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Author Wang, T.; Xu, C.; Pan, K.; Xiong, H. url  doi
openurl 
  Title Acupuncture and moxibustion for chronic fatigue syndrome in traditional Chinese medicine: a systematic review and meta-analysis Type of Study Systematic Review
  Year (down) 2017 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 17 Issue 1 Pages 163  
  Keywords AcuTrials; Systematic Review; Nervous System Diseases; Fatigue Syndrome, Chronic  
  Abstract BACKGROUND: As the etiology of chronic fatigue syndrome (CFS) is unclear and the treatment is still a big issue. There exists a wide range of literature about acupuncture and moxibustion (AM) for CFS in traditional Chinese medicine (TCM). But there are certain doubts as well in the effectiveness of its treatment due to the lack of a comprehensive and evidence-based medical proof to dispel the misgivings. Current study evaluated systematically the effectiveness of acupuncture and moxibustion treatments on CFS, and clarified the difference among them and Chinese herbal medicine, western medicine and sham-acupuncture. METHODS: We comprehensively reviewed literature including PubMed, EMBASE, Cochrane library, CBM (Chinese Biomedical Literature Database) and CNKI (China National Knowledge Infrastructure) up to May 2016, for RCT clinical research on CFS treated by acupuncture and moxibustion. Traditional direct meta-analysis was adopted to analyze the difference between AM and other treatments. Analysis was performed based on the treatment in experiment and control groups. Network meta-analysis was adopted to make comprehensive comparisons between any two kinds of treatments. The primary outcome was total effective rate, while relative risks (RR) and 95% confidence intervals (CI) were used as the final pooled statistics. RESULTS: A total of 31 randomized controlled trials (RCTs) were enrolled in analyses. In traditional direct meta-analysis, we found that in comparison to Chinese herbal medicine, CbAM (combined acupuncture and moxibustion, which meant two or more types of acupuncture and moxibustion were adopted) had a higher total effective rate (RR (95% CI), 1.17 (1.09 ~ 1.25)). Compared with Chinese herbal medicine, western medicine and sham-acupuncture, SAM (single acupuncture or single moxibustion) had a higher total effective rate, with RR (95% CI) of 1.22 (1.14 ~ 1.30), 1.51 (1.31-1.74), 5.90 (3.64-9.56). In addition, compared with SAM, CbAM had a higher total effective rate (RR (95% CI), 1.23 (1.12 ~ 1.36)). In network meta-analyses, similar results were recorded. Subsequently, we ranked all treatments from high to low effective rate and the order was CbAM, SAM, Chinese herbal medicine, western medicine and sham-acupuncture. CONCLUSIONS: In the treatment of CFS, CbAM and SAM may have better effect than other treatments. However, the included trials have relatively poor quality, hence high quality studies are needed to confirm our finding.  
  Address Department of Epidemiology, College of Preventive Medicine, Third Military Medical University, Gaotanyan Road 30, Shapingba District, Chongqing, 400038, China. hongyanxiong@126.com  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category Nervous System Diseases OCSI Score  
  Notes PMID:28335756; PMCID:PMC5363012 Approved yes  
  Call Number OCOM @ refbase @ Serial 2188  
Permanent link to this record
 

 
Author Kim, B.H.; Kim, K.; Nam, H.J. url  doi
openurl 
  Title A comparative study on the effects of systemic manual acupuncture, periauricular electroacupuncture, and digital electroacupuncture to treat tinnitus: A randomized, paralleled, open-labeled exploratory trial Type of Study RCT
  Year (down) 2017 Publication BMC Complementary and Alternative Medicine Abbreviated Journal BMC Complement Altern Med  
  Volume 17 Issue 1 Pages 85  
  Keywords AcuTrials; RCT; Ear Diseases; Tinnitus; Hearing Disorders; Acu Versus Acu; Acupuncture; Electroacupuncture; Auricular Electroacupuncture; TCM Acupuncture Style; CAM Control; Fixed Acupuncture Protocol; Traditional Diagnosis Based Point Selection; Restricted Modalities, Acupuncture Only  
  Abstract BACKGROUND: Many previous studies of electroacupuncture used combined therapy of electroacupuncture and systemic manual acupuncture, so it was uncertain which treatment was effective. This study evaluated and compared the effects of systemic manual acupuncture, periauricular electroacupuncture and distal electroacupuncture for treating patients with tinnitus. METHODS: A randomized, parallel, open-labeled exploratory trial was conducted. Subjects aged 20-75 years who had suffered from idiopathic tinnitus for > 2 weeks were recruited from May 2013 to April 2014. The subjects were divided into three groups by systemic manual acupuncture group (MA), periauricular electroacupuncture group (PE), and distal electroacupuncture group (DE). The groups were selected by random drawing. Nine acupoints (TE 17, TE21, SI19, GB2, GB8, ST36, ST37, TE3 and TE9), two periauricular acupoints (TE17 and TE21), and four distal acupoints (TE3, TE9, ST36, and ST37) were selected. The treatment sessions were performed twice weekly for a total of eight sessions over 4 weeks. Outcomes were the tinnitus handicap inventory (THI) score and the loud and uncomfortable visual analogue scales (VAS). Demographic and clinical characteristics of all participants were compared between the groups upon admission using one-way analysis of variance (ANOVA). One-way ANOVA was used to evaluate the THI, VAS loud, and VAS uncomfortable scores. The least significant difference test was used as a post-hoc test. RESULTS: Thirty-nine subjects were eligible and their data were analyzed. No difference in THI and VAS loudness scores was observed in between groups. The VAS uncomfortable scores decreased significantly in MA and DE compared with those in PE. Within the group, all three treatments showed some effect on THI, VAS loudness scores and VAS uncomfortable scores after treatment except DE in THI. CONCLUSIONS: There was no statistically significant difference between systemic manual acupuncture, periauricular electroacupuncture and distal electroacupuncture in tinnitus. However, all three treatments had some effect on tinnitus within the group before and after treatment. Systemic manual acupuncture and distal electroacupuncture have some effect on VAS uncomfortable. TRIAL REGISTRATION: KCT0001991 by CRIS (Clinical Research Information Service), 2016-8-1, retrospectively registered.  
  Address Department of Ophthalmology, Otorhinolaryngology of Korean Medicine, College of Korean Medicine, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-701, Republic of Korea. ophthrl@khu.ac.kr  
  Publisher
  Language English Number of Treatments 8  
  Treatment Follow-up Frequency >1/WK Number of Participants 42  
  Time in Treatment 4 Weeks Condition Tinnitus
  Disease Category Ear Diseases OCSI Score  
  Notes PMID:28143471; PMCID:PMC5282839 Approved yes  
  Call Number OCOM @ refbase @ Serial 2189  
Permanent link to this record
 

