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Chronic nonspecific low back pain is a major health and socioeconomic responsible for a high rate of employee absenteeism and reduced functional performance. The use of acupuncture as an alternative therapy in the treatment of low back pain and electroacupuncture to enhance the treatment has been effective; however, there is little evidence of the effectiveness of one over the other.
OBJECTIVE: To compare the effect of acupuncture and electroacupuncture as an alternative therapy in patients with chronic low back pain to be able to identify whether electroacupuncture has more benefits than just acupuncture in the treatment of low back pain to be more widespread with scientific.
METHOD: Sixty subjects will be randomized into two groups: Group Acupuncture treatment of low back pain (AG) and Group Acupuncture with the use of electroacupuncture (EG). The primary clinical outcomes will be pain, assessed with the numerical pain scale and McGill Pain Questionnaire and disability assessed with Roland Morris Disability Questionnaire. Secondary outcomes will be measured with global perception scale of global perceived effect, quality of life using the Short-Form Health Survey questionnaire (SF-36), Beck Depression (Beck Depression Inventory BDI), Flexibility, kinesiophobia and through bank Wells. The groups will be treated with two weekly sessions lasting about an hour, 6 weeks, totaling 12 sessions. The outcomes will be achieved in the final and initial ratings after six months of treatment completion. Data will be collected by a blinded examiner who also has made the allocation of patients to groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupuncture group | Active Comparator | This group perform acupuncture needles brand Dong Bang 20x15 in specific spots for the treatment of low back pain. |
|
| Electroacupuncture group | Active Comparator | Electro Group, will be added through the use of electrical stimulation of electroacupuncture using the apparatus Accurate pulse 585 at the same points. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupuncture | Device | Acupuncture Group, which will hold acupuncture needles brand Dong Bang 20x15 in specific spots for the treatment of low back pain. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain | Pain Numerical Rating Scale (NRS) and McGill Pain Questionnaire | 6 weeks |
| Functional Disability | Roland Morris Disability Questionnaire | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Scale of Kinesiophobia (TSK) | Self-applied questionnaire of 17 items, which was developed to measure the fear of movement due to cLBP. Each question has 4 4 response options (strongly disagree, agree, and strongly agree) with scores respectively ranging from 1 to 4 points. | 6 weeks |
| Quality of life |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amélia P Marques, PHD | Contact | pasqual@usp.br | ||
| Josielli Comachio | Contact | josiellicomachio@usp.br |
| Name | Affiliation | Role |
|---|---|---|
| Josielli Comachio | University of Sao Paulo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medicine School of the University Of São Paulo | Recruiting | São Paulo | São Paulo | 01246903 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26472590 | Derived | Comachio J, Oliveira Magalhaes M, Nogueira Burke T, Vidal Ramos LA, Peixoto Leao Almeida G, Silva AP, Ferreira de Meneses SR, Costa-Frutuoso JR, Santos Miotto Amorim C, Pasqual Marques A. Efficacy of acupuncture and electroacupuncture in patients with nonspecific low back pain: study protocol for a randomized controlled trial. Trials. 2015 Oct 15;16:469. doi: 10.1186/s13063-015-0850-7. |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D015670 | Acupuncture Therapy |
| D015671 | Electroacupuncture |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D003131 | Combined Modality Therapy |
| D004599 | Electric Stimulation Therapy |
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| Electroacupuncture (device 585) | Device | Electro will be added through the use of electrical stimulation to the Electro Accurate use of the device 585 at the same points Pulse. |
|
Short-Form Health Survey Questionnaire |
| 6 weeks |
| Global Perceived Effect | Global Perceived Effect Scale | 6 weeks |
| Beck Depression | Beck Depression Inventory BDI | 6 weeks |
| Third finger to the ground | Third finger of the hand to the ground test to assess the flexibility of the posterior chain. | 6 weeks |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
| D000758 | Anesthesia |