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(Comparison of acupuncture-moxibustion and physiotherapy in treating chronic non-specific low back pain) [Chinese - simplified characters]
Li N, Wu B, Wang C-W
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2005 Jan 14;9(2):186-187
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To investigate an economical and effective therapy for low back pain (LBP) by comparing the efficiency, treating times and the pre- and post-operative variations of Oswestry questionnaire scores of LBP functional dysfunction between acupuncture-moxibustion and physiotherapy in treating chronic non-specific LBP. METHODS: Sixty patients with non-specific LBP were selected from the patients who were hospitalized in the clinic of Department of Acupuncture and Moxibustion, West China Hospital, Sichuan University during June 2000 and March 2003. They were randomly divided into acupuncture group (n = 31) and control group (n = 29) for controlled study. In acupuncture group, 7 couples of points were used for treatment including double BL23, double BL25, A-SHI points, double BL40 (or double BL57), double BL60, double K17, etc, meanwhile, accompanied by hanging moxibustion with moxa suck on DU4 and DU3. In the control group, physical methods were used including the light, electricity, heat and so on. After 4 courses of treatment, the efficiency, the variations of Oswestry questionnaire scores of LBP functional dysfunction, treating times of effective cases and the relapse rate after 6-month follow-up were analyzed and compared between the two groups. RESULTS: There was no significant difference in the curative effects between the two groups. But the variations of Oswestry questionnaire scores of LBP functional dysfunction (38.58 +/- 5.00 and 11.55 +/- 3.24 points before and after treatment respectively), treating times of effective cases (13.8 +/- 5.3 times) and the relapse rate after 6-month follow-up (14%) in the acupuncture group were significantly less or lower than those in the control group (40.24 +/- 5.80 and 18.83 +/- 5.24 points before and after treatment. 17.0 +/- 4.3 times, 42% respectively) (p < 0.05). CONCLUSION: In the treatment of chronic non-specific LBP, compared with physical methods (percutaneous electrical stimulation cooperated with heat and light therapeutics) and acupuncture, acupuncture is recommended.

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