 
Author Liu, J.; Li, S.-N.; Liu, L.; Zhou, K.; Li, Y.; Cui, X.-Y.; Wan, J.; Lu, J.-J.; Huang, Y.-C.; Wang, X.-S.; Lin, Q. url  doi
openurl 
  Title Conventional acupuncture for cardiac arrhythmia: A systematic review of randomized controlled trials Type of Study Systematic Review
  Year (down) 2017 Publication Chinese Journal of Integrative Medicine Abbreviated Journal Chin J Integr Med  
  Volume Issue Pages  
  Keywords AcuTrials; Systematic Review; Cardiovascular Diseases; Arrhythmias, Cardiac  
  Abstract OBJECTIVE: To exam the effect and safety of conventional acupuncture (CA) on cardiac arrhythmia. METHODS: Nine medical databases were searched until February 2016 for randomized controlled trials. Heterogeneity was measured by Cochran Q test. Meta-analysis was conducted if I2 was less than 85% and the characteristics of included trials were similar. RESULTS: Nine qualified studies involving 638 patients were included. Only 1 study had definitely low risk of bias, while 7 trials were rated as unclear and 1 as high. Meta-analysis of CA alone did not have a significant benefit on response rate compared to amiodarone in patients with atrial fibrillation (Af) and atrial flutter (AF) [relative risk (RR): 1.09; 95% confidence interval (CI): 0.79-1.49; P=0.61; I2=61%, P=0.11]. However, 1 study with higher methodological quality detected a lower recurrence rate of Af in CA alone as compared with sham acupuncture plus no treatment, and benefits on ventricular rate and time of conversion to normal sinus rhythm were found in CA alone group by 1 study, as well as the response rate in CA plus deslanoside group by another study. Meta-analysis of CA plus anti-arrhythmia drug (AAD) was associated with a significant benefit on the response rate when compared with AAD alone in ventricular premature beat (VPB) patients (RR, 1.19, 95% CI: 1.05-1.34; P=0.005; I2=13%, P=0.32), and an improvement in quality-of-life score (QOLS) of VPB also showed in 1 individual study. Besides, a lower heart rate was detected in the CA alone group by 1 individual study when compared with no treatment in sinus tachycardia patients (MD-21.84 [-27.21,-16.47]) and lower adverse events of CA alone were reported than amiodarone. CONCLUSIONS: CA may be a useful and safe alternative or additive approach to AADs for cardiac arrhythmia, especially in VPB and Af patients, which mainly based on a pooled estimate and result from 1 study with higher methodological quality. However, we could not reach a robust conclusion due to low quality of overall evidence.  
  Address Department of Cardiology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, 100078, China. 13910565673@126.com  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Arrhythmias, Cardiac
  Disease Category Cardiovascular Diseases OCSI Score  
  Notes PMID:28432528 Approved yes  
  Call Number OCOM @ refbase @ Serial 2191  
Permanent link to this record
 

 
Author Xie, X.-C.; Cao, Y.-Q.; Gao, Q.; Wang, C.; Li, M.; Wei, S.-G. url  doi
openurl 
  Title Acupuncture Improves Intestinal Absorption of Iron in Iron-deficient Obese Patients: A Randomized Controlled Preliminary Trial Type of Study
  Year (down) 2017 Publication Chinese Medical Journal Abbreviated Journal Chin Med J (Engl)  
  Volume 130 Issue 5 Pages 508-515  
  Keywords *Acupuncture Therapy; Adult; Female; Hepcidins/blood; Humans; Intestinal Absorption/*physiology; Iron/*deficiency/*metabolism; Leptin/blood; Male; Middle Aged; Obesity/blood/*metabolism/*therapy; Young Adult  
  Abstract BACKGROUND: Obesity has an adverse effect on iron status. Hepcidin-mediated inhibition of iron absorption in the duodenum is a potential mechanism. Iron-deficient obese patients have diminished response to oral iron therapy. This study was designed to assess whether acupuncture could promote the efficacy of oral iron supplementation for the treatment of obesity-related iron deficiency (ID). METHODS: Sixty ID or ID anemia (IDA) patients with obesity were screened at Beijing Hospital of Traditional Chinese Medicine and were randomly allocated to receive either oral iron replacement allied with acupuncture weight loss treatment (acupuncture group, n = 30) or oral iron combined with sham-acupuncture treatment (control group, n = 30). Anthropometric parameters were measured and blood samples were tested pre- and post-treatment. Differences in the treatment outcomes of ID/IDA were compared between the two groups. RESULTS: After 8 weeks of acupuncture treatment, there was a significant decrease in body weight, body mass index, waist circumference, and waist/hip circumference ratio of patients in the acupuncture group, while no significant changes were observed in the control group. Oral iron supplementation brought more obvious improvements of iron status indicators including absolute increases in serum iron (11.08 +/- 2.19 mumol/L vs. 4.43 +/- 0.47 mumol/L), transferrin saturation (11.26 +/- 1.65% vs. 1.01 +/- 0.23%), and hemoglobin (31.47 +/- 1.19 g/L vs. 21.00 +/- 2.69 g/L) in the acupuncture group than control group (all P < 0.05). Meanwhile, serum leptin (2.26 +/- 0.45 ng/ml vs. 8.13 +/- 0.55 ng/ml, P < 0.05) and hepcidin (3.52 +/- 1.23 ng/ml vs. 6.77 +/- 0.84 ng/ml, P < 0.05) concentrations declined significantly in the acupuncture group than those in the control group. CONCLUSION: Acupuncture-based weight loss can enhance the therapeutic effects of iron replacement therapy for obesity-related ID/IDA through improving intestinal iron absorption, probably by downregulating the systemic leptin-hepcidin levels.  
  Address Department of Children's and Women's Health, School of Public Health, Capital Medical University, Beijing 100069, China  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:28229980; PMCID:PMC5339922 Approved no  
  Call Number OCOM @ refbase @ Serial 2193  
Permanent link to this record
 

