None listed
Conditions
Brief summary
Chronic non- specific low back pain (LBP) is a prevailing and multidimensional problem, which different treatment methods were applied. Methods: 84 patients (men, aged 40-65 years) with non-specific chronic LBP were randomly allocated in four groups. The baclofen group received only orally administered baclofen (30mg/day); the acupuncture group received only acupuncture treatment at selected acupoints for chronic low back pain; the acupuncture + baclofen group received both acupuncture and baclofen treatments; and the control group followed normal life with no pain reducing interventions. Treatments were applied for five weeks and the results followed till 10th week of treatment. Outcome measures were pain intensity in terms of visual analogue scale (VAS) and self-reported pain disability in terms of Roland-Morris Disability Questionnaire (RDQ).
Interventions
acupuncture treatment for chronic low back pain orally baclofen administration.The enrolled subjects randomly were divided to: (1) control (C) group,(2) acupuncture treated (AC) group,(3) baclofen treated (BA) group, and(4) acupuncture plus baclofen treated (BA+AC) group. Treatment procedures for all groups were continued for 5 weeks, which is a standard frequency of treatments for chronic pain .
(2)Acupuncture (AC) group:
Acupuncture treatment followed the Standard Recommendation in Clinical Tr
acupuncture treatment for chronic low back pain orally baclofen administration.The enrolled subjects randomly were divided to: (1) control (C) group,(2) acupuncture treated (AC) group,(3) baclofen treated (BA) group, and(4) acupuncture plus baclofen treated (BA+AC) group. Treatment procedures for all groups were continued for 5 weeks, which is a standard frequency of treatments for chronic pain . (2)Acupuncture (AC) group: Acupuncture treatment followed the Standard Recommendation in Clinical Trial of Acupuncture (STRICTA) (18). Subjects in this group received acupuncture treatment 2 times a week for 5 weeks by certified acupuncturist. Acupuncture protocol followed the modern approach to acupuncture which incorporates neurohumoral theories of acupuncture treatment mechanism. Each patient, according to major acupuncture references, received needle in following selected acupoints: Shenshu (BL23), Dachangshu (BL25), Panguanshu (BL28) Ciliao (BL32), Kunlum (BL60), huantiao(GB30) and Yanglingquan (GB 34). Aseptic procedure and disposable, stainless, 30- gauge needles with electrical stimulation at 4-6 Hz with pulse duration of 0.5 ms were used (28, 29). Needles (0.2 mm × 40 mm, Seirin Co Ltd) were inserted into the acupoints till the subject felt dull pain or de qi. At each session 10-12 needles were used and needles were left in place for 20-25 minutes. (3)Baclofen (BA) group: The 30 mg/day orally administered dose of baclofen is recommended as effective dose in chronic LBP. It is also known that at this dose required for pain relief, no motor impairment was observed (24). (4)Acupuncture plus baclofen treated (BA+AC) group: These patients in A+B treated group received both baclofen (30 mg/day, orally) and, 2 times a week, 20-25 min acupuncture treatment (according to acupuncture method which mentioned above) for 5 weeks.
Sponsors
jalal zaringhalam
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
Male
Age
50 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
(1) lumbar or lumbosacral pain for six months or longer; (2) no radiation of low back pain to other regions; (3) normal neurological signs of lumbosacral nerve including: deep tendon and plantar reflexes, voluntary muscle activities, straight leg raising, and sensory functions; and (4) not receiving any other treatments for more than 3 months before beginning the study.
Exclusion criteria
(1) major trauma or systemic disorders; (2) receiving conflicting or ongoing co-interventions; (3) the prior use of acupuncture for Low Back Pain(LBP); and (4) refusal to be randomized
Outcome results
None listed