Acupuncture for tension-type headache: a multicentre, sham-controlled, patient-and observer-blinded, randomised trial
Open Access
- 25 October 2007
- journal article
- research article
- Published by Springer Science and Business Media LLC in The Journal of Headache and Pain
- Vol. 8 (5), 306-314
- https://doi.org/10.1007/s10194-007-0416-5
Abstract
Acupuncture treatment is frequently sought for tension-type headache (TTH), but there is conflicting evidence as to its effectiveness. This randomised, controlled, multicentre, patient-and observer-blinded trial was carried out in 122 outpatient practices in Germany on 409 patients with TTH, defined as ≥0 headache days per month of which ≤1 included migraine symptoms. Interventions were verum acupuncture according to the practice of traditional Chinese medicine or sham acupuncture consisting of superficial needling at nonacupuncture points. Acupuncture was administered by physicians with specialist acupuncture training. Ten 30-min sessions were given over a six-week period, with additional sessions available for partial response. Response was defined as >50% reduction in headache days/month at six months and no use of excluded concomitant medication or other therapies. In the intent-to-treat analysis (all 409 patients), 33% of verum patients and 27% of sham controls ( p =0.18) were classed as responders. Verum was superior to sham for most secondary endpoints, including headache days (1.8 fewer; 95% CI 0.6, 3.0; p =0.004) and the International Headache Society response criterion (66% vs. 55% response, risk difference 12%, 95% CI: 2%-21%; p =0.024).). The relative risk on the primary and secondary response criterion was very similar (∼0.8); the difference in statistical significance may be due to differences in event rate. TTH improves after acupuncture treatment. However, the degree to which treatment benefits depend on psychological compared to physiological effects and the degree to which any physiological effects depend on needle placement and insertion depth are unclear.Keywords
This publication has 31 references indexed in Scilit:
- Designing an Acupuncture Study: The Nationwide, Randomized, Controlled, German Acupuncture Trials on Migraine and Tension-Type HeadacheThe Journal of Alternative and Complementary Medicine, 2006
- Zur Problematik von Akupunkturstudien am Beispiel der Methodik von geracDer Schmerz, 2004
- Preface to the Second EditionCephalalgia, 2004
- Chronic Daily Headache Prophylaxis With Tizanidine: A Double‐Blind, Placebo‐Controlled, Multicenter Outcome StudyHeadache: The Journal of Head and Face Pain, 2002
- Epidemiology of headacheCephalalgia, 2001
- AcupuncturePublished by American Medical Association (AMA) ,1998
- A 12-Item Short-Form Health SurveyMedical Care, 1996
- Retrospective survey of patients of practitioners of traditional Chinese acupuncture in the UKComplementary Therapies in Medicine, 1996
- The Epidemiology of Headache in Germany: A Nationwide Survey of A Representative Sample on The Basis of The Headache Classification of The International Headache SocietyCephalalgia, 1994
- Grading the severity of chronic painPain, 1992