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Article: Acupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials
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TitleAcupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials
 
AuthorsYeung, WF1
Chung, KF1
Poon, MMK1
Ho, FYY1
Zhang, SP2
Zhang, ZJ1
Ziea, ETC3
Wong, VT3
 
KeywordsAcupressure
Acupuncture
Auricular acupressure
Meta-analysis
Reflexology
Systematic review
 
Issue Date2012
 
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep
 
CitationSleep Medicine, 2012, v. 13 n. 8, p. 971-984 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.sleep.2012.06.003
 
AbstractPrevious randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia. © 2012 Elsevier B.V.
 
ISSN1389-9457
2013 Impact Factor: 3.100
2013 SCImago Journal Rankings: 1.391
 
DOIhttp://dx.doi.org/10.1016/j.sleep.2012.06.003
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorYeung, WF
 
dc.contributor.authorChung, KF
 
dc.contributor.authorPoon, MMK
 
dc.contributor.authorHo, FYY
 
dc.contributor.authorZhang, SP
 
dc.contributor.authorZhang, ZJ
 
dc.contributor.authorZiea, ETC
 
dc.contributor.authorWong, VT
 
dc.date.accessioned2012-08-16T05:57:36Z
 
dc.date.available2012-08-16T05:57:36Z
 
dc.date.issued2012
 
dc.description.abstractPrevious randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia. © 2012 Elsevier B.V.
 
dc.description.naturepostprint
 
dc.identifier.citationSleep Medicine, 2012, v. 13 n. 8, p. 971-984 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.sleep.2012.06.003
 
dc.identifier.citeulike11514345
 
dc.identifier.doihttp://dx.doi.org/10.1016/j.sleep.2012.06.003
 
dc.identifier.epage984
 
dc.identifier.hkuros204316
 
dc.identifier.issn1389-9457
2013 Impact Factor: 3.100
2013 SCImago Journal Rankings: 1.391
 
dc.identifier.issue8
 
dc.identifier.pmid22841034
 
dc.identifier.scopuseid_2-s2.0-84865295924
 
dc.identifier.spage971
 
dc.identifier.urihttp://hdl.handle.net/10722/159818
 
dc.identifier.volume13
 
dc.languageeng
 
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep
 
dc.publisher.placeNetherlands
 
dc.relation.ispartofSleep Medicine
 
dc.relation.referencesReferences in Scopus
 
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in Sleep Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sleep Medicine, 2012, v. 13 n. 8, p. 971-984. DOI: 10.1016/j.sleep.2012.06.003
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subjectAcupressure
 
dc.subjectAcupuncture
 
dc.subjectAuricular acupressure
 
dc.subjectMeta-analysis
 
dc.subjectReflexology
 
dc.subjectSystematic review
 
dc.titleAcupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong Baptist University
  3. Hospital Authority