The Efficacy and Safety of Acupuncture for Prophylaxis of Vestibular Migraine: A Study Protocol for a Randomized Controlled Trial

Hu, Tianye; Hu, Hantong; Feng, Chun-Mei; Jiang, Bin; Shen, Fengfei; Su, Yingying; Yang, Minghan; Jin, Hang

doi:10.3389/fneur.2021.709803

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…Vestibular rehabilitation typically consists of four groups of exercises (gaze stability exercises, habituation exercises, gait and balance training, and walking to improve endurance), and some studies, albeit with low-quality evidence, suggest that it may be more effective than pharmacologic intervention [54,69]. Furthermore, some randomized controlled trials concerning alternative non-pharmacologic prophylaxis (e.g., acupuncture) are underway [70].…”

Section: Non-pharmacologic Treatmentmentioning

confidence: 99%

Vestibular Migraine

Ryliškienė¹,

Jokubaitis²

2024

Pain Management - From Acute to Chronic and Beyond

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The consensus diagnostic criteria for vestibular migraine (VM) are used to specifically describe episodic vestibular symptoms associated with migraine. Because of an incomplete understanding of the etiology, a variety of clinical manifestations, and overlap with other vestibular disorders, the precise prevalence of VM is unknown. Clinical examination during vestibular episodes and vestibular laboratory tests interictally are more commonly abnormal in patients with VM than in controls, but none of the findings are specific for the diagnosis. The majority of information about VM treatment originates from case studies and retrospective reviews. In this chapter, the current epidemiology data, pathophysiology, significance of clinical and laboratory findings, and possible therapeutic approaches with existing and new medications or devices will be discussed.

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Section: Non-pharmacologic Treatmentmentioning

confidence: 99%

Vestibular Migraine

Ryliškienė¹,

Jokubaitis²

2024

Pain Management - From Acute to Chronic and Beyond

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“…Two randomised controlled trials (RCTs) were excluded from this review as the comparator was incorrect -an intervention was not compared to placebo or no treatment, but was instead compared to another (potentially) active intervention. This included one study that compared acupuncture to venlafaxine (Hu 2021), and one that compared resistance exercise to relaxation therapy (Sun 2022). The exclusion of these studies may be regarded as a source of bias in the review, although it is in accordance with our protocol (Webster 2022c).…”

Section: Potential Biases In the Review Processmentioning

confidence: 99%

Non-pharmacological interventions for prophylaxis of vestibular migraine

Webster

Harrington-Benton²,

Judd

et al. 2022

Cochrane Database of Systematic Reviews

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Cochrane Database of Systematic Reviews Data collection and analysisWe used standard Cochrane methods. Our primary outcomes were: 1) improvement in vertigo (assessed as a dichotomous outcome -improved or not improved), 2) change in vertigo (assessed as a continuous outcome, with a score on a numerical scale) and 3) serious adverse events. Our secondary outcomes were: 4) disease-specific health-related quality of life, 5) improvement in headache, 6) improvement in other migrainous symptoms and 7) other adverse e ects. We considered outcomes reported at three time points: < 3 months, 3 to < 6 months, > 6 to 12 months. We used GRADE to assess the certainty of evidence for each outcome. Main resultsWe included three studies in this review with a total of 319 participants. Each study addressed a di erent comparison and these are outlined below. We did not identify any evidence for the remaining comparisons of interest in this review. Dietary interventions (probiotics) versus placeboWe identified one study with 218 participants (85% female). The use of a probiotic supplement was compared to a placebo and participants were followed up for two years. Some data were reported on the change in vertigo frequency and severity over the duration of the study. However, there were no data regarding improvement of vertigo or serious adverse events. Cognitive behavioural therapy (CBT) versus no interventionOne study compared CBT to no treatment in 61 participants (72% female). Participants were followed up for eight weeks. Data were reported on the change in vertigo over the course of the study, but no information was reported on the proportion of people whose vertigo improved, or on the occurrence of serious adverse events. Vestibular rehabilitation versus no interventionThe third study compared the use of vestibular rehabilitation to no treatment in a group of 40 participants (90% female) and participants were followed up for six months. Again, this study reported some data on change in the frequency of vertigo during the study, but no information on the proportion of participants who experienced an improvement in vertigo or the number who experienced serious adverse events.We are unable to draw meaningful conclusions from the numerical results of these studies, as the data for each comparison of interest come from single, small studies and the certainty of the evidence was low or very low.

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Non-pharmacological interventions for prophylaxis of vestibular migraine

Webster

Dor

Galbraith

et al. 2023

Cochrane Database of Systematic Reviews

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Background Vestibular migraine is a form of migraine where one of the main features is recurrent attacks of vertigo. These episodes are often associated with other features of migraine, including headache and sensitivity to light or sound. These unpredictable and severe attacks of vertigo can lead to a considerable reduction in quality of life. The condition is estimated to affect just under 1% of the population, although many people remain undiagnosed. A number of interventions have been used, or proposed to be used, as prophylaxis for this condition, to help reduce the frequency of the attacks. Many of these interventions include dietary, lifestyle or behavioural changes, rather than medication. Objectives To assess the benefits and harms of non‐pharmacological treatments used for prophylaxis of vestibular migraine. Search methods The Cochrane ENT Information Specialist searched the Cochrane ENT Register; Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE; Ovid Embase; Web of Science; ClinicalTrials.gov; ICTRP and additional sources for published and unpublished trials. The date of the search was 23 September 2022. Selection criteria We included randomised controlled trials (RCTs) and quasi‐RCTs in adults with definite or probable vestibular migraine comparing dietary modifications, sleep improvement techniques, vitamin and mineral supplements, herbal supplements, talking therapies, mind‐body interventions or vestibular rehabilitation with either placebo or no treatment. We excluded studies with a cross‐over design, unless data from the first phase of the study could be identified. Data collection and analysis We used standard Cochrane methods. Our primary outcomes were: 1) improvement in vertigo (assessed as a dichotomous outcome ‐ improved or not improved), 2) change in vertigo (assessed as a continuous outcome, with a score on a numerical scale) and 3) serious adverse events. Our secondary outcomes were: 4) disease‐specific health‐related quality of life, 5) improvement in headache, 6) improvement in other migrainous symptoms and 7) other adverse effects. We considered outcomes reported at three time points: < 3 months, 3 to < 6 months, > 6 to 12 months. We used GRADE to assess the certainty of evidence for each outcome. Main results We included three studies in this review with a total of 319 participants. Each study addressed a different comparison and these are outlined below. We did not identify any evidence for the remaining comparisons of interest in this review. Dietary interventions (probiotics) versus placebo We identified one study with 218 participants (85% female). The use of a probiotic supplement was compared to a placebo and participants were followed up for two years. Some data were reported on the change in vertigo frequency and severity over the duration of the study. ...

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The Efficacy and Safety of Acupuncture for Prophylaxis of Vestibular Migraine: A Study Protocol for a Randomized Controlled Trial

Cited by 5 publications

References 49 publications

Vestibular Migraine

Vestibular Migraine

Non-pharmacological interventions for prophylaxis of vestibular migraine

Non-pharmacological interventions for prophylaxis of vestibular migraine

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