was observed in between groups. The VAS uncomfortable scores decreased significantly in MA and DE compared with those in PE. Within the group, all three treatments showed some effect on THI, VAS loudness scores and VAS uncomfortable scores after treatment except DE in THI. CONCLUSIONS: There was no statistically significant difference between systemic manual acupuncture, periauricular electroacupuncture and distal electroacupuncture in tinnitus. However, all three treatments had some effect on tinnitus within the group before and after treatment. Systemic manual acupuncture and distal electroacupuncture have some effect on VAS uncomfortable. TRIAL REGISTRATION: KCT0001991 by CRIS (Clinical Research Information Service), 2016-8-1, retrospectively registered.  
  Address Department of Ophthalmology, Otorhinolaryngology of Korean Medicine, College of Korean Medicine, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-701, Republic of Korea. ophthrl@khu.ac.kr  
  Publisher
  Language English Number of Treatments 8  
  Treatment Follow-up Frequency >1/WK Number of Participants 42  
  Time in Treatment 4 Weeks Condition Tinnitus
  Disease Category Ear Diseases OCSI Score  
  Notes PMID:28143471; PMCID:PMC5282839 Approved yes  
  Call Number OCOM @ refbase @ Serial 2189  
Permanent link to this record
 

 
Author Yang, J.; Zeng, F.; Fang, L.; Feng, Y.; Qin, W.; Liu, X.; Song, W.; Xie, H.; Chen, J.; Liang, F. url  openurl
  Title (up) A PET-CT study on the specificity of acupoints through acupuncture treatment in migraine patients Type of Study RCT
  Year 2012 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 12 Issue 123 Pages 1-14  
  Keywords AcuTrials; RCT; Headache Disorders; Migraine; Acu Versus > 1 Control; Electroacupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Sham Control; Penetrating Sham; Standard Needling Depth; Non Specific Acupoint Control; No Treatment Control  
  Abstract ABSTRACT: BACKGROUND: In the field of acupuncture research, the topic of acupoint specificity has received increasing attention, but no unified conclusion has been reached on whether or not acupoint specificity exists. Furthermore, the majority of previous acupuncture neuroimaging studies have been performed using healthy subjects. In this study, patients with migraine were used to investigate acupoint specificity. METHODS: Thirty patients with migraine were enrolled and randomized into three groups: Traditional Acupuncture Group (TAG), Control Acupuncture Group (CAG), and Migraine Group (MG). The TAG was treated by acupuncture stimulation at Waiguan (TE5), Yang Lingquan (GB34), and Fengchi (GB20). The CAG was treated at Touwei (ST8), Pianli (LI6), and Zusanli (ST36). The MG received no treatment. Positron emission tomography with computed tomography (PET-CT) was used to test for differences in brain activation between the TAG and CAG versus MG, respectively. RESULTS: Traditional acupuncture treatment was more effective for pain reduction than control acupuncture treatment. The TAG showed higher brain metabolism than the MG in the middle temporal cortex (MTC), orbital frontal cortex (OFC), insula, middle frontal gyrus, angular gyrus, post-cingulate cortex (PCC), the precuneus, and the middle cingulate cortex (MCC). Metabolism decreased in the parahippocampus, hippocampus, fusiform gyrus, postcentral gyrus, and cerebellum in the TAG compared with the MG. In the CAG, metabolism increased compared with the MG in the MTC, supratemporal gyrus, supramarginal gyrus, and MCC, whereas metabolism decreased in the cerebellum. CONCLUSIONS: Acupuncture stimulation of different points on similar body regions in migraine patients reduced pain and induced different levels of cerebral glucose metabolism in pain-related brain regions. These findings may support the functional specificity of migraine- treatment-related acupoint.Trial registrationThe number of our clinical trial registration is: ChiCTR-TRC-11001813, and the protocol and inclusion criteria have already been registered as ChiCTR-TRC-11001813.  
