A Systematic Review and Meta-Analysis of Efficacy, Cost-Effectiveness, and Safety of Selected Complementary and Alternative Medicine for Neck and Low-Back Pain
Joint Authors
Furlan, Andrea D.
Yazdi, Fatemeh
Tsertsvadze, Alexander
Gross, Anita
Van Tulder, Maurits
Santaguida, Lina
Gagnier, Joel
Ammendolia, Carlo
Dryden, Trish
Doucette, Steve
Skidmore, Becky
Tsouros, Sophia
Daniel, Raymond
Ostermann, Thomas
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-61, 61 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-11-24
Country of Publication
Egypt
No. of Pages
61
Main Subjects
Abstract EN
Background.
Back pain is a common problem and a major cause of disability and health care utilization.
Purpose.
To evaluate the efficacy, harms, and costs of the most common CAM treatments (acupuncture, massage, spinal manipulation, and mobilization) for neck/low-back pain.
Data Sources.
Records without language restriction from various databases up to February 2010.
Data Extraction.
The efficacy outcomes of interest were pain intensity and disability.
Data Synthesis.
Reports of 147 randomized trials and 5 nonrandomized studies were included.
CAM treatments were more effective in reducing pain and disability compared to no treatment, physical therapy (exercise and/or electrotherapy) or usual care immediately or at short-term follow-up.
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 transient nature.
Conclusions.
CAM treatments were significantly more efficacious than no treatment, placebo, physical therapy, or usual care in reducing pain immediately or at short-term after treatment.
CAM therapies did not significantly reduce disability compared to sham.
None of the CAM treatments was shown systematically as superior to one another.
More efforts are needed to improve the conduct and reporting of studies of CAM treatments.
American Psychological Association (APA)
Furlan, Andrea D.& Yazdi, Fatemeh& Tsertsvadze, Alexander& Gross, Anita& Van Tulder, Maurits& Santaguida, Lina…[et al.]. 2011. A Systematic Review and Meta-Analysis of Efficacy, Cost-Effectiveness, and Safety of Selected Complementary and Alternative Medicine for Neck and Low-Back Pain. Evidence-Based Complementary and Alternative Medicine،Vol. 2012, no. 2012, pp.1-61.
https://search.emarefa.net/detail/BIM-1028646
Modern Language Association (MLA)
Furlan, Andrea D.…[et al.]. A Systematic Review and Meta-Analysis of Efficacy, Cost-Effectiveness, and Safety of Selected Complementary and Alternative Medicine for Neck and Low-Back Pain. Evidence-Based Complementary and Alternative Medicine No. 2012 (2012), pp.1-61.
https://search.emarefa.net/detail/BIM-1028646
American Medical Association (AMA)
Furlan, Andrea D.& Yazdi, Fatemeh& Tsertsvadze, Alexander& Gross, Anita& Van Tulder, Maurits& Santaguida, Lina…[et al.]. A Systematic Review and Meta-Analysis of Efficacy, Cost-Effectiveness, and Safety of Selected Complementary and Alternative Medicine for Neck and Low-Back Pain. Evidence-Based Complementary and Alternative Medicine. 2011. Vol. 2012, no. 2012, pp.1-61.
https://search.emarefa.net/detail/BIM-1028646
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1028646