Acupuncture versus placebo for the treatment of chronic mechanical neck pain: a randomized, controlled trial
- PMID: 15611488
- DOI: 10.7326/0003-4819-141-12-200412210-00007
Acupuncture versus placebo for the treatment of chronic mechanical neck pain: a randomized, controlled trial
Abstract
Background: Despite substantial increases in its popularity and use, the efficacy of acupuncture for chronic mechanical neck pain remains unproved.
Objective: To compare acupuncture and placebo for neck pain.
Design: A randomized, single-blind, placebo-controlled, parallel-arm trial with 1-year follow-up.
Setting: The outpatient departments of 2 major hospitals in the United Kingdom, 1999 to 2001.
Patients: 135 patients 18 to 80 years of age who had chronic mechanical neck pain. Eleven patients withdrew from treatment, and 124 completed the primary end point.
Measurements: The primary outcome was pain 1 week after treatment, according to a visual analogue scale. Secondary outcomes were pain at other time points, score on the Neck Disability Index and the Short Form-36, and use of analgesic medications.
Interventions: Patients were randomly assigned to receive, over 4 weeks, 8 treatments with acupuncture or with mock transcutaneous electrical stimulation of acupuncture points using a decommissioned electroacupuncture stimulation unit.
Results: Both groups improved statistically from baseline, and acupuncture and placebo had similar credibility. For the primary outcome (weeks 1 to 5), a statistically significant difference in visual analogue scale score in favor of acupuncture (6.3 mm [95% CI, 1.4 to 11.3 mm]; P = 0.01) was observed between the 2 study groups, after adjustment for baseline pain and other covariates. However, this difference was not clinically significant because it demonstrated only a 12% (CI, 3% to 21%) difference between acupuncture and placebo. Secondary outcomes showed a similar pattern.
Limitations: All treatments were provided by 1 practitioner. Although the control was credible, it did not mimic the process of needling. A nonintervention group was not present to control for regression to the mean.
Conclusions: Acupuncture reduced neck pain and produced a statistically, but not clinically, significant effect compared with placebo. The beneficial effects of acupuncture for pain may be due to both nonspecific and specific effects.
Comment in
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Treatments for back pain: can we get past trivial effects?Ann Intern Med. 2004 Dec 21;141(12):957-8. doi: 10.7326/0003-4819-141-12-200412210-00012. Ann Intern Med. 2004. PMID: 15611493 No abstract available.
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Acupuncture for chronic mechanical neck pain.Ann Intern Med. 2005 May 17;142(10):873; author reply 873-4. doi: 10.7326/0003-4819-142-10-200505170-00021. Ann Intern Med. 2005. PMID: 15897544 No abstract available.
Summary for patients in
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Summaries for patients. Acupuncture for treatment of chronic neck pain.Ann Intern Med. 2004 Dec 21;141(12):I26. doi: 10.7326/0003-4819-141-12-200412210-00002. Ann Intern Med. 2004. PMID: 15611483 No abstract available.
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