Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial

Ruth F Hunter, Suzanne McDonough, Ian Bradbury, S D Liddle, Deirdre M Walsh, Sue Dhamija, Philip Glasgow, Gerard Gormley, Siobhan M McCann, Jongbae Park, Deirdre A Hurley, Anthony Delitto, George David Baxter

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Abstract

OBJECTIVES: To evaluate the feasibility of a randomized-controlled trial (RCT) investigating the effects of adding auricular acupuncture (AA) to exercise for participants with chronic low-back pain (CLBP).METHODS: Participants with CLBP were recruited from primary care and a university population and were randomly allocated (n=51) to 1 of 2 groups: (1) "Exercise Alone (E)"-12-week program consisting of 6 weeks of supervised exercise followed by 6 weeks unsupervised exercise (n=27); or (2) "Exercise and AA (EAA)"-12-week exercise program and AA (n=24). Outcome measures were recorded at baseline, week 8, week 13, and 6 months. The primary outcome measure was the Oswestry Disability Questionnaire.RESULTS: Participants in the EAA group demonstrated a greater mean improvement of 10.7% points (95% confidence interval, -15.3,-5.7) (effect size=1.20) in the Oswestry Disability Questionnaire at 6 months compared with 6.7% points (95% confidence interval, -11.4,-1.9) in the E group (effect size=0.58). There was also a trend towards a greater mean improvement in quality of life, LBP intensity and bothersomeness, and fear-avoidance beliefs in the EAA group. The dropout rate for this trial was lower than anticipated (15% at 6 mo), adherence with exercise was similar (72% E; 65% EAA). Adverse effects for AA ranged from 1% to 14% of participants.DISCUSSION: Findings of this study showed that a main RCT is feasible and that 56 participants per group would need to be recruited, using multiple recruitment approaches. AA was safe and demonstrated additional benefits when combined with exercise for people with CLBP, which requires confirmation in a fully powered RCT.
LanguageEnglish
Pages259-267
JournalThe Clinical Journal of Pain
Volume28
Issue number3
DOIs
Publication statusPublished - 2012

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Ear Acupuncture
Low Back Pain
Randomized Controlled Trials
Outcome Assessment (Health Care)
Confidence Intervals
Fear
Primary Health Care
Quality of Life
Population

Cite this

Hunter, Ruth F ; McDonough, Suzanne ; Bradbury, Ian ; Liddle, S D ; Walsh, Deirdre M ; Dhamija, Sue ; Glasgow, Philip ; Gormley, Gerard ; McCann, Siobhan M ; Park, Jongbae ; Hurley, Deirdre A ; Delitto, Anthony ; Baxter, George David. / Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial. In: The Clinical Journal of Pain. 2012 ; Vol. 28, No. 3. pp. 259-267.
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abstract = "OBJECTIVES: To evaluate the feasibility of a randomized-controlled trial (RCT) investigating the effects of adding auricular acupuncture (AA) to exercise for participants with chronic low-back pain (CLBP).METHODS: Participants with CLBP were recruited from primary care and a university population and were randomly allocated (n=51) to 1 of 2 groups: (1) {"}Exercise Alone (E){"}-12-week program consisting of 6 weeks of supervised exercise followed by 6 weeks unsupervised exercise (n=27); or (2) {"}Exercise and AA (EAA){"}-12-week exercise program and AA (n=24). Outcome measures were recorded at baseline, week 8, week 13, and 6 months. The primary outcome measure was the Oswestry Disability Questionnaire.RESULTS: Participants in the EAA group demonstrated a greater mean improvement of 10.7{\%} points (95{\%} confidence interval, -15.3,-5.7) (effect size=1.20) in the Oswestry Disability Questionnaire at 6 months compared with 6.7{\%} points (95{\%} confidence interval, -11.4,-1.9) in the E group (effect size=0.58). There was also a trend towards a greater mean improvement in quality of life, LBP intensity and bothersomeness, and fear-avoidance beliefs in the EAA group. The dropout rate for this trial was lower than anticipated (15{\%} at 6 mo), adherence with exercise was similar (72{\%} E; 65{\%} EAA). Adverse effects for AA ranged from 1{\%} to 14{\%} of participants.DISCUSSION: Findings of this study showed that a main RCT is feasible and that 56 participants per group would need to be recruited, using multiple recruitment approaches. AA was safe and demonstrated additional benefits when combined with exercise for people with CLBP, which requires confirmation in a fully powered RCT.",
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Hunter, RF, McDonough, S, Bradbury, I, Liddle, SD, Walsh, DM, Dhamija, S, Glasgow, P, Gormley, G, McCann, SM, Park, J, Hurley, DA, Delitto, A & Baxter, GD 2012, 'Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial', The Clinical Journal of Pain, vol. 28, no. 3, pp. 259-267. https://doi.org/10.1097/AJP.0b013e3182274018

Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial. / Hunter, Ruth F; McDonough, Suzanne; Bradbury, Ian; Liddle, S D; Walsh, Deirdre M; Dhamija, Sue; Glasgow, Philip; Gormley, Gerard; McCann, Siobhan M; Park, Jongbae; Hurley, Deirdre A; Delitto, Anthony; Baxter, George David.

