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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
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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