Acupuncture for Lower Back Pain A Review

被引:17
作者
Lewis, Katrina [1 ]
Abdi, Salahadin [1 ]
机构
[1] Univ Miami, Div Pain Med, Dept Anesthesiol Perioperat Med & Pain Management, LM Miller Sch Med, Miami, FL 33136 USA
关键词
acupuncture; acupuncture research; efficacy; low back pain; treatment; RANDOMIZED CONTROLLED-TRIAL; FOLLOW-UP; PATIENT EXPECTATIONS; PROSPECTIVE COHORT; BLOOD-FLOW; ELECTROACUPUNCTURE; ANALGESIA; MEDICINE; TERM; COMPLEMENTARY;
D O I
10.1097/AJP.0b013e3181bad71e
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective: We briefly discuss the history of acupuncture and its postulated mechanisms of action, but our primary objective is to discuss the evidence for acupuncture's efficacy in low back pain as well as approaches of newer study protocols to define more clearly the true usefulness of this alternative modality in low back pain. Methods: Pubmed online search of all articles and other literature in the past 50 years related to acupuncture efficacy in low back pain, including case reports, randomized controlled trials and meta-analyses. Results: Lower back pain and its associated incapacitating sequelae constitute an important healthcare and socioeconomic problem. There have been multiple, generally poor quality studies on the efficacy of acupuncture for this mufti-factorial pain condition. Although newer studies seem to show promise, effectiveness has not been clearly demonstrated. Conclusions: There is a paucity of high-quality research assessing efficacy of acupuncture in the management of LBP. Nonetheless, it continues to play a significant role in our clinical practice, not as a sole therapeutic modality but rather as an adjunct to a multi-disciplinary integrative approach of LBP management. Most of the published articles about acupuncture in the biomedical literature consist of case reports, case series, or intervention studies with designs inadequate to assess its efficacy. Thus it is imperative that further research be performed, both preclinical to help elucidate the mechanisms underlying acupuncture, and clinical to justify its clinical application.
引用
收藏
页码:60 / 69
页数:10
相关论文
共 70 条
[11]   Efficacy of acupuncture for chronic low back pain: protocol for a randomized controlled trial [J].
Cherkin, Daniel C. ;
Sherman, Karen J. ;
Hogeboom, Charissa J. ;
Erro, Janet H. ;
Barlow, William E. ;
Deyo, Richard A. ;
Avins, Andrew L. .
TRIALS, 2008, 9 (1)
[12]   A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain [J].
Cherkin, DC ;
Sherman, KJ ;
Deyo, RA ;
Shekelle, PG .
ANNALS OF INTERNAL MEDICINE, 2003, 138 (11) :898-906
[13]   RETRACTED: New findings of the correlation between acupoints and corresponding brain cortices using functional MRI (Retracted Article. See vol 103, pg 10527, 2006) [J].
Cho, ZH ;
Chung, SC ;
Jones, JP ;
Park, JB ;
Park, HJ ;
Lee, HJ ;
Wong, EK ;
Min, BI .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1998, 95 (05) :2670-2673
[14]   Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American college of physicians and the American pain society [J].
Chou, Roger ;
Qaseem, Amir ;
Snow, Vincenza ;
Casey, Donald ;
Cross, J. Thomas, Jr. ;
Shekelle, Paul ;
Owens, Douglas K. .
ANNALS OF INTERNAL MEDICINE, 2007, 147 (07) :478-491
[15]  
Darras J.C., 1993, ACUPUNCT MED, V11, P22, DOI [10.1136/aim.11.1.22, DOI 10.1136/AIM.11.1.22), DOI 10.1136/AIM.11.1.22]
[16]  
Davis Kermit G, 2005, Technol Health Care, V13, P453
[17]   Trends in alternative medicine use in the United States, 1990-1997 - Results of a follow-up national survey [J].
Eisenberg, DM ;
Davis, RB ;
Ettner, SL ;
Appel, S ;
Wilkey, S ;
van Rompay, M ;
Kessler, RC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (18) :1569-1575
[18]   Acupuncture for back pain - A meta-analysis of randomized controlled trials [J].
Ernst, E ;
White, AR .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (20) :2235-2241
[19]  
FRYMOYER JW, 1991, ORTHOP CLIN N AM, V22, P263
[20]   Acupuncture and dry-needling for low back pain: An updated systematic review within the framework of the Cochrane Collaboration [J].
Furlan, AD ;
van Tulder, M ;
Cherkin, D ;
Tsukayama, H ;
Lao, LX ;
Koes, B ;
Berman, B .
SPINE, 2005, 30 (08) :944-963