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Biomedical subjects

Anita Gross

Publications and source records attributed to Anita Gross.

3 recordsLinked to original sources

Acupuncture for neck disorders.

STUDY DESIGN: Systematic review. OBJECTIVE: To determine the effects of acupuncture for individuals with neck pain. SUMMARY OF BACKGROUND DATA: Neck pain is one of the 3 most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are the perceptions of benefits. METHODS.: We searched CENTRAL (2006, issue 1) and MEDLINE, EMBASE, MANTIS, Cumulative Index to Nursing and Allied Health Literature from their beginning to February 2006. We searched reference lists and the acupuncture database TCMLARS in China. Any published trials using randomized (RCT) or quasi-randomized (quasi-RCT) assignment to the intervention groups, either in full text or abstract form, were included. RESULTS: We found 10 trials that examined acupuncture treatments for chronic neck pain. Overall, methodologic quality had a mean of 2.3 of 5 on the Jadad scale. For chronic mechanical neck disorders, there was moderate evidence that acupuncture was more effective for pain relief than some types of sham controls, measured immediately posttreatment. There was moderate evidence that acupuncture was more effective than inactive, sham treatments measured immediately posttreatment, and at short-term follow-up (pooled standardized mean difference, -0.37; 95% confidence interval, -0.61 to -0.12). There was limited evidence that acupuncture was more effective than massage at short-term follow-up. For chronic neck disorders with radicular symptoms, there was moderate evidence that acupuncture was more effective than a wait-list control at short-term follow-up. CONCLUSIONS: There is moderate evidence that acupuncture relieves pain better than some sham treatments, measured at the end of the treatment. There is moderate evidence that those who received acupuncture reported less pain at short-term follow-up than those on a waiting list. There is also moderate evidence that acupuncture is more effective than inactive treatments for relieving pain posttreatment, and this is maintained at short-term follow-up.

Acupuncture Therapy↗

Reliability of the long-range power-law correlations obtained from the bilateral stride intervals in asymptomatic volunteers whilst treadmill walking.

Stride intervals measured during steady-state walking are irregular. These stride interval fluctuations are not random but exhibit long-range power-law correlation (alpha) such that a given stride interval is 'influenced' by earlier variations in the stride intervals. To estimate alpha, one requires a minute long sequence of right or left side stride interval data. However, to obtain a reliable alpha point estimate, the minimal stride sequence length is unknown. Additionally, it is unknown if the right and left side alpha are equivalent. In this study, the within-day and the right and left side reliabilities of alpha point estimates were examined in 23 volunteers performing three 8-min treadmill walks. In addition, eight volunteers were retested on three additional days to estimate between-day reliability. The standard error of measurement (S.E.M.) and the within- and between-day intraclass correlation (ICC) values, and their 95% confidence intervals, each calculated using the combined right and left leg 8-min alpha estimates were acceptable [0.047 (0.044-0.051); 0.914 (0.882-0.932) and 0.769 (0.689-0.815), respectively]. The left alpha (0.688 +/- 0.93) was greater than the right alpha (0.664 +/- 0.094), albeit this finding was underpowered (0.55). The alpha point estimates obtained from the full 8-min walks provided minimal S.E.M. and maximal within- and between-day ICCs. However, the minimal S.E.M. was statistically indistinguishable from the 6- and 7-min walk durations and all of the within-day and between-day ICCs were similar except for the 3- and 8-min between-day ICCs. This study suggests that data from four 3 min, three 6 min or two 8 min walk duration trials provide reliable alpha point estimates from a short series of short treadmill walks.

Adolescent↗