Effect of acupuncture on insomnia in menopausal women: a study protocol for a randomized controlled trial

Li, Shanshan; Yin, Ping; Yin, Xuan; Bogachko, Anna; Liang, Tingting; Lao, Lixing; Xu, Shi‐Hai

doi:10.1186/s13063-019-3374-8

Cited by 10 publications

(2 citation statements)

References 36 publications

(41 reference statements)

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“…The full protocol of this trial has been previously published. 27 A 2-parallel-group, block randomized, blinded (except acupuncturists), sham-controlled trial design was used. All participants signed informed consent at the time of enrollment.…”

Section: Methodsmentioning

confidence: 99%

Electroacupuncture versus Sham Acupuncture for Perimenopausal Insomnia: A Randomized Controlled Clinical Trial

Li¹,

Wang²,

Wu³

et al. 2020

NSS

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Objective To evaluate the short- and long-term effects of acupuncture on perimenopausal insomnia (PMI) and quality of life. Patients and Methods We designed a semi-standardized, patient-blinded, randomized placebo-controlled trial. A total of 84 patients were recruited, all of whom met the criteria for diagnosis of PMI. Either acupuncture therapy or a noninvasive placebo acupuncture therapy designed to treat insomnia was implemented 18 times over the course of 8 weeks (3 times per week for 4 weeks, twice per week for 2 weeks, once per week for 2 weeks). The primary outcome was the change in Pittsburgh Sleep Quality Index (PSQI) scores from baseline to the end of treatment, week 8. Secondary outcomes included climacteric symptoms and quality of life measured by the Menopause Quality of Life (Men-QoL), Insomnia Severity Index (ISI), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), sleep parameters recorded in the actigraphy and adverse events. The PSQI and Men-QoL were assessed at weeks 0, 4, 8, 12 and 20. Other assessments were performed at week 0 and week 8. Results The participants were randomly assigned to either acupuncture (n=42) or sham acupuncture (n=42) groups. The mean difference from baseline of PSQI score at the end of treatment between real acupuncture and sham acupuncture group was −2.38 (95% CI, −3.46 to −1.30; P<0.001). The acupuncture group was associated with significantly lower scores than the sham acupuncture group at week 12 and during the 20-week follow-up visits (all P <0.001). Acupuncture was also associated with significantly higher quality of life in vasomotor and other physical dimensions (all P <0.001). At the end of treatment, researchers found a significantly higher total sleep time (TST), sleep efficiency (SE) and lower number of average awakenings (AA) ( P =0.007 0.023 and 0.011, respectively) in the acupuncture group than in the sham acupuncture group. No severe adverse events were reported. Conclusion The findings suggest that acupuncture may be a safe and effective treatment for PMI and improving quality of sleep in patients with menopause and could have a long-lasting effect. Trial Registration Chinese Clinical Trial Registry (ChiCTR); Trial ID: ChiCTR1800018645. URL: http://www.chictr.org.cn/showproj.aspx?proj=31482 .

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Section: Methodsmentioning

confidence: 99%

Electroacupuncture versus Sham Acupuncture for Perimenopausal Insomnia: A Randomized Controlled Clinical Trial

Li¹,

Wang²,

Wu³

et al. 2020

NSS

Self Cite

View full text Add to dashboard Cite

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“…The use of Traditional Chinese Medicine and other ancient techniques is common. [5][6][7][8][9] The cornerstone of this study, as well as other studies of the author, is the treatment in the root-level, focused on the energy imbalances analyzed by ancient medical tools such as Traditional Chinese Medicine. To do so, the author used a case of one specific patient as a cornerstone; this case was previously stated in other studies of the author.…”

Section: Introductionmentioning

confidence: 99%

Auricular Acupuncture and Chinese Dietary Counselling in the Treatment of Insomnia

Huang¹

2020

Arch Neurol Neuro Disord

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Statement of the Problem:Insomnia is a sleep disorder that regularly affects millions of people worldwide. Individuals with insomnia find it difficult to fall asleep and stay asleep. It commonly leads to daytime sleepiness, lethargy, mood swings, anxiety, stress and a general feeling of being unwell, both mentally and physically.The purpose of this study is to demonstrate the results of a treatment using auricular acupuncture associated with Chinese dietary counselling. A second goal is to demonstrate why erroneous eating habits, specifically during dinner, can be one of the causes of insomnia. Methodology & Theoretical Orientation:To prove that insomnia can be treated with auricular acupuncture and Chinese dietary counselling, a retrospective research of over 1500 patients' records was done. 55 (3.66%) of these patients were selected based on having insomnia diagnosis in their records and had performed previous treatment with auricular acupuncture associated with Chinese dietary counselling.Findings: Of the total amount, 30 (83.33%) considered their insomnia as a main symptom which affected their lives daily.After the first month of treatment (four sessions), more than 80% of the patients felt improvement of their insomnia symptom. Conclusion & Significance:The majority of patients who had undergone auricular acupuncture associated with Chinese dietary counselling for the treatment of insomnia had been completely cured or had significant improvement. The study also concluded that patients who not compromised with the dietary changes did not achieve the same positive results as those who agreed with them.

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A true response of the brain network during electroacupuncture stimulation at scalp acupoints: An fMRI with simultaneous EAS study

Chen

Jann

et al. 2022

Brain and Behavior

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Objectives The aim of this study was to explore simultaneous brain network responses to electroacupuncture stimulation (EAS) at scalp acupoints by accounting for placebo effects. Materials and Methods Sixty healthy subjects were recruited and randomly divided into two groups: Group 1 and Group 2. Functional magnetic resonance imaging (fMRI) was performed in Group 1 with sham acupuncture stimulation at acupoints Shenting (GV24) and Touwei (ST8) without EAS. Group 2 underwent verum EAS at the same acupoints during fMRI. Independent component analysis was used to analyze the fMRI data. Full‐factor statistical analysis was used to compare the differences in fMRI data between the two groups and evaluate the changes in functional connectivity in brain networks after verum electrical stimulation (Group 1 [after sham electrical current stimulation − before sham electrical current stimulation] − Group 2 [after verum electrical current stimulation − before verum electrical current stimulation]) (p <.001, extent threshold k = 20 voxels). Results Six brain networks were identified. Significant increased functional connectivity was observed in the right and left executive control networks, sensorimotor network, and attention network, while decreased functional connectivity was mainly found in the default mode network. There were no statistically significant differences in the salience network. Conclusions fMRI with simultaneous EAS provides a method to explore brain network responses due to EAS at scalp acupoints. The networks responsible for cognition are differentially activated by EAS in a coordinated manner.

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Effect of acupuncture on insomnia in menopausal women: a study protocol for a randomized controlled trial

Cited by 10 publications

References 36 publications

Electroacupuncture versus Sham Acupuncture for Perimenopausal Insomnia: A Randomized Controlled Clinical Trial

Electroacupuncture versus Sham Acupuncture for Perimenopausal Insomnia: A Randomized Controlled Clinical Trial

Auricular Acupuncture and Chinese Dietary Counselling in the Treatment of Insomnia

A true response of the brain network during electroacupuncture stimulation at scalp acupoints: An fMRI with simultaneous EAS study

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