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Efficacy and safety of acupuncture therapy for nerve deafness: a meta-analysis of randomized controlled trials


Efficacy and safety of acupuncture therapy for nerve deafness: a meta-analysis of randomized controlled trials

Tennis elbow refers to inflammation of the tendons that attach to the outside or lateral part of the elbow, while golfer’s elbow refers to inflammation of the tendons that attach to the inner or medial part of the elbow. Although ringing in ears or tinnitus is not a health-threatening or serious condition, but it is very disturbing as it can happen constantly or come and go. But conventional allergy treatments typically involve antihistamines rather than addressing unresolved emotional issues. This is why, in order to be considered valid, any treatment being tested has to be shown not just to be effective but to be more effective than placebo. However, a clinically significant effect was also observed in the control group, with an effect size of 0.78. Because tinnitus is a symptom of various disease mechanisms, and involves various types of tissue pathologies as well as a central nervous system hyperexcitability and perceptual dysfunction, finding the single therapy that will work for all patients, or that will even work by itself on a patient, is problematic. This idea is backed up by a Swedish study from 1997 which found that patients who had tried some form of complementary therapy for tinnitus, without success, prior to attending appointments at the tinnitus clinic started off with a more negative outlook than those who had not, and were less motivated to accept the specialist advice being offered there.

Acupuncturists stimulate this point to relieve tinnitus and several other ear maladies. There are anecdotal evidence that black cohosh is useful in alleviating tinnitus. Acupuncture and Acupressure Points. A basic recipe of acupuncture for tinnitus that have 10 to 15 sessions in claim improvement is San Jao 3 and 17, gallbladder 2 and 43, with kidney-3 and 6 for the chronic type. First, I must point out that the unilateral tinnitus (ringing in one ear only), it will not likely disappear something you should talk to an acoustician more, but that’s not what the OP spoken here. And she was healed! Find out how to use acupressure points to treat tinnitus with help from a teacher,.

Exploring an effective and feasible treatment method has great significance. Huangdi Neijing (a classic book of traditional Chinese medicine) reports the pathogeny and pathogenesis of ‘deafness’ as well as acupuncture treatment principle and acupoint selection. As an important part of traditional Chinese medicine, acupuncture has been more and more widely used for the treatment of nerve deafness. Many clinical trials have found that acupuncture has a certain effect on improving the hearing in patients with nerve deafness [4-6]. However, no high-level overall review on evaluation of acupuncture treatment of nerve deafness has been searched so far, and there are few research reports on the safety of acupuncture treatment of nerve deafness. Therefore, there is an urgent need for system evaluation on efficacy and safety of acupuncture treatment of nerve deafness, so as to provide a reference for acupuncture treatment of nerve deafness in the clinic. Clean your ears regularly and if needed you should have your ears inspected regularly.

Along the bodys meridians, there are over 500 acupuncture points. This is a classic description of somatic tinnitus: the patient’s neck is bent or twisted for a long period of time. To be considered for this analysis, published articles had to meet the following criteria: (1) Randomized controlled trials, regardless of publication status. The language was limited to Chinese and English; (2) Patients with nerve deafness, regardless of age, sex and ethnic origin; (3) Interventions in the treatment group was acupuncture including ear acupuncture and electro-acupuncture, regardless of the type and acupoint. Now, get soothing and lasting relief from the problems of earache, ear fullness, tinnitus and ear infection naturally and prevent its re-occurrence with the help of these ear acupressure points. In addition, studies of acupuncture plus conventional medicine versus conventional medicine alone were also included. This positive experience, and belief in the power of acupuncture & traditional Chinese medicine led me to train as an acupuncturist in Camden, London.

The secondary outcomes were the improvement of tinnitus and dizziness, recurrent rate and number and type of adverse events. Trials were excluded if any of the following were identified. (1) Studies of duplication; (2) Information of participants, interventions, or outcomes were not available; (3) Studies of acupuncture plus conventional medicine versus another conventional medicine. Search results from different databases were imported into the document management software Note Express 2.8. Repeated and non-relevant studies were rejected by screening the title and abstract. The full text of the remaining studies was downloaded. and is known as the maidenhair tree, it is a unique tree species and is the only rezent in the department Ginkgophyta.

Study selection was carried on by JYB and SX independently. Any disagreement was resolved by discussion. A data extraction form was designed using Epidata 3.1 software. He’s a renowned expert on integrative and alternative medicine, clinical professor of medicine at the University of Arizona, currently working on a book about aging. The following data were extracted: citations, study setting, sample size, participants (diagnostic criteria, inclusion criteria, exclusion criteria, age, sex, course of disease), the nature of the interventions, outcome measures, the number and type of adverse events, methodological characteristics (random sequence generation, allocation concealment, blinding, completeness of outcome data, selective outcome reporting, and other potential source of bias). Perol M, et al. The following items were independently assessed by two authors using the Cochrane risk of bias tool recommended by the Cochrane Reviewers’ Handbook 5.0.2: [7] random sequence generation, allocation concealment, blinding, completeness of outcome data, selective outcome reporting, and other potential source of bias.
Efficacy and safety of acupuncture therapy for nerve deafness: a meta-analysis of randomized controlled trials

