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Manheimer E, White A, Berman B.Ann Intern Med 2005;142:651–63
Background: Health professionals frequently use acupuncture in the treatment for low back pain but research to document its efficacy requires analysis.
Research question/s: Does acupuncture decrease pain in patients suffering from low back pain?
Methodology: Experimental procedure: 33 randomised, controlled trials that met inclusion criteria (comparing needle acupuncture with sham acupuncture, other sham treatments, no additional treatment, or another active treatment for patients with low back pain) were identified. Trials were sub-grouped according to acute or chronic pain, style of acupuncture, and type of control group used.
Measures of outcome: Pain, functional status, overall improvement, return to work, and analgesic consumption.
Main finding/s:
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- Chronic low back pain: pain relief in the acupuncture groups was significantly more effective than sham treatment (standardised mean difference, 0.54 (95% CI 0.35 to 0.73); 7 trials) and no additional treatment
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