 
Author Cheng, K.; Law, A.; Guo, M.; Wieland, L.S.; Shen, X.; Lao, L. url  doi
openurl 
  Title Acupuncture for acute hordeolum Type of Study Journal Article
  Year (down) 2017 Publication The Cochrane Database of Systematic Reviews Abbreviated Journal Cochrane Database Syst Rev  
  Volume 2 Issue Pages Cd011075  
  Keywords  
  Abstract BACKGROUND: Hordeolum is an acute, purulent inflammation of the eyelid margin usually caused by obstructed orifices of the sebaceous glands of the eyelid. The condition, which affects sebaceous glands internally or externally, is common. When the meibomian gland in the tarsal plate is affected, internal hordeolum occurs, while when the glands of Zeis or Moll associated with eyelash follicles are affected, external hordeolum, or stye occurs. The onset of hordeolum is usually self limited, and may resolve in about a week with spontaneous drainage of the abscess. When the condition is severe, it can spread to adjacent glands and tissues. Recurrences are very common. As long as an internal hordeolum remains unresolved, it can develop into a chalazion or generalized eyelid cellulitis. Acupuncture is a traditional Chinese medical therapy aimed to treat disease by using fine needles to stimulate specific points on the body. However, it is unclear if acupuncture is an effective and safe treatment for acute hordeolum. OBJECTIVES: The objective of this review was to investigate the effectiveness and safety of acupuncture to treat acute hordeolum compared with no treatment, sham acupuncture, or other active treatment. We also compared the effectiveness and safety of acupuncture plus another treatment with that treatment alone. SEARCH METHODS: We searched CENTRAL, Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE, Embase, PubMed, Latin American and Caribbean Health Sciences Literature Database (LILACS), three major Chinese databases, as well as clinical trial registers all through 7 June 2016. We reviewed the reference lists from potentially eligible studies to identify additional randomised clinical trials (RCTs). SELECTION CRITERIA: We included RCTs of people diagnosed with acute internal or external hordeola. We included RCTs comparing acupuncture with sham acupuncture or no treatment, other active treatments, or comparing acupuncture plus another treatment versus another treatment alone. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures used by Cochrane. MAIN RESULTS: We included 6 RCTs with a total of 531 participants from China. The mean age of the participants ranged from 18 to 28 years. Four RCTs included participants diagnosed with initial acute hordeolum with a duration of less than seven days; one RCT included participants diagnosed with initial acute hordeolum without specifying the duration; and one RCT included participants with recurrent acute hordeolum with a mean duration of 24 days. About 55% (291/531) of participants were women. Three RCTs included participants with either external or internal hordeolum; one RCT included participants with only external hordeolum; and two RCTs did not specify the type of hordeolum. Follow-up was no more than seven days after treatment in all included RCTs; no data were available for long-term outcomes. Overall, the certainty of the evidence for all outcomes was low to very low, and we judged all RCTs to be at high or unclear risk of bias.Three RCTs compared acupuncture with conventional treatments. We did not pool the data from these RCTs because the conventional treatments were not similar among trials. Two trials showed that resolution of acute hordeolum was more likely in the acupuncture group when compared with topical antibiotics (1 RCT; 32 participants; risk ratio (RR) 3.60; 95% confidence interval (CI) 1.34 to 9.70; low-certainty of evidence) or oral antibiotics plus warm compresses (1 RCT; 120 participants; RR 1.45; 95% CI 1.18 to 1.78; low-certainty of evidence). In the third trial, little or no difference in resolution of hordeolum was observed when acupuncture was compared with topical antibiotics plus warm compresses (1 RCT; 109 participants; RR 1.00; 95% CI 0.96 to 1.04; low-certainty of evidence). One RCT mentioned adverse outcomes, stating that there was no adverse event associated with acupuncture.Three RCTs compared acupuncture plus conventional treatments (two RCTs used topical antibiotics and warm compresses, one RCT used topical antibiotics only) versus the conventional treatments alone. One of the three RCTs, with very low-certainty evidence, did not report the resolution of acute hordeolum; however, it reported that acute hordeolum relief might be higher when acupuncture was combined with conventional treatments than with conventional treatments alone group (60 participants; RR 1.80; 95% CI 1.00 to 3.23). Pooled analysis of the remaining two RCTs, with low-certainty evidence, estimated resolution of acute hordeolum was slightly higher in the combined treatment group compared with the conventional treatment alone group at 7-day follow-up (210 participants; RR 1.12; 95% CI 1.03 to 1.23; I2 = 0%). None of the three RCTs reported adverse outcomes. Among the included RCTs, four participants, two from the acupuncture plus conventional treatments group and two from the conventional treatments alone group, withdrew due to exacerbation of symptoms. AUTHORS' CONCLUSIONS: Low-certainty evidence suggests that acupuncture with or without conventional treatments may provide short-term benefits for treating acute hordeolum when compared with conventional treatments alone. The certainty of the evidence was low to very low mainly due to small sample sizes, inadequate allocation concealment, lack of masking of the outcome assessors, inadequate or unclear randomization method, and a high or unreported number of dropouts. All RCTs were conducted in China, which may limit their generalizability to non-Chinese populations.Because no RCTs included a valid sham acupuncture control, we cannot rule out a potential expectation/placebo effect associated with acupuncture. As resolution is based on clinical observation, the outcome could be influenced by the observer's knowledge of the assigned treatment. Adverse effects of acupuncture were reported sparsely in the included RCTs, and, when reported, were rare. RCTs with better methodology, longer follow-up, and which are conducted among other populations are warranted to provide more general evidence regarding the benefit of acupuncture to treat acute hordeolum.  
  Address School of Chinese Medicine, The University of Hong Kong, 10 Sassoon Road, Pokfulam Rd, Hong Kong, Hong Kong, China  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:28181687; PMCID:PMC5378315 Approved no  
  Call Number OCOM @ refbase @ Serial 2194  
Permanent link to this record
 

 
Author Smith, C.A.; Armour, M.; Dahlen, H.G. url  doi
openurl 
  Title Acupuncture or acupressure for induction of labour Type of Study Systematic Review
  Year (down) 2017 Publication The Cochrane Database of Systematic Reviews Abbreviated Journal Cochrane Database Syst Rev  
  Volume 2017 Issue 10 Pages 1-126  
  Keywords AcuTrials; Systematic Review; Labor, Obstetric; Labor, Induced; Women's Health; Labor Induction; Acupuncture; Electroacupuncture; Acupressure  
  Abstract BACKGROUND: This is one of a series of reviews of methods of cervical ripening and labour induction. The use of complementary therapies is increasing. Women may look to complementary therapies during pregnancy and childbirth to be used alongside conventional medical practice. Acupuncture involves the insertion of very fine needles into specific points of the body. Acupressure is using the thumbs or fingers to apply pressure to specific points. The limited observational studies to date suggest acupuncture for induction of labour has no known adverse effects to the fetus, and may be effective. However, the evidence regarding the clinical effectiveness of this technique is limited. OBJECTIVES: To determine, from the best available evidence, the effectiveness and safety of acupuncture and acupressure for third trimester cervical ripening or induction of labour. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 November 2016), PubMed (1966 to 25 November 2016), ProQuest Dissertations & Theses (25 November 2016), CINAHL (25 November 2016), Embase (25 November 2016), the WHO International Clinical Trials Registry Portal (ICTRP) (3 October 2016), and bibliographies of relevant papers. SELECTION CRITERIA: Randomised controlled trials comparing acupuncture or acupressure, used for third trimester cervical ripening or labour induction, with placebo/no treatment or other methods on a predefined list of labour induction methods. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion and risk of bias, extracted data, and checked them for accuracy. The quality of the evidence was assessed using GRADE. MAIN RESULTS: This updated review includes 22 trials, reporting on 3456 women. The trials using manual or electro-acupuncture were compared with usual care (eight trials, 760 women), sweeping of membranes (one trial, 207 women), or sham controls (seven trials, 729 women). Trials using acupressure were compared with usual care (two trials, 151 women) or sham controls (two trials, 239 women). Many studies had a moderate risk of bias.Overall, few trials reported on primary outcomes. No trial reported vaginal delivery not achieved within 24 hours and uterine hyperstimulation with fetal heart rate (FHR) changes. Serious maternal and neonatal death or morbidity were only reported under acupuncture versus sham control. Acupuncture versus sham control There was no clear difference in caesarean sections between groups (average risk ratio (RR) 0.80, 95% confidence interval (CI) 0.56 to 1.15, eight trials, 789 women; high-quality evidence). There were no reports of maternal death or perinatal death in the one trial that reported this outcome. There was evidence of a benefit from acupuncture in improving cervical readiness for labour (mean difference (MD) 0.40, 95% CI 0.11 to 0.69, one trial, 125 women), as measured by cervical maturity within 24 hours using Bishop's score. There was no evidence of a difference between groups for oxytocin augmentation, epidural analgesia, instrumental vaginal birth, meconium-stained liquor, Apgar score < 7 at five minutes, neonatal intensive care admission, maternal infection, postpartum bleeding greater than 500 mL, time from the trial to time of birth, use of induction methods, length of labour, and spontaneous vaginal birth. Acupuncture versus usual care There was no clear difference in caesarean sections between groups (average RR 0.77, 95% CI 0.51 to 1.17, eight trials, 760 women; low-quality evidence). There was an increase in cervical maturation for the acupuncture (electro) group compared with control (MD 1.30, 95% CI 0.11 to 2.49, one trial, 67 women) and a shorter length of labour (minutes) in the usual care group compared to electro-acupuncture (MD 124.00, 95% CI 37.39 to 210.61, one trial, 67 women).There appeared be a differential effect according to type of acupuncture based on subgroup analysis. Electro-acupuncture appeared to have more of an effect than manual acupuncture for the outcomes caesarean section (CS), and instrumental vaginal and spontaneous vaginal birth. It decreased the rate of CS (average RR 0.54, 95% CI 0.37 to 0.80, 3 trials, 327 women), increased the rate of instrumental vaginal birth (average RR 2.30, 95%CI 1.15 to 4.60, two trials, 271 women), and increased the rate of spontaneous vaginal birth (average RR 2.06, 95% CI 1.20 to 3.56, one trial, 72 women). However, subgroup analyses are observational in nature and so results should be interpreted with caution.There were no clear differences between groups for other outcomes: oxytocin augmentation, use of epidural analgesia, Apgar score < 7 at 5 minutes, neonatal intensive care admission, maternal infection, perineal tear, fetal infection, maternal satisfaction, use of other induction methods, and postpartum bleeding greater than 500 mL. Acupuncture versus sweeping if fetal membranes One trial of acupuncture versus sweeping of fetal membranes showed no clear differences between groups in caesarean sections (RR 0.64, 95% CI 0.34 to 1.22, one trial, 207 women, moderate-quality evidence), need for augmentation, epidural analgesia, instrumental vaginal birth, Apgar score < 7 at 5 minutes, neonatal intensive care admission, and postpartum bleeding greater than 500 mL. Acupressure versus sham control There was no evidence of benefit from acupressure in reducing caesarean sections compared to control (RR, 0.94, 95% CI 0.68 to 1.30, two trials, 239 women, moderate-quality evidence). There was no evidence of a clear benefit in reduced oxytocin augmentation, instrumental vaginal birth, meconium-stained liquor, time from trial intervention to birth of the baby, and spontaneous vaginal birth. Acupressure versus usual care There was no evidence of benefit from acupressure in reducing caesarean sections compared to usual care (RR 1.02, 95% CI 0.68 to 1.53, two trials, 151 women, moderate-quality evidence). There was no evidence of a clear benefit in reduced epidural analgesia, Apgar score < 7 at 5 minutes, admission to neonatal intensive care, time from trial intervention to birth of the baby, use of other induction methods, and spontaneous vaginal birth. AUTHORS' CONCLUSIONS: Overall, there was no clear benefit from acupuncture or acupressure in reducing caesarean section rate. The quality of the evidence varied between low to high. Few trials reported on neonatal morbidity or maternal mortality outcomes. Acupuncture showed some benefit in improving cervical maturity, however, more well-designed trials are needed. Future trials could include clinically relevant safety outcomes.  
  Address National Institute of Complementary Medicine (NICM),Western Sydney University, Locked Bag 1797, Sydney, New South Wales, 2751, Australia  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Labor, Induced
  Disease Category Labor, Obstetric OCSI Score  
  Notes PMID:29036756 Approved no  
  Call Number OCOM @ refbase @ Serial 2406  
Permanent link to this record
 

