07. November 2018 · Comments Off · Categories: Acupuncture, Menopause

An umbrella systematic review (a ‘review of reviews’), which assessed the effectiveness of acupuncture for menopause symptoms, has concluded that current evidence from RCTs supports its use. Three systematic reviews (1127 women) were identified that met the American authors’ eligibility criteria, and data from four more recent RCTs (696 women) were also included. Meta-analyses revealed statistically significant differences associated with acupuncture – used as either an adjunctive or stand-alone treatment, compared with no acupuncture – for reducing vasomotor frequency and severity, and improving health-related quality of life. While follow-up time of the studies varied, some demonstrated reductions in hot flush frequency that were maintained for 12 months or more. Differences were smaller or not statistically significant when acupuncture was compared with sham acupuncture. The authors conclude that the evidence supports the use of acupuncture in the treatment of menopause-related vasomotor symptoms, with the caveat that the observed clinical benefit associated with acupuncture may be partly due to non-specific effects.

Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis. J Altern Complement Med. 2018 Apr;24(4):314-323.

07. November 2018 · Comments Off · Categories: Acupuncture, Depression

A Cochrane database systematic review has concluded that acupuncture may result in a moderate reduction in the severity of depression when compared with treatment as usual or no treatment. The Australian authors additionally concluded that use of acupuncture led to a small reduction in the severity of depression when compared with control acupuncture. Sixty-four studies (7104 participants) were included in their analysis, although the quality of evidence from most included studies was rated as as very low or low, meaning that the results should be interpreted with caution. Effects of acupuncture versus medication and psychological therapy were deemed to be uncertain owing to the very low quality of evidence.

Acupuncture for depression. Cochrane Database Syst Rev. 2018 Mar 4;3:CD004046.

07. November 2018 · Comments Off · Categories: Acupuncture, Osteoporosis

A systematic review from China indicates that acupuncture could be an effective therapy for treating osteoporosis. Thirty-five studies involving 3014 participants were included in the meta-analysis, which showed that acupuncture could improve bone mineral density, increase serum calcium and estradiol levels, decrease the level of serum alkaline phosphatase and relieve pain, compared with Western medicine. Warm needling seemed to be more effective than either electro-acupuncture or conventional manual needling.

The Effectiveness of Acupuncture for Osteoporosis: A Systematic Review and Meta-Analysis. Am J Chin Med. 2018;46(3):489-513

07. November 2018 · Comments Off · Categories: Acupuncture, Prostatistis

A systematic review of non-pharmacological interventions for chronic prostatitis/chronic pelvic pain syndrome suggests that acupuncture can be effective. Three of the included studies (204 participants) suggested that acupuncture reduces prostatitis symptoms compared with either a sham procedure or with standard medical therapy.

Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Cochrane Database Syst Rev. 2018 Jan 26;1:CD012551.

07. November 2018 · Comments Off · Categories: Acupuncture, Autism

Acupuncture could be an effective and safe treatment for children with autism spectrum disorder (ASD). Twenty-seven RCTs with 1736 participants were analysed by Korean authors. Acupuncture either as a monotherapy or complementary to behavioural and educational intervention was found to significantly decrease autism rating scores.

The Efficacy and Safety of Acupuncture for the Treatment of Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2018 Jan 11;2018:1057539.

07. November 2018 · Comments Off · Categories: Acupuncture, Anxiety

A systematic review carried out in Portugal concludes that there is good scientific evidence encouraging the use of acupuncture therapy to treat anxiety disorders. Thirteen papers were selected for analysis. All studies reported a significant decrease in anxiety for the treatment group relative to the control group. Based on their analysis, the authors suggest the inclusion of the body points Neiguan P-6, Yintang, M-HN-3 and Shenmen HE-7, and the auricular points Relaxation, Tranquiliser and Master Cerebral points. Acupuncture was associated with fewer side effects than conventional treatment.

Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the clinical research. Complement Ther Clin Pract. 2018 May;31:31-37.

An American study of acupuncture for chronic pain has explored the patient experience in group and individual treatment settings for the first time. Qualitative interviews were conducted with a subset of 46 patients from two arms of a randomised comparative effectiveness trial of acupuncture for chronic pain conducted in a low income population. Patients were randomised to receive either individual acupuncture or acupuncture delivered in a small group. Analysis of interview transcripts showed that patients in both study arms valued the pain relief, improved quality of life and relaxation experienced through acupuncture. Participants described both positive and negative aspects of the group setting. Although privacy and mixed-sex groups were cited as a concern by a minority of patients, most of those randomised to the group setting noted that these concerns abated after initiating treatment. Patients in individual sessions described richer therapeutic relationships with the acupuncturists compared with those treated in groups. However, some indicated that the group itself contributed to their experience by helping them relax and by forming social bonds with other participants.

“It’s Better in a Group Anyway”: Patient Experiences of Group and Individual Acupuncture. J Altern Complement Med. 2018 Apr;24(4):336-342.

Scalp electro-acupuncture (EA) can be successfully used to reduce pain severity and disability in headache patients. Japanese investigators treated 54 primary headache patients at two bilateral points located on the occipital scalp with 50 Hz EA for 15 minutes, once a week for three months. Headache intensity significantly declined as a result of the treatment (mean reduction in pain scores from 7.4 at baseline to 4.9 at three months), alongside an improvement in quality of life. Monthly headache days significantly decreased (from 18 at one month to 14 at three months), accompanied by a reduction in monthly acute headache medication days (from 8 to 6.4). Depression scores also showed significant improvement.

Clinical Effect of C2 Peripheral Nerve Field Stimulation Using Electroacupuncture for Primary Headache. Neuromodulation. 2018 Mar 22.

07. November 2018 · Comments Off · Categories: Acupuncture, Pregnancy, Urinary Retention

Acupuncture could be an alternative to catheterisation for the treatment of postpartum urinary retention, according to an Israeli research team. In a randomised case-controlled trial, 55 postpartum women with urinary retention were given the choice of treatment by acupuncture or catheterisation. Individualised acupuncture treatment was performed based on TCM theory. In the acupuncture group, 92% of women achieved spontaneous micturition within one hour of treatment.

Acupuncture for the treatment of post-partum urinary retention. Eur J Obstet Gynecol Reprod Biol. 2018 Apr;223:35-38.

07. November 2018 · Comments Off · Categories: Acupuncture, Periods

Indian clinicians have found acupuncture to be effective for the management of dysmenorrhoea. Sixty females were randomly assigned to either an acupuncture group or a no-treatment control group. The acupuncture group received 20 minutes of acupuncture for 15 days per month, for a period of 90 days. Needling was performed at 12 points; Taixi KID-3, Diji SP-8, Tianshu ST-25, Guilai ST-29, Qichong ST-30, Zusanli ST-36, Guanyuan REN-4, Qihai REN-6, Shenmai BL-62, Shenmen HE-7, Hegu L.I.-4 and Neiguan P-6. A significant reduction was observed in all measured outcomes (pain, menstrual cramps, headache, dizziness, diarrhoea, fainting, mood changes, tiredness, nausea and vomiting) in the study group compared with the control group.

Efficacy of Acupuncture in the Management of Primary Dysmenorrhoea: A Randomized Controlled Trial. J Acupunct Meridian Stud. 2018 Apr 11. pii: S2005-2901(17)30206-6.