Clinical Efficacy and Safety of Miniscalpel-Needle Treatment for Tension-Type Headache: A Systematic Review and Meta-Ana
- PDF / 235,793 Bytes
- 8 Pages / 612.284 x 824.882 pts Page_size
- 119 Downloads / 187 Views
•1•
C
hinese Journal of Integrative Medicine
Available online at link.springer.com/journal/11655 Journal homepage: www.cjim.cn/zxyjhen/zxyjhen/ch/index.aspx E-mail: [email protected]
Evidence-Based Integrative Medicine
Clinical Efficacy and Safety of Miniscalpel-Needle Treatment for Tension-Type Headache: A Systematic Review and Meta-Analysis Chan-Young Kwon1,2, Sang-Hoon Yoon2, Sun-Yong Chung1,3, and Jong Woo Kim1,3 Objective:: To investigate the clinical efficacy and safety of miniscalpel-needle (MSN) treatment ABSTRACT Objective Method:: Seven medical databases were searched to identify randomized for tension-type headache (TTH). Method controlled trials (RCTs) evaluating the effect and safety of MSN treatment. All articles published up to November 15, 2018 were retrieved. A meta-analysis was conducted for the included studies, and the risk of bias was assessed. Primary outcomes were visual analogue scale (VAS) or numeric rating scale (NRS) score. Secondary outcomes were clinical effective rates including total effective rate (TER), markedly effective rate (MER), and totally cured rate (TCR) determined by improvement in clinical symptoms or VAS scores, the frequency of Results:: Seven RCTs adverse events (AEs) that occurred during the study, and participant quality of life (QOL). Results involving 724 participants were included. MSN treatment showed significantly higher MER and TCR [relative risk (RR) 1.27, 95% confidence interval (CI) 1.01 to 1.61; RR 1.31, 95% CI 1.09 to 1.57, respectively], but not TER (RR 1.03, 95% CI 0.96 to 1.10) compared to acupuncture. MSN treatment plus conventional treatment showed significant lower VAS and higher TER, MER, and TCR (mean difference –3.54, 95% CI –3.80 to –3.28; RR 1.14, 95% CI 1.06 to 1.23; RR 2.31, 95% CI 1.50 to 3.58; RR 3.01, 95% CI 2.25 to 4.02, respectively) compared to Conclusions:: According to current evidence, MSN treatment as a monotherapy or as conventional treatment. Conclusions an adjunctive treatment to other existing treatments might have benefits on treating TTH. However, since the number and the sample size of studies included were both small and the methodological quality was poor, the findings of this review should be interpreted with great caution, and our confidence in the results is low. A high quality RCT using objective outcomes should be performed on this topic. KEYWORDS acupuncture, acupotomy, tension-type headache, systematic review, meta-analysis
Headache is a very common neurological condition encountered in many clinics. The main types of headache are migraine, tension-type headache (TTH), and cluster headache. Migraine and TTH are the most common types of headache, and approximately 46% of adult patients worldwide suffer from headaches, 42% of whom have TTH.(1) Although the clear pathological mechanism is unknown, TTH is reported to be mainly caused by psychological factors; however, recent reports showed that neurobiological factors are also involved.(2) In general, medications such as ibuprofen, acetaminophen, amitriptyline, and not
Data Loading...
