The efficacy of acupuncture on the sleep structure of patients with insomnia: A systematic review and <scp>meta‐analysis</scp>

Fang, Qin-Qin; Wang, Xiaoqiu; Liu, Chengyong; Xi, Hanqing; Wan, Qingyun; Qin, Shan; Xu, Liang; Tian, Qianmo; Pan, Rui; Wu, Wei

doi:10.1002/ar.24745

Cited by 8 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Five systematic reviews and meta‐analyses and three network meta‐analyses investigated the efficacy of acupuncture on sleep outcomes. In summary, six of them found significant reductions in the Pittsburgh Sleep Quality Index (PSQI) total score (Cao et al, 2019; Fang et al, 2021; Kwon et al, 2021; Liu et al, 2020; Lu et al, 2022; Zhang et al, 2020), two reviews found significant decreases in the Insomnia Severity Index (ISI) (Liu et al, 2020; Zhang et al, 2020), and one study found reduced subjective sleep onset latency (SOL) (Cao et al, 2019). With respect to objective sleep parameters, results were mixed: three reviews reported significant effects (Fang et al, 2021; Zhang et al, 2020; Zhao et al, 2021), while two reviews found no significant effects (Jiang et al, 2019; Liu et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…With respect to objective sleep parameters, results were mixed: three reviews reported significant effects (Fang et al, 2021;Zhang et al, 2020;Zhao et al, 2021), while two reviews found no significant effects (Jiang et al, 2019;Liu et al, 2020). Cao et al (2019) conducted a meta-analysis and reported significant reductions in the PSQI total score and subjective SOL compared to sham acupuncture/no treatment.…”

Section: Acupuncturementioning

confidence: 99%

“…However, the quality of evidence was low to very low, and results were based on a maximum of two studies. Another meta-analysis by Fang et al (2021) of seven RCTs found a reduction of the PSQI score and an increase in objective total sleep time (TST) and sleep efficiency (SE). This study reported no effects on objective SOL and percentages of sleep stages.…”

Section: Acupuncturementioning

confidence: 99%

“…The risk-of-bias assessment revealed mostly an unclear to low risk of bias for the two studies considering different categories (i.e., allocation concealment). Following the AMSTAR 2 tool guidelines, the overall confidence of the results of the included reviews was rated critically low in 11 studies (Auld et al, 2017;Baglioni, Bostanova, et al, 2020;Culpepper & Wingertzahn, 2015;Fang et al, 2021;Jiang et al, 2019;Kuriyama et al, 2014;Liu et al, 2020;Liu & Wang, 2012;Lowe et al, 2019;Sun et al, 2021;Zhang et al, 2020), as low in two studies (Cao et al, 2019;Zhao et al, 2021), and as moderate in one study (Kwon et al, 2021). Due to lack of information, appraisal of one study could not fully be made (Lu et al, 2022).…”

Section: Light Exposurementioning

confidence: 99%

See 3 more Smart Citations

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Ell,

Schmid,

Benz

et al. 2023

Journal of Sleep Research

View full text Add to dashboard Cite

SummaryInsomnia is a common disorder and cognitive behavioural therapy for insomnia (CBT‐I) is recommended as first‐line treatment. However, CBT‐I is not widely distributed and infrequently available while medication is not indicated for long‐term use. To close this evident gap in supply, alternative treatments could be utilised. High‐quality research on this topic is scarce, and there is currently no comprehensive publication on the effectiveness of alternative treatments. To address this pressing question, we systematically summarised the existing research on alternative treatments for insomnia. A comprehensive search of systematic reviews and (network) meta‐analyses of randomised controlled trials investigating the efficacy of alternative treatments compared to waiting‐list control or placebo in adults with insomnia disorder with or without comorbidities was conducted in PubMed, MEDLINE, PsycInfo, and PsycArticles on December 6, 2022, yielding 391 records. Finally, 15 eligible studies were included. Evidence on acupuncture, exogenous melatonin, mind–body interventions and exercise, repetitive transcranial magnetic stimulation (rTMS), valerian, and light exposure was found. Acupuncture, rTMS and mind–body exercises significantly improved sleep quality and insomnia severity but effects on objectively assessed outcomes were inconclusive. Melatonin led to a reduction in both self‐reported and objectively assessed sleep onset latency. Light exposure and valerian did not significantly improve sleep outcomes. Overall, the quality of studies was rated as low. Results indicate that alternative treatments are effective mostly on subjective outcomes. However, evidence on the efficacy of some intervention types is sparse and there is a need for high‐quality original studies. Future research could investigate whether combining different alternative treatment aspects with CBT‐I improves individual treatment.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Acupuncturementioning

