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  • 1
    In: Acupuncture in Medicine, SAGE Publications, Vol. 27, No. 3 ( 2009-09), p. 101-108
    Abstract: The multicentre, pragmatic, randomised controlled Acuflash study evaluated the effect of traditional Chinese medicine (TCM) acupuncture on postmenopausal vasomotor symptoms and health-related quality of life. It concluded that use of acupuncture in addition to self-care can contribute to a clinically relevant reduction of hot flushes and increased health-related quality of life. This article reports on the TCM syndrome diagnoses and acupuncture points used and their relation to the treatment response, and on treatment reactions and adverse events. Methods The acupuncture group (n = 134) received 10 acupuncture treatment sessions and advice on self-care; the control group (n = 133) received advice on self-care only. The study acupuncturists met the current membership criteria of the Norwegian Acupuncture Society, and had at least 3 years’ experience of practising TCM acupuncture. They were free to diagnose and select acupuncture points for each participant, after initial discussion. Results Fifty per cent of the participants in the acupuncture group were diagnosed with Kidney Yin Xu as their primary TCM syndrome diagnosis. No statistically significant differences were demonstrated between the syndrome groups regarding the distribution of responders and non-responders, nor regarding the change in health-related quality of life scores. A core of common acupuncture points (SP6, HT6, KI7, KI6, CV4, LU7, LI4, and LR3) were used in all the syndromes, and in addition multiple idiosyncratic points. Core point selection and frequency of use did not differ between responders and non-responders. No serious adverse events were reported. Conclusion Factors other than the TCM syndrome diagnoses and the point selection may be of importance regarding the outcome of the treatment.
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2009
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  • 2
    In: Acupuncture in Medicine, SAGE Publications, Vol. 38, No. 1 ( 2020-02), p. 37-44
    Abstract: Randomised controlled trials of acupuncture performed using sham interventions to control for the placebo effect have mostly used two types of sham techniques: techniques with minimal insertion of acupuncture needles with no additional stimulation (shallow needling control) and techniques with sham acupuncture devices that do not penetrate the skin (sham device control). To achieve successful blinding, sham device controlled acupuncture trials also use the acupuncture base unit in the verum acupuncture group, but in the shallow needling control trials this is not necessary for the verum acupuncture treatment. Objective: In this study, we analysed the estimated comparative effectiveness of these two verum acupuncture modalities in studies of acupuncture for menopausal hot flashes that used two types of sham control treatments. Methods: We conducted a network meta-analysis that included randomised controlled trials of acupuncture for hot flashes. Electronic databases, including Medline, Embase, Cochrane Library and AMED, were searched through March 2017. Data were extracted using a predefined data extraction tool by two independent reviewers. The risk of bias was assessed using the Cochrane risk of bias tool for randomised controlled trials. A five-node network meta-analysis was conducted based on the frequentist framework. Results: Eight studies were included in this review. From the network meta-analysis, we found that verum acupuncture in the shallow needling controlled trials was more effective than verum acupuncture in the sham device controlled trials (SMD −7.27, 95% CI−9.11 to −5.43). Significant heterogeneity and inconsistency were not observed among the included studies or the comparisons. Conclusions: From this preliminary analysis, we found that different types of verum acupuncture may have different effect sizes with respect to the severity of menopausal hot flashes.
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2016
    In:  Acupuncture in Medicine Vol. 34, No. 2 ( 2016-04), p. 155-156
    In: Acupuncture in Medicine, SAGE Publications, Vol. 34, No. 2 ( 2016-04), p. 155-156
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2126127-1
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  • 4
    In: Acupuncture in Medicine, SAGE Publications, Vol. 29, No. 1 ( 2011-03), p. 9-15
    Abstract: To investigate the effectiveness of acupuncture and acupressure as supplements to standard treatment for postoperative vomiting in children undergoing tonsillectomy and/or adenoidectomy. Methods A pragmatic, open, block-randomised controlled trial. The results were analysed according to the intention-to-treat principle. The study was conducted without extra resources in a normal setting at the day-surgery department of Lovisenberg Diakonale Hospital in Oslo. 154 children with an American Society of Anesthesiologists grade 1–2, weighing at least 10 kg, were included. Children with concomitant gastrointestinal diseases, emesis or antiemetic treatment 〈 24 h preoperatively, rash or local infection over the actual acupuncture points were excluded together with patients whose parents’ informed consent could not be obtained. The intervention group received acupuncture at pericardium 6 bilaterally, at a depth of approximately 0.7 cm with a median of 21 min during anaesthesia, followed by acupressure wristbands for 24 h and standard treatment. The control group received standard treatment. The primary end point was the occurrence of vomiting or retching during 24 h postoperatively. Results Children in the acustimulation group experienced less retching and vomiting than the control group—46.8% versus 66.2% (p=0.015). The effect of acustimulation was specifically pronounced in girls and children aged 1–3 years. Conclusion This trial indicates the effectiveness of acustimulation as an adjunct to standard treatment. The results should encourage and promote the implementation of acustimulation for postoperative vomiting in children undergoing adenoidectomy or tonsillectomy.
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2016
    In:  Acupuncture in Medicine Vol. 34, No. 1 ( 2016-02), p. 7-13
    In: Acupuncture in Medicine, SAGE Publications, Vol. 34, No. 1 ( 2016-02), p. 7-13
    Abstract: To determine the feasibility and acceptability of traditional Chinese medicine (TCM) acupuncture and pelvic floor muscle training (PFMT) in reducing symptoms and bothersomeness in women with mixed urinary incontinence (MUI); and to estimate the sample size for a full scale trial. Methods Thirty-four women with MUI were randomly assigned to either 12 sessions of TCM acupuncture, 12 sessions of PFMT, or to a waiting list control group. Outcome measures included an assessment of interest to participate in the trial, identification of successful recruitment strategies, the appropriateness of eligibility criteria, and compliance with treatment. Clinical outcomes were assessed at baseline and 12 weeks, and included the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI SF), expectations of treatment effect, and adverse events. Results Recruitment was feasible and randomisation worked adequately by means of SurveyMonkey. SurveyMonkey does not permit stratification by ICIQ-UI SF baseline score. Fourteen of 22 women found the treatment options acceptable. The dropout rate was high, especially in the control group (6/12). Outcome forms were completed by 20 of 34 women. The median (IQR) changes of the ICIQ-UI SF scores in the acupuncture, physiotherapy, and waiting list group were 5.5 (2.3 to 6.8), 1.0 (−3.0 to 4.5), and 1.5 (−1.5 to 3.0), respectively, suggesting the need for a full scale trial. Conclusions Women with MUI were willing to participate in this study. There is a need for adjusting eligibility criteria. A sample size of 129 women, 43 in three arms, is required. No major adverse events occurred.
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2011
    In:  Acupuncture in Medicine Vol. 29, No. 1 ( 2011-03), p. 7-8
    In: Acupuncture in Medicine, SAGE Publications, Vol. 29, No. 1 ( 2011-03), p. 7-8
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2126127-1
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  • 7
    Online Resource
    Online Resource
    SAGE Publications ; 2014
    In:  Acupuncture in Medicine Vol. 32, No. 2 ( 2014-04), p. 201-201
    In: Acupuncture in Medicine, SAGE Publications, Vol. 32, No. 2 ( 2014-04), p. 201-201
    Type of Medium: Online Resource
    ISSN: 0964-5284 , 1759-9873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2126127-1
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