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Author Landgren, K.; Hallstrom, I.
Title Effect of minimal acupuncture for infantile colic: a multicentre, three-armed, single-blind, randomised controlled trial (ACU-COL) Type of Study RCT
Year 2017 Publication Acupuncture in Medicine : Journal of the British Medical Acupuncture Society Abbreviated Journal Acupunct Med
Volume 35 Issue Pages 171-179
Keywords AcuTrials; RCT; Pain; Colic; Acu + Usual Care Versus Usual Care; Acupuncture; TCM Acupuncture Style; Semi-Individualized Acupuncture Protocol; Manualized Acupuncture Protocol; Fixed Acupuncture Protocol; Symptom-Based Point Selection; Restricted Modalities, Acupuncture Only; Usual Care Control, Unspecified; Infantile Colic; Pediatrics
Abstract BACKGROUND: Evidence for treating infantile colic with acupuncture is contradictory. AIM: To evaluate and compare the effect of two types of acupuncture versus no acupuncture in infants with colic in public child health centres (CHCs). METHODS: A multicentre, randomised controlled, single-blind, three-armed trial (ACU-COL) comparing two styles of acupuncture with no acupuncture, as an adjunct to standard care, was conducted. Among 426 infants whose parents sought help for colic and registered their child's fussing/crying in a diary, 157 fulfilled the criteria for colic and 147 started the intervention. All infants received usual care plus four extra visits to CHCs with advice/support (twice a week for 2 weeks), comprising gold standard care. The infants were randomly allocated to three groups: (A) standardised minimal acupuncture at LI4; (B) semi-standardised individual acupuncture inspired by Traditional Chinese Medicine; and (C) no acupuncture. The CHC nurses and parents were blinded. Acupuncture was given by nurses with extensive experience of acupuncture. RESULTS: The effect of the two types of acupuncture was similar and both were superior to gold standard care alone. Relative to baseline, there was a greater relative reduction in time spent crying and colicky crying by the second intervention week (p=0.050) and follow-up period (p=0.031), respectively, in infants receiving either type of acupuncture. More infants receiving acupuncture cried <3 hours/day, and thereby no longer fulfilled criteria for colic, in the first (p=0.040) and second (p=0.006) intervention weeks. No serious adverse events were reported. CONCLUSIONS: Acupuncture appears to reduce crying in infants with colic safely. TRIAL REGISTRATION NUMBER: NCT01761331; Results.
Address Faculty of Medicine, Department of Health Sciences, Lund University, P.O. Box 157, Lund SE-22100, Sweden
Publisher
Language English Number of Treatments 4
Treatment Follow-up 3 Weeks Frequency >1/WK Number of Participants 157
Time in Treatment 2 Weeks Condition Colic
Disease Category Pain OCSI Score
Notes PMID:28093383 Approved no
Call Number OCOM @ refbase @ Serial 2174
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Author Landgren, K.; Kvorning, N.; Hallstrom, I.
