20. October 2016 · Comments Off · Categories: Elderly, Tai Chi Chuan

Chinese and American investigators have found evidence that tai chi can help older women improve their cognition and postural control, specifically while dual tasking. Thirty-one older women were randomised to tai chi (three sessions per week) or a control group (general interest classes) for 16 weeks. Balance was tested in single leg stance after stepping down from a step, with and without a concurrent auditory response task. Tai chi subjects made fewer errors in the auditory test under dual-task conditions after tai chi training. They also showed significant improvements in their balance after training, in both single- and dual-task conditions. Subjects in the control group did not show any significant improvement in the dual-task condition after the intervention.
Effects of Tai Chi training on postural control and cognitive performance while dual tasking – a randomized clinical trial. J Complement Integr Med. 2016 Jun 1;13(2):181-7.

20. October 2016 · Comments Off · Categories: Acupuncture, Pain

Acupuncture is an acceptable and effective adjunctive method for reducing pain and anxiety in an emergency department (ED) setting, report American clinicians. In a pilot observational study, retrospective data was used to identify patients who had received individualised acupuncture in addition to standard medical care in the ED. A total of 182 patients were included in their analyses. Of the 52% of patients who did not receive analgesics before or during the acupuncture session, the average reported decrease in pain (2.37 points) was not different to the mean decrease of those who received analgesics (2.68 points). In addition there was a significant improvement in anxiety scores amongst those who received acupuncture.
Acceptability, Adaptation, and Clinical Outcomes of Acupuncture Provided in the Emergency Department: A Retrospective Pilot Study. Pain Med. 2016 Feb 25. pii: pnv114. [Epub ahead of print].

20. October 2016 · Comments Off · Categories: Acupuncture, Insomnia, Menopause

Acupuncture is associated with a significant reduction in symptoms in women experiencing menopause-related sleep disturbances, according to a systematic review from Taiwan. The authors identified 31 randomised controlled trials involving a total of 2,433 participants. Meta-analysis showed that acupuncture was associated with a significant reduction in the likelihood of sleep disturbances, along with a significant increase in the secretion of estradiol and a reduction in the secretion of follicle-stimulating hormone and luteinising hormone.
Acupuncture to Reduce Sleep Disturbances in Perimenopausal and Postmenopausal Women: A Systematic Review and Meta-analysis. Obstet Gynecol. 2016 Mar;127(3):507-15.

20. October 2016 · Comments Off · Categories: Acupuncture, Headache, Pain

A Cochrane systematic review suggests that a course of acupuncture consisting of at least six treatments can be a valuable option for people with frequent tension-type headache. The international team of authors included 12 trials with 2349 adults in their updated review. They highlighted the finding in two large trials that acupuncture added to usual care (pain-killers) resulted in 48 out of 100 participants’ headache frequency reducing by more than half, compared to just 17 out of 100 participants who received usual care only. When compared with sham acupuncture (six trials), headache frequency halved in 52 of 100 participants receiving true acupuncture, compared with 43 of 100 participants receiving sham. One large, high quality trial (with about 400 participants), showed that the effect of true acupuncture was still present six months post-treatment.
Acupuncture for the prevention of tension-type headache. Cochrane Database Syst Rev. 2016 Apr 19;4:CD007587.

20. October 2016 · Comments Off · Categories: Acupuncture

Acupuncture treatment can reduce hospital visits and decrease total hospital charges among vulnerable patient populations, according to a retrospective observational study carried out in the USA. A total of 329 patients who received free acupuncture at a large urban safety-net hospital system were stratified into five groups based on their number of acupuncture treatments: 1-3, 4-6, 7-9, 10-12, or 13-15 treatments. (A safety-net hospital is one that provides a disproportionate amount of care to vulnerable populations, including patients who are low income and underinsured, elderly, disabled, minorities and immigrants.) The total number of biomedical hospital visits and total associated charges were compared six months before and six months after initiation of acupuncture. Although not statistically significant, there appeared to be an association between acupuncture treatment and a decrease in total hospital charges. The group receiving 1-3 acupuncture treatments showed a per-patient average increase of $1771.34 in total charges in the six-month period after acupuncture. However charges decreased by $7835.66 among patients who had 4–10 visits, and patients who received 7-9 treatments showed the largest average decrease in total healthcare charges ($8967.24).

Does Acupuncture Treatment Affect Utilization of Other Hospital Services at an Urban Safety-Net Hospital? J Altern Complement Med. 2016 Apr;22(4):323-7.