Randomized controlled trial of acupuncture for women with fibromyalgia: Group acupuncture with traditional Chinese medicine diagnosis-based point selection

Scott Mist, Kim Jones

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. Group acupuncture is a growing and cost-effective method for delivering acupuncture in the United States and is the practice model in China. However, group acupuncture has not been tested in a research setting. Objective. To test the treatment effect of group acupuncture vs group education in persons with fibromyalgia. Design. Random allocation two-group study with repeated measures. Setting. Group clinic in an academic health center in Portland, Oregon. Subjects. Women with confirmed diagnosis of fibromyalgia (American College of Radiology 1990 criteria) and moderate to severe pain levels. Methods. Twenty treatments of a manualized acupuncture treatment based on Traditional Chinese Medicine diagnosis or group education over 10 weeks (both 900 minutes total). Weekly Revised Fibromyalgia Impact Questionnaire (FIQR) and Global Fatigue Index at baseline, five weeks, and 10 weeks and a four-week follow-up were assessed. Results. Thirty women were recruited, with 78% reporting symptoms for longer than 10 years. The mean attendance was 810 minutes for acupuncture and 861 minutes for education. FIQR total, FIQR pain, and Global Fatigue Index all had clinically and statistically significant improvement in the group receiving acupuncture at end of treatment and four weeks post-treatment but not in participants receiving group education between groups. Conclusions. Compared with education, group acupuncture improved global symptom impact, pain, and fatigue. Furthermore, it was a safe and well-tolerated treatment option, improving a broader proportion of patients than current pharmaceutical options.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalPain Medicine (United States)
Volume19
Issue number9
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Fibromyalgia
Chinese Traditional Medicine
Acupuncture
Randomized Controlled Trials
Education
Fatigue
Pain
Acupuncture Therapy
Therapeutics
Random Allocation
Radiology
China
Costs and Cost Analysis
Health
Research
Pharmaceutical Preparations
Surveys and Questionnaires

Keywords

  • Fatigue
  • Fibromyalgia
  • Group Acupuncture
  • Pain
  • Randomized Controlled Trial
  • Traditional Chinese Medicine

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

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abstract = "Background. Group acupuncture is a growing and cost-effective method for delivering acupuncture in the United States and is the practice model in China. However, group acupuncture has not been tested in a research setting. Objective. To test the treatment effect of group acupuncture vs group education in persons with fibromyalgia. Design. Random allocation two-group study with repeated measures. Setting. Group clinic in an academic health center in Portland, Oregon. Subjects. Women with confirmed diagnosis of fibromyalgia (American College of Radiology 1990 criteria) and moderate to severe pain levels. Methods. Twenty treatments of a manualized acupuncture treatment based on Traditional Chinese Medicine diagnosis or group education over 10 weeks (both 900 minutes total). Weekly Revised Fibromyalgia Impact Questionnaire (FIQR) and Global Fatigue Index at baseline, five weeks, and 10 weeks and a four-week follow-up were assessed. Results. Thirty women were recruited, with 78{\%} reporting symptoms for longer than 10 years. The mean attendance was 810 minutes for acupuncture and 861 minutes for education. FIQR total, FIQR pain, and Global Fatigue Index all had clinically and statistically significant improvement in the group receiving acupuncture at end of treatment and four weeks post-treatment but not in participants receiving group education between groups. Conclusions. Compared with education, group acupuncture improved global symptom impact, pain, and fatigue. Furthermore, it was a safe and well-tolerated treatment option, improving a broader proportion of patients than current pharmaceutical options.",
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AB - Background. Group acupuncture is a growing and cost-effective method for delivering acupuncture in the United States and is the practice model in China. However, group acupuncture has not been tested in a research setting. Objective. To test the treatment effect of group acupuncture vs group education in persons with fibromyalgia. Design. Random allocation two-group study with repeated measures. Setting. Group clinic in an academic health center in Portland, Oregon. Subjects. Women with confirmed diagnosis of fibromyalgia (American College of Radiology 1990 criteria) and moderate to severe pain levels. Methods. Twenty treatments of a manualized acupuncture treatment based on Traditional Chinese Medicine diagnosis or group education over 10 weeks (both 900 minutes total). Weekly Revised Fibromyalgia Impact Questionnaire (FIQR) and Global Fatigue Index at baseline, five weeks, and 10 weeks and a four-week follow-up were assessed. Results. Thirty women were recruited, with 78% reporting symptoms for longer than 10 years. The mean attendance was 810 minutes for acupuncture and 861 minutes for education. FIQR total, FIQR pain, and Global Fatigue Index all had clinically and statistically significant improvement in the group receiving acupuncture at end of treatment and four weeks post-treatment but not in participants receiving group education between groups. Conclusions. Compared with education, group acupuncture improved global symptom impact, pain, and fatigue. Furthermore, it was a safe and well-tolerated treatment option, improving a broader proportion of patients than current pharmaceutical options.

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