2006
DOI: 10.1089/acm.2006.12.733
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Designing an Acupuncture Study: II. The Nationwide, Randomized, Controlled German Acupuncture Trials on Low-Back Pain and Gonarthrosis

Abstract: With 1162 randomized patients for LBP and 1039 patients for GON, the GERAC study design allowed acupuncture to be tested in a naturalistic environment. The rigorous study design and large number of physician investigators guaranteed a high external validity for the results. The results will help determine the significance of Chinese acupuncture in the context of Western medicine for the treatment of LBP and GON.

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Cited by 27 publications
(11 citation statements)
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“…While adherents of the theory insist that individual specific points have identifiable and reproducible clinical effects, some practitioners of modern (Western) medical acupuncture find that it makes little difference exactly where the needles are inserted [24]. This conclusion is supported by results from several large multi-center trials showing that while acupuncture may be more effective than no treatment, it is generally not better than sham acupuncture in non-specific points [25-27]. In addition, such findings do not rule out the possibility that the effects of acupuncture are due to psychological mechanisms, e.g., “placebo-effects” resulting from positive expectation on the part of the patient and/or the practitioner.…”
Section: Research Questions and Methodological Challengesmentioning
confidence: 99%
“…While adherents of the theory insist that individual specific points have identifiable and reproducible clinical effects, some practitioners of modern (Western) medical acupuncture find that it makes little difference exactly where the needles are inserted [24]. This conclusion is supported by results from several large multi-center trials showing that while acupuncture may be more effective than no treatment, it is generally not better than sham acupuncture in non-specific points [25-27]. In addition, such findings do not rule out the possibility that the effects of acupuncture are due to psychological mechanisms, e.g., “placebo-effects” resulting from positive expectation on the part of the patient and/or the practitioner.…”
Section: Research Questions and Methodological Challengesmentioning
confidence: 99%
“…These sham points could be considered to be real acupuncture points, or therapeutic points, selected based on "scientific relationships of point function". For instance, a German acupuncture trial for cLBP used points on the back as the sham points [63]. However, these points are located within the same dermatomes as the real acupuncture points, and can be considered therapeutic points for cLBP (segmental theory) [64].…”
Section: What Constitutes a Credible Treatment And Control?mentioning
confidence: 99%
“…National and international experts suggest a total of 15 sessions; however, there is no evidence from research studies to support the use of that number. 19 In addition, there are differences in the studies regarding the composition of control groups. Typically, either sham acupuncture or no treatment (delayed acupuncture) groups are used.…”
Section: Treatment Of Oamentioning
confidence: 99%