confidence: 99%

Section: Acupuncturementioning

confidence: 99%

Section: Light Exposurementioning

confidence: 99%

See 2 more Smart Citations

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Ell,

Schmid,

Benz

et al. 2023

Journal of Sleep Research

View full text Add to dashboard Cite

show abstract

“…Electro-acupuncture is a characteristic traditional Chinese non-pharmacological method. It not only can improve sleep architecture ( 14 ) and prolong deep sleep time in patients with insomnia ( 15 ) but also can improve motor symptoms in patients with movement disorders ( 16 ). Polysomnography (PSG) is considered the gold standard for the diagnosis of non-rapid eye movement (NREM) parasomnias ( 17 ), particularly valuable for individuals with complex medical histories.…”

Section: Discussionmentioning

confidence: 99%

Electro-acupuncture on Vascular Parkinsonism with multiple sleep disorders: A Case Report

YAN

Fan

et al. 2022

Front. Neurol.

View full text Add to dashboard Cite

Vascular Parkinsonism (VP) is a kind of rare secondary Parkinsonism caused by vascular lesions. Patients with VP experience not only movement disorders but also sleep disorders. But treatment options are limited and often associated with undesirable adverse effects. Electro-acupuncture (EA) is a safe, rapid work, easy operation, and convenient complementary replacement therapy. We report a case of a 51-year-old man who presented with VP and multiple sleep disorders. Based on clinical evaluation and nocturnal hospital-based polysomnography (PSG), the patient had severe PLMD (PSG showed severe periodic leg movements), excessive daytime sleepiness (EDS, the score of the ESS is 16), and probable rapid eye movement sleep disorder (RBD). Parkinson's disease sleep scale (PDSS) score, Pittsburgh sleep quality index (PSQI), and periodic leg movements index were 93, 11, and 135.2, respectively. After 8 weeks of EA treatment, the patient reported that the symptoms of subjective and objective sleep disturbance were significantly alleviated without any discomfort. This case report may provide a new alternative and complementary therapy for VP patients with sleep disturbance but more definitive and robust evidence is needed to support its efficacy.

show abstract

Acupuncture for gastrointestinal diseases

Liu

et al. 2022

The Anatomical Record

View full text Add to dashboard Cite

Acupuncture, an important component of traditional Chinese medicine, has gained growing attention around the world in the past decades. Both manual and electroacupuncture are commonly used in clinical practice, especially by patients with gastrointestinal disorders seeking symptoms control due to disease signs recurrence and/or lack of effective treatments. Currently, patients with functional gastrointestinal disorders, constipation, gastroesophageal reflux disease, inflammatory bowel disease, ileus, acute pancreatitis, and gastroparesis may benefit from acupuncture treatment, as clinically evident, and the most frequently used acupoints are chosen from the large intestine, stomach, bladder, and spleen meridian. The underlying mechanisms of acupuncture involve the neuromodulation, adjustment of gastrointestinal motility and visceral hypersensitivity, anti‐inflammation, repairment of gut microbiota, and intestinal barrier. As methodology advanced, cumulative number of well‐designed clinical trials has been established, which might help elevating clinicians and gastroenterologists' awareness and perception toward application of acupuncture for gastrointestinal diseases management.

show abstract

The efficacy of acupuncture on the sleep structure of patients with insomnia: A systematic review and meta‐analysis

Cited by 8 publications

References 10 publications

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Electro-acupuncture on Vascular Parkinsonism with multiple sleep disorders: A Case Report

Acupuncture for gastrointestinal diseases

Contact Info

Product

Resources

About