  Address Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China.  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 30  
  Time in Treatment 1 Day Condition Migraine
  Disease Category Headache Disorders OCSI Score  
  Notes Approved no  
  Call Number Serial 1368  
Permanent link to this record
 

 
Author Man, S. C.; Hung, B. H.; Ng, R. M.; Yu, X. C.; Cheung, H.; Fung, M. P.; Li, L. S.; Leung, K. P.; Leung, K. P.; Tsang, K. W.; Ziea, E.; Wong, V. T.; Zhang, Z. J. url  doi
openurl 
  Title (up) A pilot controlled trial of a combination of dense cranial electroacupuncture stimulation and body acupuncture for post-stroke depression Type of Study RCT
  Year 2014 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 14 Issue Pages 255-  
  Keywords RCT; Mental Disorders; Depressive Disorder; Depression; Pilot Study; Acu + Usual Care Versus Sham + Usual Care; Scalp Electroacupuncture; Electroacupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture + Other; Sham Control; Non Penetrating Sham, Electrical; Verum Acupoint Control  
  Abstract BACKGROUND: Our previous studies have demonstrated the treatment benefits of dense cranial electroacupuncture stimulation (DCEAS), a novel brain stimulation therapy in patients with major depression, postpartum depression and obsessive-compulsive disorder. The purpose of the present study was to further evaluate the effectiveness of DCEAS combined with body acupuncture and selective serotonin reuptake inhibitors (SSRIs) in patients with post-stroke depression (PSD). METHODS: In a single-blind, randomized controlled trial, 43 patients with PSD were randomly assigned to 12 sessions of DCEAS plus SSRI plus body electroacupuncture (n = 23), or sham (non-invasive cranial electroacupuncture, n-CEA) plus SSRI plus body electroacupuncture (n = 20) for 3 sessions per week over 4 weeks. Treatment outcomes were measured using the 17-item Hamilton Depression Rating Scale (HAMD-17), the Clinical Global Impression – Severity scale (CGI-S) and Barthel Index (BI), a measure used to evaluate movement ability associated with daily self-caring activity. RESULTS: DCEAS produced a significantly greater reduction of both HAMD-17 and CGI-S as early as week 1 and CGI-S at endpoint compared to n-CEA, but subjects of n-CEA group exhibited a significantly greater improvement on BI at week 4 than DCEAS. Incidence of adverse events was not different in the two groups. CONCLUSIONS: These results indicate that DCEAS could be effective in reducing stroke patients' depressive symptoms. Superficial electrical stimulation in n-CEA group may be beneficial in improving movement disability of stroke patients. A combination of DCEAS and body acupuncture can be considered a treatment option for neuropsychiatric sequelae of stroke. TRIAL REGISTRATION: http://www.clinicaltrials.gov, NCT01174394.  
  Address The School of Chinese Medicine, The University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong, China. zhangzj@hku.hk.  
  Publisher
  Language Number of Treatments 12  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 43  
  Time in Treatment 4 Weeks Condition Depressive Disorder
  Disease Category Mental Disorders OCSI Score  
  Notes Approved no  
  Call Number Serial 812  
Permanent link to this record
 

 
Author Wang, T.; Xu, C.; Pan, K.; Xiong, H. url  doi
openurl 
  Title (up) Acupuncture and moxibustion for chronic fatigue syndrome in traditional Chinese medicine: a systematic review and meta-analysis Type of Study Systematic Review
  Year 2017 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 17 Issue 1 Pages 163  
  Keywords AcuTrials; Systematic Review; Nervous System Diseases; Fatigue Syndrome, Chronic  
  Abstract BACKGROUND: As the etiology of chronic fatigue syndrome (CFS) is unclear and the treatment is still a big issue. There exists a wide range of literature about acupuncture and moxibustion (AM) for CFS in traditional Chinese medicine (TCM). But there are certain doubts as well in the effectiveness of its treatment due to the lack of a comprehensive and evidence-based medical proof to dispel the misgivings. Current study evaluated systematically the effectiveness of acupuncture and moxibustion treatments on CFS, and clarified the difference among them and Chinese herbal medicine, western medicine and sham-acupuncture. METHODS: We comprehensively reviewed literature including PubMed, EMBASE, Cochrane library, CBM (Chinese Biomedical Literature Database) and CNKI (China National Knowledge Infrastructure) up to May 2016, for RCT clinical research on CFS treated by acupuncture and moxibustion. Traditional direct meta-analysis was adopted to analyze the difference between AM and other treatments. Analysis was performed based on the treatment in experiment and control groups. Network meta-analysis was adopted to make comprehensive comparisons between any two kinds of treatments. The primary outcome was total effective rate, while relative risks (RR) and 95% confidence intervals (CI) were used as the final pooled statistics. RESULTS: A total of 31 randomized controlled trials (RCTs) were enrolled in analyses. In traditional direct meta-analysis, we found that in comparison to Chinese herbal medicine, CbAM (combined acupuncture and moxibustion, which meant two or more types of acupuncture and moxibustion were adopted) had a higher total effective rate (RR (95% CI), 1.17 (1.09 ~ 1.25)). Compared with Chinese herbal medicine, western medicine and sham-acupuncture, SAM (single acupuncture or single moxibustion) had a higher total effective rate, with RR (95% CI) of 1.22 (1.14 ~ 1.30), 1.51 (1.31-1.74), 5.90 (3.64-9.56). In addition, compared with SAM, CbAM had a higher total effective rate (RR (95% CI), 1.23 (1.12 ~ 1.36)). In network meta-analyses, similar results were recorded. Subsequently, we ranked all treatments from high to low effective rate and the order was CbAM, SAM, Chinese herbal medicine, western medicine and sham-acupuncture. CONCLUSIONS: In the treatment of CFS, CbAM and SAM may have better effect than other treatments. However, the included trials have relatively poor quality, hence high quality studies are needed to confirm our finding.  
