Box 3

The evidence base for CAM using the examples of back pain and anxiety

TherapyBack painAnxiety
Evidence based on systematic reviews summarised in Ernst et al.32
AcupunctureSubstantial amount of RCTs, overall result tentatively positiveInsufficient data
AromatherapyInsufficient dataSeveral RCTs, overall result tentatively positive
Autogenic trainingInsufficient dataSeveral RCTs, overall result tentatively positive
BiofeedbackInsufficient dataSeveral RCTs, overall result not clear
Herbal medicineDevil's claw: few RCTs, overall result positiveKava: satisfactory amount of RCTs, overall result positive
HomoeopathyInsufficient dataInsufficient data
HypnotherapyInsufficient dataInsufficient data
MassageFew RCTs, overall result tentatively positiveFew RCTs, overall result tentatively positive
MeditationInsufficient dataSeveral RCTs, overall result positive
RelaxationInsufficient dataSeveral RCTs, overall result positive
Spinal manipulationSubstantial amount of RCTs, overall tentatively positive for acute back pain and less clear for chronic back painFew RCTs, overall result negative
Spiritual healingInsufficient dataInsufficient data