Durable effects of acupuncture for tension-type headache: A systematic review and meta-analysis

Acupuncture may be effective in treating tension-type headache (TTH). The durability of its effects after treatment completion remains inconclusive. We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acu...

Full description

Saved in:
Bibliographic Details
Published in:Heliyon 2024-06, Vol.10 (11), p.e32174, Article e32174
Main Authors: Chen, He, Shi, Hangyu, Gao, Shuai, Fang, Jiufei, Liu, Xinkun, Liu, Zhishun
Format: Article
Language:English
Subjects:
Acupuncture
analgesics
durability
Durable effects
headache
Meta-analysis
Prevention
risk
systematic review
Tension-type headache
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c445t-7e0e016890a4c2cb11d89bbbf2eb7a0e84d7d6e4889e37c9179f2c5f094ededf3
container_end_page
container_issue 11
container_start_page e32174
container_title Heliyon
container_volume 10
creator Chen, He
Shi, Hangyu
Gao, Shuai
Fang, Jiufei
Liu, Xinkun
Liu, Zhishun
description Acupuncture may be effective in treating tension-type headache (TTH). The durability of its effects after treatment completion remains inconclusive. We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acupuncture for TTH. We assessed the methodological quality of RCTs using the Cochrane Risk of Bias 2.0 (RoB 2) tool. Primary outcome was response rate, defined as the proportion of participants who reported at least a 50% reduction in monthly headache days from baseline after completion of treatment. Secondary outcomes included headache days, headache intensity, and analgesic use. Safety outcomes were also evaluated. A total of seven RCTs involving 3,221 participants with frequent episodic and chronic TTH were included. Individuals receiving acupuncture reported a significantly higher response rate versus sham acupuncture (SA) immediately and at 1–6 months after completion of treatment (P
doi_str_mv 10.1016/j.heliyon.2024.e32174
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_998c4c6213a64c9493eeafbcd9b419e8</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2405844024082057</els_id><doaj_id>oai_doaj_org_article_998c4c6213a64c9493eeafbcd9b419e8</doaj_id><sourcerecordid>3153847790</sourcerecordid><originalsourceid>FETCH-LOGICAL-c445t-7e0e016890a4c2cb11d89bbbf2eb7a0e84d7d6e4889e37c9179f2c5f094ededf3</originalsourceid><addsrcrecordid>eNqFkk1v1DAQhi0EotXSnwDykUsWfyW2uaCq0FKpEhc4W4497nqV2IudtNp_T8oupT31ZMueeWfemQeh95SsKaHdp-16A0Pc57RmhIk1cEaleIVOmSBto4Qgr5_cT9BZrVtCCG1VpyV_i0640pzrjpwi83Uuth8AQwjgpopzwNbNuzm5aS6AQy54glRjTs203wHegPXWbeAzPsd1XycY7RQdLnAX4R7b5PEIk21sssO-xvoOvQl2qHB2PFfo1-W3nxffm5sfV9cX5zeNE6KdGgkEFmNKEysccz2lXum-7wODXloCSnjpOxBKaeDSaSp1YK4NRAvw4ANfoeuDrs92a3YljrbsTbbR_H3I5dbYsjQ6gNFaOeE6RrnthNNCcwAbeud1L6gGtWh9OWjt5n4E7yBNxQ7PRJ__pLgxt_nOUMoIYctsV-jjUaHk3zPUyYyxOhgGmyDP1XDaciWk1OTlUCKZokK37RLaHkJdybUWCI8tUWIeuDBbc-TCPHBhDlwseR-e-nnM-kfBf8OwbGjZYzHVRUgOfCwLFMsI4wsl_gCtjs5m</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3072814955</pqid></control><display><type>article</type><title>Durable effects of acupuncture for tension-type headache: A systematic review and meta-analysis</title><source>Open Access: PubMed Central</source><source>ScienceDirect (Online service)</source><creator>Chen, He ; Shi, Hangyu ; Gao, Shuai ; Fang, Jiufei ; Liu, Xinkun ; Liu, Zhishun</creator><creatorcontrib>Chen, He ; Shi, Hangyu ; Gao, Shuai ; Fang, Jiufei ; Liu, Xinkun ; Liu, Zhishun</creatorcontrib><description>Acupuncture may be effective in treating tension-type headache (TTH). The durability of its effects after treatment completion remains inconclusive. We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acupuncture for TTH. We assessed the methodological quality of RCTs using the Cochrane Risk of Bias 2.0 (RoB 2) tool. Primary outcome was response rate, defined as the proportion of participants who reported at least a 50% reduction in monthly headache days from baseline after completion of treatment. Secondary outcomes included headache days, headache intensity, and analgesic use. Safety outcomes were also evaluated. A total of seven RCTs involving 3,221 participants with frequent episodic and chronic TTH were included. Individuals receiving acupuncture reported a significantly higher response rate versus sham acupuncture (SA) immediately and at 1–6 months after completion of treatment (P&lt;0.05). Compared with SA, post-treatment results of headache days and headache intensity appeared consistent on the whole, showing associations favoring acupuncture. However, no significant reduction in analgesic use was found post-treatment. Acupuncture showed no superiority over physical training or relaxation training in headache days and headache intensity. Moreover, no serious adverse events associated with acupuncture were reported. Limited evidence suggested that acupuncture might provide durable post-treatment effects in the management of frequent episodic and chronic TTH for up to 6 months compared with SA,with no severe treatment-related adverse events reported.