Medical Acupuncture - Pre Reading 1
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14/06/2013 1 Medical Acupuncture Evidence: Scientific and Effective. Dr . Ian Relf MBBS, BSc Hons, MSc (Monash/PHH), DipRACOG, FRACGP, FAMAC Research Fellow Melbourne University Mentor Monash University Post Grad Acupuncture Board member Arthritis Victoria Meta‐analysis – measures the overall effect size Levels of evidence 1 trial 20 people Level 1 evidence‐ 500‐1000 people: Many trials added together ‘Gold standard’ 10,000 + people treated/trials added 2012 ‐ Overall analysis highly positive – 17,922 patients • Acupuncture for Chronic Pain • Meta‐analysis positive Compared with no‐acupuncture controls; the effect sizes were 0.55, 0.57, and 0.42 standard deviations for back and neck pain, osteoarthritis, and chronic headache, respectively. • Andrew J. Vickers et al ‐ JAMA ‐ Arch Intern Med. Published online September 10, 2012. doi:10.1001/archinternmed.2012.3654 Acupuncture – MSK Pain Back & Neck Pain Lancet Box plot ‐ Chow et al 2009 Level 1 ‐ Neck Pain – Lancet 2009 ‐ Laser acupuncture • Efficacy of low level laser therapy in neck pain: a systematic review. Roberta T Chow, Mark I Johnson, Rodrigo A B Lopes‐Martins, Jan M Bjordal • 16 RCT’s (820 patients) • RR for pain improvement of 4∙05 (2∙74–5∙98) • Acute & chronic neck pain Conclusions Laser ‐ LLLT ‐ reduces pain immediately in acute neck pain Chronic improvement neck pain lasting >5mo
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