Title Feeding, stooling and sleeping patterns in infants with colic--a randomized controlled trial of minimal acupuncture Type of Study RCT
Year 2011 Publication BMC complementary and alternative medicine Abbreviated Journal BMC Complement Altern Med
Volume 11 Issue Pages 93-
Keywords AcuTrials; RCT; Pain; Colic; Acu + Usual Care Versus Usual Care; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Usual Care Control, Educational; Pediatrics
Abstract BACKGROUND: The aim was to describe the feeding- and stooling patterns of infants with colic and evaluate the influence of minimal acupuncture. METHODS: A prospective, randomized, controlled, blind clinical study was conducted at a private acupuncture clinic in Sweden. 90 otherwise healthy 2-8 weeks old infants, born after gestational week 36, fulfilling the criteria for infantile colic and not medicated with dicyclomine, were included. 81 infants went through a structured program consisting of six visits to the clinic, twice weekly. Infants randomized to receive acupuncture were given minimal, standardized acupuncture for two seconds in LI4. Frequency and size of stooling, as well as duration of, and intervals between, feeding sessions were reported by parents in a diary. Parental assessment of sleep and comments on stooling and side effects were collected in a questionnaire. RESULTS: At baseline when the mean age was five weeks, infants in both groups were fed a median of eight times/day, 148 min/day, with considerable variations. No differences were found between groups in the frequency and duration of feeding during the intervention weeks. Furthermore there were no significant differences between the groups regarding the frequency of stooling, neither at baseline, at which point the infants of both groups had bowel movements 4.2 times/day, nor during the intervention weeks. There was an expected decrease in frequency of stooling in both groups, reaching 2.1 (p = 0.001) in the acupuncture group and 3.1 (p &lt; 0.001) in the control group. The groups differed regarding large bowel movements which decreased linearly in the control group (p = 0.011) but not in the acupuncture group (p = 0.787). More parents in the acupuncture group than in the control group (28% and 15% respectively, p = 0.006) experienced the infant's sleep to be “better” or “much better.” No other significant differences were found. However, parents described a normalized stooling and experienced an improvement in colic in their infants more frequently in the acupuncture group than in the control group. CONCLUSIONS: Infants with colic in the present study had a higher frequency of stooling than reported internationally in healthy infants. Minimal acupuncture had no major effect on feeding, stooling and sleep, although a minor effect of minimal acupuncture on stooling and sleep cannot be ruled out. TRIAL REGISTRATION: ClinicalTrials.govID NCT00860301.
Address Department of Health Science, Faculty of Medicine, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden. kajsa.landgren@med.lu.se
Publisher
Language Number of Treatments 6
Treatment Follow-up N/A Frequency >1/WK Number of Participants 90
Time in Treatment 3 Weeks Condition Colic
Disease Category Pain OCSI Score
Notes Approved no
Call Number Serial 623
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Author Landgren, K.; Kvorning, N.; Hallstrom, I.
Title Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study Type of Study RCT
Year 2010 Publication Acupuncture in medicine : journal of the British Medical Acupuncture Society Abbreviated Journal Acupunct Med
Volume Issue Pages -
Keywords AcuTrials; Pain; Colic; RCT; Acu Versus Attention Control; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Pediatrics; Gastrointestinal Diseases
Abstract OBJECTIVE: To investigate whether acupuncture reduces the duration and intensity of crying in infants with colic. Patients and methods 90 otherwise healthy infants, 2-8 weeks old, with infantile colic were randomised in this controlled blind study. 81 completed a structured programme consisting of six visits during 3 weeks to an acupuncture clinic in Sweden. Parents blinded to the allocation of their children met a blinded nurse. The infant was subsequently given to another nurse in a separate room, who handled all infants similarly except that infants allocated to receive acupuncture were given minimal, standardised acupuncture for 2 s in LI4. RESULTS: There was a difference (p=0.034) favouring the acupuncture group in the time which passed from inclusion until the infant no longer met the criteria for colic. The duration of fussing was lower in the acupuncture group the first (74 vs 129 min; p=0.029) and second week (71 vs 102 min; p=0.047) as well as the duration of colicky crying in the second intervention week (9 vs 13 min; p=0.046) was lower in the acupuncture group. The total duration of fussing, crying and colicky crying (TC) was lower in the acupuncture group during the first (193 vs 225 min; p=0.025) and the second intervention week (164 vs 188 min; p=0.016). The relative difference from baseline throughout the intervention weeks showed differences between groups for fussing in the first week (22 vs 6 min; p=0.028), for colicky crying in the second week (92 vs 73 min; p=0.041) and for TC in the second week (44 vs 29 min; p=0.024), demonstrating favour towards the acupuncture group. CONCLUSIONS: Minimal acupuncture shortened the duration and reduced the intensity of crying in infants with colic. Further research using different acupuncture points, needle techniques and intervals between treatments is required.
Address 1Department of Health Science, Lund University, Lund, Sweden.
Publisher
Language Number of Treatments 6
Treatment Follow-up N/A Frequency >1/WK Number of Participants 90
Time in Treatment 3 Weeks Condition Colic
Disease Category Pain OCSI Score
Notes Approved no
Call Number Serial 622
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