 
Author Yeganeh, M.; Baradaran, H.R.; Qorbani, M.; Moradi, Y.; Dastgiri, S. url  doi
openurl 
  Title The effectiveness of acupuncture, acupressure and chiropractic interventions on treatment of chronic nonspecific low back pain in Iran: A systematic review and meta-analysis Type of Study Journal Article
  Year (down) 2017 Publication Complementary Therapies in Clinical Practice Abbreviated Journal Complement Ther Clin Pract  
  Volume 27 Issue Pages 11-18  
  Keywords Acupressure; Acupuncture; Chiropractic; Chronic low back pain; Iran; Low back pain; Manual therapy; Meta-analysis; Non-specific low back pain  
  Abstract BACKGROUND: Low back pain (LBP) is one of the most common health problems in adults. The impact of LBP on the individual can cause loss of health status and function related to pain in the back. To reduce the impact of LBP on adults, drug therapy is the most frequently recommended intervention. But over the last decade, a substantial number of randomized clinical trials of non-pharmacological intervention for LBP have been published. OBJECTIVE: To determine the effectiveness of acupuncture, acupressure and chiropractic (non-pharmacological) interventions on the treatment of chronic nonspecific low back pain in Iran. STUDY DESIGN: Systematic review and meta-analysis. METHODS: A systematic literature search was completed without date restrictions up to May 2013 in five major databases (Medline, CINAHL, Science Direct, CAJ Full-text Database, and Cochrane databases). Only randomized controlled trials published in Persian (Farsi) or English languages were included. Two independent reviewers extracted the data. The quality of the papers was assessed using the Cochrane Back Review Risk of Bias criteria. RESULTS: Initial searches revealed 415 papers, 382 of which were excluded on the basis of abstract alone. After excluding 23 papers due to duplication, the remaining 10 trial papers were subjected to a more detailed analysis of the full text, which resulted in three being excluded. The seven remaining trials had a lack of methodological and clinical homogeneity, precluding a meta-analysis. The trials used different comparators with regards to the primary outcomes, the number of treatments, the duration of treatment and the duration of follow-up. CONCLUSION: This systematic review demonstrates that acupuncture, acupressure and chiropractic may have a favorable effect on self-reported pain and functional limitations on NSCLBP. However, the results should be interpreted in the context of the limitations identified, particularly in relation to the heterogeneity in the study characteristics and the low methodological quality in many of the included studies.  
  Address Health Services Management Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:28438274 Approved no  
  Call Number OCOM @ refbase @ Serial 2196  
Permanent link to this record
 

 
Author Coyle, M.E.; Liang, H.; Wang, K.; Zhang, A.L.; Guo, X.; Lu, C.; Xue, C.C. url  doi
openurl 
  Title Acupuncture plus moxibustion for herpes zoster: A systematic review and meta-analysis of randomized controlled trials Type of Study Journal Article
  Year (down) 2017 Publication Dermatologic Therapy Abbreviated Journal Dermatol Ther  
  Volume Issue Pages  
  Keywords acupuncture; herpes zoster; meta-analysis; moxibustion; review; systematic; varicella  
  Abstract Herpes zoster is an acute inflammatory condition which can have a significant impact on quality of life. Antiviral therapies are effective, but do not meet patients' expectations of symptomatic relief. Acupuncture and moxibustion have been used for herpes zoster; this systematic review evaluated their efficacy and safety. Nine English and Chinese databases were searched from their inceptions to March 2016. Randomized controlled trials evaluating the combination of acupuncture plus moxibustion in adult herpes zoster were included. Outcomes included pain intensity and duration, quality of life and adverse events. Meta-analysis was performed using RevMan software (version 5.3). Nine studies (945 participants) were included. Studies were of low to moderate methodological quality based on risk of bias assessment. Pain intensity (visual analogue scale) was lower among those who received acupuncture plus moxibustion compared with pharmacotherapy (one study; MD -8.25 mm, 95% CI -12.36 to -4.14). The clinical significance of this result is yet to be established. Some benefits were seen for other pain and cutaneous outcomes, and global improvement in symptoms. Mild adverse events were reported in the intervention groups. Acupuncture plus moxibustion may improve pain and cutaneous outcomes, although current evidence is limited by the number of studies and methodological shortcomings.  
  Address Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, and The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:28338265 Approved no  
  Call Number OCOM @ refbase @ Serial 2199  
Permanent link to this record
 

