The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis
BackgroundMigraine is a common and recurrent type of headache. Avoiding trigger factors is not often successful in reducing headache frequency, duration, and severity. Prophylactic medications may be effective but are limited by strict indications and daily medication intake. This review aimed to in...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2023.1211438/full |
| _version_ | 1827822282707304448 |
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| author | Hangyu Shi Hangyu Shi Runyu Miao Runyu Miao Shuai Gao Lili Zhu Jiufei Fang Zhishun Liu |
| author_facet | Hangyu Shi Hangyu Shi Runyu Miao Runyu Miao Shuai Gao Lili Zhu Jiufei Fang Zhishun Liu |
| author_sort | Hangyu Shi |
| collection | DOAJ |
| description | BackgroundMigraine is a common and recurrent type of headache. Avoiding trigger factors is not often successful in reducing headache frequency, duration, and severity. Prophylactic medications may be effective but are limited by strict indications and daily medication intake. This review aimed to investigate the durable effect of acupuncture on episodic migraine.MethodsSeven databases including Medline, Embase, PubMed, etc., were searched for English and Chinese literature from their inception to 23 November 2022. Two independent reviewers screened the retrieved studies and extracted the data. Primary outcomes were monthly migraine days, monthly migraine attacks, and VAS score at 3 months post-treatment. The risk of bias in included studies was assessed using the Cochrane Risk of Bias 2.0 tool. Meta-analysis was conducted where applicable.ResultsFifteen studies were included in this review. Acupuncture reduced the number of migraine attacks (MD -0.68; 95% CI –0.93, −0.43; p < 0.001), the number of days with migraine (MD –0.86; 95% CI –1.18, −0.55; p < 0.001), and VAS score (MD –1.01; 95% CI –1.30, −0.72; p < 0.001) to a greater degree than sham acupuncture at 3 months after treatment. Significant differences in reducing pain intensity of migraine in favor of acupuncture compared with waitlist (MD –1.84; 95% CI –2.31, −1.37; p < 0.001) or flunarizine (MD –2.00; 95% CI –2.35, −1.65; p < 0.001) at 3 months after treatment were found, and the differences reached the minimal clinically important difference (MCID).ConclusionThis review found that the durable effect of acupuncture for episodic migraine lasted at least 3 months after treatment. More high-quality studies with longer follow-up periods in the future are needed to confirm the findings. |
| first_indexed | 2024-03-12T01:55:51Z |
| format | Article |
| id | doaj.art-1549eff4ae214a22b9fe10cbd7ccc7ba |
| institution | Directory Open Access Journal |
| issn | 1662-453X |
| language | English |
| last_indexed | 2024-03-12T01:55:51Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neuroscience |
| spelling | doaj.art-1549eff4ae214a22b9fe10cbd7ccc7ba2023-09-08T05:41:10ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-09-011710.3389/fnins.2023.12114381211438The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysisHangyu Shi0Hangyu Shi1Runyu Miao2Runyu Miao3Shuai Gao4Lili Zhu5Jiufei Fang6Zhishun Liu7Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaGraduate College, Beijing University of Chinese Medicine, Beijing, ChinaGraduate College, Beijing University of Chinese Medicine, Beijing, ChinaInstitute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaBackgroundMigraine is a common and recurrent type of headache. Avoiding trigger factors is not often successful in reducing headache frequency, duration, and severity. Prophylactic medications may be effective but are limited by strict indications and daily medication intake. This review aimed to investigate the durable effect of acupuncture on episodic migraine.MethodsSeven databases including Medline, Embase, PubMed, etc., were searched for English and Chinese literature from their inception to 23 November 2022. Two independent reviewers screened the retrieved studies and extracted the data. Primary outcomes were monthly migraine days, monthly migraine attacks, and VAS score at 3 months post-treatment. The risk of bias in included studies was assessed using the Cochrane Risk of Bias 2.0 tool. Meta-analysis was conducted where applicable.ResultsFifteen studies were included in this review. Acupuncture reduced the number of migraine attacks (MD -0.68; 95% CI –0.93, −0.43; p < 0.001), the number of days with migraine (MD –0.86; 95% CI –1.18, −0.55; p < 0.001), and VAS score (MD –1.01; 95% CI –1.30, −0.72; p < 0.001) to a greater degree than sham acupuncture at 3 months after treatment. Significant differences in reducing pain intensity of migraine in favor of acupuncture compared with waitlist (MD –1.84; 95% CI –2.31, −1.37; p < 0.001) or flunarizine (MD –2.00; 95% CI –2.35, −1.65; p < 0.001) at 3 months after treatment were found, and the differences reached the minimal clinically important difference (MCID).ConclusionThis review found that the durable effect of acupuncture for episodic migraine lasted at least 3 months after treatment. More high-quality studies with longer follow-up periods in the future are needed to confirm the findings.https://www.frontiersin.org/articles/10.3389/fnins.2023.1211438/fullacupuncturemigrainedurable effectsystematic reviewRCTs |
| spellingShingle | Hangyu Shi Hangyu Shi Runyu Miao Runyu Miao Shuai Gao Lili Zhu Jiufei Fang Zhishun Liu The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis Frontiers in Neuroscience acupuncture migraine durable effect systematic review RCTs |
| title | The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis |
| title_full | The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis |
| title_fullStr | The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis |
| title_full_unstemmed | The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis |
| title_short | The durable effect of acupuncture for episodic migraine: a systematic review and meta-analysis |
| title_sort | durable effect of acupuncture for episodic migraine a systematic review and meta analysis |
| topic | acupuncture migraine durable effect systematic review RCTs |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2023.1211438/full |
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