Evidence map›Paper›PMID 39610636›Full record

ReviewCureus2024

Efficacy of Electroacupuncture Compared to Standard and Manual Needling Therapy for Nonspecific Low Back Pain: A Systematic Review and Meta-Analysis.

Daniel Hsieh, Yueh-Chi Chen, Hui-Chin Chang, Cheng-Chung Wei, Tsung-Hsien Lee

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Daniel HsiehDepartment of Medical Education, Chung Shan Medical University Hospital, Taichung, TWN.
Yueh-Chi ChenDepartment of Physical Therapy, Chung Shan Medical University, Taichung, TWN.
Hui-Chin ChangEvidence-based Medicine Center, Chung Shan Medical University Hospital, Taichung, TWN.
Cheng-Chung WeiInstitute of Medicine, Chung Shan Medical University, Taichung, TWN.
Tsung-Hsien LeeInstitute of Medicine, Chung Shan Medical University, Taichung, TWN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonspecific low back pain is prevalent, and electroacupuncture is one potential treatment option. However, a focused evaluation of previous experimental studies is lacking. This systematic review and meta-analysis aimed to assess the efficacy of electroacupuncture for nonspecific low back pain in comparison to standard therapy and manual needling therapy. We systematically searched PubMed, Cochrane Library, and Embase up to December 1, 2023, for randomized controlled trials on electroacupuncture for nonspecific low back pain. Outcomes measured included the Visual Analog Scale and Numerical Rating Scale. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. 10 reports were included in the meta-analysis. Six studies used electroacpuncture with standard therapy compared to standard therapy alone. Four studies compared electroacupuncture with manual needling therapies. Compared to control groups, electroacupuncture with standard therapy resulted in a statistically significant large effect in reduction in pain (standardized mean difference (SMD) -0.83, 95% CI -1.22; -0.43, P < 0.0001) Electroacupuncture did not produce a statistically significant result compared to manual needling therapies (SMD 0, 95% CI -0.71; 0.71, P = 1.0) In terms of long-term analgesic effects, electroacupuncture with standard therapy versus standard therapy yielded a statistically significant large effect in reduction in pain at one month (SMD -0.84, 95% CI -1.30 to -0.37, P = 0.0004) and small effect at two months (SMD -0.40, 95% CI -0.65 to -0.16, P = 0.001) after treatment completion. Limitations, including small numbers of included studies and participants, the difficulty of blinding, and clinical heterogeneity among studies, were found. The certainty of evidence for these comparisons remained very low, which highlights the need for more robust studies. Compared to standard therapy alone, electroacupuncture used with standard therapy produced greater pain reduction for nonspecific low back pain in immediate effects and one month and two months after treatment completion. The findings suggest that electroacpuncture may provide sustained pain relief for nonspecific low back pain when combined with standard therapy.

Indexed as

acupunctureelectroacupuncturelow back painnonspecific low back painpainpain management

Identifiers

PMID39610636
PMCPMC11604241

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.