 
Author Chiu, H.Y.; Hsieh, Y.J.; Tsai, P.S. url  doi
openurl 
  Title Systematic review and meta-analysis of acupuncture to reduce cancer-related pain Type of Study Journal Article
  Year (down) 2017 Publication European Journal of Cancer Care Abbreviated Journal Eur J Cancer Care (Engl)  
  Volume 26 Issue 2 Pages  
  Keywords acupuncture; cancer-related pain; meta-analysis  
  Abstract We conducted a systematic review and meta-analysis to evaluate the effects of acupuncture on malignancy-related, chemotherapy (CT)- or radiation therapy (RT)-induced, surgery-induced, and hormone therapy (HT)-induced pain. Randomised controlled trials (RCTs) examining the effects of acupuncture on cancer-related pain were reached from the EMBASE, PubMed, PsycINFO, Cochrane Central Register of Controlled Trials, CINAHL, Airiti library, Taiwan Electrical Periodical Service, Wanfang Data (a Chinese database) and China Knowledge Resource Integrated Database from inception through June 2014. Heterogeneity, moderator analysis, publication bias and risk of bias associated with the included studies were examined. A total of 29 RCTs yielding 36 effect sizes were included. The overall effect of acupuncture on cancer-related pain was -0.45 [95% confidence interval (CI) = -0.63 to -0.26]. The subanalysis indicated that acupuncture relieved malignancy-related and surgery-induced pain [effect size (g) = -0.71, and -0.40; 95% CI = -0.94 to -0.48, and -0.69 to -0.10] but not CT- or RT-induced and HT-induced pain (g = -0.05, and -0.64, 95% CI = -0.33 to 0.24, and -1.55 to 0.27). Acupuncture is effective in relieving cancer-related pain, particularly malignancy-related and surgery-induced pain. Our findings suggest that acupuncture can be adopted as part of a multimodal approach for reducing cancer-related pain.  
  Address School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan  
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  Notes PMID:26853524 Approved no  
  Call Number OCOM @ refbase @ Serial 2200  
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Author Chaudhry, F.A. url  doi
openurl 
  Title Effectiveness of dry needling and high-volume image-guided injection in the management of chronic mid-portion Achilles tendinopathy in adult population: a literature review Type of Study Systematic Review
  Year (down) 2017 Publication European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie Abbreviated Journal Eur J Orthop Surg Traumatol  
  Volume 27 Issue 4 Pages 441-448  
  Keywords AcuTrials; Systematic Review; Pain; Musculoskeletal Diseases; Achilles Tendinopathy; Dry Needling; High-volume image-guided injection  
  Abstract Achilles tendinopathy is a common overuse condition affecting the adult population. The incidence is on the rise because of greater participation of people in recreational or competitive sporting activities. There are several treatment options available both non-operative and operative. Ultrasound-guided dry needling and high-volume image-guided injection is relatively a new procedure. The aim of this study was to find out the effectiveness of dry needling and HVIGI in the management of mid-portion chronic Achilles tendinopathy by performing a literature review. Search strategy was devised to find the suitable articles for critical appraisal using the electronic databases. Four articles were selected for critical appraisal, and these papers showed good short- to long-term results of image-guided high-volume injection in the management of Achilles tendinopathy. We conclude that high-volume image-guided injection is effective in the management of Achilles tendinopathy. It provides good short- and medium-term relief of symptoms. It should be considered as one of the many options available for this condition.  
  Address The University of Warwick, Coventry, CV4 7AL, UK. fouad.chaudhry@doctors.org.uk  
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  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Pain
  Disease Category Pain OCSI Score  
  Notes PMID:28424882 Approved yes  
  Call Number OCOM @ refbase @ Serial 2201  
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Author Nielsen, A. url  doi
openurl 
  Title Acupuncture for the Prevention of Tension-Type Headache (2016) Type of Study Journal Article
  Year (down) 2017 Publication Explore (New York, N.Y.) Abbreviated Journal Explore (NY)  
  Volume Issue Pages  
  Keywords  
  Abstract Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of tension-type headache.Cochrane Database Syst Rev2016, Issue 48. Art No.: CD007587. DOI: 10.1002/14651858.CD007587.pub2. BACKGROUND: Acupuncture is often used for prevention of tension-type headache but its effectiveness is still controversial. This is an update of our Cochrane review originally published in Issue 1, 2009 of The Cochrane Library. OBJECTIVES: To investigate whether acupuncture is (a) more effective than no prophylactic treatment/routine care only; (b) more effective than “sham” (placebo) acupuncture; and (c) as effective as other interventions in reducing headache frequency in adults with episodic or chronic tension-type headache. SEARCH METHODS: We searched CENTRAL, MEDLINE, EMBASE, and AMED to 19 January 2016. We searched the World Health Organization (WHO) International Clinical Trials Registry Platform to 10 February 2016 for ongoing and unpublished trials. SELECTION CRITERIA: We included randomized trials with a post-randomization observation period of at least eight weeks, which compared the clinical effects of an acupuncture intervention with a control (treatment of acute headaches only or routine care), a sham acupuncture intervention or another prophylactic intervention in adults with episodic or chronic tension-type headache. DATA COLLECTION AND ANALYSIS: Two review authors checked eligibility; extracted information on participants, interventions, methods and results; and assessed study risk of bias and the quality of the acupuncture intervention. The main efficacy outcome measure was response (at least 50% reduction of headache frequency) after completion of treatment (three to four months after randomization). To assess safety/acceptability we extracted the number of participants dropping out due to adverse effects and the number of participants reporting adverse effects. We assessed the quality of the evidence using Grading of Recommendations Assessment, Development and Evaluation (GRADE). MAIN RESULTS: Twelve trials (11 included in the previous version and one newly identified) with 2349 participants (median = 56, range: 10-1265) met the inclusion criteria. Acupuncture was compared with routine care or treatment of acute headaches only in two large trials (1265 and 207 participants), but they had quite different baseline headache frequency and management in the control groups. Neither trial was blinded but trial quality was otherwise high (low risk of bias). While effect size estimates of the two trials differed considerably, the proportion of participants experiencing at least 50% reduction of headache frequency was much higher in groups receiving acupuncture than in control groups (moderate quality evidence; trial 1: 302/629 (48%) versus 121/636 (19%); risk ratio (RR) = 2.5; 95% confidence interval (CI): 2.1-3.0; trial 2: 60/132 (45%) versus 3/75 (4%); RR = 11; 95% CI: 3.7-35). Long-term effects (beyond four months) were not investigated. Acupuncture was compared with sham acupuncture in seven trials of moderate- to high-quality (low risk of bias); five large studies provided data for one or more meta-analyses. Among participants receiving acupuncture, 205 of 391 (51%) had at least 50% reduction of headache frequency compared to 133 of 312 (43%) in the sham group after treatment (RR = 1.3; 95% CI: 1.09-1.5; four trials; moderate quality evidence). Results six months after randomization were similar. Withdrawals were low: 1 of 420 participants receiving acupuncture dropped out due to adverse effects and 0 of 343 receiving sham (six trials; low quality evidence). Three trials reported the number of participants reporting adverse effects: 29 of 174 (17%) with acupuncture versus 12 of 103 with sham (12%; odds ratio (OR) = 1.3; 95% CI: 0.60-2.7; low quality evidence). Acupuncture was compared with physiotherapy, massage, or exercise in four trials of low to moderate quality (high risk of bias); study findings were inadequately reported. No trial found a significant superiority of acupuncture and for some outcomes the results slightly favored the comparison therapy. None of these trials reported the number of participants dropping out due to adverse effects or the number of participants reporting adverse effects. Overall, the quality of the evidence assessed using GRADE was moderate or low, downgraded mainly due to a lack of blinding and variable effect sizes. AUTHORS CONCLUSIONS: The available results suggest that acupuncture is effective for treating frequent episodic or chronic tension-type headaches, but further trials-particularly comparing acupuncture with other treatment options-are needed.  
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  Notes PMID:28392178 Approved no  
  Call Number OCOM @ refbase @ Serial 2204  
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Author Aroxa, F.H. de A.; Gondim, I.T.G. de O.; Santos, E.L.W.; Coriolano, M. das G.W. de S.; Asano, A.G.C.; Asano, N.M.J. url  doi
openurl 
