Insights & Discussion
Acupuncture may enhance the effectiveness of cognitive-behavioral therapy for people suffering from insomnia and related conditions.
The research methodology used in this paper is mainly a theoretical analysis and discussion of the potential synergistic effects of combining cognitive-behavioral therapy for insomnia (CBT-I) and acupuncture. This involves analysis of the current evidence base for the efficacy of acupuncture in treating insomnia and related conditions, along with examination of the practical, logistical, and regulatory aspects of combining these two treatments.
In the discussion of their results, the researchers found that there is a growing body of evidence that supports the potential benefit of acupuncture in treating insomnia and its comorbidities, enhancing the current standard treatment approach of CBT-I. This appears to be an innovative approach that could potentially enhance the treatment effectiveness and outcomes for those struggling with insomnia, though it concurrently raises complex issues in terms of its practical and regulatory implementation.
Discover Related Insights
Acupuncture and moxibustion therapies have shown effectiveness in treating ulcerative colitis according to the summarised-findings of various systematic reviews and meta-analyses.
2024 Heliyon Effects of acupuncture and moxibustion on ulcerative colitis: An overview of systematic reviews Wang D, Wang Q, Wang Y, Li T, Tian M
Systematic Review Acupuncture Moxibustion Ulcerative Colitis
Methodology: This evaluative study used an extensive and systematic methods to search data from seven different databases. The selected data were further refined by using different screening and evaluation frameworks like AMSTAR-2, PRISMA, ROBIS, and GRADE systems. These were used to determine the methodological quality, reporting quality, risk of bias, and the quality of evidence in the selected studies.
Discussion of results: After critical evaluation, the study found ten relevant reviews and analyses that showed potential for acupuncture and moxibustion therapies being effective in ulcerative colitis treatment. However, many the identified studies were reported to have several problems in their overall design and quality of outcomes. The researchers therefore stress caution when interpreting these results due to the lack of high-quality evidence in the existing studies.
Acupuncture, either alone or as an adjunct, improved the clinical efficacy and visual acuity of age-related macular degeneration patients, particularly those with dry AMD.
2023 PLOS One Effects of acupuncture on age-related macular degeneration: A systematic review and meta-analysis of randomized controlled trials Sun W, Zhao Y, Liao L, Wang X, Wei Q, Chao G, et al.
Meta-Analysis Acupuncture Age-Related Macular Degeneration
The study conducted a meta-analysis on nine out of 226 articles selected from various databases such as PubMed, Ovid Medline, Embase, Cochrane Library, The Chinese National Knowledge Infrastructure Database, VIP, Wanfang, and SINOMED up until September 4, 2022. Two separate reviewers independently carried out the literature screening and data extraction and used RevMan 5.4 software for the meta-analysis.
In the discussion of the results, it was found that 508 AMD patients (representing a total of 631 eyes), including 360 dry eyes and 271 wet eyes, showed improvement in both clinical efficacy and best-corrected visual acuity after receiving acupuncture treatment. The treatment also led to a reduction in their central macular thickness. However, while the benefits of acupuncture were seen, the quality of evidence supporting these outcomes was judged as ranging from "low" to "very low".
Acupuncture can enhance visual function in people with myopia via particular changes in brain activity.
2023 Frontiers in Integrative Neuroscience The effect of acupuncture at the Taiyang acupoint on visual function and EEG microstates in myopia Su K, Wang L, Wang Z, Ma J, Zhang C, Bi H, et al.
Experimental Study Acupuncture Myopia
In this study, a group of 21 myopic patients received acupuncture at a specific acupoint. To assess the impact of this treatment on their vision, a technique known as contrast sensitivity (CS) was used to analyse vision quality before and after the acupuncture process. At the same time, electroencephalography (EEG) was employed to record changes in brain activity throughout the procedure.
It was observed post-acupuncture that patients' contrast sensitivity was generally better, implying improved visual abilities. Moreover, EEG data divulged certain changes in brain states labelled as 'microstates', particularly a decrease in the contribution of 'microstate C' and a lower transition probability between 'microstate A' and 'microstate C'. Furthermore, analysis showed a negative correlation between the contribution of 'microstate C' and contrast sensitivity. These findings suggest a connection between the enhancement of visual function and specific neurophysiological processes.
Acupuncture combined with moxibustion has shown significant benefits in the treatment of mild to moderate Crohn's disease.
2023 Journal of Pharmacopuncture The Effects of Acupuncture on Crohn’s Disease: a systematic review and meta-analysis Bae JH, Kang SY, You SE, Jeong HI, Jang S, Kim KH
Meta-Analysis Acupuncture Crohn's Disease
In this systematic review, the researchers conducted a comprehensive search of 12 databases for randomized controlled trials on the impact of acupuncture on Crohn's disease. Three independent reviewers assessed the risk of bias for each study. The level of evidence from meta-analyses was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation methodology.
The review included a total of 12 studies. Findings suggest that acupuncture combined with moxibustion, a traditional East Asian treatment involving burning a small bunch of herbs on particular points on the body, had an effect on the treatment outcomes for patients with mild to moderate Crohn's disease when compared to a group given sham acupuncture and sham moxibustion treatments. Notably, findings on the effectiveness of acupuncture treatment only, without the addition of moxibustion, were less clear. It is also important to emphasize that this review was firmly focused on the benefits of the treatment on patients with mild to moderate symptoms of Crohn's disease.
Acupuncture demonstrates a positive therapeutic effect on inflammatory bowel disease (IBD) by effectively regulating associated inflammatory factors.
2023 Complementary Therapies in Medicine Assessment of anti-inflammatory efficacy of acupuncture in patients with inflammatory bowel disease: A systematic review and meta-analysis Yang X, He M, Tang Q, Wang Z, Jin D, Wu X, et al.
Meta-Analysis Acupuncture Crohn's Disease
Eight electronic databases were utilized in a systematic search for studies that satisfied the pre-defined inclusion parameters. Two impartial reviewers evaluated the quality of the resultant studies and a meta-analysis was then performed to assess the efficacy of acupuncture on IBD and its related inflammatory factors which include TNF-α, IL-1, IL-8, and IL-10.
The analysis comprised of four randomized controlled trials that involved a total of 228 patients. The beneficial effects of acupuncture on IBD patients were thoroughly inspected, as well as its ability to regulate levels of specified inflammatory factors. The P values, which refer to the probability that any observed result occurred by chance, were critically assessed for every inflammatory factor - significance was found in the values of TNF-α, IL-8, and IL-10, but not for IL-1.
The conclusion drawn was that acupuncture has a positive therapeutic impact on individuals suffering from IBD, and quite importantly, can regulate inflammatory factors in these patients. As a result of these findings, it is suggested that TNF-α, IL-8, and IL-10 are the ideal inflammatory indicators for evaluating the anti-inflammatory response in this patient category.
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