Needle Acupuncture in Tension-Type Headache: A Randomized, Placebo-Controlled Study

Karst, Matthias; Reinhard, Michaela; Thum, P; Wiese, Birgitt; Rollnik, Jens D.; Fink, Matthias

doi:10.1046/j.1468-2982.2001.00198.x

Cited by 79 publications

(106 citation statements)

References 12 publications

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“…Effects found in this study that have been previously reported include: differences between acupuncture and control for migraine 7,12,45 that increased between posttreatment and 1-year follow-up, 11 unconvincing effects for tension-type headache, [46][47][48][49] improvements in severity and frequency, 24 and increased benefit in patients with greater headache severity.…”

Section: Comparison With Other Studiessupporting

confidence: 64%

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Vickers

Rees²,

Zollman³

et al. 2004

Health Technol Assess

114

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Section: Comparison With Other Studiessupporting

confidence: 64%

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Vickers

Rees²,

Zollman³

et al. 2004

Health Technol Assess

114

View full text Add to dashboard Cite

show abstract

“…2 The effects of acupuncture on various types of headache have been studied widely. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] In a Cochrane review, Melchart et al compared the effectiveness of acupuncture with 'sham' (placebo) acupuncture and other interventions used to treat idiopathic (primary) headaches including tensiontype headache. 3 They concluded that the evidence supports the role of acupuncture for the treatment of idiopathic headaches but is not conclusive.…”

Section: Introductionmentioning

confidence: 99%

“…While some researchers recommended that acupuncture is valuable for various types of headache, including tension type and migraine, [4][5][6][7][8][9][10] others failed to demonstrate clinically significant differences. [11][12][13][14][15][16][17] Factors which make the practice of acupuncture unlikely to be acceptable to certain medical communities include the possibility of transmitting infection, the risk of visceral trauma, particularly pneumothorax, and the invasive nature of the practice in general. 18 Efforts to find proper alternatives for needles began in the middle www.medical-acupuncture.co.uk/aimintro.htm of the 20th century, and one significant suggestion is low energy laser.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Laser Acupuncture on Chronic Tension Headache – a Randomised Controlled Trial

Ebneshahidi¹,

Heshmatipour²,

Moghaddami

et al. 2005

Acupunct Med

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Objective Headache affects the quality of life for many people throughout the world. Tension headache is among the commonest forms. Acupuncture is the most widely practised non-medicinal treatment for headaches. The purpose of this study was to explore the effects of laser acupuncture in this type of headache. Methods Fifty patients with chronic tension-type headache were randomly allocated to treatment or placebo groups. Patients in the treatment group received low energy laser acupuncture to LU7, LI4, GB14, and GB20 bilaterally. Points were irradiated for 43 seconds, and the intensity was 1.3J (~13J/cm2). Ten sessions were given, three per week. The placebo group was treated in a similar way except that the output power of the equipment was set to zero. The outcome variables were headache intensity (VAS), duration of attacks, and number of days with a headache per month, by daily diary, assessed monthly to three months after treatment. Results There were significant differences between groups (P<0.001) in changes from baseline in months one, two and three, in median score for headache intensity (treatment group -5, -3 and -2, placebo group -1, 0 and 0), median duration of attacks (treatment group -6, -4 and -4, placebo group -1, 0 and 0 hours), and median number of days with headache per month (treatment group -15, -10 and -8, placebo group -2, 0 and 0). Conclusion This study suggests that laser acupuncture may be an effective treatment for chronic tension-type headache, but the results should be confirmed in larger and more rigorous trials.

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“…No patient had 12 treatments, [2]. Other studies of acupuncture have shown lack of efficacy [7]. Of those not previously treated with acupuncture, the majority (nearly three-quarters) expressed interest in trying it, whereas 12% were not interested because of aversion to needles.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture use for the treatment of headache prior to neurological referral

Larner

2005

J Headache Pain

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Introduction" [Susan] has been suffering much from the headache and six leeches a day for ten days together relieved her so little that we thought it right to change our measures -and being convinced on examination that much of the evil lay in her gum, I persuaded her to attack the disorder there. She has accordingly had three teeth drawn, and is decidedly better, but her nerves are a good deal deranged. She can only speak in a whisper -and fainted away twice this morning …" Jane Austen, Sanditon (1817)As this quotation shows, the difficulty in establishing the efficacy of treatments for persistent headaches is not a new one, and experimentation with new modalities, though often encouraged, may not be without side effects. There are data supporting the efficacy of acupuncture for the treatment of headache [1] and recently a randomised controlled trial found it both efficacious [2] and cost-effective [3] for the treatment of chronic headache in primary care. Questions of efficacy aside, data showing how often acupuncture is used for the treatment of headache have not been identified. Acupuncture treatment in the United Kingdom is available on an ad hoc basis, sometimes from primary care practitioners, sometimes from private practitioners. There is no standardised, university-based, structure for training in acupuncture in the UK. The aim of this study was to ascertain how often acupuncture had been used by patients with headache prior to referral to general neurology outpatient clinics. A subsidiary aim was to ascertain how many headache patients would be prepared to try acupuncture treatment, and how many would be put off by the use of needles. J Headache Pain (2005) 6:97-99 DOI 10.1007 Acupuncture use for the treatment of headache prior to neurological referral

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Needle Acupuncture in Tension-Type Headache: A Randomized, Placebo-Controlled Study

Cited by 79 publications

References 12 publications

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

Acupuncture of chronic headache disorders in primary care: randomised controlled trial and economic analysis

The Effects of Laser Acupuncture on Chronic Tension Headache – a Randomised Controlled Trial

Acupuncture use for the treatment of headache prior to neurological referral

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