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Research Article

2020; ():

Published online March 26, 2020 https://doi.org/10.1016/j.jams.2020.03.064

Copyright © Medical Association of Pharmacopuncture Institute.

Effectiveness of manual and electrical needle stimulation in acupuncture for chronic nonspecific low back pain: a randomized controlled trial

Josielli Comachio1*, Carla Coelho Oliveira1, Ilton Fagner Rodrigues Silva1, Mauricio Oliveira Magalhães21, Amélia Pasqual Marques1

1Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
2Physical Therapy, Speech and Occupational Therapy Department, University of Para, Belem, Brazil

Correspondence to:Josielli Comachio

Received: October 12, 2019; Revised: March 14, 2020; Accepted: March 16, 2020

http://creativecommons.org/licenses/by-nc-nd/4.0/

Abstract

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 electr LINK Word.Document.12 D:MYFILESELSEVIERJAMS00000470PREPTUDJAMS_470_tud.docx OLE_LINK1 a r Sao Paulooacupuncture. 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.

Keywords: Low back pain, electroacupuncture, acupuncture and rehabilitation

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