» Articles » PMID: 26472590

Efficacy of Acupuncture and Electroacupuncture in Patients with Nonspecific Low Back Pain: Study Protocol for a Randomized Controlled Trial

Abstract

Background: Previous studies have shown that acupuncture and electroacupuncture (EA) are effective in the treatment of patients with low back pain. However, there is little evidence to support the use of one intervention over the other. The aim of this study is to compare the effect of acupuncture and electroacupuncture in the treatment of pain and disability in patients with chronic nonspecific low back pain.

Methods/design: The study design is a randomized controlled trial. Patients with nonspecific chronic low back pain of more than three months duration are recruited at Rehabilitation Center of Taboao da Serra - SP (Brazil). After examination, sixty-six patients will be randomized into one of two groups: acupuncture group (AG) (n = 33) and electroacupuncture group (EG) (n = 33). Interventions will last one hour, and will happen twice a week for 6 weeks. The primary clinical outcomes will be pain intensity as measured and functional disability.

Secondary Outcomes: quality of pain, quality of life. perception of the overall effect, depressive state, flexibility and kinesiophobia. All the outcomes will be assessed will be assessed at baseline, at treatment end, and three months after treatment end. Significance level will be determined at the 5 % level. Results of this trial will help clarify the value of acupuncture and electroacupuncture as a treatment for chronic low back pain and if they are different.

Discussion: Results of this trial will help clarify the value of acupuncture needling and electroacupuncture stimulation of specific points on the body as a treatment for chronic low back pain.

Trial Registration: Clinicaltrials.gov: NCT02039037 . Register October 30, 2013.

Citing Articles

Therapeutic effects of different acupuncture methods on chronic nonspecific low back pain: A network meta-analysis.

Zhang K, Lin X, Liu Z, Fu Y, Wang L, Zhang D J Orthop Surg Res. 2024; 19(1):615.

PMID: 39350218 PMC: 11440812. DOI: 10.1186/s13018-024-05118-8.


Exploration of the mechanism underlying the therapeutic effect of electroacupuncture at chengshan acupoint on post-hemorrhoidectomy anal pain: Insights from the mAChRs/IP3-Ca-CaM signaling pathway.

Song Y, Wang Y, Li M, Wang Y, Xu T Clinics (Sao Paulo). 2024; 79():100485.

PMID: 39316895 PMC: 11462218. DOI: 10.1016/j.clinsp.2024.100485.


Electroacupuncture attenuates neuropathic pain via suppressing BIP-IRE-1α-mediated endoplasmic reticulum stress in the anterior cingulate cortex.

Ma L, Liu Y, Zhang H, Huang C, Li A, Qu X Biol Res. 2024; 57(1):34.

PMID: 38812057 PMC: 11134655. DOI: 10.1186/s40659-024-00511-3.


Comparative efficacy of acupuncture, venesection, and physical therapy on chronic low back pain outcomes: a randomized clinical trial.

Jamali Dastjerdi M, Azadvari M, Kordafshari G, Zhao B, Adel-Mehraban M, Alipour R Ann Med Surg (Lond). 2024; 86(5):2729-2738.

PMID: 38694293 PMC: 11060228. DOI: 10.1097/MS9.0000000000001944.


Efficacy of Electroacupuncture Combined with Chinese Herbal Medicine on Pain Intensity for Chronic Sciatica Secondary to Lumbar Disc Herniation: Study Protocol for a Randomised Controlled Trial.

Xia J, Huang Y, Wu K, Pang J, Shi Y J Pain Res. 2024; 17:1381-1391.

PMID: 38618296 PMC: 11012699. DOI: 10.2147/JPR.S448631.


References
1.
Wang K, Yao S, Xian Y, Hou Z . A study on the receptive field of acupoints and the relationship between characteristics of needling sensation and groups of afferent fibres. Sci Sin B. 1985; 28(9):963-71. View

2.
Kurita Varoli F, Pedrazzi V . Adapted version of the McGill Pain Questionnaire to Brazilian Portuguese. Braz Dent J. 2007; 17(4):328-35. DOI: 10.1590/s0103-64402006000400012. View

3.
Han J . Electroacupuncture: an alternative to antidepressants for treating affective diseases?. Int J Neurosci. 1986; 29(1-2):79-92. DOI: 10.3109/00207458608985638. View

4.
Rainville J, Smeets R, Bendix T, Tveito T, Poiraudeau S, Indahl A . Fear-avoidance beliefs and pain avoidance in low back pain--translating research into clinical practice. Spine J. 2011; 11(9):895-903. DOI: 10.1016/j.spinee.2011.08.006. View

5.
Chou R, Qaseem A, Snow V, Casey D, Cross Jr J, Shekelle P . Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007; 147(7):478-91. DOI: 10.7326/0003-4819-147-7-200710020-00006. View