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Hunter et al. Leave a Reply Cancel reply Your email address will not be published. Meta-analysis Forest plots Willoch acupuncture against sham acupuncture and against no acupuncture control are shown separately for each of the 4 pain conditions in Figure 2 and Figure 3. Schad, D. Ksi filtertechnik gmbh willich.
Poorly and scarcely reported harms data limited our ability to meaningfully compare rates of adverse events between the treatments. Inoue, H. The remaining trials enrolled subjects with specific ,assage of back pain e.|Andrea D. Correspondence should be addressed to Alexander Tsertsvadze, atsertsvadze ohri.
Angelo Antonio Izzo. Furlan Pq massage therapy Willich. This is an open access Pq massage therapy Willich distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Back pain is a common problem and a major cause of disability and health care utilization. Data Sources. Records without language restriction from various databases up to February M beauty spa new Konigswinter Extraction.
The efficacy outcomes of interest were Bonn evening news free ads intensity and disability.
Data Synthesis. Reports of randomized trials and 5 nonrandomized studies were included. Trials that applied sham-acupuncture tended towards statistically nonsignificant results.
In several studies, acupuncture caused bleeding on the site of application, and manipulation and massage caused pain episodes of mild and Wil,ich nature.]The effect of journal impact factor, reporting "" conflicts, and reporting funding sources, on standardized effect sizes in back pain trials: Low Pq massage therapy Willich pain is a common and costly health complaint for which there are several moderately effective treatments.
In some fields there is evidence Free girl Wunstorf funder and financial conflicts are associated with trial thdrapy.
It is not clear whether effect sizes in back pain trials relate to journal rherapy factor, reporting conflicts of interest, or reporting funding. We performed a systematic review of English-language papers reporting randomised controlled trials of treatments for non-specific low back pain, published between We modelled the relationship using Georgsmarienhutte beautiful girl facebook journal impact Sunshine house Schwabisch Gmund Germany, and categories of reported of conflicts of interest, and categories of reported funding reported none and reported some, compared to not reporting these using meta-regression, adjusting for sample size, nassage publication year.
We also considered whether impact factor could be predicted by terapy direction of outcome, or trial sample size. We could abstract data to calculate effect size in 99 of trials that met our inclusion criteria. Effect size is not associated with impact factor, reporting of funding source, or reporting of conflicts of. Impact factor increases by 0. Massage Studies Treatment providers were licensed or experienced massage .
NPQ: neck pain questionnaire; SF-PQ: short form pain questionnaire; PRI: pain H. U. Melchart D. Willich S. N.
Associated Data Willich
Acupuncture in patients with chronic low. Complementary and Alternative Medicine (CAM) therapies offer additional. For subjects with neck pain, massage was better than no treatment, placebo, or exercise in index; SF: short form; NPQ: neck pain masage SF-PQ: short form pain questionnaire and S. N. Willich, “Acupuncture for patients with chronic.
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Despite wide use in clinical practice, acupuncture remains a controversial treatment for chronic pain. Our objective was to update an individual patient data meta-analysis to determine the effect size of acupuncture for four chronic mazsage conditions.
We included randomized trials of acupuncture needling versus either sham acupuncture or no acupuncture control for non-specific musculoskeletal pain, osteoarthritis, chronic headache, or shoulder pain. Trials were only included if allocation concealment was unambiguously determined to be adequate.
Raw data were obtained from study authors and entered into an individual patient data meta-analysis. The main outcome measures were pain and function. An additional 13 trials were identified, with data received for a total of 20, patients from 39 trials.
In secondary analyses, we found no obvious association between trial outcome and characteristics of acupuncture treatment, but effect sizes of acupuncture were associated with the type of control group, with smaller effects sizes for sham controlled trials that used a penetrating needle for sham, and rherapy trials that had high intensity of intervention in the control arm.
We conclude that acupuncture theraapy effective for Wilhelmstadt lakes singles treatment of chronic pain, with treatment effects persisting over time.
While factors in addition to the specific effects of needling at correct acupuncture point locations are important contributors to the treatment effect, decreases in pain following acupuncture cannot be explained solely in terms of placebo effects. Variations in the effect size of acupuncture in different trials are driven predominately by differences in treatments received by the control group rather than by differences in the characteristics of acupuncture treatment.
Acupuncture remains a controversial treatment for chronic pain, largely due to a provenance outside biomedicine. Traditional acupuncture theory invokes non-anatomical structures such as meridians and non-physiological processes such as the flow of qi energy. Although many contemporary practitioners do not rely on such concepts, there remains a dearth of data on how insertion of needles Steroid online Dinslaken specific points on the body could lead to long-term decreases in pain.
Acupuncture undoubtedly has short-term physiological effects, several of which are relevant to pain 776, but there is as yet no explanation as to how such effects could persist. We previously reported an individual patient data meta-analysis of high-quality trials of acupuncture for chronic pain.
Acupuncture was significantly superior to sham control, suggesting that acupuncture effects are not solely explicable in terms of placebo, although these differences were relatively modest. We have separately reported secondary analyses examining whether characteristics of acupuncture treatment 65 or control groups 68 influence effect size, and whether the effects Pq massage therapy Willich acupuncture treatment persist over time Here we update our prior analyses now including studies published during the last 7 years.
The full protocol of the meta-analysis 93 and the results of the first individual patient data meta-analysis including RCTs published up to November 92 have been published. Pq massage therapy Willich literature search was repeated to identify eligible RCTs published between December and December Trials were considered eligible Creampie escort Bogenhausen they accrued patients with nonspecific back or neck pain, shoulder pain, chronic headache, or osteoarthritis; pain duration was at least 4 weeks for musculoskeletal disorders; at least one group received acupuncture needling and one group received either sham acupuncture or no acupuncture control; the primary endpoint was measured more than 4 Pq massage therapy Willich after the initial acupuncture treatment; and allocation concealment was determined unambiguously to be adequate.
Principal investigators of eligible studies were asked to provide raw data.
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These raw data were used to replicate all analyses published in the original RCT publication to ensure Wuhang massage llc Furstenfeldbruck accuracy.
Each trial was reanalyzed by analysis of covariance with the standardized primary endpoint scores divided by pooled standard deviation as the dependent variable, and the baseline measure of the primary endpoint and variables used to stratify randomization as covariates. The primary outcome for each study was that identified by the responding author of each study.
The effect sizes for each study were then entered into a meta-analysis using the metan command in Stata version 13, StataCorp, College Station, TX. Both fixed effects and random effects estimates were calculated. Fixed effects weights were calculated using inverse-variance weighting, and random effects weights were calculated using the DerSimonian and Laird method. We pre-specified that meta-analyses would be conducted separately for comparisons of Pq massage therapy Willich vs.