Abstract:
OBJECTIVES:To assess the effects of acupuncture and dry-needling for the treatment of nonspecific low back pain. BACKGROUND:Low back pain is usually a self-limiting condition that tends to improve spontaneously over time. However, for many people, back pain becomes a chronic or recurrent problem for which a large variety of therapeutic interventions are employed. SEARCH STRATEGY:We updated the searches from 1996 to February 2003 in CENTRAL, MEDLINE, and EMBASE. We also searched the Chinese Cochrane Centre database of clinical trials and Japanese databases to February 2003. SELECTION CRITERIA:Randomized controlled trials of acupuncture (that involved needling) or dry-needling for adults with nonspecific acute/subacute or chronic low back pain. DATA COLLECTION AND ANALYSIS:Two reviewers independently assessed methodologic quality (using the criteria recommended by the Cochrane Back Review Group) and extracted data. The trials were combined using meta-analysis methods or levels of evidence when the data reported did not allow statistical pooling. RESULTS:Thirty-five randomized clinical trials were included: 20 were published in English, 7 in Japanese, 5 in Chinese, and 1 each in Norwegian, Polish, and German. There were only 3 trials of acupuncture for acute low back pain. These studies did not justify firm conclusions because of their small sample sizes and low methodologic quality. For chronic low back pain, there is evidence of pain relief and functional improvement for acupuncture compared to no treatment or sham therapy. These effects were only observed immediately after the end of the sessions and in short-term follow-up. There is also evidence that acupuncture, added to other conventional therapies, relieves pain and improves function better than the conventional therapies alone. However, the effects are only small. Dry-needling appears to be a useful adjunct to other therapies for chronic low back pain. No clear recommendations could be made about the most effective acupuncture technique. CONCLUSIONS:The data do not allow firm conclusions regarding the effectiveness of acupuncture for acute low back pain. For chronic low back pain, acupuncture is more effective for pain relief and functional improvement than no treatment or sham treatment immediately after treatment and in the short-term only. Acupuncture is not more effective than other conventional and "alternative" treatments. The data suggest that acupuncture and dry-needling may be useful adjuncts to other therapies for chronic low back pain. Because most of the studies were of lower methodologic quality, there is a clear need for higher quality trials in this area.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Furlan AD,van Tulder M,Cherkin D,Tsukayama H,Lao L,Koes B,Berman Bdoi
10.1097/01.brs.0000158941.21571.01keywords:
subject
Has Abstractpub_date
2005-04-15 00:00:00pages
944-63issue
8eissn
0362-2436issn
1528-1159pii
00007632-200504150-00018journal_volume
30pub_type
杂志文章,评审相关文献
SPINE文献大全abstract:STUDY DESIGN:An experimental animal study. OBJECTIVE:To investigate the relationship between pain-related behavior and the expression of neurotrophic factors in the dorsal root ganglion (DRG) and spinal cord (SC) using a nucleus pulposus (NP) rat model. SUMMARY OF BACKGROUND DATA:Neurotrophic factors are released fro...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002223
更新日期:2018-01-01 00:00:00
abstract:STUDY DESIGN:Prospective study of a cohort of patients who underwent L5-S1 laparoscopic anterior lumbar interbody fusion. OBJECTIVES:To assess the fusion rate and the clinical outcome more than 2 years after L5-S1 laparoscopic anterior lumbar interbody fusion using twin stand-alone carbon-fiber cages. SUMMARY OF BACK...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200208010-00015
更新日期:2002-08-01 00:00:00
abstract:STUDY DESIGN:A controlled study with a 6-month follow-up period. OBJECTIVES:To find an explanation for the association between impairment in information processing, i.e., slow reaction times, and chronic low back trouble. SUMMARY OF BACKGROUND DATA:Low back trouble, chronic pain in general, and depression have been a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199902010-00011
更新日期:1999-02-01 00:00:00
abstract::Details of ten new cases of spondylothoracic dysplasia (the Jarcho-Levin syndrome) are presented. During follow-up, lasting between 8 and 21 years, two children in this group died. Our observations did not confirm Heilbronner's theory concerning the existence of two distinctive types of this syndrome: Type 1 or fatal,...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract:STUDY DESIGN:Basic fibroblast growth factor immunoreactivity was studied in disc herniation tissue. OBJECTIVES:The first objective was to analyze in which tissue components, if any, fibroblast growth factor is expressed in the disc herniation. The second objective was to compare such expression with that in fresh cada...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199502000-00003
更新日期:1995-02-01 00:00:00
abstract::An electronic digital inclinometer was used to obtain normative data on cervical mobility from 58 normal subjects. They consisted of 28 males (age range, 17-61) and 30 females (age range, 19-62). The measurements were taken from occiput to T1 in flexion-extension, lateral bend, and axial rotation, isolating the region...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199311000-00007