  Title Acupuncture as Adjuvant Therapy for Sleep Disorders in Parkinson's Disease Type of Study RCT
  Year (down) 2017 Publication Journal of Acupuncture and Meridian Studies Abbreviated Journal J Acupunct Meridian Stud  
  Volume 10 Issue 1 Pages 33-38  
  Keywords AcuTrials; RCT; Sleep Disorders; Sleep Initiation and Maintenance Disorders; Insomnia; Acu Versus Usual Care; TCM Acupuncture Style; Acupuncture; Fixed Acupuncture Protocol; Acupuncture Only; Usual Care Control, Pharmaceutical; Parkinson's Disease; Nervous System Diseases  
  Abstract There are few studies which attest the efficacy of acupuncture on treatment of sleep disturbs in Parkinson disease. The aimed of this randomized clinical trial was to evaluate the effects of acupuncture on sleep disturbs of 22 patients with diagnosis of idiopathic Parkinson disease (Hoehn-Yahr 1 to 3) who have assistance on the Pro-Parkinson Program of Clinical Hospital at Federal University of Pernambuco in Brazil. All participants were evaluated by Parkinson Disease Sleep Scale (PDSS) before and after 8 weeks. The experimental group was submitted to 8 sections (once a week) which had duration of 30 minutes. The control group had no intervention. The intervention was executed using the acupuncture points LR3 (Taichong), SP6 (Sanyinjiao), LI4 (Hegu), TE5 (Wai-Guan), HT7 (Shenmen), PC6 (Neiguan), LI11 (Quchi), GB20 (Fengchi). Paired analyses were obtained by Wilcoxon test and independent analyses were made according to Mann-Whitney test. This study presented a potential therapeutic benefit of acupuncture on sleep disturbs of Parkinson's disease patients. This study showed a possible therapeutic benefit through acupuncture in sleep disorders in patients with PD. However, we propose new studies related to the effects of acupuncture on the clinical symptoms and evolution of the disease.  
  Address Clinical Medicine Department of Federal University Pernambuco – Recife (PE), Brazil. Electronic address: nadjaasano@gmail.com  
  Publisher
  Language English Number of Treatments 8  
  Treatment Follow-up N/A Frequency 1/WK Number of Participants 22  
  Time in Treatment 8 Weeks Condition Sleep Initiation and Maintenance Disorders
  Disease Category Sleep Disorders OCSI Score  
  Notes PMID:28254099 Approved yes  
  Call Number OCOM @ refbase @ Serial 2206  
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Author Zhang, W.-P.; Onose, Y.; Fujikawa, T. url  doi
openurl 
  Title A Trial Study of Moxibustion with a Warming Needle on Edema Type of Study
  Year (down) 2017 Publication Journal of Acupuncture and Meridian Studies Abbreviated Journal J Acupunct Meridian Stud  
  Volume 10 Issue 1 Pages 20-25  
  Keywords Adult; Edema/physiopathology/*therapy; Female; Hot Temperature; Humans; Moxibustion/*instrumentation/*methods; Needles; Regional Blood Flow/physiology; Skin Temperature/physiology; Young Adult; *edema; *moxibustion; *warm acupuncture  
  Abstract Edema is an accumulation of an excessive amount of watery fluid in cells or intercellular tissues. In order to examine the effects of acupuncture and moxibustion on edema, seven subjects were randomly divided into three groups, that was a Control group, an Acupuncture group (Acp), and an acupuncture and moxibustion group (Acp-Mox). After sitting for 60 minutes keeping their bodies still, the Acp and Acp-Mox subjects were administered acupuncture or acupuncture/moxibustion on the points of Zusanli (ST-36) and Sanyinjiao (SP-6), separately as against the Control group who only lied on the bed after modelization. After modelization at 60 minutes, the skin temperature and blood flow of all the groups were significantly lower in blood flow when compared with premodelization. But shortly after the procedure at 80 minutes, skin temperature in the Acp and Acp-Mox groups were significantly increased when compared with premodelization (vs. 60 minutes, p < 0.05). Moreover, the skin temperature and blood flow of the Acp-Mox group were significantly increased as compared to both the Control and the Acp group at the 80-minute time point. These results indicate that Acp and Mox-Acp could relieve edematous conditions significantly, especially the procedure of moxibustion with warming needle, was effective in improving edema which is often accompanied with cold intolerance and would be a recommended and superior therapy for edema.  
  Address Faculty of Pharmaceutical Sciences, Suzuka University of Medical Science, Suzuka, Mie, Japan  
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  Notes PMID:28254097 Approved no  
  Call Number OCOM @ refbase @ Serial 2207  
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Author Dimitrova, A.; Murchison, C.; Oken, B. url  doi
openurl 
  Title Acupuncture for the Treatment of Peripheral Neuropathy: A Systematic Review and Meta-Analysis Type of Study Systematic Review
  Year (down) 2017 Publication Journal of Alternative and Complementary Medicine (New York, N.Y.) Abbreviated Journal J Altern Complement Med  
  Volume 23 Issue 3 Pages 164-179  
  Keywords AcuTrials; Systematic Review; Nervous System Diseases; Peripheral Nervous System Diseases; Peripheral Neuropathy; Neuropathic Pain; Polyneuropathy; Mononeuropathy  
  Abstract OBJECTIVES: Neuropathy and its associated pain pose great therapeutic challenges. While there has been a recent surge in acupuncture use and research, little remains known about its effects on nerve function. This review aims to assess the efficacy of acupuncture in the treatment of neuropathy of various etiologies. METHODS: The Medline, AMED, Cochrane, Scopus, CINAHL, and clintrials.gov databases were systematically searched from inception to July 2015. Randomized controlled trials (RCTs) assessing acupuncture's efficacy for poly- and mononeuropathy were reviewed. Parallel and crossover RCTs focused on acupuncture's efficacy were reviewed and screened for eligibility. The Scale for Assessing Scientific Quality of Investigations in Complementary and Alternative Medicine was used to assess RCT quality. RCTs with score of >9 and active control treatments such as sham acupuncture or medical therapy were included. RESULTS: Fifteen studies were included: 13 original RCTs, a long-term follow-up, and a re-analysis of a prior RCT. The selected RCTs studied acupuncture for neuropathy caused by diabetes, Bell's palsy, carpal tunnel syndrome, human immunodeficiency virus (HIV), and idiopathic conditions. Acupuncture regimens, control conditions, and outcome measures differed among studies, and various methodological issues were identified. Still, the majority of RCTs showed benefit for acupuncture over control in the treatment of diabetic neuropathy, Bell's palsy, and carpal tunnel syndrome. Acupuncture is probably effective in the treatment of HIV-related neuropathy, and there is insufficient evidence for its benefits in idiopathic neuropathy. Acupuncture appears to improve nerve conduction study parameters in both sensory and motor nerves. Meta-analyses were conducted on all diabetic neuropathy and Bell's palsy individual subject data (six RCTs; a total of 680 subjects) using a summary estimate random effects model, which showed combined odds ratio of 4.23 (95% confidence interval 2.3-7.8; p < 0.001) favoring acupuncture over control for neuropathic symptoms. CONCLUSIONS: Acupuncture is beneficial in some peripheral neuropathies, but more rigorously designed studies using sham-acupuncture control are needed to characterize its effect and optimal use better.  
  Address Department of Neurology, Oregon Health and Science University , Portland, OR  
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  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Peripheral Nervous System Diseases
  Disease Category Nervous System Diseases OCSI Score  
  Notes Approved yes  
  Call Number OCOM @ refbase @ Serial 2209  
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Author Schlaeger, J.M.; Gabzdyl, E.M.; Bussell, J.L.; Takakura, N.; Yajima, H.; Takayama, M.; Wilkie, D.J. url  doi
openurl 
  Title Acupuncture and Acupressure in Labor Type of Study Systematic Review
  Year (down) 2017 Publication Journal of Midwifery & Women's Health Abbreviated Journal J Midwifery Womens Health  
  Volume 62 Issue 1 Pages 12-28  
  Keywords AcuTrials; Systematic Review; Labor, Obstetric; Delivery, Obstetric; Women's Health  
  Abstract Acupuncture and acupressure, 2 modalities of Traditional Chinese Medicine, are based on reducing pain and symptoms of disease through balancing yin and yang. Acupuncture and acupressure have been used in China for reduction of labor pain, labor augmentation, and other intrapartum indications for more than 2 millennia. This article presents a review of the current literature that has addressed the effects of acupuncture and acupressure on intrapartum events. Studies of acupuncture have demonstrated that acupuncture may reduce labor pain, the use of pharmacologic agents, the use of forceps and vacuum-assisted births, and the length of labor. Studies that examined the effect of acupuncture on labor that is induced or augmented for premature rupture of membranes have found that acupuncture may increase the degree of cervical ripening but does not reduce the amount of oxytocin or epidural analgesia administration, nor does it shorten length of induced labor. Acupressure may reduce labor pain and labor duration, but acupressure has not been found to increase cervical ripening or induce labor. There are insufficient studies about acupuncture and acupressure and their effects on labor at this time, and there is need for further research. Areas of uncertainty include efficacy, optimal point selection, best techniques, and length of time for point stimulation.  