In: The Clinical Journal of Pain, Vol. 28, No. 3, 2012, p. 259-267.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial

AU - Hunter, Ruth F

AU - McDonough, Suzanne

AU - Bradbury, Ian

AU - Liddle, S D

AU - Walsh, Deirdre M

AU - Dhamija, Sue

AU - Glasgow, Philip

AU - Gormley, Gerard

AU - McCann, Siobhan M

AU - Park, Jongbae

AU - Hurley, Deirdre A

AU - Delitto, Anthony

AU - Baxter, George David

PY - 2012

Y1 - 2012

N2 - OBJECTIVES: To evaluate the feasibility of a randomized-controlled trial (RCT) investigating the effects of adding auricular acupuncture (AA) to exercise for participants with chronic low-back pain (CLBP).METHODS: Participants with CLBP were recruited from primary care and a university population and were randomly allocated (n=51) to 1 of 2 groups: (1) "Exercise Alone (E)"-12-week program consisting of 6 weeks of supervised exercise followed by 6 weeks unsupervised exercise (n=27); or (2) "Exercise and AA (EAA)"-12-week exercise program and AA (n=24). Outcome measures were recorded at baseline, week 8, week 13, and 6 months. The primary outcome measure was the Oswestry Disability Questionnaire.RESULTS: Participants in the EAA group demonstrated a greater mean improvement of 10.7% points (95% confidence interval, -15.3,-5.7) (effect size=1.20) in the Oswestry Disability Questionnaire at 6 months compared with 6.7% points (95% confidence interval, -11.4,-1.9) in the E group (effect size=0.58). There was also a trend towards a greater mean improvement in quality of life, LBP intensity and bothersomeness, and fear-avoidance beliefs in the EAA group. The dropout rate for this trial was lower than anticipated (15% at 6 mo), adherence with exercise was similar (72% E; 65% EAA). Adverse effects for AA ranged from 1% to 14% of participants.DISCUSSION: Findings of this study showed that a main RCT is feasible and that 56 participants per group would need to be recruited, using multiple recruitment approaches. AA was safe and demonstrated additional benefits when combined with exercise for people with CLBP, which requires confirmation in a fully powered RCT.

AB - OBJECTIVES: To evaluate the feasibility of a randomized-controlled trial (RCT) investigating the effects of adding auricular acupuncture (AA) to exercise for participants with chronic low-back pain (CLBP).METHODS: Participants with CLBP were recruited from primary care and a university population and were randomly allocated (n=51) to 1 of 2 groups: (1) "Exercise Alone (E)"-12-week program consisting of 6 weeks of supervised exercise followed by 6 weeks unsupervised exercise (n=27); or (2) "Exercise and AA (EAA)"-12-week exercise program and AA (n=24). Outcome measures were recorded at baseline, week 8, week 13, and 6 months. The primary outcome measure was the Oswestry Disability Questionnaire.RESULTS: Participants in the EAA group demonstrated a greater mean improvement of 10.7% points (95% confidence interval, -15.3,-5.7) (effect size=1.20) in the Oswestry Disability Questionnaire at 6 months compared with 6.7% points (95% confidence interval, -11.4,-1.9) in the E group (effect size=0.58). There was also a trend towards a greater mean improvement in quality of life, LBP intensity and bothersomeness, and fear-avoidance beliefs in the EAA group. The dropout rate for this trial was lower than anticipated (15% at 6 mo), adherence with exercise was similar (72% E; 65% EAA). Adverse effects for AA ranged from 1% to 14% of participants.DISCUSSION: Findings of this study showed that a main RCT is feasible and that 56 participants per group would need to be recruited, using multiple recruitment approaches. AA was safe and demonstrated additional benefits when combined with exercise for people with CLBP, which requires confirmation in a fully powered RCT.

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DO - 10.1097/AJP.0b013e3182274018

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EP - 267

JO - Clinical Journal of Pain

T2 - Clinical Journal of Pain

JF - Clinical Journal of Pain

SN - 0749-8047

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ER -