Tashkin 1985.
Methods | Design: cross‐over Allocation concealment: unclear Blinding: patients and evaluators Drop‐outs/withdrawals: not given Jadad score: 1‐0‐0 Study schedule: 4 weeks baseline, 4 weeks treatment 1, 3 weeks wash‐out, 4 weeks treatment 2, 3 weeks follow‐up | |
Participants | N = 25 (15 female, 10 male) Age range 8 ‐ 70. Diagnosis ‐ Moderate to severe stable chronic asthma. FEV1< 60% predicted. Most on oral and inhaled beta‐agonists and theophylline. Most also on oral steroids. 11 on cromoglycate. | |
Interventions | Acupuncture group: Standardized acupuncture formula (n = 25) with 6 points bilateral (LI‐4, DU‐14, ST‐36, LU‐7, Ex‐W1, Ex Waitingchuan (???)). Acupuncture needles were 1,5 inch, 30 gauge, solid stainless needles manufactured in China that were sterilized by autoclave before use. Depth of insertion varied ranging from 4 to 20mm. Needles manipulation every 3 to 4 min. Control group: Sham acupuncture (n = 25) was performed at non‐acupuncture points. Needles manipulation every 3 to 4 min. Treatment duration: 8 sessions (each 15 min) within 4 weeks. Acupuncturist: Well‐ trained experienced practitioner. TCM‐Diagnosis done/applied to intervention: (‐/‐) |
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Outcomes | Pulmonary function, subjective measurements, drug use, number of attacks. | |
Notes | Data presentation and crossover design unsuited for meta‐analysis. No significant differences were found between or within groups. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | No information available |
Allocation concealment? | Unclear risk | No information available |
Blinding? All outcomes | High risk | Active and sham acupuncture not presented identically |
Incomplete outcome data addressed? All outcomes | Unclear risk | No information provided |
Free of other bias? | Low risk | Qualified therapist |
Jadad scores reflect the points awarded for the three component domains in the order of: randomisation (0,1 or 2), blinding (0, 1 or 2) and withdrawals (0 or 1).