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Record
Author (up) Assefi, N. P.; Sherman, K. J.; Jacobsen, C.; Goldberg, J.; Smith, W. R.; Buchwald, D.
Title A randomized clinical trial of acupuncture compared with sham acupuncture in fibromyalgia Type of Study RCT
Year 2005 Publication Annals of internal medicine Abbreviated Journal Ann Intern Med
Volume 143 Issue 1 Pages 10-19
Keywords Acu Versus > 1 Control; Acupuncture; AcuTrials; Adverse Effects; Fibromyalgia; Fixed Acupuncture Protocol; Penetrating Sham; Non Penetrating Sham, Mechanical; Non Specific Acupoint Control; Pain; RCT; Restricted Modalities, Acupuncture Only; Sham Acupoint Control; Sham Control; Standard Needling Depth; TCM Acupuncture Style; Verum Acupoint Control; Nervous System Diseases
Abstract BACKGROUND: Fibromyalgia is a common chronic pain condition for which patients frequently use acupuncture. OBJECTIVE: To determine whether acupuncture relieves pain in fibromyalgia. DESIGN: Randomized, sham-controlled trial in which participants, data collection staff, and data analysts were blinded to treatment group. SETTING: Private acupuncture offices in the greater Seattle, Washington, metropolitan area. PATIENTS: 100 adults with fibromyalgia. INTERVENTION: Twice-weekly treatment for 12 weeks with an acupuncture program that was specifically designed to treat fibromyalgia, or 1 of 3 sham acupuncture treatments: acupuncture for an unrelated condition, needle insertion at nonacupoint locations, or noninsertive simulated acupuncture. MEASUREMENTS: The primary outcome was subjective pain as measured by a 10-cm visual analogue scale ranging from 0 (no pain) to 10 (worst pain ever). Measurements were obtained at baseline; 1, 4, 8, and 12 weeks of treatment; and 3 and 6 months after completion of treatment. Participant blinding and adverse effects were ascertained by self-report. The primary outcomes were evaluated by pooling the 3 sham-control groups and comparing them with the group that received acupuncture to treat fibromyalgia. RESULTS: The mean subjective pain rating among patients who received acupuncture for fibromyalgia did not differ from that in the pooled sham acupuncture group (mean between-group difference, 0.5 cm [95% CI, -0.3 cm to 1.2 cm]). Participant blinding was adequate throughout the trial, and no serious adverse effects were noted. LIMITATIONS: A prescription of acupuncture at fixed points may differ from acupuncture administered in clinical settings, in which therapy is individualized and often combined with herbal supplementation and other adjunctive measures. A usual-care comparison group was not studied. CONCLUSION: Acupuncture was no better than sham acupuncture at relieving pain in fibromyalgia
Address The Group Health Cooperative Center for Health Studies, and University of Washington, Seattle, Washington, USA
Publisher
Language Number of Treatments 24
Treatment Follow-up 24 Weeks Frequency >1/WK Number of Participants 100
Time in Treatment 12 Weeks Condition Fibromyalgia
Disease Category Nervous System Diseases OCSI Score 88
Notes Approved no
Call Number Serial 42
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