  Address Department of Epidemiology, College of Preventive Medicine, Third Military Medical University, Gaotanyan Road 30, Shapingba District, Chongqing, 400038, China. hongyanxiong@126.com  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category Nervous System Diseases OCSI Score  
  Notes PMID:28335756; PMCID:PMC5363012 Approved yes  
  Call Number OCOM @ refbase @ Serial 2188  
Permanent link to this record
 

 
Author Gadau, M.; Yeung, W. F.; Liu, H.; Zaslawski, C.; Tan, Y. S.; Wang, F. C.; Bangrazi, S.; Chung, K. F.; Bian, Z. X.; Zhang, S. P. url  doi
openurl 
  Title (up) Acupuncture and moxibustion for lateral elbow pain: a systematic review of randomized controlled trials Type of Study Systematic Review
  Year 2014 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 14 Issue 136 Pages -  
  Keywords Systematic Review; Sprains and Strains; Tennis Elbow; Acupuncture; Moxibustion; Moxa; Musculoskeletal Diseases; Lateral Epicondylitis; Lateral Elbow Pain  
  Abstract BACKGROUND: Acupuncture and moxibustion have widely been used to treat lateral elbow pain (LEP). A comprehensive systematic review of randomized controlled trials (RCTs) including both English and Chinese databases was conducted to assess the efficacy of acupuncture and moxibustion in the treatment of LEP. METHODS: Revised STRICTA (2010) criteria were used to appraise the acupuncture procedures, the Cochrane risk of bias tool was used to assess the methodological quality of the studies. A total of 19 RCTs that compared acupuncture and/or moxibustion with sham acupuncture, another form of acupuncture, or conventional treatment were included. RESULTS: All studies had at least one domain rated as high risk or uncertain risk of bias in the Cochrane risk of bias tool. Results from three RCTs of moderate quality showed that acupuncture was more effective than sham acupuncture. Results from 10 RCTs of mostly low quality showed that acupuncture or moxibustion was superior or equal to conventional treatment, such as local anesthetic injection, local steroid injection, non-steroidal anti- inflammatory drugs, or ultrasound. There were six low quality RCTs that compared acupuncture and moxibustion combined with manual acupuncture alone, and all showed that acupuncture and moxibustion combined was superior to manual acupuncture alone. CONCLUSION: Moderate quality studies suggest that acupuncture is more effective than sham acupuncture. Interpretations of findings regarding acupuncture vs. conventional treatment, and acupuncture and moxibustion combined vs. manual acupuncture alone are limited by the methodological qualities of these studies. Future studies with improved methodological design are warranted to confirm the efficacy of acupuncture and moxibustion for LEP.  