  Address Judith M. Schlaeger, CNM, PhD, LAc, University of Illinois at Chicago, College of Nursing (M/C 802), Room 856, 845 S. Damen Ave. Chicago, IL 60612  
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  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Delivery, Obstetric
  Disease Category Labor, Obstetric OCSI Score  
  Notes PMID:28002621 Approved yes  
  Call Number OCOM @ refbase @ Serial 2211  
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Author Gattie, E.; Cleland, J.A.; Snodgrass, S. url  doi
openurl 
  Title The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis Type of Study Systematic Review
  Year (down) 2017 Publication The Journal of Orthopaedic and Sports Physical Therapy Abbreviated Journal J Orthop Sports Phys Ther  
  Volume 47 Issue 3 Pages 133-149  
  Keywords AcuTrials; Systematic Review; Pain; Musculoskeletal Diseases; Dry Needling; Myofascial Trigger Points  
  Abstract Study Design Systematic review and meta-analysis. Background An increasing number of physical therapists in the United States and throughout the world are using dry needling to treat musculoskeletal pain. Objective To examine the short- and long-term effectiveness of dry needling delivered by a physical therapist for any musculoskeletal pain condition. Methods Electronic databases were searched. Eligible randomized controlled trials included those with human subjects who had musculoskeletal conditions that were treated with dry needling performed by a physical therapist, compared with a control or other intervention. The overall quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation. Results The initial search returned 218 articles. After screening, 13 were included. Physiotherapy Evidence Database quality scale scores ranged from 4 to 9 (out of a maximum score of 10), with a median score of 7. Eight meta-analyses were performed. In the immediate to 12-week follow-up period, studies provided evidence that dry needling may decrease pain and increase pressure pain threshold when compared to control/sham or other treatment. At 6 to 12 months, dry needling was favored for decreasing pain, but the treatment effect was not statistically significant. Dry needling, when compared to control/sham treatment, provides a statistically significant effect on functional outcomes, but not when compared to other treatments. Conclusion Very low-quality to moderate-quality evidence suggests that dry needling performed by physical therapists is more effective than no treatment, sham dry needling, and other treatments for reducing pain and improving pressure pain threshold in patients presenting with musculoskeletal pain in the immediate to 12-week follow-up period. Low-quality evidence suggests superior outcomes with dry needling for functional outcomes when compared to no treatment or sham needling. However, no difference in functional outcomes exists when compared to other physical therapy treatments. Evidence of long-term benefit of dry needling is currently lacking. Level of Evidence Therapy, level 1a. J Orthop Sports Phys Ther 2017;47(3):133-149. Epub 3 Feb 2017. doi:10.2519/jospt.2017.7096.  
  Address Dr Eric Gattie, 264 Pleasant Street, Concord, NH 03301  
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  Time in Treatment Condition Pain
  Disease Category Pain OCSI Score  
  Notes PMID:28158962 Approved yes  
  Call Number OCOM @ refbase @ Serial 2212  
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Author Perez-Palomares, S.; Olivan-Blazquez, B.; Perez-Palomares, A.; Gaspar-Calvo, E.; Perez-Benito, M.; Lopez-Lapena, E.; de la Torre-Beldarrain, M.L.; Magallon-Botaya, R. url  doi
openurl 
  Title Contribution of Dry Needling to Individualized Physical Therapy Treatment of Shoulder Pain: A Randomized Clinical Trial Type of Study RCT
  Year (down) 2017 Publication The Journal of Orthopaedic and Sports Physical Therapy Abbreviated Journal J Orthop Sports Phys Ther  
  Volume 47 Issue 1 Pages 11-20  
  Keywords AcuTrials; RCT; Shoulder Pain; Musculoskeletal Diseases; Acu Versus Usual Care; Dry Needling, With Acupuncture Needle; Myofascial Trigger Points; MTrPs; Individualized Acupuncture Protocol; Manualized Acupuncture Protocol; Symptom Based Point Selection; Usual Care Control, Physical  
  Abstract Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatment of shoulder pain. Methods One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment. Patients were assessed at baseline, posttreatment, and 3-month follow-up. The primary outcome measure was pain assessed by a visual analog scale at 3 months, and secondary variables were joint range-of-motion limitations, Constant-Murley score for pain and function, and number of active MTrPs. Clinical efficacy was assessed using intention-to-treat analysis. Results Of the 120 enrolled patients, 63 were randomly assigned to the control group and 57 to the intervention group. There were no significant differences in outcome between the 2 treatment groups. Both groups showed improvement over time. Conclusion Dry needling did not offer benefits in addition to personalized, evidencebased physical therapy treatment for patients with nonspecific shoulder pain. Level of Evidence Therapy, level 1b. Registered February 11, 2009 at www.isrctn.com (ISRCTN30907460). J Orthop Sports Phys Ther 2017;47(1):11-20. Epub 9 Dec 2016. doi:10.2519/jospt.2017.6698.  
  Address Dr. Barbara Olivan-Blazquez, Department of Psychology and Sociology, University of Zaragoza, Violante de Hungria 23, 50-009 Zaragoza, Spain  
  Publisher
  Language English Number of Treatments 3  
  Treatment Follow-up Frequency <1/WK Number of Participants 120  
  Time in Treatment 10 Weeks Condition Shoulder Pain
  Disease Category Shoulder Pain OCSI Score  
  Notes PMID:27937046 Approved yes  
  Call Number OCOM @ refbase @ Serial 2213  
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Author Grant, S.; Colaiaco, B.; Motala, A.; Shanman, R.; Sorbero, M.; Hempel, S. url  doi
openurl 
  Title Acupuncture for the Treatment of Adults with Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis Type of Study Journal Article
  Year (down) 2017 Publication Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD) Abbreviated Journal J Trauma Dissociation  
  Volume Issue Pages 1-20  
  Keywords Alternative medicine; complementary medicine; meta-analysis; posttraumatic stress disorder; systematic review  
  Abstract Acupuncture has been suggested as a treatment for posttraumatic stress disorder (PTSD), yet its clinical effects are unclear. This review aims to estimate effects of acupuncture on PTSD symptoms, depressive symptoms, anxiety symptoms, and sleep quality for adults with PTSD. We searched 10 databases in January 2016 to identify eligible randomized controlled trials (RCTs). We performed random effects meta-analyses and examined quality of the body of evidence (QoE) using the GRADE approach to rate confidence in meta-analytic effect estimates. Seven RCTs with 709 participants met inclusion criteria. We identified very low QoE indicating significant differences favoring acupuncture (versus any comparator) at post-intervention on PTSD symptoms (standardized mean difference [SMD] = -0.80, 95% confidence interval [CI] [-1.59, -0.01], 6 RCTs), and low QoE at longer follow-up on PTSD (SMD = -0.46, 95% CI [-0.85, -0.06], 4 RCTs) and depressive symptoms (SMD = -0.56; 95% CI [-0.88, -0.23], 4 RCTs). No significant differences were observed between acupuncture and comparators at post-intervention for depressive symptoms (SMD = -0.58, 95% CI [-1.18, 0.01], 6 RCTs, very low QoE), anxiety symptoms (SMD = -0.82, 95% CI [-2.16, 0.53], 4 RCTs, very low QoE), and sleep quality (SMD = -0.46, 95% CI [-3.95, 3.03], 2 RCTs, low QoE). Safety data (7 RCTs) suggest little risk of serious adverse events, though some participants experienced minor/moderate pain, superficial bleeding, and hematoma at needle insertion sites. To increase confidence in findings, sufficiently powered replication trials are needed that measure all relevant clinical outcomes and dedicate study resources to minimizing participant attrition.  
  Address a RAND Corporation , Santa Monica , California , USA  
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  Notes PMID:28151093 Approved no  
  Call Number OCOM @ refbase @ Serial 2214  
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Author Zhang, F.; Yu, X.; Xiao, H. url  openurl
  Title Cardioprotection of Electroacupuncture for Enhanced Recovery after Surgery on Patients Undergoing Heart Valve Replacement with Cardiopulmonary Bypass: A Randomized Control Clinical Trial Type of Study Journal Article
  Year (down) 2017 Publication Evidence-based Complementary & Alternative Medicine (eCAM) Abbreviated Journal Evidence-based Complementary & Alternative Medicine (eCAM)  
  Volume Issue Pages 1-10  
  Keywords HEART valves -- Surgery; CONVALESCENCE -- Evaluation; ACUPUNCTURE points; CARDIOPULMONARY bypass; Electroacupuncture; CARDIAC surgery; REIMPLANTATION (Surgery); RANDOMIZED controlled trials  
  Abstract We attempted to investigate cardioprotection of electroacupuncture (EA) for enhanced recovery after surgery on patients

