Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: A randomised cross-over experiment
MetadataShow full item record
This article has been accepted for publication in, Wand, Benedict Martin and Abbaszadeh, Sam and Smith, Anne Julia and Catley, Mark Jon and Moseley, G. Lorimer. 2013. Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: A randomised cross-over experiment. British Journal of Sports Medicine. 47 (17): pp. 1085-1089, following peer review and can also be viewed at http://bjsm.bmj.com/
Background: High-quality clinical evidence suggests that although acupuncture appears superior to usual care in the management of chronic low back pain, there is little meaningful difference between true and sham acupuncture. This suggests that the benefits of acupuncture are mediated by the placebo response. An alternative explanation is that sham acupuncture is an active treatment and shares a mechanism of action with traditionally applied acupuncture. One plausible candidate for this mechanism is improvement in self-perception mediated through the sensory discrimination-like qualities of acupuncture. We aimed to compare the effects of acupuncture with a sensory discrimination training component to acupuncture without.Methods: 25 people with chronic low back pain were enroled in a randomised cross-over experiment. We compared the effect of acupuncture delivered when sensory discrimination is optimised to acupuncture delivered when it is not, on movement-related back pain immediately after each intervention.Results: We found that the average pain intensity after participants had received acupuncture with sensory discrimination training (2.8±2.5) was less than when they received acupuncture without sensory discrimination training (3.6±2.0). This difference was statistically significant (after adjustment; mean difference=−0.8, 95% CI −1.4 to −0.3; p=0.011).Conclusions: Our findings are consistent with the idea that acupuncture may offer specific benefit that is not dependent on precisely where the needles are inserted so much as that the patient attends to where they are inserted. If so, the location of the needles might be better focused on the painful area and the need for penetration of the skin may be mitigated.
Showing items related by title, author, creator and subject.
STarT Back Tool risk stratification is associated with changes in movement profile and sensory discrimination in low back pain: A study of 290 patientsRabey, Martin; Kendall, Michelle; Godden, Chris; Liburd, Jermaine; Netley, Hayley; O'Shaughnessy, Ciaran; O'Sullivan, Peter; Smith, Anne; Beales, Darren (2019)Background: Investigation of movement and sensory profiles across STarT Back risk subgroups. Methods: A chronic low back pain cohort (n = 290) were classified as low, medium or high risk using the STarT Back Tool, and ...
Somatosensory nociceptive characteristics differentiate subgroups in people with chronic low back pain: a cluster analysisRabey, Martin; Slater, Helen; O'Sullivan, Peter; Beales, Darren; Smith, Anne (2015)The objectives of this study were to explore the existence of subgroups in a cohort with chronic low back pain (n = 294) based on the results of multimodal sensory testing and profile subgroups on demographic, psychological, ...
Schäfer, Axel (2009)Background summary. Leg pain is a common complaint in relation to low back pain (LBP), present in up to 65% of all patients with LBP. Radiating leg pain is an important predictor for chronicity of LBP and an indicator of ...