A review of the literature on chiropractic and insomnia

Kingston, J K; Raggio, Claire; Spencer, Kim; Stalaker, Karl; Tuchin, Peter J.

doi:10.1016/j.jcm.2010.03.003

Cited by 7 publications

(4 citation statements)

References 28 publications

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“…Insomnia One low quality systematic review [ 176 ] assessed the effects of chiropractic spinal manipulative therapy on primary insomnia. No relevant controlled studies were identified (the only controlled study mentioned was in fact of healthy volunteers (not mentioned by the reviewers) and thus no relevant outcomes were reported).…”

Section: Resultsmentioning

confidence: 99%

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

et al. 2014

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BackgroundThis systematic review updated and extended the "UK evidence report" by Bronfort et al. (Chiropr Osteopath 18:3, 2010) with respect to conditions/interventions that received an 'inconclusive’ or 'negative’ evidence rating or were not covered in the report.MethodsA literature search of more than 10 general medical and specialised databases was conducted in August 2011 and updated in March 2013. Systematic reviews, primary comparative studies and qualitative studies of patients with musculoskeletal or non-musculoskeletal conditions treated with manual therapy and reporting clinical outcomes were included. Study quality was assessed using standardised instruments, studies were summarised, and the results were compared against the evidence ratings of Bronfort. These were either confirmed, updated, or new categories not assessed by Bronfort were added.Results25,539 records were found; 178 new and additional studies were identified, of which 72 were systematic reviews, 96 were randomised controlled trials, and 10 were non-randomised primary studies. Most 'inconclusive’ or 'moderate’ evidence ratings of the UK evidence report were confirmed. Evidence ratings changed in a positive direction from inconclusive to moderate evidence ratings in only three cases (manipulation/mobilisation [with exercise] for rotator cuff disorder; spinal mobilisation for cervicogenic headache; and mobilisation for miscellaneous headache). In addition, evidence was identified on a large number of non-musculoskeletal conditions not previously considered; most of this evidence was rated as inconclusive.ConclusionsOverall, there was limited high quality evidence for the effectiveness of manual therapy. Most reviewed evidence was of low to moderate quality and inconsistent due to substantial methodological and clinical diversity. Areas requiring further research are highlighted.

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Section: Resultsmentioning

confidence: 99%

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

et al. 2014

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“…The group hypothesized that the CV4 technique helped reduce sleep latency by decreasing sympathetic tone and results were consistent with this. The authors note that despite the results, mechanisms behind this relationship requires further research (Cutler et al, 2005;Kingston et al, 2010).…”

Section: Chiropractic and Osteopathic Manipulative Treatmentmentioning

confidence: 85%

“…There are limited studies on the use of chiropractic and osteopathic manipulative treatments (OMT) for the management of insomnia. Research on chiropractic treatment suggests that spinal manipulative therapy excites GABA-ergic inhibitory neurons, promotes relaxation of the mind, and non-rapid eye movement sleep (Kingston, Raggio, Spencer, Stalaker, & Tuchin, 2010). Different pathways have been suggested for how the therapy works, but no clear studies have been performed to confirm them.…”

Section: Chiropractic and Osteopathic Manipulative Treatmentmentioning

confidence: 99%

Nonpharmacological management of sleep disturbances after traumatic brain injury

Thomas

Greenwald

2018

NRE

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BACKGROUND: Sleep plays an integral role in several physiologic functions such as cognition and functional ability. Sleep disturbances are common after brain injury and can interfere with rehabilitation and recovery. There are several pathways by which sleep is initiated, and thus various ways to target common complaints as well. OBJECTIVES: To review alternative and non-pharmacological treatment approaches to sleep disorders following TBI. METHODS: The authors present a review of the literature on various alternative treatment methods for treating sleep disorders, and discuss evidence for safety and efficacy. CONCLUSIONS: Typical management include conservative measures and pharmacologic treatment. This article provides a review of the available nonpharmacologic treatment options for sleep disorders in patients with traumatic brain injury. There are a number of non-pharmacological treatment methods available for treatment of sleep disorders in this population.

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“…Long-term use of frequently prescribed medications (for example, benzodiazepines) can lead to habituation and problematic withdrawal symptoms [3]. In China, most of patients prefer to receive traditional Chinese medicine (CM) treatment, including Chinese herbal medicine, acupuncture, massage and cupping [4-12]. In recent years, the traditional CM therapy for insomnia is enjoying increasing popularity in the West [5,6,13,14], reflecting growing acceptance of such treatments even in the West.…”

Section: Introductionmentioning

confidence: 99%

Exploring effective core drug patterns in primary insomnia treatment with Chinese herbal medicine: study protocol for a randomized controlled trial

Yan

Zhang

Zhou

et al. 2013

Trials

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BackgroundChinese herbal medicine is one of the most popular Chinese medicine (CM) therapies for primary insomnia. One of the important characteristics of CM is that different Chinese clinicians give different prescriptions even for the same patient. However, there must be some fixed drug patterns in every clinician’s prescriptions. This study aims to screen the effective core drug patterns in primary insomnia treatment of three prestigious Chinese clinicians.Methods/designA triple-blind, randomized, placebo-controlled, parallel-group clinical trial will be performed. Three clinicians will diagnose and treat every eligible patient individually and independently, producing three prescriptions from three clinicians for every patient. Patients will equally be randomized to one of four groups – medical group A, medical group B, medical group C, or placebo group – and observed for efficacy of treatment. The sample will include primary insomnia patients meeting DSM IV-TR criteria, Spiegel scale score >18, and age 18 to 65 years. A sequential design is employed. Interim analysis will be conducted when between 80 and 160 patients complete the study. The interim study could be stopped and treated as final if a statistically significant difference between treatment and placebo groups can be obtained and core effective drug patterns can be determined. Otherwise, the study continues until the maximum sample size reaches 300. Treatment of the CM group is one of three Chinese clinicians’ prescriptions, who provide independently prescriptions based on their own CM theory and the patient’s disease condition. Assessment will be by sleep diary and Pittsburgh sleep quality index, and CM symptoms and signs will be measured. Primary outcome is total sleep time. Assessment will be carried out at the washout period, weeks 1, 2, 3, and 4 and 4th week after the end of treatment. Effectiveness analysis will be per intent to treat. A multi-dimension association rule and scale-free networks method will be used to explore the effective core drug patterns.DiscussionThe effective core drug patterns will be found through analyzing several prestigious CM clinicians’ treatment information. Screening the effective core drug patterns from prestigious clinicians can accelerate the development of new CM drugs.Trial registrationNCT01613183

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A review of the literature on chiropractic and insomnia

Abstract: Some studies have noted improvement in insomnia following manual therapy; however, based on clinical trials, there is minimal evidence of support for chiropractic in insomnia. Further studies with high methodological scores need to be conducted.

Cited by 7 publications

References 28 publications

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

Nonpharmacological management of sleep disturbances after traumatic brain injury

Exploring effective core drug patterns in primary insomnia treatment with Chinese herbal medicine: study protocol for a randomized controlled trial

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