Minimal acupuncture is not a valid placebo control in randomised controlled trials of acupuncture: a physiologist's perspective
2009

Minimal Acupuncture as a Placebo Control in Acupuncture Trials

Commentary Evidence: moderate

Author Information

Author(s): Iréne Lund, Jan Näslund, Thomas Lundeberg

Primary Institution: Karolinska Institutet, Stockholm, Sweden

Hypothesis

Minimal acupuncture is not a valid placebo control in randomized controlled trials of acupuncture.

Conclusion

Minimal acupuncture may have therapeutic effects and cannot serve as an inert placebo control in acupuncture studies.

Supporting Evidence

  • Both acupuncture and minimal acupuncture procedures induced significant alleviation of migraine.
  • Acupuncture was found to be more potent than minimal acupuncture in conditions like low back pain and knee osteoarthritis.
  • Minimal acupuncture may not be inert and can have both specific and non-specific effects.

Takeaway

This study says that minimal acupuncture, which is a lighter form of acupuncture, can actually help people feel better, so it shouldn't be used as a fake treatment in studies.

Potential Biases

Using minimal acupuncture as a placebo may introduce bias against the treatment being tested.

Limitations

The study discusses the complexity of acupuncture and the challenges in defining valid placebo controls.

Digital Object Identifier (DOI)

10.1186/1749-8546-4-1

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