Acupuncture for Patients with Lumbar Spinal Stenosis: A Randomised Pilot Trial

Kim, Kun Hyung; Kim, Yu Ri; Baik, Seung Kug; Noh, Seung Hee; Kim, Dae Hun; Lee, Sang Weon; Yang, Gi Young

doi:10.1136/acupmed-2015-010962

Cited by 22 publications

(29 citation statements)

References 25 publications

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“…28 Studies in which pain was secondary to specific disorders (eg, lumbar spinal stenosis) were also excluded. 29 Therefore we were able to reduce the heterogeneity of both the intervention and participants. We strictly assessed the RoB and took it into consideration when assessing the quality of the evidence.…”

Section: Discussionmentioning

confidence: 99%

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo- or sham-controlled trials

Yan

Tian

et al. 2019

Acupunct Med

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Objectives: To assess the evidence for the efficacy of acupuncture for non-specific low back pain (NSLBP), compared with sham or placebo therapies. Methods: We searched Cochrane CENTRAL to December 2016, and conducted searches from 1980 to December 2016 in PubMed, MEDLINE and Embase. There were no regional restrictions applied. We included only randomised controlled trials of adults with NSLBP. Placebo/sham procedures were required of the control interventions. The trials were combined using meta-analysis when the data reported allowed for statistical pooling. Results: 14 trials (2110 participants) were included in the review, and 9 were included in the meta-analysis. Immediately after the acupuncture treatment we found statistically significant differences in pain reduction between acupuncture and sham or placebo therapy (standardised mean difference (SMD) −0.40, 95% CI −0.54 to −0.25; I2 7%; 753 participants; 9 studies), but there were no differences in function (weighted mean difference (WMD) −1.05, 95% CI −3.61 to 1.52; I2 79%; 462 participants; 4 studies). At follow-up, there were significant differences in pain reduction (SMD −0.46, 95% CI −0.82 to −0.09; I2 67%), but not in function (WMD −0.98, 95%CI −3.36 to 1.40; I2 87%). We conducted subgroup analyses both immediately after treatment and at follow-up. Conclusion: There is moderate evidence of efficacy for acupuncture in terms of pain reduction immediately after treatment for NSLBP ((sub)acute and chronic) when compared to sham or placebo acupuncture. Registration: PROSPERO registration no. CRD42017059438.

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Section: Discussionmentioning

confidence: 99%

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo- or sham-controlled trials

Yan

Tian

et al. 2019

Acupunct Med

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“…Seven studies measured functional disability: 4 used the ODI to measure disability outcomes, 18,22,25,35 and the others used the RMDQ. 23,24,30…”

Section: Functional Disabilitymentioning

confidence: 99%

“…The effect of acupuncture, compared to the control treatment, on the treatment of function limitation was À1.74 at immediate-term follow-up (95% CI À2.04 to À1.44, I 2 59.8%, moderate-quality evidence; Figure4A, including 7 studies and 761 patients),18,[22][23][24]30,35,37 À0.89 at short-term follow-up (95% CI À1.15 to À0.62, I 2 0%, highquality evidence; Figure4B, including 4 studies and 244…”

mentioning

confidence: 99%

Can Acupuncture Improve Chronic Spinal Pain? A Systematic Review and Meta-Analysis

Huang

Zheng

Dong

et al. 2020

Global Spine Journal

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Study Design: Systematic review and meta-analysis. Objective: To investigate the effect and safety of acupuncture for the treatment of chronic spinal pain. Methods: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, the WHO Clinical Trial Registry, and the US National Library of Medicine clinical trial registry were searched from January 1, 2000, to November 1, 2019. Randomized controlled trials (RCTs) involving patients with chronic spinal pain treated by acupuncture versus sham acupuncture, no treatment, or another treatment were included. Results: Data was extracted from 22 RCTs including 2588 patients. Pooled analysis revealed that acupuncture can reduce chronic spinal pain compared to sham acupuncture (weighted mean difference [WMD] −12.05, 95% confidence interval [CI] −15.86 to −8.24), mediation control (WMD −18.27, 95% CI −28.18 to −8.37), usual care control (WMD −9.57, 95% CI −13.48 to −9.44), and no treatment control (WMD −17.10, 95% CI −24.83 to −9.37). In terms of functional disability, acupuncture can improve physical function at immediate-term follow-up (standardized mean difference [SMD] −1.74, 95% CI −2.04 to −1.44), short-term follow-up (SMD −0.89, 95% CI −1.15 to −0.62), and long-term follow-up (SMD −1.25, 95% CI −1.48 to −1.03). Conclusion: In summary, compared to no treatment, sham acupuncture, or conventional therapy such as medication, massage, and physical exercise, acupuncture has a significantly superior effect on the reduction in chronic spinal pain and function improvement. Acupuncture might be an effective treatment for patients with chronic spinal pain and it is a safe therapy.

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“…Another trial conducted in China demonstrated [26] that the decrease in the mean value of the leg pain intensity NRS score in the EA group was 4.65 ± 6.37 at week 4, which was higher than the value of 2.30 (1.86–2.75) obtained in our trial at the same time point. In a pilot trial comparing EA with physical therapy for symptomatic lumbar spinal stenosis (LSS) [27], pain in the back and leg showed small improvements at 3 months. However, the ODI scores were different from the scores obtained in our study.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium‐Frequency Electrotherapy for Discogenic Sciatica

Zhang

Wang

Wenyuan

et al. 2017

Evidence-Based Complementary and Alternative Medicine

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Objective. To investigate the short- and long-term effects of electroacupuncture (EA) compared with medium-frequency electrotherapy (MFE) on chronic discogenic sciatica. Methods. One hundred participants were randomized into two groups to receive EA (n = 50) or MFE (n = 50) for 4 weeks. A 28-week follow-up of the two groups was performed. The primary outcome measure was the average leg pain intensity. The secondary outcome measures were the low back pain intensity, Oswestry Disability Index (ODI), patient global impression (PGI), drug use frequency, and EA acceptance. Results. The mean changes in the average leg pain numerical rating scale (NRS) scores were 2.30 (1.86–2.57) and 1.06 (0.62–1.51) in the EA and MFE groups at week 4, respectively. The difference was significant (P < 0.001). The long-term follow-up resulted in significant differences. The average leg pain NRS scores decreased by 2.12 (1.70–2.53) and 0.36 (−0.05–0.78) from baseline in the EA and MFE groups, respectively, at week 28. However, low back pain intensity and PGI did not differ significantly at week 4. No serious adverse events occurred. Conclusions. EA showed greater short-term and long-term benefits for chronic discogenic sciatica than MFE, and the effect of EA was superior to that of MFE. The study findings warrant verification. This trial was registered under identifier ChiCTR-IPR-15006370.

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Acupuncture for Patients with Lumbar Spinal Stenosis: A Randomised Pilot Trial

Abstract: NCT01987622.

Cited by 22 publications

References 25 publications

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo- or sham-controlled trials

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo- or sham-controlled trials

Can Acupuncture Improve Chronic Spinal Pain? A Systematic Review and Meta-Analysis

A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium‐Frequency Electrotherapy for Discogenic Sciatica

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