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to the NADA protocol. Primary: Reduction in opiate dependence, craving or frequency of use. Treatment retention. Secondary: Opiate withdrawal symptoms. Side effects of auricular acupuncture. Other psychological or emotional symptoms of Opioid Use Disorder. Authors' conclusion: “While AA [Auricular Acupuncture] may not be beneficial in decreasing craving or withdrawal symptoms associated with OUD [Opioid Use Disorder], in conjunction with MAT [Medical Assisted Therapy] it may allow for reduced methadone (...) doses, aid in treatment retention and completing, and be a useful adjunct to address psychosocial aspects of recovery.” References Baker TE, Chang G. The use of auricular acupuncture in opioid use disorder: A systematic literature review. American Journal on Addictions 2016;25:592-602. Bergdahl L, Broman JE, Berman AH, Haglund K, von Knorring L, Markström A. Auricular acupuncture versus cognitive behavioural therapy in the discontinuation of hypnotic drug usage, and treatment effects on anxiety
. In auricular acupuncture, acupunctureneedles are placed at specific points on the outer ear. Question What systematic reviews are there on the effect of auricular acupuncture on insomnia? Identified literature No relevant systematic review was identified but 4 primary studies were identified [1-4]. The primary studies were not assessed for risk of bias. This is an update of a previous report on auricular acupuncture in insomnia treatment . References Bergdahl L, Broman JE, Berman AH, Haglund K, von (...) Knorring L, Markstrom A. Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study. Sleep Disorders Print 2016;2016:7057282. Garner BK, Hopkinson SG, Ketz AK, is CA, Trego LL. Auricular Acupuncture for Chronic Pain and Insomnia: A Randomized Clinical Trial. Medical Acupuncture 2018;30:262-272. Chung KF, Yeung WF, Yu BY, Leung FC, Zhang SP, Zhang ZJ, et al. Acupuncture with or without combined auricular acupuncture for insomnia: a randomised, waitlist-controlled
of acupuncture and related therapies for prophylaxis or treatment of uncomplicated rUTI in women were included. Data collection and analysis: Risk of bias was assessed, and the quality and strength of evidence evaluated using the GRADE framework. Results were reported as risk ratios (RR) for dichotomous outcomes or mean differences (MD) for continuous outcomes, with 95% confidence intervals (CI). Main results: Five RCTs involving 341 participants were included. Methodological quality of studies and strength (...) of the evidence were low to moderate. The chance of achieving a composite cure with acupuncturetherapies was greater than that with antibiotics (three studies, 170 participants, RR 1.92, 95% CI 1.31-2.81, I 2 = 38%). The risk of UTI recurrence was lower with acupuncture than with no treatment (two studies, 135 participants, RR 0.39, 95% CI 0.26-0.58, I 2 = 0%) and sham acupuncture (one study, 53 participants, RR 0.45, 95% CI 0.22-0.92). Conclusions: Acupuncture appeared to be beneficial for treatment
Effect of Acupuncture for Postprandial Distress Syndrome: A Randomized Clinical Trial. Postprandial distress syndrome (PDS) is the most common subtype of functional dyspepsia. Acupuncture is commonly used to treat PDS, but its effect is uncertain because of the poor quality of prior studies.To assess the efficacy of acupuncture versus sham acupuncture in patients with PDS.Multicenter, 2-group, randomized clinical trial. (ISRCTN registry number: ISRCTN12511434).5 tertiary hospitals (...) in China.Chinese patients aged 18 to 65 years meeting Rome IV criteria for PDS.12 sessions of acupuncture or sham acupuncture over 4 weeks.The 2 primary outcomes were the response rate based on overall treatment effect and the elimination rate of all 3 cardinal symptoms: postprandial fullness, upper abdominal bloating, and early satiation after 4 weeks of treatment. Participants were followed until week 16.Among the 278 randomly assigned participants, 228 (82%) completed outcome measurements at week 16
to -1.2; P<0.001) at weeks 17 to 20. At weeks 17 to 20, the reduction in mean number of attacks was 2.3 (1.7) for manual versus 1.6 (2.5) for sham (adjusted difference -1.0, -1.5 to -0.5; P<0.001). No severe adverse events were reported. No significant difference was seen in the proportion of patients perceiving needle penetration between manual acupuncture and sham acupuncture (79% v 75%; P=0.891).Twenty sessions of manual acupuncture was superior to sham acupuncture and usual care (...) Manual acupuncture versus sham acupuncture and usual care for prophylaxis of episodic migraine without aura: multicentre, randomised clinical trial. To assess the efficacy of manual acupuncture as prophylactic treatment for acupuncture naive patients with episodic migraine without aura.Multicentre, randomised, controlled clinical trial with blinded participants, outcome assessment, and statistician.Seven hospitals in China, 5 June 2016 to 15 November 2018.150 acupuncture naive patients
