Integrative Acupuncture and Spinal Manipulative Therapy Versus Either Alone for Low Back Pain: A Randomized Controlled Trial Feasibility Study

Kizhakkeveettil, Anupama; Rose, Kevin A.; Kadar, Gena E.; Hurwitz, Eric L.

doi:10.1016/j.jmpt.2017.01.002

Cited by 17 publications

(10 citation statements)

References 21 publications

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“…In nine articles the sample size was <50, two articles were protocol studies, and five articles were excluded due to low quality. Therefore, 25 articles 15–39 were eventually included in the quantitative synthesis and meta-analysis. Figure 1 shows the PRISMA flow diagram of the studies included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies 15,31,32,34,35 examined the effectiveness of acupuncture as an adjunct to usual care. Pain intensity was pooled for five studies and showed significant improvement at all time points studied: SMD −0.51, 95% CI −0.74 to − 0.29; SMD −0.51, 95% CI −0.91 to −0.11; and SMD −0.55, 95% CI −0.93 to −0.16 in the immediate, short, and intermediate term, respectively (Figure 5B).…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of effects of acupuncture on pain and function in non-specific low back pain

Yuan

Jiang

et al. 2020

Acupunct Med

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Objective: To assess the effectiveness of acupuncture for non-specific low back pain (NSLBP) through systematic review of published randomised controlled trials (RCTs). Methods: Studies were identified in electronic databases from their inception to February 2018, and were grouped according to the control interventions. The outcomes of interest were pain intensity and disability. Methodological quality was evaluated using the Cochrane risk-of-bias criteria and the Standards for Reporting Interventions in Controlled Trials of Acupuncture (STRICTA) checklist. The review was reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results: 25 trials (n=7587 participants) were identified and included in a meta-analysis. The results showed that acupuncture was more effective at inducing pain relief than: no treatment (standardised mean difference (SMD) −0.69, 95% CI −0.99 to −0.38); sham acupuncture in the immediate term (SMD −0.33, 95% CI −0.49 to −0.18), short term (SMD −0.47, 95% CI −0.77 to −0.17), and intermediate term (SMD −0.17, 95% CI −0.28 to −0.05); and usual care in the short term (SMD −1.07, 95% CI −1.81 to −0.33) and intermediate term (SMD −0.43, 95% CI −0.77 to −0.10). Also, adjunctive acupuncture with usual care was more effective than usual care alone at all time points studied. With regard to functional improvement, the analysis showed a significant difference between acupuncture and no treatment (SMD −0.94, 95% CI −1.57 to −0.30), whereas the other control therapies could not be assessed. Conclusion: We draw a cautious conclusion that acupuncture appears to be effective for NSLBP and that acupuncture may be an important supplement to usual care in the management of NSLBP.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of effects of acupuncture on pain and function in non-specific low back pain

Yuan

Jiang

et al. 2020

Acupunct Med

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“…Mainly based on the theory of meridians and collaterals in traditional Chinese medicine, this treatment effectively combines acupoint stimulation and physical therapy. By stimulating a distant acupoint along the meridian, it can transport the long-distance Qi and blood to the affected area for local circulation, increase the range of waist motion, and relieve pain [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Acupuncture along Meridians on Pain Degree and Treatment of Acute Lumbar Sprain

Chen

et al. 2022

Disease Markers

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Aim. This study is aimed at investigating the effect of acupuncture along meridians on pain degree and treatment of acute lumbar sprain. Methods. A total of 96 patients with acute lumbar sprain from May 2019 to March 2021 in our hospital were selected and divided into the study and control groups. The patients in the control group were administered conventional western medicine and massage therapy, while the study group underwent acupuncture along meridians based on the control group. The therapeutic effect, visual analogue scale (VAS), Roland-Morris Disability Questionnaire (RMDQ), and lumbar range of motion (ROM) scores, emG inversion times, emG amplitude of the sacrospinalis muscle, and the serum TNF-α and IL-6 levels were determined. Results. The total effective rate of the study group was significantly higher than that of the control group. After treatment, the VAS, RMDQ, and ROM scores of the study group were significantly lower than those of the control group. Before the intervention, the EMG inversion times and the EMG amplitude of the spinous process muscle in the study group were not significantly different from those in the control group. After the intervention, the number and amplitude of EMG reversal in the study group were significantly higher than those in the control group. After the intervention, the serum levels of TNF-α (pg/ml) and IL-6 (pg/ml) in the study group were significantly lower than those in the control group. C o n c l u s i o n . Meridian acupuncture for acute lumbar sprain can effectively improve body function, relieve pain, regulate serum inflammatory factors, and improve the overall therapeutic effect.

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“…The present study's data on HRQoL are consistent with prior studies that have also reported improvement in subjective outcomes after SMT for low back pain. [43][44][45][46][47][48] The time frame of this study was limited. There need to be further longer-term studies of cohorts of patients under SMT care versus opioid therapy to better understand the outcomes of these types of care.…”

Section: Beliefs About Treatment Receivedmentioning

confidence: 99%

Spinal Manipulation vs Prescription Drug Therapy for Chronic Low Back Pain: Beliefs, Satisfaction With Care, and Qualify of Life Among Older Medicare Beneficiaries

Kizhakkeveettil

Bezdjian

Hurwitz

et al. 2021

Journal of Manipulative and Physiological Therapeutics

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Integrative Acupuncture and Spinal Manipulative Therapy Versus Either Alone for Low Back Pain: A Randomized Controlled Trial Feasibility Study

Cited by 17 publications

References 21 publications

Systematic review and meta-analysis of effects of acupuncture on pain and function in non-specific low back pain

Systematic review and meta-analysis of effects of acupuncture on pain and function in non-specific low back pain

Effect of Acupuncture along Meridians on Pain Degree and Treatment of Acute Lumbar Sprain

Spinal Manipulation vs Prescription Drug Therapy for Chronic Low Back Pain: Beliefs, Satisfaction With Care, and Qualify of Life Among Older Medicare Beneficiaries

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