Acupuncture for Treatment of Insomnia in Patients With Traumatic Brain Injury

Zollman, Felise S.; Larson, Eric B.; Wasek-Throm, Laura K.; Cyborski, Cherina; Bode, Rita

doi:10.1097/htr.0b013e3182051397

Cited by 61 publications

(50 citation statements)

References 31 publications

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“…In a pilot RCT of the effect of acupuncture on insomnia, cognition, and mood after TBI, 20 participants were randomized to receive treatment as usual plus acupuncture or treatment as usual alone [44]. Sleep time and insomnia severity did not differ significantly between the groups after treatment, although there were significant withingroup improvements in the acupuncture group insomnia severity (p \ 0.01).…”

Section: Acupuncturementioning

confidence: 99%

Use of Complementary and Alternative Medicine in Treating Individuals with Traumatic Brain Injury

Cantor

Gumber

2013

Curr Phys Med Rehabil Rep

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This article presents an overview of the clinical trials literature on complementary and alternative medicine for traumatic brain injury. In searches of PubMed and the Allied and Complementary Medicine Database, trials of acupuncture, acupressure, creatine, homeopathy, hyperbaric oxygen therapy, mindfulness-based practices, music therapy, neurotherapy, Tai Chi, and yoga were identified. Because of the high risk of bias in most of the studies reviewed, the evidence base is inadequate to recommend any specific complementary and alternative medicine treatments for traumatic brain injury, although promising findings were identified for a number of treatments. Safety data on many of the interventions were lacking.

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Section: Acupuncturementioning

confidence: 99%

Use of Complementary and Alternative Medicine in Treating Individuals with Traumatic Brain Injury

Cantor

Gumber

2013

Curr Phys Med Rehabil Rep

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“…Finally, in a study of 24 adults with a history of TBI (Rancho Cognitive Scale of V or above) and complaints of insomnia were randomized to acupuncture (n = 12) or control (n = 8) [25]. Although insomnia related hypotheses were not supported, within group improvements in depression scores were noted among those in the acupuncture group.…”

Section: Potentially Promising Interventions: Depression Secondary Oumentioning

confidence: 99%

“…The intent of this paper is to review current and interesting trends and/ or developments in the treatment of post-traumatic mood disorders. Towards this end, 12 recently published articles were identified including: two systematic reviews [14 •• , 15]; one Cochrane protocol [16]; three studies regarding novel interventions where depression was the primary outcome [17 • , 18, 19 • ]; two randomized controlled trials (RCTs) where depression was the secondary outcome [20,21]; and four single group-pilot/feasibility trials in which depression was a secondary or exploratory outcome [22][23][24][25] (see Table 1). No recent publications were identified which explored the efficacy of traditional pharmacological interventions (e.g., antidepressant medications) and/or sufficiently addressed post-TBI hypo/manic symptoms.…”

Section: Introductionmentioning

confidence: 99%

Interventions for Mood-Related Issues Post Traumatic Brain Injury: Novel Treatments and Ongoing Limitations of Current Research

Brenner

Hoffberg

Shura

et al. 2013

Curr Phys Med Rehabil Rep

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Mood-related issues following traumatic brain injuries (TBI) are highly prevalent and negatively impact psychosocial functioning. Such symptoms are also frequently undertreated. The aim of this publication is to highlight work regarding interventions for the treatment of post-TBI mood issues. Twelve recently published articles were identified (two systematic reviews, one Cochrane protocol, and nine original research studies). Presented manuscripts support both traditional (e.g., psychotherapy) and novel (e.g., exercise) interventions. Despite these scholarly endeavors, definitive findings regarding effective treatments for post-TBI mood disorders remain sparse. Of particular concern was the lack of recent research regarding traditional pharmacological interventions. Further work is required to identify efficacious and effective interventions for members of this high risk population.

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“…A recent investigation reported that acupuncture had a beneficial effect on cognition and on perception of sleep or sleep quality for patients with TBI [33]. However, that study was limited by small sample size, poor study design, and inadequate adjustment.…”

Section: Introductionmentioning

confidence: 99%

Reduced Use of Emergency Care and Hospitalization in Patients with Traumatic Brain Injury Receiving Acupuncture Treatment

Shih

Lee

Chen

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Background. Little research exists on acupuncture treatment's effect on patients with traumatic brain injury (TBI). Methods. Using Taiwan's National Health Insurance Research Database, we conducted a cohort study to compare the use of emergency care and hospitalization in TBI patients with and without acupuncture treatment in the first year after TBI. The adjusted relative risks (RRs) and 95% confidence intervals (CIs) of high use of emergency care and hospitalization associated with acupuncture treatment were calculated in multivariate Poisson regression models with generalized estimating equation. Results. The means of medical visits of emergency care and hospitalization were lower in TBI patients with acupuncture treatment than in those without acupuncture treatment. After adjustment, acupuncture treatment was associated with decreased risk of high emergency care visits (beta = −0.0611, P = 0.0452) and hospitalization (beta = −0.0989, P < 0.0001). The RRs of high medical visits and expenditure for hospitalization associated with acupuncture treatment were 0.62 (95% CI = 0.50–0.76) and 0.66 (95% CI = 0.53–0.83), respectively. Conclusion. Patients with TBI who receive acupuncture treatment have reduced the use of emergency care and hospitalization in the first year after injury. The mechanisms of effects of acupuncture on TBI warrant further investigations.

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Acupuncture for Treatment of Insomnia in Patients With Traumatic Brain Injury

Abstract: : Acupuncture has a beneficial effect on perception of sleep or sleep quality and on cognition in our small sample of patients with TBI. Further studies of this treatment modality are warranted to validate these findings and to explore factors that contribute to treatment efficacy.

Cited by 61 publications

References 31 publications

Use of Complementary and Alternative Medicine in Treating Individuals with Traumatic Brain Injury

Use of Complementary and Alternative Medicine in Treating Individuals with Traumatic Brain Injury

Interventions for Mood-Related Issues Post Traumatic Brain Injury: Novel Treatments and Ongoing Limitations of Current Research

Reduced Use of Emergency Care and Hospitalization in Patients with Traumatic Brain Injury Receiving Acupuncture Treatment

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