Acupuncture vs Noninsertive Sham Acupuncture in Aging Patients with Degenerative Lumbar Spinal Stenosis: A Randomized Controlled Trial Acupuncture is commonly used to treat degenerative lumbar spinal stenosis in Asian countries. However, rigorous data regarding the efficacy and safety of acupuncture for aging patients are currently lacking.Eighty patients older than 50 years were assigned randomly to the acupuncture group or the noninsertive sham acupuncture for 24 treatments over an 8-week (...) period. Measurements were obtained at baseline and 4 and 8 weeks of treatment; and 3 and 6 months after completion of treatment. The primary outcome was a change in the 24-point Roland Morris Disability Questionnaire scores at the end of treatment. The secondary outcomes included disability, pain intensity, symptoms, and dysfunction.At the end of treatment, mean changes in the Roland Morris Disability Questionnaire were -4.1 (95% CI, -4.9 to -3.3) in the acupuncture group and -1.5 (95% CI, -2.3
comparison, as the quantitative results are difficult to interpret. One trial reported adverse events in two patients (out of 22) who experienced needle sensitivity. However, the study did not report between-group comparisons. Because of the quantity of missing data (50%), we did not calculate a between-group comparison, as the quantitative results are difficult to interpret.At this time, it is impossible to draw reliable conclusions from available data to support the use of acupuncture for treatment (...) Acupuncture for glaucoma. Glaucoma is a multi-factorial optic neuropathy characterized by an acquired loss of retinal ganglion cells at levels beyond normal age-related loss and corresponding atrophy of the optic nerve. Although many treatments are available to manage glaucoma, patients may seek complementary or alternative medicine approaches such as acupuncture to supplement their regular treatment. The underlying plausibility of acupuncture is that disorders related to the flow of Chi
Acupuncture or acupressure for pain management during labour. Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined evidence about the use of acupuncture and acupressure for pain management in labour. This is an update of a review last published in 2011.To examine the effects of acupuncture and acupressure for pain management in labour.For (...) this update, we searched Cochrane Pregnancy and Childbirth's Trials Register, (25 February 2019), the Cochrane Central Register of Controlled Trials (the Cochrane Library 2019, Issue 1), MEDLINE (1966 to February 2019), CINAHL (1980 to February 2019), ClinicalTrials.gov (February 2019), the WHO International Clinical Trials Registry Platfory (ICTRP) (February 2019) and reference lists of included studies.Published and unpublished randomised controlled trials (RCTs) comparing acupuncture or acupressure
-text links Cite Abstract Importance: Radiation-induced xerostomia (RIX) is a common, often debilitating, adverse effect of radiation therapy among patients with head and neck cancer. Quality of life can be severely affected, and current treatments have limited benefit. Objective: To determine if acupuncture can prevent RIX in patients with head and neck cancer undergoing radiation therapy. Design, setting, and participants: This 2-center, phase 3, randomized clinical trial compared a standard care (...) control (SCC) with true acupuncture (TA) and sham acupuncture (SA) among patients with oropharyngeal or nasopharyngeal carcinoma who were undergoing radiation therapy in comprehensive cancer centers in the United States and China. Patients were enrolled between December 16, 2011, and July 7, 2015. Final follow-up was August 15, 2016. Analyses were conducted February 1 through 28, 2019. Intervention: Either TA or SA using a validated acupuncture placebo device was performed 3 times per week during a 6
Acupuncture for chronic hepatitis B. Chronic hepatitis B is a liver disease associated with high morbidity and mortality. Chronic hepatitis B requires long-term management aiming to reduce the risks of hepatocellular inflammatory necrosis, liver fibrosis, decompensated liver cirrhosis, liver failure, and liver cancer, as well as to improve health-related quality of life. Acupuncture is being used to decrease discomfort and improve immune function in people with chronic hepatitis B. However (...) , the benefits and harms of acupuncture still need to be established in a rigorous way.To assess the benefits and harms of acupuncture versus no intervention or sham acupuncture in people with chronic hepatitis B.We undertook electronic searches of the Cochrane Hepato-Biliary Group Controlled Trials Register, CENTRAL, MEDLINE, Embase, LILACS, Science Citation Index Expanded, Conference Proceedings Citation Index - Science, China National Knowledge Infrastructure (CNKI), Chongqing VIP (CQVIP), Wanfang Data
