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| Effectiveness of manual and electrical needle stimulation in acupuncture for chronic nonspecific low back pain: a randomized controlled trial |
| Comachio J, Oliveira CC, Rodrigues Silva IF, Magalhaes MO, Marques AP |
| Journal of Acupuncture and Meridian Studies 2020 Jun;13(3):87-93 |
| clinical trial |
| 8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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* |
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AIM: The aim of this study was to investigate effectiveness of electroacupuncture (EA) and manual acupuncture (MA) on pain and disability in patients with chronic low back. METHODS: A total of 66 randomly allocated patients diagnosed with chronic LBP were assigned to receive either 12 sessions of acupuncture or electroacupuncture. The primary outcomes measurements were intensity pain (NRS) and disability (RMQ). All main analysis followed the intention-to-treat principle. RESULTS: The groups reported improvements posttreatment in intensity pain and disability respectively; however, no differences between groups were observed. Regarding the secondary outcomes, we observed a between-group difference only for kinesiophobia in favor of the manual acupuncture group (difference -4.1 points, 95% CI -7.0 to -1.1). The results were maintained after 3 months of follow-up. Contrary to our hypothesis, however, EA did not result in a better outcome compared with MA treatment. CONCLUSION: The study does not provide evidence that an electroacupuncture is superior to acupuncture treatment. Both therapies had similar efficacy in reducing pain and disability for chronic nonspecific low back pain.
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