Artículos de revistas
Challenges and Recommendations for Placebo Controls in Randomized Trials in Physical and Rehabilitation Medicine A Report of the International Placebo Symposium Working Group
Fecha
2010Registro en:
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, v.89, n.2, p.160-172, 2010
0894-9115
10.1097/PHM.0b013e3181bc0bbd
Autor
FREGNI, Felipe
IMAMURA, Marta
CHIEN, Hsin Fen
LEW, Henry L.
BOGGIO, Paulo
KAPTCHUK, Ted J.
RIBERTO, Marcelo
HSING, Wu Tu
BATTISTELLA, Linamara Rizzo
FURLAN, Andrea
Institución
Resumen
Compared with other specialties, the field of physical and rehabilitation medicine has not received the deserved recognition from clinicians and researchers in the scientific community. One of the reasons is the lack of sound evidence to support the traditional physical and rehabilitation medicine treatments. The best way to change this disadvantage is through a well conducted clinical research, such as standard placebo- or sham-controlled randomized clinical trials. Therefore, having placebo groups in clinical trials is essential to improve the level of evidence-based practice in physical and rehabilitation medicine that ultimately translates to better clinical care. To address the challenges for the use of placebo in physical and rehabilitation medicine and randomized clinical trials and to create useful recommendations, we convened a working group during the inaugural International Symposium in Placebo (February 2009, in Sao Paulo, Brazil) in which the following topics were discussed: (1) current status of randomized clinical trials in physical and rehabilitation medicine, (2) challenges for the use of placebo in physical and rehabilitation medicine, (3) bioethics, (4) use of placebo in acupuncture trials and for the treatment of low-back pain, (5) mechanisms of placebo, and (6) insights from other specialties. The current article represents the consensus report from the working group.