The Effectiveness of Acupuncture Combined with Tuina Therapy in Patients with Migraine

Nie, Lijin; Cheng, Jiang; Wen, Yuecai; Li, Jinhu

doi:10.1159/000496032

Cited by 13 publications

(10 citation statements)

References 57 publications

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“…In pain management practice, multitherapy approaches have generally shown better effectiveness than single therapy approaches. For example, “acupuncture plus tui-na massage” showed better effect than “acupuncture only” in patients with migraine ( Nie et al, 2019 ). In addition, “massage plus acupressure” showed to be relatively more effective than “massage only” or “acupressure only” on relieving labor pain ( Gönenç & Terzioğlu, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

The Frequency and Perceived Effectiveness of Pain Self-Management Strategies Used by Individuals With Migraine

Chang

Yang

Jensen

et al. 2021

Journal of Nursing Research

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Background Migraine is ranked among the most important causes of disability worldwide. Some effective migraine treatments have been identified. However, little is known regarding the treatment strategies used by patients with migraine to manage pain or their efficacy. Purpose This study was designed to (a) investigate the pain management strategies used by migraineurs and their perceived effectiveness and (b) evaluate the association between the number of strategies used and their overall perceived effectiveness. Methods A cross-sectional design with consecutive sampling was used in a medical center in Taiwan. Individuals with migraine ( N = 174) completed self-administered questionnaires and in-depth interviews to assess the frequency and perceived effectiveness of a variety of pain management strategies. Results Most participants reported using prescription medications (56%) and over-the-counter medications (51%), which were rated as having good efficacy rates of 78% and 81%, respectively. Traditional Chinese medicine (17%) and folk remedies (13%) were used less frequently and rated as relatively less effective at 65% and 48%, respectively. About half (47%) reported using more than one pain management strategy. Significantly more of those who reported using multiple pain management strategies reported at least “some effect” than those who reported using one strategy only (73% vs. 27%, p = .001). Conclusions Prescription medications showed good usage rate and good perceived efficacy. However, about half of the participants used multiple pain management strategies, supporting the need for further research to evaluate the efficacy of combination treatments and to identify those combinations that may have the most additive and/or synergistic effects. Furthermore, the findings indicate that continued use of medications for migraine management is appropriate for many individuals because of the relatively high rates of perceived efficacy for this strategy found in this study.

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Section: Discussionmentioning

confidence: 99%

The Frequency and Perceived Effectiveness of Pain Self-Management Strategies Used by Individuals With Migraine

Chang

Yang

Jensen

et al. 2021

Journal of Nursing Research

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“…Consistent with our existing results, most studies report that acupuncture-related therapy may have stronger effects and expectations than analgesics in clinical trials (33, 34, 37, 38, 42, 43, 45, 51, 58-60, 62, 67, 70, 71) and have a better effect than placebo (35, 36, 39-42, 44, 46-49, 52-55, 61, 63-66, 68, 69). Acupuncture as a preventive measure for migraine is safer and more effective than common medicines due to less side effects and lower risks and has been widely accepted in Western countries (33).…”

Section: Discussionmentioning

confidence: 99%

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

Song

Li²,

Liu³

et al. 2022

Front. Neurol.

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BackgroundMigraine 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.MethodsRandomized 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.ResultsThirty-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%).ConclusionThese 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 registrationhttps://inplasy.com/, identifier: INPLASY202110035.

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“…In an RCT of 45 patients, those receiving tuina therapy combined with acupuncture compared with those receiving acupuncture alone or control therapy had a significant reduction in attack frequency, severity of pain, and duration of migraine. The combination of tuina with acupuncture resulted in less analgesic use by patients in the trial [33].…”

Section: Migrainesmentioning

confidence: 94%

A Comprehensive Review of Alternative Therapies for the Management of Chronic Pain Patients: Acupuncture, Tai Chi, Osteopathic Manipulative Medicine, and Chiropractic Care

et al. 2020

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Introduction Non-pharmacologic alternative therapies for pain have been around for a long time, some for hundreds of years. They have been used throughout history to treat many issues. Recent Findings Currently, alternative medicine is most frequently used to treat musculoskeletal pain, and between 59 and 90% of patients utilizing alternative therapies for chronic pain claimed they were helpful and can serve as an effective adjunctive for the treatment of chronic pain. Some examples of alternative therapies that will be discussed in this review include acupuncture, tai chi, osteopathic manipulation, and chiropractic care. Acupuncture, traditionally a Chinese practice, is becoming more popular across the world to attempt to relieve pain. It involves the placement of thin needles at various points in the body. The efficacy of acupuncture for pain is heavily debated. More research and discussion are necessary to determine the exact role it plays in the treatment of chronic pain. Tai chi is also a traditional Chinese practice that is often used as a form of meditation and for potential health benefits. Tai chi involves a series of complex movements such as squatting combined with deep breathing to achieve relaxation and pain reduction. Osteopathic manipulative treatment (OMT) is a technique used by both osteopathic physicians (DO) as well as other health professionals to manage a wide range of conditions in any given patient. The technique involves utilization and manipulation of the musculoskeletal system to achieve potential health benefits. OMT has been used as therapy for many issues but is commonly used for pain conditions. Summary Alternative therapies may serve as an effective adjunctive treatment modality for the management of chronic pain conditions. There has been a tremendous amount of research dictating the effectiveness of alternative therapies for chronic pain management. The purpose of this review is to provide a comprehensive evidence-based update of alternative therapy used for the management of chronic pain conditions.

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The Effectiveness of Acupuncture Combined with Tuina Therapy in Patients with Migraine

Cited by 13 publications

References 57 publications

The Frequency and Perceived Effectiveness of Pain Self-Management Strategies Used by Individuals With Migraine

The Frequency and Perceived Effectiveness of Pain Self-Management Strategies Used by Individuals With Migraine

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

A Comprehensive Review of Alternative Therapies for the Management of Chronic Pain Patients: Acupuncture, Tai Chi, Osteopathic Manipulative Medicine, and Chiropractic Care

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