The risk of bias for each item was graded as low risk, unclear risk, or high risk. Studies that met all the criteria were categorized as low risk of bias, those that met none of the criteria were categorized as high risk of bias, and the others were categorized as unclear risk of bias if insufficient information was available to make a judgment. Any disagreements were submitted to the third party to resolve. Sixty-four individuals were approached to participate in the study. The results were reported as RR or MD and 95% confidence interval (CI). Heterogeneity was explored using a Chi-square test and P < 0.1 for the presence of heterogeneity. The quantity of heterogeneity was measured using the I2 statistic. The fixed effects model was used to calculate RR or MD and their 95% CI (P > 0.1). However, when the heterogeneity was high (P < 0.1), a random effects was used. Dawson NA, Pessis DA, McNeel DG, et al. Our initial searches identified 302 references which were then imported into Note Express 2.8 software. 212 studies were excluded due to their repeated report in different databases or obvious irrelevance after reading the title and abstract. Acute mucosal discharge was predictive of later use of incontinence pads (HR 2.1). Four, [10,12,13,19] of twelve trials, assessed acupuncture in comparison with conventional medicine. The fixed effects model was used to analyze for no apparent heterogeneity (P > 0.1, I2 = 0%). The D&B number can be obtained by calling (866) 705-5711 or through the web site at http://www.dnb.com/us/. Two studies tested acupuncture in comparison with Erlong Zuoci Wan [9,14]. Meta-analysis showed that compared with Erlong Zuoci Wan, acupuncture demonstrated a statistically significant benefit for hearing improvement (RR = 1.51, 95% CI: 1.24-1.84, P < 0.0001) (). Three studies reported hearing improvement after acupuncture plus conventional western medicine compared with western medicine alone [15,17,18]. There was no apparent heterogeneity (P = 0.23, I2 = 31%). A fixed effects model was used to combine effects. Arthritis Rheum. Three trials assessed hearing improvement between acupuncture plus Chinese herbal and Chinese herbal alone [8,11,16]. There was no apparent heterogeneity in cured patients number (P = 0.55, I2 = 0%) and hearing improved number (P = 0.24, I2 = 30%). Our results showed that acupuncture plus Chinese herbal was superior to Chinese herbal alone therapy in cured patients number (RR = 4.62, 95% CI: 1.38-15.47, P = 0.01) and hearing improveent number (RR = 1.59, 95% CI: 1.30-1.95, P < 0.00001) (). Although 12 studies in-cluded in this review were all included in the Meta-analysis, the number of studies included in each meta-analysis was less [2-4]. Therefore, the potential publication bias in this review could not be analyzed. Based on the above meta-analysis result, acupuncture can significantly improve the hearing of patients with nerve deafness compared to traditional Chinese medicines and western medicines, and the efficacy of acupuncture in combination with medication is better than that of medication alone. However, this result may lead to overvaluation of acupuncture efficacy because of small sample size of included papers, poor methodology quality and other factors. For many individuals in which you should know if you want to win on the roulette the ears can be devastating. Acupuncture and mind body therapies appear to be safe and on an empirical basis, it is reasonable to think that these approaches can be integrated to conventional therapy. The result of methodology quality assessment shows that all the papers included are at a high bias risk or unknown bias risk. As the vast majority of studies do not report either the method for randomization or any information about blinded method, the patients or investigators may make a subjective judgment on efficacy of intervention measures, resulting in the bias of test outcomes. There is no information about losing, withdrawal and lost follow-up of subjects in all the studies, which may cause overvaluation of acupuncture efficacy. The quantity of papers included in meta-analysis is too small to make funnel plot analysis. But, all the papers included report that the efficacy of intervention measures (acupuncture treatment) in the test group is better than that of the control group, indicating a publication bias in this study. Besides, all the papers included are written by Chinese authors, indicating a selection bias in this study. Healing tinnitus. No one of the twelve RCT papers included in this study adopts the placebo control, the reason for it is that many clinical investigators in traditional Chinese medicine believe that the placebo control does not conform to the ethical requirements, and placebo for acupuncture in clinical trials is hard to be selected and implemented. Furthermore, all the papers included report the outcome of improved hearing, in which the hearing improvement is classified into four grades: complete recovery, marked effectiveness, effectiveness and ineffectiveness, even a part of the papers adopt the complex outcome indicators, which may lead to the limitation of outcomes because the four grades of classification do not conform to the international standards and bring the difficulty in explanation of the efficacy. Since it has proved impossible to find consistent evidence after more than 3000 trials, it is time to give up. Randomized and blinded methods should be fully described in the clinical trials. It is difficult to blind the patients receiving acupuncture treatment, but the blinding of the outcome analysts and statistical analysts may reduce the performance bias and measurement bias to a certain extent. The test indicators should be selected in accordance with the international standards, the clinically relevant outcomes (such as life quality) should be used whenever possible, and beside the efficacy, the safety of acupuncture treatment should be evaluated. In addition, the study report should follow the Revised Standard for Reporting Interventions in Clinical Trials of Acupuncture (SIRICTA) [21], which clearly describes the details and treatment process of acupuncture to help other investigators in clinical general practice. In summary, the result of meta-analysis shows that acupuncture may effectively improve the hearing conditions of patients with nerve deafness, but we should be careful to make an explanation on the result of meta-analysis because of the defects due to system error, random error and clinical trial methodological quality, and we have no enough evidence to evaluate the safety of acupuncture treatment.