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

Leite 2018.

Methods Four‐arm RCT
Number analyzed/randomized: 69/86
Statistical analysis: ITT analysis not mentioned; Chi² test, Wilcoxon text, ANOVA, and Kruskal‐Wallis test; power analysis
Funding source: Brazil grant
Ethical approval and informed consents obtained
Participants Participant recruitment: NR
Setting: at the Ambulatory of Laboratory for Research in Neurosciences, Federal University of Sergipe, Brazil
Inclusion criteria: 1) low back pain diagnosis made by orthopedics physician; 2) pain on the lumbar region for at least three months; 3) never received acupuncture or electroacupuncture treatment
Exclusion criteria: 1) doing physiotherapy or other treatment for low back pain; 2) pregnant or postpartum women who had given birth in the past three months; 3) having deformities or important amputations on lower limbs; 4) low back pain due to infection, tumor, osteoporosis, rheumatoid arthritis, vertebrae fracture, or radiculopathy; 5) nervous or cutaneous tissue injury affecting lumbar region; 6) active infectious processes; 7) surgery or invasive exams on the spine for the past three months; 8) inability to understand instructions or consent to the study; 9) psychiatric or cognitive impairments; 10) neurological, pulmonary, or cardiac disease; 11) heart pacemaker; 12) auditory, visual, or communication disturbance
Mean Age (years): 46.38
Gender (female %): 55.1%
Pain duration: NR
Pain intensity (mean ± SD): 3.61‐4.40 (McGill tool,range)
Interventions 1) GROUP 1: Electroacupuncture (n = 21)
Acupuncture points: B22, B26, B50, B53
Depth: 10 mm
De Qi: NR
Sessions: Ten sessions (three times a week)
Acupuncturist experience: NR
During the 30‐minute stimulation, frequency was alternated between high and low every five seconds.
2) GROUP 2: Control 1 (needles + device off) (n = 22)
Needles kept inserted for 30 minutes, with electrical stimulus for 45 seconds only
3) GROUP 3: Control 2 (needle alone) (n = 22)
Participants had a needle inserted, without electrical stimulus.
4) GROUP 4: Control 3 (withdrawn needles) (n = 21)
Needles placed in the acupoints as group 1; needles were withdrawn immediately after puncture which was not seen by patients.
Co‐intervention: No additional components of treatment (moxibustion, cupping, and herbs) were used.
Duration of treatment: four weeks
Duration of follow‐up: immediate time point
Outcomes 1) Pain intensity: 11‐point numerical rating pain scale (0 to 10); McGill Pain Questionnaire
Assessment time: immediate time point
Costs: NR
Adverse effects: NR
Notes Conclusion: Compared to the controls, electroacupuncture treatment could not change the pain intensity in patients with chronic nonspecific low back pain.
Language: English