undergoing heart valve replacement with cardiopulmonary bypass. Forty-four patients with acquired heart valve replacement were

randomly allocated to the EA group or the control group. Patients in the EA group received EA stimulus at bilateral Neiguan

(PC6), Ximen (PC4), Shenting (GV24), and Baihui (GV20) acupoints twenty minutes before anesthesia induction to the end of

surgery.The primary end point was cardioprotection effect of electroacupuncture postoperatively and the secondary endpoints were

quality of recovery and cognitive functioning postoperatively. The present study demonstrated that electroacupuncture reduced

the occurrence of complications and played a role of cardioprotective effect on patients after heart valve replacement surgery with

cardiopulmonary bypass, and it benefits patients more comfortable and contributes to recovery after surgery.
 
  Address  
  Publisher Hindawi Publishing Corporation
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  Notes Accession Number: 121302083; Source Information: 2/16/2017, p1; Subject Term: HEART valves -- Surgery; Subject Term: CONVALESCENCE -- Evaluation; Subject Term: ACUPUNCTURE points; Subject Term: CARDIOPULMONARY bypass; Subject Term: ELECTROACUPUNCTURE; Subject Term: CARDIAC surgery; Subject Term: REIMPLANTATION (Surgery); Subject Term: RANDOMIZED controlled trials; Subject Term: ; Number of Pages: 10p; ; Illustrations: 2 Diagrams, 4 Charts, 3 Graphs; ; Document Type: Article; Approved no  
  Call Number OCOM @ refbase @ Serial 2227  
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Author Lei, H.; Chen, X.; Liu, S.; Chen, Z. url  openurl
  Title Effect of Electroacupuncture on Visceral and Hepatic Fat in Women with Abdominal Obesity: A Randomized Controlled Study Based on Magnetic Resonance Imaging Type of Study Journal Article
  Year (down) 2017 Publication Journal of Alternative & Complementary Medicine Abbreviated Journal Journal of Alternative & Complementary Medicine  
  Volume 23 Issue 4 Pages 285-294  
  Keywords OBESITY -- Treatment; FATTY liver -- Prevention; ACUPUNCTURE points; ADIPOSE tissues; ALTERNATIVE medicine; Anthropometry; HUMAN body composition; CLINICAL trials; Electroacupuncture; LONGITUDINAL method; MAGNETIC resonance imaging; Mathematics; PROBABILITY theory; RESEARCH -- Finance; SAMPLING (Statistics); Statistics; T-test (Statistics); WOMEN -- Health; DATA analysis; BODY mass index; RANDOMIZED controlled trials; PRE-tests & post-tests; DATA analysis -- Software; WAIST circumference; DESCRIPTIVE statistics; ABDOMINAL adipose tissue; MANN Whitney U Test; China  
  Abstract Objective: Visceral adipose tissue (VAT) and hepatic fat deposition are the most important risk factors for women's health. Acupuncture, including electroacupuncture (EA), is used to treat obesity throughout the world. The effect of EA is evaluated mainly by body mass index (BMI) and waist circumference (WC). Few studies have assessed its effect in reducing VAT volume and hepatic fat fraction (HFF) based on an exact measurement method such as magnetic resonance imaging (MRI). This study aimed to resolve this issue. Methods: Thirty subjects were randomly divided into two groups. The control group ( n = 15) did not receive any intervention and maintained a normal diet and their usual exercise habits. The treatment group ( n = 15) received EA three times a week for 3 months. BMI and WC were measured using different devices. VAT and HFF were measured by MRI and calculated by related software before and after the intervention. Results: A marked difference was evident in group that received EA treatment in the following tests. The differences in BMI (U = 21.00, p < 0.001), WC (U = 40.50, p = 0.002), VAT volume (U = 13.00, p < 0.001), and mean HFF (U = 0.00, p < 0.001) before and after the intervention in the treatment group were distinct and significant compared with those of the control group. Three months later, the treatment group showed a lower BMI (W = 91.00, p = 0.001), WC ( t = 4.755, p < 0.001), VAT volume ( t = 5.164, p < 0.001), and mean HFF (W = 120.00, p = 0.001) compared with pretreatment levels. Compared with the control group, the treatment group showed a lower VAT volume ( t = 60.00, p = 0.029) after 3 months of treatment. After 3 months, the control group showed higher mean HFF ( t = ?2.900, p = 0.012) and VAT volume (W = 11.50, p = 0.006) compared with their initial levels. Conclusion: Based on MRI evaluation, this randomized controlled study proved that EA treatment reduces BMI and WC as well as VAT volume and HFF in women with abdominal obesity.  
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  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes Accession Number: 122401275; Source Information: Apr2017, Vol. 23 Issue 4, p285; Subject Term: OBESITY -- Treatment; Subject Term: FATTY liver -- Prevention; Subject Term: ACUPUNCTURE points; Subject Term: ADIPOSE tissues; Subject Term: ALTERNATIVE medicine; Subject Term: ANTHROPOMETRY; Subject Term: HUMAN body composition; Subject Term: CLINICAL trials; Subject Term: ELECTROACUPUNCTURE; Subject Term: LONGITUDINAL method; Subject Term: MAGNETIC resonance imaging; Subject Term: MATHEMATICS; Subject Term: PROBABILITY theory; Subject Term: RESEARCH -- Finance; Subject Term: SAMPLING (Statistics); Subject Term: STATISTICS; Subject Term: T-test (Statistics); Subject Term: WOMEN -- Health; Subject Term: DATA analysis; Subject Term: BODY mass index; Subject Term: RANDOMIZED controlled trials; Subject Term: PRE-tests & post-tests; Subject Term: DATA analysis -- Software; Subject Term: WAIST circumference; Subject Term: DESCRIPTIVE statistics; Subject Term: ABDOMINAL adipose tissue; Subject Term: MANN Whitney U Test; Subject Term: ; Geographic Subject: CHINA; Geographic Subject: ; Number of Pages: 10p; ; Document Type: Article; Approved no  
  Call Number OCOM @ refbase @ Serial 2228  
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