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Article: Traditional needle acupuncture treatment for insomnia: A systematic review of randomized controlled trials

TitleTraditional needle acupuncture treatment for insomnia: A systematic review of randomized controlled trials
Authors
KeywordsAcupuncture
Electroacupuncture
Insomnia
Sleep disorders
Systematic review
Traditional Chinese Medicine
Issue Date2009
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep
Citation
Sleep Medicine, 2009, v. 10 n. 7, p. 694-704 How to Cite?
AbstractObjectives: Previous reviews regarding traditional needle acupuncture (TNA) treatment for insomnia were limited to English scientific literature. A comprehensive review including Chinese and English literature has therefore been conducted to examine the efficacy of TNA for insomnia. Methods: We performed systematic review of randomized controlled trials (RCTs) of TNA as intervention for insomnia against placebo, Western medication, and non-treated controls. The methodological quality of the studies was assessed by the modified Jadad score and the acupuncture procedure was appraised by the STRICTA criteria. Results: Twenty RCTs were identified for detailed analysis. Majority of the RCTs concluded that TNA was significantly more effective than benzodiazepines for treating insomnia, with mean effective rates for acupuncture and benzodiazepines being 91% and 75%, respectively. In two more appropriately conducted trials, TNA appeared to be more efficacious in improving sleep than sleep hygiene counseling and sham acupuncture. Standardized and individualized acupuncture had similar effective rates. Despite these positive outcomes, there were methodological shortcomings in the studies reviewed, including imprecise diagnostic procedure, problems with randomization, blinding issues, and insufficient safety data. Hence, the superior efficacy of TNA over other treatments could not be ascertained. Conclusion: Since the majority of evidence regarding TNA for insomnia is based on studies with poor-quality research designs, the data, while somewhat promising, do not allow a clear conclusion on the benefits of TNA for insomnia. Moreover, the results support the need for large scale placebo-controlled double-blinded trials. © 2008 Elsevier B.V. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/59710
ISSN
2015 Impact Factor: 3.339
2015 SCImago Journal Rankings: 1.363
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYeung, WFen_HK
dc.contributor.authorChung, KFen_HK
dc.contributor.authorLeung, YKen_HK
dc.contributor.authorZhang, SPen_HK
dc.contributor.authorLaw, ACKen_HK
dc.date.accessioned2010-05-31T03:55:52Z-
dc.date.available2010-05-31T03:55:52Z-
dc.date.issued2009en_HK
dc.identifier.citationSleep Medicine, 2009, v. 10 n. 7, p. 694-704en_HK
dc.identifier.issn1389-9457en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59710-
dc.description.abstractObjectives: Previous reviews regarding traditional needle acupuncture (TNA) treatment for insomnia were limited to English scientific literature. A comprehensive review including Chinese and English literature has therefore been conducted to examine the efficacy of TNA for insomnia. Methods: We performed systematic review of randomized controlled trials (RCTs) of TNA as intervention for insomnia against placebo, Western medication, and non-treated controls. The methodological quality of the studies was assessed by the modified Jadad score and the acupuncture procedure was appraised by the STRICTA criteria. Results: Twenty RCTs were identified for detailed analysis. Majority of the RCTs concluded that TNA was significantly more effective than benzodiazepines for treating insomnia, with mean effective rates for acupuncture and benzodiazepines being 91% and 75%, respectively. In two more appropriately conducted trials, TNA appeared to be more efficacious in improving sleep than sleep hygiene counseling and sham acupuncture. Standardized and individualized acupuncture had similar effective rates. Despite these positive outcomes, there were methodological shortcomings in the studies reviewed, including imprecise diagnostic procedure, problems with randomization, blinding issues, and insufficient safety data. Hence, the superior efficacy of TNA over other treatments could not be ascertained. Conclusion: Since the majority of evidence regarding TNA for insomnia is based on studies with poor-quality research designs, the data, while somewhat promising, do not allow a clear conclusion on the benefits of TNA for insomnia. Moreover, the results support the need for large scale placebo-controlled double-blinded trials. © 2008 Elsevier B.V. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleepen_HK
dc.relation.ispartofSleep Medicineen_HK
dc.subjectAcupunctureen_HK
dc.subjectElectroacupunctureen_HK
dc.subjectInsomniaen_HK
dc.subjectSleep disordersen_HK
dc.subjectSystematic reviewen_HK
dc.subjectTraditional Chinese Medicineen_HK
dc.subject.meshAcupuncture Therapy - instrumentation-
dc.subject.meshNeedles-
dc.subject.meshRandomized Controlled Trials as Topic-
dc.subject.meshSleep Initiation and Maintenance Disorders - therapy-
dc.titleTraditional needle acupuncture treatment for insomnia: A systematic review of randomized controlled trialsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1389-9457&volume=10&spage=694&epage=704&date=2009&atitle=Traditional+needle+acupuncture+treatment+for+insomnia:+A+systematic+review+of+randomized+controlled+trialsen_HK
dc.identifier.emailChung, KF: kfchung@hkucc.hku.hken_HK
dc.identifier.emailLaw, ACK: acklaw@hku.hken_HK
dc.identifier.authorityChung, KF=rp00377en_HK
dc.identifier.authorityLaw, ACK=rp00262en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.sleep.2008.08.012en_HK
dc.identifier.pmid19303356-
dc.identifier.scopuseid_2-s2.0-67650591066en_HK
dc.identifier.hkuros160725en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-67650591066&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume10en_HK
dc.identifier.issue7en_HK
dc.identifier.spage694en_HK
dc.identifier.epage704en_HK
dc.identifier.isiWOS:000269301700002-
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridYeung, WF=24345897100en_HK
dc.identifier.scopusauthoridChung, KF=7404086681en_HK
dc.identifier.scopusauthoridLeung, YK=35484503800en_HK
dc.identifier.scopusauthoridZhang, SP=8056720600en_HK
dc.identifier.scopusauthoridLaw, ACK=26323772800en_HK
dc.identifier.citeulike5469387-

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