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- W2068932851 abstract "Placebo Wars: Sham Acupuncture Beats Sugar Pills A recent study suggests that different placebo treatments can produce different results. A total of 270 adults with persistent arm pain from repetitive use were studied. The study was a duel between two placebos: sham acupuncture versus inert pills. The main outcome measure was pain self-reported on a 10-point scale. During the first 2 weeks, little difference was seen, but over the next 4 weeks, pain scores decreased significantly more in the sham acupuncture group than in the pill group. The sham acupuncture group also improved more on the Levine symptom severity scale. Sham acupuncture also was the more credible placebo: three quarters of participants on it thought they were getting active treatment, compared with less than half of participants on the placebo pill. Another point: reported side effects were different in each group and mirrored what they were told to expect. This study, like all studies, has limitations and confounders, but it suggests that placebo effects are malleable and depend on behaviors embedded in medical rituals [1]. Sham Arthroscopy Surgery itself can be a placebo. In a controlled trial of arthroscopic surgery for the pain and stiffness of osteoarthritis of the knee, 180 men were randomized (about 60 in each group) to lavage, debridement, or sham surgery. Most men reported some improvement over the next 1 to 2 years, but at no point did either of the intervention groups report less pain or better function than the placebo group [2]. In fact, if anything, the sham surgery group did slightly better in terms of the major outcomes. This study sparked criticism and controversy, but it is not the first study to suggest that surgery can have a strong placebo effect." @default.
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- W2068932851 date "2007-07-11" @default.
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- W2068932851 title "Sports medicine pearls and pitfalls: Pearls on the power of placebo" @default.
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- W2068932851 doi "https://doi.org/10.1007/s11932-007-0031-x" @default.
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