Acupuncture as Adjunctive Therapy for Chronic Stable Angina: A Randomized Clinical Trial The effects of acupuncture as adjunctive treatment to antianginal therapies for patients with chronic stable angina are uncertain.To investigate the efficacy and safety of acupuncture as adjunctive therapy to antianginal therapies in reducing frequency of angina attacks in patients with chronic stable angina.In this 20-week randomized clinical trial conducted in outpatient and inpatient settings at 5 (...) , with angina occurring at least twice weekly. Statistical analysis was conducted from December 1, 2015, to July 30, 2016.All participants in the 4 groups received antianginal therapies as recommended by the guidelines. Participants in the DAM, NAM, and SA groups received acupuncture treatment 3 times weekly for 4 weeks for a total of 12 sessions. Participants in the WL group did not receive acupuncture during the 16-week study period.Participants used diaries to record angina attacks. The primary outcome
Acupuncture for polycystic ovarian syndrome. Polycystic ovarian syndrome (PCOS) is characterised by the clinical signs of oligo-amenorrhoea, infertility and hirsutism. Conventional treatment of PCOS includes a range of oral pharmacological agents, lifestyle changes and surgical modalities. Beta-endorphin is present in the follicular fluid of both normal and polycystic ovaries. It was demonstrated that the beta-endorphin levels in ovarian follicular fluid of otherwise healthy women who were (...) undergoing ovulation were much higher than the levels measured in plasma. Given that acupuncture impacts on beta-endorphin production, which may affect gonadotropin-releasing hormone (GnRH) secretion, it is postulated that acupuncture may have a role in ovulation induction via increased beta-endorphin production effecting GnRH secretion. This is an update of our previous review published in 2016.To assess the effectiveness and safety of acupuncture treatment for oligo/anovulatory women with polycystic
An evaluation of the effectiveness of acupuncture with seven acupoint-penetrating needles on cervical spondylosis Objective: To investigate the clinical efficacy of acupuncture with seven acupoint-penetrating needles on patients with cervical spondylosis. Patients and methods: Sixty patients with cervical spondylosis were grouped using computer-generated random numbers. Group A (n=30) received acupuncture with seven acupoint-penetrating needles combined with traction. Group B (n=30) received (...) , the NDI and PSQI scores of group A were significantly lower than those in group B (P<0.05). Conclusion: Acupuncture using seven acupoint-penetrating needles combined with traction was more effective, reduced neck pain, and improved sleep quality in patients with cervical spondylosis compared to acupuncture of non-relevant acupuncture points.
Combined electroacupuncture and auricular acupuncture for primary insomnia: a randomised controlled trial of dose-response effect. 30674705 2019 01 24 1024-2708 25 Suppl 2 2019 Feb Hong Kong medical journal = Xianggang yi xue za zhi Hong Kong Med J Combined electroacupuncture and auricular acupuncture for primary insomnia: a randomised controlled trial of dose-response effect. 28-33 Chung K F KF Department of Psychiatry, The University of Hong Kong. Yeung W F WF School of Chinese Medicine
Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. The aim of the study was to compare the efficacy of radial extracorporeal shock wave therapy and dry needling in the treatment of myofascial trigger points in the upper trapezius muscle.A total of 65 patients with myofascial trigger points were randomly divided into extracorporeal shock wave therapy group (n = 32) and dry needling group (n = 33). Patients received 3 (...) points was reduced in both dry needling group (P < 0.05) and extracorporeal shock wave therapy group (P < 0.01) immediately after the first treatment. Significant reductions in shear modulus were maintained up to 3-mo posttreatment in both groups (P < 0.01). There were no significant differences between the radial extracorporeal shock wave therapy group and dry needling group.The extracorporeal shock wave therapy is as effective as dry needling for relieving pain, improving function, and reducing
Periosteal Electrical Dry Needling as an Adjunct to Exercise and Manual Therapy for Knee Osteoarthritis: A Multicenter Randomized Clinical Trial To compare the effects of adding electrical dry needling into a manual therapy (MT) and exercise program on pain, stiffness, function, and disability in individuals with painful knee osteoarthritis (OA).In total, 242 participants (n=242) with painful knee OA were randomized to receive 6 weeks of electrical dry needling, MT, and exercise (n=121) or MT (...) of the electrical dry needling group at 3 months.The inclusion of electrical dry needling into a MT and exercise program was more effective for improving pain, function, and related-disability than the application of MT and exercise alone in individuals with painful knee OA.Level 1b-therapy. Prospectively registered February 10, 2015 on www.clinicaltrials.gov (NCT02373631).