A controlled trial of acupuncture in tinnitus

Marks, N. J.; Emery, Paul; Onisiphorou, C.

doi:10.1017/s0022215100148091

Cited by 48 publications

(58 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[234][235][236]241 Two unblinded studies showed a positive result, whereas 4 blinded studies demonstrated no significant effect of acupuncture.…”

Section: Supporting Textmentioning

confidence: 99%

“…229,230 A systematic review in 2012 on acupuncture for the treatment of tinnitus included 9 RCTs, with a total of 431 participants. 222 Five of the RCTs used manual acupuncture (MA), [231][232][233][234][235] 1 used electroacupuncture (EA), 236 1 used both MA and EA, 237 and the other 2 used scalp acupuncture. 238,239 Five RCTs compared effectiveness of manual or electroacupuncture with sham acupuncture and showed no statistically significant improvement.…”

Section: Supporting Textmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Practice Guideline: Tinnitus

Tunkel¹,

Bauer

Sun

et al. 2014

Otolaryngol.--head neck surg.

558

408

View full text Add to dashboard Cite

show abstract

“…[234][235][236]241 Two unblinded studies showed a positive result, whereas 4 blinded studies demonstrated no significant effect of acupuncture.…”

Section: Supporting Textmentioning

confidence: 99%

Section: Supporting Textmentioning

confidence: 99%

Clinical Practice Guideline: Tinnitus

Tunkel¹,

Bauer

Sun

et al. 2014

Otolaryngol.--head neck surg.

558

408

View full text Add to dashboard Cite

show abstract

“…However, they noted that tinnitus returned to pre-treatment levels at one y ear follow-up 11 . VAS was used by other authors to measure the level of buzzing reported by patients 7,10,11 . VAS is easy and quick to apply, making possible a comparison of results between groups.…”

Section: Discussionmentioning

confidence: 99%

O uso da acupuntura para alívio imediato do zumbido

Okada

Onishi

Chami

et al. 2006

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

O zumbido, definido como percepção consciente de um som originado nas orelhas ou no sistema nervoso do paciente, representa até os dias atuais um grande desafio no que concerne seu tratamento, baseia-se na estimulação com agulhas de pontos específicos definidos sobre a anatomia humana. A utilização da Acupuntura (ACP) em sintomas como o zumbido assemelha-se ao modelo aplicado nos quadros álgicos, já que ambos estão relacionados como experiência sensorial e emocional subjetiva e desagradável. OBJETIVO: Estudar a eficácia da acupuntura no alívio sintomático de forma aguda no zumbido. FORMA DE ESTUDO: Clínico prospectivo. MATERIAL E MÉTODO: Foi realizado um estudo prospectivo, randomizado e duplo-cego em 76 pacientes atendidos no Ambulatório de Zumbido do Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço da UNIFESP-EPM no período compreendido entre abril e junho de 2005. Todos os pacientes tinham queixa de zumbido e foram submetidos a anamnese clínica, exame físico e exames subsidiários a fim de se investigar sua etiologia. Os pacientes eram então encaminhados a um primeiro pesquisador que determinou um valor numérico subjetivo inicial do zumbido através de Escala Visual Analógica (EVA), variando de 0 a 10 pontos. Após isto, foram encaminhados para outra sala na qual um médico acupunturista, que não tinha acesso à avaliação inicial, separou os pacientes em Grupo Controle e Grupo Estudo de acordo com a ordem de atendimento, de maneira alternada. O ponto de ACP utilizado nos pacientes do Grupo Estudo situa-se a 6,5cm acima do ápice do pavilhão auditivo na região têmporo-parietal. O ponto utilizado no Grupo Controle situa-se 3cm acima do ponto anterior, na mesma linha vertical. Foram então encaminhados à sala inicial para uma nova avaliação pelo primeiro pesquisador, onde foram orientados a redefinir o escore subjetivo do zumbido. RESULTADOS: Dos 76 pacientes estudados, 29 eram do sexo masculino (38,2%) e 47 do sexo feminino (61,8%), com idade média 56,9 + 12,0 anos. Os Grupos Estudo e Controle contaram com 38 pacientes cada. Através do teste Anova foi constatado que houve diferença significante (p<0,001) entre os momentos pré e pós-agulhamento e que no grupo Estudo essa melhora é bem maior (p = 0,0127). O teste t-independente mostrou que houve uma diferença significante (p=0,017) entre os escores pré e pós-agulhamento nos grupos Estudo e Controle. CONCLUSÃO: Concluímos que houve redução significante da contagem dos momentos pré e pós-agulhamento em ambos os grupos (controle e estudo), sendo que no grupo estudo a redução é maior que no grupo controle.

show abstract

“…It is possible that having multiple sessions of acupuncture administered over a period of time might work better than just a single session. Marks et al 4 believed that some patients responded to acupuncture only if the course of treatment lasted for more than 2 weeks.…”

Section: Acupuncture For Tinnitusmentioning

confidence: 99%

“…Although there are reports that suggest acupuncture is beneficial for tinnitus, acupuncture has not been demonstrated to be efficacious as a treatment for tinnitus with evidence from rigorous randomized controlled trials. 3 Marks et al, 4 however, pointed out that it was challenging to study treatment of a symptom such as tinnitus, which has multiple etiologies; a treatment may work for some etiologies but not for others. There may well be small subgroups of people with tinnitus for whom acupuncture is effective but could not be identified unless very large numbers of study subjects were accrued to distinguish these small groups of responders from the whole population of people with tinnitus.…”

Section: Introduction Wmentioning

confidence: 99%

Is Electroacupuncture Treatment More Effective in Somatic Tinnitus Than in Nonsomatic Tinnitus?

Low

Rangabashyam

Cui

et al. 2017

Medical Acupuncture

View full text Add to dashboard Cite

Background: In recent years, evidence has been accumulating linking subjective tinnitus to the somatosensory system. Somatic tinnitus is defined as tinnitus in which forceful contractions of jaw and neck muscles modulate the psychoacoustic attributes of tinnitus, such as pitch and loudness. Being a somatosensory-based treatment modality, needling might well be more effective for treating somatic than nonsomatic tinnitus. Objective: The aim of this study was to compare the outcomes of electroacupuncture (EA) treatment between patients with somatic and nonsomatic tinnitus. Materials and Methods: A single-blinded prospective study was carried wherein 27 patients with tinnitus were divided into either a somatic or a nonsomatic group, based on whether their tinnitus could be modulated by at least one of a series of forceful jaw and neck muscular contraction maneuvers. Tinnitus responses were evaluated after a single session of EA on selected acupoints for 30 minutes. Results: Seventeen of the 27 patients (63.0%) studied were found to have somatic tinnitus. Generalized estimating equation model analysis did not find any overall statistically significant difference in EA response between patients with somatic and nonsomatic tinnitus. However, patients with somatic tinnitus who were consistent in their responses to the muscular contraction maneuvers were more likely to improve with EA than variable responders to these maneuvers (62.5% versus 22.0%). Conclusions: EA did not provide increased benefits for patients with somatic tinnitus, compared to those with nonsomatic tinnitus overall. However, within the somatic tinnitus group, a subpopulation of patients appeared to be relatively more responsive to EA treatment.

show abstract

A controlled trial of acupuncture in tinnitus

Cited by 48 publications

References 21 publications

Clinical Practice Guideline: Tinnitus

Clinical Practice Guideline: Tinnitus

O uso da acupuntura para alívio imediato do zumbido

Is Electroacupuncture Treatment More Effective in Somatic Tinnitus Than in Nonsomatic Tinnitus?

Contact Info

Product

Resources

About