Li 2017.
Study characteristics | ||
Methods | Two‐arm RCT Number analyzed/randomized: 60/60 Statistical analysis: did not mention ITT analysis; Student's t‐test and Chi² test; power analysis not conducted Funding source: NR Not reported if ethical approval was obtained, but informed consent was obtained |
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Participants |
Participant recruitment: recruitment at clinic at Department of Rehabilitation of a hospital in China Setting: recruitment clinic Inclusion criteria: 1) LBP > 3 months; 2) pain located between lower rib and the inferior gluteal folds, not below the knee; 3) negative response in straight‐leg raising test and intact on neurological examinations; 3) no meaningful positive findings on X‐ray image Exclusion criteria: 1) severe cardiac, or brain disease and severe psychosis, or combination; 2) LBP due to specific etiology, including lumbar tuberculosis, disc protrusion, disc stenosis, ankylosing spondylitis, spondylolisthesis, or tumor Age (mean): 42 years Gender (female): 47% Pain duration (mean): 2.1 years Pain intensity (mean): 6.1 (VAS, 0 to 10) |
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Interventions |
1) GROUP 1: electroacupuncture (local + distance acupoints) Acupuncture points: shenshu, dachangshu, jiaji, cijiao, huantiao (all bilaterally) Depth: inserted vertically to a depth of 1 to 1.5 cm De Qi: elicited by manual stimulation and maintained for 30 min Sessions: 20 sessions (1/d for 20 d) Equipment setting: G6805‐1 equipment with continuous wave Acupuncturist experience: NR 2) GROUP 2: acupuncture (local acupoints) Acupuncture points: Ashi points Depth: inserting into the muscle De Qi: not mentioned Sessions: 10 sessions (1/d for 10 d) Co‐intervention: NR Duration of treatment: 10 to 20 days Duration of follow‐up: 6 months after the end of the sessions |
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Outcomes |
1) Pain intensity: VAS (0 to 10) 2) Back‐specific function status: Oswestry disability index (ODI, 0 to 100%), lower values better Assessment times: immediately after, and 6 months after the end of sessions Costs: NR Adverse effects: NR |
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Notes |
Conclusion: There was no difference between acupuncture at Ashi points and electroacupuncture for treatment of nonspecific LBP. Language: Chinese For results, see comparisons 5. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Table of random numbers was used. |
Allocation concealment (selection bias) | Unclear risk | No mention of concealment methods |
Blinding of participants (performance bias) All outcomes | Unclear risk | Not mentioned |
Blinding of personnel /care providers (performance bias) All outcomes | High risk | Not possible |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not mentioned |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No participant dropped out during the follow‐up period. |
Intention‐to‐treat‐analysis (attrition bias) | Low risk | The analyses were conducted according to their randomisation group. |
Selective reporting (reporting bias) | Low risk | Both pain and function outcomes were reported. |
Group similarity at baseline (selection bias) | Low risk | Baseline characteristics were similar between two groups. |
Co‐interventions (performance bias) | Low risk | Authors did not mention if additional co‐interventions were given. |
Compliance bias (performance bias) | Unclear risk | Study did not report compliance. |
Timing of outcome assessments (detection bias) | Low risk | The outcomes were measured at the same time in both groups. |
Other bias | Low risk | Not identified |