更新日期:1993-11-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey of orthopedic spine surgery fellowship directors in the United States. OBJECTIVE:The aim of this study was to investigate whether consensus exists with respect to spine-related adverse events and certain hospital-acquired conditions (HACs) or "never events." SUMMARY OF BACKGROUND...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001384
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:A case of desmoplastic fibroma of the thoracic spine treated by a three-level en bloc spondylectomy is reported. OBJECTIVES:To present a rare case of desmoplastic fibroma of the spine, and to emphasize the importance of at least a marginal resection of this tumor entity. SUMMARY OF BACKGROUND DATA:Desmop...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000058730.55078.5E
更新日期:2003-05-01 00:00:00
abstract:STUDY DESIGN:Repeated measurements were made of surface postural angles registering the relative positions of the head and neck in photographs and of angles of the upper cervical vertebrae recorded in lateral cephalometric radiographs in the same subjects. For all registrations, subjects assumed the natural head rest p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199804150-00015
更新日期:1998-04-15 00:00:00
abstract::When the published data on the radial disc bulge in relation to the axial compression of the motion segment are compared to a simple mechanical model, it follows that an axial inward bulge of the vertebral endplates should occur during compression. The model predicts that the disc height at its center should remain pr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198311000-00007
更新日期:1983-11-01 00:00:00
abstract:STUDY DESIGN:Prospective longitudinal study of patients attending a back pain triage clinic with night pain. OBJECTIVE:To assess the importance of the symptom of night pain in patients attending a back pain triage clinic. SUMMARY OF BACKGROUND DATA:The 1994 US Agency for Health Care Policy and Research guidelines sug...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000176313.02258.5e
更新日期:2005-09-01 00:00:00
abstract::Eighty-four patients were objectively evaluated with a weight-bearing pattern analyzer to determine whether spine deformity has an effect on the amount of weight borne on the right versus left foot and on the fore versus the hind foot. Patients with idiopathic scoliosis treated with bracing and surgery and patients wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199107000-00012
更新日期:1991-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective radiological study. OBJECTIVE:To analyze the course of intra-axial vertebral artery (IAVA) and evaluate the relationship between the 3-dimensional (3D) courses for IAVA with respect to safe trajectory for C2 pedicle screw (C2PS). SUMMARY OF BACKGROUND DATA:The VA at the level of C2 has a ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000418
更新日期:2014-08-01 00:00:00
abstract:STUDY DESIGN:Survey. OBJECTIVE:The aim of this study was to objectify the burden of adolescent idiopathic scoliosis (AIS) to better advocate for scoliosis care in the future. SUMMARY OF BACKGROUND DATA:AIS is a common spinal deformity that can affect individuals on many levels. Patients with big curves usually seek m...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001708
更新日期:2017-01-15 00:00:00
abstract:STUDY DESIGN:A biomechanical calf cadaver study. OBJECTIVE:The purpose of this study was to determine the intradiscal pressure gradient of bridged healthy intervertebral segments in correlation with intraoperative distraction force. SUMMARY OF BACKGROUND DATA:Bisegmental dorsal stabilization and anatomic reduction is...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000213
更新日期:2014-04-01 00:00:00
abstract:STUDY DESIGN:A randomized, controlled clinical trial. OBJECTIVE:This randomized controlled clinical trial was aimed at comparing the clinical outcomes of combined posteroanterior (P-A) fusion and transforaminal thoracic interbody fusion (TTIF) in cases of thoracolumbar fracture-dislocation. SUMMARY OF BACKGROUND DATA...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0000000000000529
更新日期:2014-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective data analysis. OBJECTIVE:To identify factors affecting the atlantodental interval, the Ranawat value, and subaxial translation after rheumatoid arthritis (RA) diagnosis. In addition, factors predictive for cervical spine instability (CSI) development after RA diagnosis were examined. SUMMAR...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001942
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE To clarify the characteristics of respiratory dysfunction associated with chronic-onset cervical myelopathy. SUMMARY OF BACKGROUND DATA:In acute cervical cord injury, respiratory dysfunction, especially vital capacity (VC), is impaired, which causes respiratory complicatio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200210150-00010
更新日期:2002-10-15 00:00:00
abstract:STUDY DESIGN:A review of controlled trials. OBJECTIVES:To determine which interventions are used to prevent back and neck pain problems as well as what the evidence is for their utility. SUMMARY OF BACKGROUND DATA:Given the difficulty in successfully treating long-term back and neck pain problems, there has been a ca...
