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Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials

INTRODUCTION: Infantile colic is a common condition causing considerable deterioration in the quality of life of both infants and their parents. Minimal acupuncture, a gentle needling technique without strong muscle stimulation, has primarily been used to treat this condition, but the clinical evide...

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Autores principales: Lee, Dabin, Lee, Hojung, Kim, Jiwon, Kim, Taehun, Sung, Siyun, Leem, Jungtae, Kim, Tae-Hun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220386/
https://www.ncbi.nlm.nih.gov/pubmed/30473718
http://dx.doi.org/10.1155/2018/7526234
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author Lee, Dabin
Lee, Hojung
Kim, Jiwon
Kim, Taehun
Sung, Siyun
Leem, Jungtae
Kim, Tae-Hun
author_facet Lee, Dabin
Lee, Hojung
Kim, Jiwon
Kim, Taehun
Sung, Siyun
Leem, Jungtae
Kim, Tae-Hun
author_sort Lee, Dabin
collection PubMed
description INTRODUCTION: Infantile colic is a common condition causing considerable deterioration in the quality of life of both infants and their parents. Minimal acupuncture, a gentle needling technique without strong muscle stimulation, has primarily been used to treat this condition, but the clinical evidence of its efficacy and safety is yet to be established. The objective of this review was to assess clinical evidence of the safety and efficacy of acupuncture for infantile colic. METHODS: To identify studies for inclusion, PubMed, Cochrane Library, Google Scholar, China Knowledge Resource Integrated Database, Wanfang, and Oriental Medicine Advanced Searching Integrated System were searched until January 2017. Only randomised controlled trials of infantile colic in patients aged 0 to 25 weeks, who were treated with acupuncture, were included. To assess the quality, the risk of bias was determined for each study by two authors. The intention was to perform a meta-analysis, but this was not possible in this study due to considerable clinical heterogeneity among the included studies. RESULTS: Of the 601 studies identified, only four randomized controlled trials were included in this review. All included studies were conducted in northern European countries. Most studies showed a low risk of bias in most domains. Minimal acupuncture on LI4 or ST36 without strong stimulation was used in all studies. From the narrative analysis, acupuncture appears to be effective in alleviating the symptoms of colic, including crying and feeding and stooling problems, and may have only minor adverse effects. However, clinical evidence could not be confirmed owing to considerable clinical heterogeneity and the small sample sizes of the included studies. CONCLUSION: There is currently no conclusive evidence on the safety and efficacy of acupuncture for infantile colic. Rigorous full-scale randomized controlled trials will be necessary in future.
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spelling pubmed-62203862018-11-25 Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials Lee, Dabin Lee, Hojung Kim, Jiwon Kim, Taehun Sung, Siyun Leem, Jungtae Kim, Tae-Hun Evid Based Complement Alternat Med Review Article INTRODUCTION: Infantile colic is a common condition causing considerable deterioration in the quality of life of both infants and their parents. Minimal acupuncture, a gentle needling technique without strong muscle stimulation, has primarily been used to treat this condition, but the clinical evidence of its efficacy and safety is yet to be established. The objective of this review was to assess clinical evidence of the safety and efficacy of acupuncture for infantile colic. METHODS: To identify studies for inclusion, PubMed, Cochrane Library, Google Scholar, China Knowledge Resource Integrated Database, Wanfang, and Oriental Medicine Advanced Searching Integrated System were searched until January 2017. Only randomised controlled trials of infantile colic in patients aged 0 to 25 weeks, who were treated with acupuncture, were included. To assess the quality, the risk of bias was determined for each study by two authors. The intention was to perform a meta-analysis, but this was not possible in this study due to considerable clinical heterogeneity among the included studies. RESULTS: Of the 601 studies identified, only four randomized controlled trials were included in this review. All included studies were conducted in northern European countries. Most studies showed a low risk of bias in most domains. Minimal acupuncture on LI4 or ST36 without strong stimulation was used in all studies. From the narrative analysis, acupuncture appears to be effective in alleviating the symptoms of colic, including crying and feeding and stooling problems, and may have only minor adverse effects. However, clinical evidence could not be confirmed owing to considerable clinical heterogeneity and the small sample sizes of the included studies. CONCLUSION: There is currently no conclusive evidence on the safety and efficacy of acupuncture for infantile colic. Rigorous full-scale randomized controlled trials will be necessary in future. Hindawi 2018-10-24 /pmc/articles/PMC6220386/ /pubmed/30473718 http://dx.doi.org/10.1155/2018/7526234 Text en Copyright © 2018 Dabin Lee et al. https://creativecommons.org/licenses/by/4.0/ 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
Lee, Dabin
Lee, Hojung
Kim, Jiwon
Kim, Taehun
Sung, Siyun
Leem, Jungtae
Kim, Tae-Hun
Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials
title Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials
title_full Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials
title_fullStr Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials
title_full_unstemmed Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials
title_short Acupuncture for Infantile Colic: A Systematic Review of Randomised Controlled Trials
title_sort acupuncture for infantile colic: a systematic review of randomised controlled trials
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220386/
https://www.ncbi.nlm.nih.gov/pubmed/30473718
http://dx.doi.org/10.1155/2018/7526234
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