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. 2020 Dec 11;2020(12):CD013814. doi: 10.1002/14651858.CD013814

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
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)
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
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
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.
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