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Author (up) Allais, G.; De Lorenzo, C.; Quirico, P. E.; Lupi, G.; Airola, G.; Mana, O.; Benedetto, C. url  openurl
  Title Non-pharmacological approaches to chronic headaches: transcutaneous electrical nerve stimulation, lasertherapy and acupuncture in transformed migraine treatment Type of Study RCT
  Year 2003 Publication Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology Abbreviated Journal Neurol Sci  
  Volume 24 Issue Pages 138-142  
  Keywords TENS; Acupuncture; AcuTrials; Laser Acupuncture; Migraine; RCT; Restricted Modalities, Acupuncture Only; Fixed Acupuncture Protocol; Symptom Based Point Selection; Transcutaneous Electric Nerve Stimulation; Headache Disorders; Acu Versus > 1 Control; CAM Control; TCM Acupuncture Style  
  Abstract In an open, randomized trial, we evaluated transcutaneous electrical nerve stimulation (TENS), infrared lasertherapy and acupuncture in the treatment of transformed migraine, over a 4-month period free of prophylactic drugs. Sixty women suffering from transformed migraine were assigned, after a one month run-in period, to three different treatments: TENS (Group T; n=20), infrared lasertherapy (Group L; n=20) or acupuncture (Group A; n=20). In each group the patients underwent ten sessions of treatment and monthly control visits. In Group T patients were treated for two weeks (5 days/week) simultaneously with three TENS units with different stimulation parameters (I: pulse rate = 80 Hz, pulse width = 120 &mgr;s; II: 120 Hz, 90 &mgr;s; III: 4 Hz, 200 &mgr;s). In Group L an infrared diode laser (27 mW, 904 nm) was applied every other day on tender scalp spots. In Group A acupuncture was carried out twice a week in the first two weeks and weekly in the next 6 weeks. A basic formula (LR3, SP6, LI4, GB20, GV20 and Ex-HN5) was always employed; additional points were selected according to each patient's symptomatology. The number of days with headache per month significantly decreased during treatment in all groups. The response in the groups differed over time, probably due to the different timing of applications of the three methods. TENS, lasertherapy and acupuncture proved to be effective in reducing the frequency of headache attacks. Acupuncture showed the best effectiveness over time  
  Address Woman's Headache Center, Department of Gynecology and Obstetrics, Via Ventimiglia 3, I-10126 Turin, Italy  
  Language Number of Treatments 10  
  Treatment Follow-up 8 Weeks Frequency >1/WK Number of Participants 60  
  Time in Treatment 8 Weeks Condition Migraine
  Disease Category Headache Disorders OCSI Score 58  
  Notes Approved no  
  Call Number Serial 18  
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