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Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis

Objective. The objective of this systematic review and meta-analysis was to assess the efficacy of auricular therapy by including a sham therapy control group. Methods. Relevant, randomized clinical trials (RCTs) were identified by searching medical related databases from, depending on journal, 1900...

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Autores principales: Yeh, Chao Hsing, Chiang, Yi Chien, Hoffman, Samuel L., Liang, Zhan, Klem, Mary Lou, Tam, Wilson W. S., Chien, Lung-Chang, Suen, Lorna Kwai-Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140110/
https://www.ncbi.nlm.nih.gov/pubmed/25165482
http://dx.doi.org/10.1155/2014/934670
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author Yeh, Chao Hsing
Chiang, Yi Chien
Hoffman, Samuel L.
Liang, Zhan
Klem, Mary Lou
Tam, Wilson W. S.
Chien, Lung-Chang
Suen, Lorna Kwai-Ping
author_facet Yeh, Chao Hsing
Chiang, Yi Chien
Hoffman, Samuel L.
Liang, Zhan
Klem, Mary Lou
Tam, Wilson W. S.
Chien, Lung-Chang
Suen, Lorna Kwai-Ping
author_sort Yeh, Chao Hsing
collection PubMed
description Objective. The objective of this systematic review and meta-analysis was to assess the efficacy of auricular therapy by including a sham therapy control group. Methods. Relevant, randomized clinical trials (RCTs) were identified by searching medical related databases from, depending on journal, 1900 (at the earliest) to 1994 (at the latest) through May 2013. The outcome measure was a pain intensity score. Results. Twenty-two RCTs were identified and 13 RCTs were included for meta-analysis. In these studies, auricular therapy provided significant pain relief when compared to a sham or control group. The overall standardized mean differences (SMD) was 1.59 (95% CI [−2.36, −0.82]) (13 trials, total subject numbers = 806), indicating that, on average, the mean decrease in pain score for auricular therapy group was 1.59 standard deviations greater than the mean decrease for the sham control. In terms of the efficacy of the different treatment methods, auricular acupressure boasts the largest strength of evidence for pain relief, followed by auricular acupuncture. Electroacupuncture stimulation did not show significant evidence for efficacy, which may be due to the small sample size (i.e., only 19 subjects were included). Conclusion. Further large-scale RCTs are needed to determine the efficacy of auricular therapy for pain.
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spelling pubmed-41401102014-08-27 Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis Yeh, Chao Hsing Chiang, Yi Chien Hoffman, Samuel L. Liang, Zhan Klem, Mary Lou Tam, Wilson W. S. Chien, Lung-Chang Suen, Lorna Kwai-Ping Evid Based Complement Alternat Med Review Article Objective. The objective of this systematic review and meta-analysis was to assess the efficacy of auricular therapy by including a sham therapy control group. Methods. Relevant, randomized clinical trials (RCTs) were identified by searching medical related databases from, depending on journal, 1900 (at the earliest) to 1994 (at the latest) through May 2013. The outcome measure was a pain intensity score. Results. Twenty-two RCTs were identified and 13 RCTs were included for meta-analysis. In these studies, auricular therapy provided significant pain relief when compared to a sham or control group. The overall standardized mean differences (SMD) was 1.59 (95% CI [−2.36, −0.82]) (13 trials, total subject numbers = 806), indicating that, on average, the mean decrease in pain score for auricular therapy group was 1.59 standard deviations greater than the mean decrease for the sham control. In terms of the efficacy of the different treatment methods, auricular acupressure boasts the largest strength of evidence for pain relief, followed by auricular acupuncture. Electroacupuncture stimulation did not show significant evidence for efficacy, which may be due to the small sample size (i.e., only 19 subjects were included). Conclusion. Further large-scale RCTs are needed to determine the efficacy of auricular therapy for pain. Hindawi Publishing Corporation 2014 2014-07-23 /pmc/articles/PMC4140110/ /pubmed/25165482 http://dx.doi.org/10.1155/2014/934670 Text en Copyright © 2014 Chao Hsing Yeh et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Yeh, Chao Hsing
Chiang, Yi Chien
Hoffman, Samuel L.
Liang, Zhan
Klem, Mary Lou
Tam, Wilson W. S.
Chien, Lung-Chang
Suen, Lorna Kwai-Ping
Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis
title Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis
title_full Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis
title_fullStr Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis
title_full_unstemmed Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis
title_short Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis
title_sort efficacy of auricular therapy for pain management: a systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140110/
https://www.ncbi.nlm.nih.gov/pubmed/25165482
http://dx.doi.org/10.1155/2014/934670
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