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Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis

BACKGROUND: Migraine is a worldwide disabling chronic brain disorder, some studies suggest acupuncture-related therapy plays an important role in raising efficiency rates and reducing migraine attacks. However, clinical trials comparing the efficacy of different interventions for migraine are limite...

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Autores principales: Song, Yanjuan, Li, Tong, Ma, Chunlian, Liu, Hui, Liang, Fengxia, Yang, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643721/
https://www.ncbi.nlm.nih.gov/pubmed/36388203
http://dx.doi.org/10.3389/fneur.2022.1010410
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author Song, Yanjuan
Li, Tong
Ma, Chunlian
Liu, Hui
Liang, Fengxia
Yang, Yi
author_facet Song, Yanjuan
Li, Tong
Ma, Chunlian
Liu, Hui
Liang, Fengxia
Yang, Yi
author_sort Song, Yanjuan
collection PubMed
description BACKGROUND: Migraine is a worldwide disabling chronic brain disorder, some studies suggest acupuncture-related therapy plays an important role in raising efficiency rates and reducing migraine attacks. However, clinical trials comparing the efficacy of different interventions for migraine are limited and controversial. This network meta-analysis (NMA) was performed to review all randomized controlled trials (RCTs) comparing the effects of acupuncture-related therapy for migraine. METHODS: Randomized controlled trials (RCTs) of acupuncture-related therapy for migraine were searched in the following databases from the date of database inception to March 31, 2022, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), VIP Database, Wanfang Database, and Chinese Biomedical Database (CBM). The primary endpoint was visual analog scale (VAS) scores. The secondary endpoints were the number of migraine days, duration of migraine, and frequency of migraine attacks. We used Cochrane risk of bias to assess the quality of evidence for outcomes. RESULTS: Thirty-nine studies involving 4379 patients with 13 different acupuncture-related methods were evaluated. According to surface under the cumulative ranking curve value, acupoint injection was ranked the highest (98.0%) in VAS scores, followed by acupoint implantation (79.0%); electroacupuncture was the optimal intervention method (82.4%) in the number of migraine days, followed by embedding needle therapy (73.1%); embedding needle therapy ranked first (99.9%) in the duration of migraine, followed by acupoint injection (77.4%); acupoint injection was the best intervention (99.3%) in the frequency of migraine attacks, followed by conventional acupuncture plus massage (73.8%). CONCLUSION: These results provide preliminary evidence that acupuncture-related therapy could be recommended as one of the effective treatments for migraine. Conventional acupuncture has significant effects on improving VAS scores, the number of migraine days, duration of migraine, and frequency of migraine attacks. However, more high-quality studies should be carried out to verify this finding. SYSTEMATIC REVIEW REGISTRATION: https://inplasy.com/, identifier: INPLASY202110035.
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spelling pubmed-96437212022-11-15 Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis Song, Yanjuan Li, Tong Ma, Chunlian Liu, Hui Liang, Fengxia Yang, Yi Front Neurol Neurology BACKGROUND: Migraine is a worldwide disabling chronic brain disorder, some studies suggest acupuncture-related therapy plays an important role in raising efficiency rates and reducing migraine attacks. However, clinical trials comparing the efficacy of different interventions for migraine are limited and controversial. This network meta-analysis (NMA) was performed to review all randomized controlled trials (RCTs) comparing the effects of acupuncture-related therapy for migraine. METHODS: Randomized controlled trials (RCTs) of acupuncture-related therapy for migraine were searched in the following databases from the date of database inception to March 31, 2022, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), VIP Database, Wanfang Database, and Chinese Biomedical Database (CBM). The primary endpoint was visual analog scale (VAS) scores. The secondary endpoints were the number of migraine days, duration of migraine, and frequency of migraine attacks. We used Cochrane risk of bias to assess the quality of evidence for outcomes. RESULTS: Thirty-nine studies involving 4379 patients with 13 different acupuncture-related methods were evaluated. According to surface under the cumulative ranking curve value, acupoint injection was ranked the highest (98.0%) in VAS scores, followed by acupoint implantation (79.0%); electroacupuncture was the optimal intervention method (82.4%) in the number of migraine days, followed by embedding needle therapy (73.1%); embedding needle therapy ranked first (99.9%) in the duration of migraine, followed by acupoint injection (77.4%); acupoint injection was the best intervention (99.3%) in the frequency of migraine attacks, followed by conventional acupuncture plus massage (73.8%). CONCLUSION: These results provide preliminary evidence that acupuncture-related therapy could be recommended as one of the effective treatments for migraine. Conventional acupuncture has significant effects on improving VAS scores, the number of migraine days, duration of migraine, and frequency of migraine attacks. However, more high-quality studies should be carried out to verify this finding. SYSTEMATIC REVIEW REGISTRATION: https://inplasy.com/, identifier: INPLASY202110035. Frontiers Media S.A. 2022-10-26 /pmc/articles/PMC9643721/ /pubmed/36388203 http://dx.doi.org/10.3389/fneur.2022.1010410 Text en Copyright © 2022 Song, Li, Ma, Liu, Liang and Yang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Song, Yanjuan
Li, Tong
Ma, Chunlian
Liu, Hui
Liang, Fengxia
Yang, Yi
Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis
title Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis
title_full Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis
title_fullStr Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis
title_full_unstemmed Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis
title_short Comparative efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis
title_sort comparative efficacy of acupuncture-related therapy for migraine: a systematic review and network meta-analysis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643721/
https://www.ncbi.nlm.nih.gov/pubmed/36388203
http://dx.doi.org/10.3389/fneur.2022.1010410
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