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Effects of motion style acupuncture treatment in acute low back pain patients with severe disability: A multicenter, randomized, controlled, comparative effectiveness trial

Shin, Joon-Shika; Ha, In-Hyuka,*; Lee, Jinhoa; Choi, Youngkwona; Kim, Me-rionga; Park, Byoung-Yoona; Shin, Byung-Cheulb; Lee, Myeong Sooc

Section Editor(s):

doi: 10.1016/j.pain.2013.03.013

Motion style acupuncture treatment (MSAT) was more effective for pain relief and functional recovery than diclofenac injection in acute low back pain patients with disability.

Reviews of the efficacy of acupuncture as a treatment for acute low back pain (aLBP) have shown that there is insufficient evidence for its effect and that more research is needed. Motion style acupuncture treatment (MSAT) is novel in that it requires a part of the patient’s body to move passively or actively while acupuncture needles are retained. A multicenter, randomized, comparative effectiveness trial was conducted to evaluate the effects of MSAT in aLBP with severe disability. A total of 58 aLBP patients with severe functional disability (defined per Oswestry Disability Index [ODI] ≥60%) were recruited and assigned randomly to receive 1 session of either conventional diclofenac injection (n = 29) or MSAT (n = 29). The primary outcome measured improvement in LBP using the 10-point numerical rating scale of LBP, and the secondary outcome assessed disability using the Oswestry Disability Index at 30 minutes and at 2, 4, and 24 weeks after treatment. Analyses were by intention to treat. The numerical rating scale of the MSAT group decreased 3.12 (95% confidence interval = 2.26, 3.98; P < .0001) more than that of the injection group and the Oswestry Disability Index of the MSAT group decreased 32.95% (95% confidence interval = 26.88, 39.03; P < .0001) more than that of the injection group, respectively. The difference between the 2 groups maintained statistical significance at 2 and 4 weeks after treatment. These results suggest that MSAT has positive effects on immediate pain relief and the functional recovery of aLBP patients with severe disability.

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

aJaseng Medical Foundation, Jaseng Hospital of Korean Medicine, Seoul, Republic of Korea

*Corresponding author. Address: Jaseng Hospital of Korean Medicine, 635, Sinsa-dong, Gangnam-gu, Seoul 135-896, Republic of Korea. Tel.: +82 2 3218 2188; fax: +82 2 3218 2244.


Submitted 22 August 2012; revised 19 January 2013; accepted 7 March 2013.

© 2013 Lippincott Williams & Wilkins, Inc.
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