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Article: Acupuncture for epilepsy

TitleAcupuncture for epilepsy
Authors
KeywordsAcupuncture Therapy [Methods]
Child
Chinese Herbal [Therapeutic Use]
Drugs
Epilepsy [Therapy]
Humans
Randomized Controlled Trials As Topic
Treatment Outcome
Issue Date2009
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.mrw.interscience.wiley.com/cochrane/cochrane_clsysrev_articles_fs.html
Citation
Cochrane Database Of Systematic Reviews, 2009 n. 4 How to Cite?
AbstractBackground: Seizures are poorly controlled in many people with epilepsy despite adequate current antiepileptic treatments. There is increasing interest in alternative therapies such as acupuncture; however, it remains unclear whether the existing evidence is rigorous enough to support the use of acupuncture. This is an update of a Cochrane review first published in 2006. Objectives: To determine the effectiveness and safety of acupuncture in people with epilepsy. Search strategy: We searched the Cochrane Epilepsy Group's Specialized Register (March 2008) and the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 1, 2008), MEDLINE, EMBASE, and other databases from inception to March 2008. Reference lists from relevant trials were reviewed. No language restrictions were imposed. Selection criteria: Randomised controlled trials comparing acupuncture with placebo or sham treatment, antiepileptic drugs or no treatment; or comparing acupuncture plus other treatments with the same other treatments. involving people of any age with any type of epilepsy. Data collection and analysis: Two review authors independently extracted trial data and assessed trial quality. Main results: Eleven small trials with 914 participants, of generally poor methodological quality and with short follow up met the inclusion criteria. Ten trials were carried out in China and one in Norway. Two trials found that more children treated with needle acupuncture plus Chinese herbs achieved 75% or greater reduction in seizure frequency (RR 1.52, 95% CI 1.12 to 2.05) and 50% or greater reduction in seizure duration (pooled RR 1.29, 95% CI 1.03 to 1.62) compared with Chinese herbs alone. However, after combining the results of four trials that compared the treatment group with a control group that could yield the net effect of needle acupuncture, we found that there was no significant difference between the treatment and the control groups in any reduction of seizure frequency (pooled RR 1.05, 95% CI 0.97 to 1.17). Compared to phenytoin, the pooled results from two trials showed that patients who received needle acupuncture appeared more likely to achieve 75% or greater reduction in seizure frequency (pooled RR 2.14, 95% CI 1.47 to 3.1). Compared to valproate, the pooled results from three trials showed catgut implantation at acupoints appeared more likely to result in 75% or greater reduction in seizure frequency (pooled RR 2.33, 95% CI 1.01 to 5.36). Authors' conclusions: The current evidence does not support acupuncture as a treatment for epilepsy. Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/170437
ISSN
2014 Impact Factor: 6.035
2015 SCImago Journal Rankings: 2.366
References

 

DC FieldValueLanguage
dc.contributor.authorCheuk, DKLen_US
dc.contributor.authorWong, Ven_US
dc.date.accessioned2012-10-30T06:08:34Z-
dc.date.available2012-10-30T06:08:34Z-
dc.date.issued2009en_US
dc.identifier.citationCochrane Database Of Systematic Reviews, 2009 n. 4en_US
dc.identifier.issn1469-493Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/170437-
dc.description.abstractBackground: Seizures are poorly controlled in many people with epilepsy despite adequate current antiepileptic treatments. There is increasing interest in alternative therapies such as acupuncture; however, it remains unclear whether the existing evidence is rigorous enough to support the use of acupuncture. This is an update of a Cochrane review first published in 2006. Objectives: To determine the effectiveness and safety of acupuncture in people with epilepsy. Search strategy: We searched the Cochrane Epilepsy Group's Specialized Register (March 2008) and the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 1, 2008), MEDLINE, EMBASE, and other databases from inception to March 2008. Reference lists from relevant trials were reviewed. No language restrictions were imposed. Selection criteria: Randomised controlled trials comparing acupuncture with placebo or sham treatment, antiepileptic drugs or no treatment; or comparing acupuncture plus other treatments with the same other treatments. involving people of any age with any type of epilepsy. Data collection and analysis: Two review authors independently extracted trial data and assessed trial quality. Main results: Eleven small trials with 914 participants, of generally poor methodological quality and with short follow up met the inclusion criteria. Ten trials were carried out in China and one in Norway. Two trials found that more children treated with needle acupuncture plus Chinese herbs achieved 75% or greater reduction in seizure frequency (RR 1.52, 95% CI 1.12 to 2.05) and 50% or greater reduction in seizure duration (pooled RR 1.29, 95% CI 1.03 to 1.62) compared with Chinese herbs alone. However, after combining the results of four trials that compared the treatment group with a control group that could yield the net effect of needle acupuncture, we found that there was no significant difference between the treatment and the control groups in any reduction of seizure frequency (pooled RR 1.05, 95% CI 0.97 to 1.17). Compared to phenytoin, the pooled results from two trials showed that patients who received needle acupuncture appeared more likely to achieve 75% or greater reduction in seizure frequency (pooled RR 2.14, 95% CI 1.47 to 3.1). Compared to valproate, the pooled results from three trials showed catgut implantation at acupoints appeared more likely to result in 75% or greater reduction in seizure frequency (pooled RR 2.33, 95% CI 1.01 to 5.36). Authors' conclusions: The current evidence does not support acupuncture as a treatment for epilepsy. Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.mrw.interscience.wiley.com/cochrane/cochrane_clsysrev_articles_fs.htmlen_US
dc.relation.ispartofCochrane Database of Systematic Reviewsen_US
dc.subjectAcupuncture Therapy [Methods]en_US
dc.subjectChilden_US
dc.subjectChinese Herbal [Therapeutic Use]en_US
dc.subjectDrugsen_US
dc.subjectEpilepsy [Therapy]en_US
dc.subjectHumansen_US
dc.subjectRandomized Controlled Trials As Topicen_US
dc.subjectTreatment Outcomeen_US
dc.titleAcupuncture for epilepsyen_US
dc.typeArticleen_US
dc.identifier.emailWong, V:vcnwong@hku.hken_US
dc.identifier.authorityWong, V=rp00334en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-77950201434en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77950201434&selection=ref&src=s&origin=recordpageen_US
dc.identifier.issue4en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridCheuk, DKL=8705936100en_US
dc.identifier.scopusauthoridWong, V=7202525632en_US

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