journal_title:Spine
pub_type: 临床试验,杂志文章,评审
doi:10.1097/00007632-200104010-00019
更新日期:2001-04-01 00:00:00
abstract:STUDY DESIGN:A new way to study pain in experimental animals without handling of the animals and based on registration of spontaneous behavior using video recordings. OBJECTIVES:To evaluate if experimental disc herniation in the rat may induce changes in spontaneous behavior. SUMMARY OF BACKGROUND DATA:The knowledge ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200206150-00013
更新日期:2002-06-15 00:00:00
abstract:STUDY DESIGN:This is a retrospective analysis of 30 pediatric deformity surgeries. OBJECTIVE:The purpose of this study was to evaluate the accuracy of neuromonitoring in comparison to postoperative computed tomography scans for pedicle screw position. SUMMARY OF BACKGROUND DATA:Triggered electromyography potentials i...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b3f467
更新日期:2010-01-15 00:00:00
abstract:STUDY DESIGN:A validation study was done in which reconstructed three-dimensional rotational x-ray images were quantitatively compared with corresponding anatomic sections. OBJECTIVES:To assess the accuracy of reconstructed images acquired on a three-dimensional rotational x-ray imaging device. SUMMARY OF BACKGROUND ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000154650.31781.85
更新日期:2005-03-01 00:00:00
abstract:STUDY DESIGN:Case report and literature review. OBJECTIVES:Clinicians use methylmethacrylate vertebroplasty to treat vertebral hemangiomas, metastases, and osteoporotic fractures. Cement may leak out of the vertebral body and compress the adjacent spinal cord and nerve roots. We review a case of nerve-root and cord co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200107010-00021
更新日期:2001-07-01 00:00:00
abstract:STUDY DESIGN:Prospective and retrospective outcome analysis following arthrodesis for adult isthmic spondylolisthesis in 31 patients. OBJECTIVE:To examine whether or not patients having such surgery have a functional improvement in their lives. SUMMARY OF BACKGROUND DATA:The literature is full of articles concerning ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000065574.20711.E6
更新日期:2003-06-15 00:00:00
abstract:SUMMARY OF BACKGROUND DATA:A 74-year-old man suffered an extensive right hemispheric infarct 72 hours after undergoing anterior corpectomies of the C4 and C5 vertebrae for cervical myelopathy resulting from ossification of the posterior longitudinal ligament. RESULTS:Angiography revealed proximal right internal caroti...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199410000-00020
更新日期:1994-10-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional and prospective longitudinal study on the anthropometric parameters and growth pattern of girls with adolescent idiopathic scoliosis (AIS). OBJECTIVE:To investigate the growth pattern of girls with AIS with different severities, using cross-sectional and prospective longitudinal data set...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31825c036d
更新日期:2012-08-15 00:00:00
abstract:STUDY DESIGN:Opportunistic prospective follow-up study. OBJECTIVE:To describe the natural history of low back pain in the community and to model the factors predictive of recovered versus persistent low back pain. SUMMARY OF BACKGROUND DATA:A two-phase questionnaire was mailed to adults in the Bradford Metropolitan H...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200008150-00013
更新日期:2000-08-15 00:00:00
abstract:STUDY DESIGN:A report of a patient in whom progressive symptomatic thoracolumbar scoliosis developed after breast reconstruction with a latissimus dorsi myocutaneous flap. OBJECTIVES:To present the first reported case of progressive symptomatic scoliosis after breast reconstruction with a latissimus dorsi myocutaneous...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200003010-00014
更新日期:2000-03-01 00:00:00
abstract::A nerve root impingement within a stenotic neuroforamen is a common sequela of cervical degenerative arthritis and herniated nucleus pulposus. Understanding of the effects of cervical position on foraminal size is important in the assessment of pathology and injury, for selection of a provocative maneuver to elicit sy...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199210000-00001
更新日期:1992-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of medical records. OBJECTIVE:To describe pre- and postoperative ambulatory status and lower limb motor power, and compare characteristics of patients with metastatic spinal cord compression (MSCC) who were ambulatory at 48 hours postoperatively with those of patients with MSCC who we...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182927559
更新日期:2013-06-01 00:00:00