Table 47Chronic tension headache: acupuncture

Author, Year, Followup, Pain Duration, Study QualityInterventionPopulationFunction and Pain OutcomesOther Outcomes

Ebneshahidi, 2005

3 months

Duration of pain:

Fair

A. Low-Energy Laser Acupuncture (n=25): 4 acupoints (two local and two distal), bilaterally (8 total): intensity 1.3J, output 100%, continuous mode, using vertical contact with pressure and a duration of 43 seconds.

B. Sham Laser Acupuncture (n=25): Identical procedure to real electroacupuncture except power output set to 0

Treatment Protocol: 3 sessions per week for a total of 10 sessions (session length: )

A vs. B

Age: 33 vs. 39 years

Female: 80% vs. 80%

Race:

Baseline Number of headache days per month (0-28), median: 20 vs. 18

Baseline Pain intensity on (0-10), median: 10 vs. 10

Baseline Duration of attacks, (hours), median: 10 vs. 8

A vs. B

3 months

Headache Days/Month, median change from baseline: −8 vs. 0, p<0.001

Headache Intensity (), median change from baseline: −2 vs. 0, p<0.001

Duration of attacks (hours), median change from baseline: −4 vs. 0, p<0.001

Karst, 2000

1.5 months

Duration of pain:

Poor

A. Acupuncture (n=21)

Traditional Chinese acupuncture; maximum of 15 needles, 10 acupoints

B. Sham Acupuncture (n=18): blunt placebo needles and elastic foam were used to simulate puncturing and shield needle type.

Treatment Protocol: 30-minute sessions twice weekly for 5 weeks (10 sessions total)

A vs. B

Age: 50 vs. 47 years

Female: 38% vs. 61%

Race:

Headache frequency: 27 vs. 27 days/month

(0-10): 6.2 vs. 6.3

Analgesic Intake/Month: 8.3 vs. 10.2

A vs. B

1.5 months

Frequency of headache attacks/month: 22.1 vs. 22.0; difference 0.1 (95% −6.6 to 6.8)

Headache Severity, : 4.0 vs. 3.9; difference 0.1 (95% −11.9 to 12.1)

A vs. B

1.5 months

Analgesic Intake/Month: 13.7 vs. 21.2; difference −7.5 (95% −22.2 to 7.2)

Tavola, 1992

1, 6, 12 months

Duration of pain: 8 years

Poor

A. Acupuncture (n=15):

Traditional Chinese acupuncture; 6-10 acupoints chosen on an individual basis; insertion depth 10-20 mm; needles were left in place without the use of any manual or electrical stimulation

B. Sham Acupuncture (n=15): same number of needles, inserted more superficially (depth 2-4 mm), in the same region used in real acupuncture group but in areas without acupuncture points

Treatment Protocol: 20-minute sessions once per week for 8 weeks (8 sessions total)

A vs. B

Age: 33 vs. 33 years

Female: 87% vs. 87%

Mean frequency of headache attacks per month: 18 vs. 17

Mean analgesic use: 12 vs. 12 units/month

Mean HI (intensity X duration X frequency/30): 4.3 vs. 4.5

Mean duration of attacks (sum of the hours of headache in a month/number of attacks): 3.3 vs. 4.4

A vs. B

1 month

Responders, ≥33% improvement in HI: 86.7% vs. 60.0%; 1.44 (95% 0.91 to 2.28)

Responders, ≥50% improvement in HI: 53.3% vs. 46.7%; 1.14 (95% 0.56 to 2.35)

HI, mean: 2.4 vs. 3.0; difference −0.60 (95% −6.12 to 4.92)

Mean decrease in HI from baseline: 58.3% vs. 27.8%

Mean decrease in headache attack frequency from baseline: 44.3% vs. 21.4%

6 months

HI, mean: 2.2 vs. 3.1; difference −0.90 (95% −7.15 to 5.35),

12 months

Responders, ≥33% improvement in HI: 53.3% vs. 46.7%; 1.14 (95% 0.56 to 2.35)

Responders, ≥50% improvement in HI: 40.0% vs. 26.7%; 1.50 (95% 0.53 to 4.26)

HI, mean: 3.2 (2.1) vs. 3.7 (2.2); difference −0.50 (95% −6.73 to 5.73)

A vs. B

1 month

Mean decrease in analgesic consumption from baseline: 57.7% vs. 21.7%

= confidence interval; HI = headache index; = joule; = not reported; = risk ratio; = visual analog scale

a

Unless otherwise noted, followup time is calculated from the end of the treatment period

b

Means and standard error of the means (not shown) estimated from graphs.

From: Results

Cover of Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update
Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet].
Comparative Effectiveness Review, No. 227.
Skelly AC, Chou R, Dettori JR, et al.

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