  Address School of Chinese Medicine, Hong Kong Baptist University, 7 Baptist University Road, Kowloon Tong, Hong Kong, SAR, China  
  Publisher
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Tennis Elbow
  Disease Category Sprains and Strains OCSI Score  
  Notes Approved no  
  Call Number Serial 353  
Permanent link to this record
 

 
Author Stener-Victorin, E.; Holm, G.; Janson, P. O.; Gustafson, D.; Waern, M. url  doi
openurl 
  Title (up) Acupuncture and physical exercise for affective symptoms and health-related quality of life in polycystic ovary syndrome: Secondary analysis from a randomized controlled trial Type of Study RCT
  Year 2013 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 13 Issue 1 Pages 131-  
  Keywords AcuTrials; RCT; Polycystic Ovarian Syndrome; Acu Versus > 1 Control; Acupuncture; Electroacupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; No Treatment Control; Usual Care Control, Physical; Mental Disorders; Depression; Anxiety; Depressive Disorder  
  Abstract BACKGROUND: Women with polycystic ovary syndrome (PCOS) have symptoms of depression and anxiety and impaired health related quality of life (HRQoL). Here we test the post-hoc hypothesis that acupuncture and exercise improve depression and anxiety symptoms and HRQoL in PCOS women. METHODS: Seventy-two PCOS women were randomly assigned to 16 weeks of 1) acupuncture (n = 28); 2) exercise (n = 29); or 3) no intervention (control) (n = 15). Outcome measures included: change in Montgomery Asberg Depression Rating Scale (MADRS-S), Brief Scale for Anxiety (BSA-S), Swedish Short-Form 36 (SF-36), and PCOS Questionnaire (PCOSQ) scores from baseline to after 16-week intervention, and to 16-week post-intervention follow-up. RESULTS: A reduction in MADRS-S and BSA-S from baseline to 16-weeks post-intervention follow-up was observed for the acupuncture group. The SF-36 domains role physical, energy/vitality, general health perception and the mental component of summary scores improved in the acupuncture group after intervention and at follow-up. Within the exercise group the role physical decreased after treatment, while physical functioning and general health perception scores increased at follow-up. The emotion domain in the PCOSQ improved after 16-weeks of intervention within all three groups, and at follow-up in acupuncture and exercise groups. At follow-up, improvement in the infertility domain was observed within the exercise group. CONCLUSION: There was a modest improvement in depression and anxiety scores in women treated with acupuncture, and improved HRQoL scores were noted in both intervention groups. While not a primary focus of the trial, these data suggest continued investigation of mental health outcomes in women treated for PCOS.Trial registration numberClinicalTrials.gov Identifier: NCT00484705.  
  Address  
  Publisher
  Language Number of Treatments 14  
  Treatment Follow-up 16 Weeks Frequency >1/WK Number of Participants 72  
  Time in Treatment 16 Weeks Condition Depressive Disorder
  Disease Category Mental Disorders OCSI Score  
  Notes Approved no  
  Call Number Serial 1105  
Permanent link to this record
 

 
Author Park, J.; Hahn, S.; Park, J. Y.; Park, H. J.; Lee, H. url  doi
openurl 
  Title (up) Acupuncture for ankle sprain: systematic review and meta-analysis Type of Study Systematic Review
  Year 2013 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 13 Issue Pages -  
  Keywords AcuTrials; Sprains and Strains; Ankle Injuries; Systematic Review; Meta-Analysis; Ankle Sprain  
  Abstract BACKGROUND: Ankle sprain is one of the most frequently encountered musculoskeletal injuries; however, the efficacy of acupuncture in treating ankle sprains remains uncertain. We therefore performed a systematic review to evaluate the evidence regarding acupuncture for ankle sprains. METHODS: We searched 15 data sources and two trial registries up to February 2012. Randomized controlled trials of acupuncture were included if they involved patients with ankle sprains and reported outcomes of symptom improvement, including pain. A Cochrane risk of bias assessment tool was used. Risk ratio (RR) or mean difference (MD) was calculated with 95% confidence intervals (CIs) in a random effects model. Subgroup analyses were performed based on acupuncture type, grade of sprain, and control type. Sensitivity analyses were also performed with respect to risk of bias, sample size, and outcomes reported. RESULTS: Seventeen trials involving 1820 participants were included. Trial quality was generally poor, with just three reporting adequate methods of randomization and only one a method of allocation concealment. Significantly more participants in acupuncture groups reported global symptom improvement compared with no acupuncture groups (RR of symptoms persisting with acupuncture = 0.56, 95% CI 0.42-0.77). However, this is probably an overestimate due to the heterogeneity (I2 = 51%) and high risk of bias of the included studies. Acupuncture as an add-on treatment also improved global symptoms compared with other treatments only, without significant variability (RR 0.61, 95% CI 0.51-0.73, I2 = 1%). The benefit of acupuncture remained significant when the analysis was limited to two studies with a low risk of bias. Acupuncture was more effective than various controls in relieving pain, facilitating return to normal activity, and promoting quality of life, but these analyses were based on only a small number of studies. Acupuncture did not appear to be associated with adverse events. CONCLUSIONS: Given methodological shortcomings and the small number of high-quality primary studies, the available evidence is insufficient to recommend acupuncture as an evidence-based treatment option. This calls for further rigorous investigations.  
  Address Acupuncture and Meridian Science Research Center, College of Korean Medicine, Kyung Hee University, Seoul, Korea. erc633@khu.ac.kr.  
  Publisher
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Ankle Injuries
  Disease Category Sprains and Strains OCSI Score  
  Notes Approved no  
  Call Number Serial 932  
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