</description><identifier>ISSN: 2405-8440</identifier><identifier>EISSN: 2405-8440</identifier><identifier>DOI: 10.1016/j.heliyon.2024.e32174</identifier><identifier>PMID: 38933960</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Acupuncture ; analgesics ; durability ; Durable effects ; headache ; Meta-analysis ; Prevention ; risk ; systematic review ; Tension-type headache</subject><ispartof>Heliyon, 2024-06, Vol.10 (11), p.e32174, Article e32174</ispartof><rights>2024 The Authors</rights><rights>2024 The Authors.</rights><rights>2024 The Authors 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c445t-7e0e016890a4c2cb11d89bbbf2eb7a0e84d7d6e4889e37c9179f2c5f094ededf3</cites><orcidid>0000-0001-7570-8917</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11200289/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2405844024082057$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3536,27901,27902,45756,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38933960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, He</creatorcontrib><creatorcontrib>Shi, Hangyu</creatorcontrib><creatorcontrib>Gao, Shuai</creatorcontrib><creatorcontrib>Fang, Jiufei</creatorcontrib><creatorcontrib>Liu, Xinkun</creatorcontrib><creatorcontrib>Liu, Zhishun</creatorcontrib><title>Durable effects of acupuncture for tension-type headache: A systematic review and meta-analysis</title><title>Heliyon</title><addtitle>Heliyon</addtitle><description>Acupuncture may be effective in treating tension-type headache (TTH). The durability of its effects after treatment completion remains inconclusive. We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acupuncture for TTH. We assessed the methodological quality of RCTs using the Cochrane Risk of Bias 2.0 (RoB 2) tool. Primary outcome was response rate, defined as the proportion of participants who reported at least a 50% reduction in monthly headache days from baseline after completion of treatment. Secondary outcomes included headache days, headache intensity, and analgesic use. Safety outcomes were also evaluated. A total of seven RCTs involving 3,221 participants with frequent episodic and chronic TTH were included. Individuals receiving acupuncture reported a significantly higher response rate versus sham acupuncture (SA) immediately and at 1–6 months after completion of treatment (P&lt;0.05). Compared with SA, post-treatment results of headache days and headache intensity appeared consistent on the whole, showing associations favoring acupuncture. However, no significant reduction in analgesic use was found post-treatment. Acupuncture showed no superiority over physical training or relaxation training in headache days and headache intensity. Moreover, no serious adverse events associated with acupuncture were reported. Limited evidence suggested that acupuncture might provide durable post-treatment effects in the management of frequent episodic and chronic TTH for up to 6 months compared with SA,with no severe treatment-related adverse events reported.</description><subject>Acupuncture</subject><subject>analgesics</subject><subject>durability</subject><subject>Durable effects</subject><subject>headache</subject><subject>Meta-analysis</subject><subject>Prevention</subject><subject>risk</subject><subject>systematic review</subject><subject>Tension-type headache</subject><issn>2405-8440</issn><issn>2405-8440</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqFkk1v1DAQhi0EotXSnwDykUsWfyW2uaCq0FKpEhc4W4497nqV2IudtNp_T8oupT31ZMueeWfemQeh95SsKaHdp-16A0Pc57RmhIk1cEaleIVOmSBto4Qgr5_cT9BZrVtCCG1VpyV_i0640pzrjpwi83Uuth8AQwjgpopzwNbNuzm5aS6AQy54glRjTs203wHegPXWbeAzPsd1XycY7RQdLnAX4R7b5PEIk21sssO-xvoOvQl2qHB2PFfo1-W3nxffm5sfV9cX5zeNE6KdGgkEFmNKEysccz2lXum-7wODXloCSnjpOxBKaeDSaSp1YK4NRAvw4ANfoeuDrs92a3YljrbsTbbR_H3I5dbYsjQ6gNFaOeE6RrnthNNCcwAbeud1L6gGtWh9OWjt5n4E7yBNxQ7PRJ__pLgxt_nOUMoIYctsV-jjUaHk3zPUyYyxOhgGmyDP1XDaciWk1OTlUCKZokK37RLaHkJdybUWCI8tUWIeuDBbc-TCPHBhDlwseR-e-nnM-kfBf8OwbGjZYzHVRUgOfCwLFMsI4wsl_gCtjs5m</recordid><startdate>20240615</startdate><enddate>20240615</enddate><creator>Chen, He</creator><creator>Shi, Hangyu</creator><creator>Gao, Shuai</creator><creator>Fang, Jiufei</creator><creator>Liu, Xinkun</creator><creator>Liu, Zhishun</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7570-8917</orcidid></search><sort><creationdate>20240615</creationdate><title>Durable effects of acupuncture for tension-type headache: A systematic review and meta-analysis</title><author>Chen, He ; Shi, Hangyu ; Gao, Shuai ; Fang, Jiufei ; Liu, Xinkun ; Liu, Zhishun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-7e0e016890a4c2cb11d89bbbf2eb7a0e84d7d6e4889e37c9179f2c5f094ededf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acupuncture</topic><topic>analgesics</topic><topic>durability</topic><topic>Durable effects</topic><topic>headache</topic><topic>Meta-analysis</topic><topic>Prevention</topic><topic>risk</topic><topic>systematic review</topic><topic>Tension-type headache</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, He</creatorcontrib><creatorcontrib>Shi, Hangyu</creatorcontrib><creatorcontrib>Gao, Shuai</creatorcontrib><creatorcontrib>Fang, Jiufei</creatorcontrib><creatorcontrib>Liu, Xinkun</creatorcontrib><creatorcontrib>Liu, Zhishun</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Open Access Journals</collection><jtitle>Heliyon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, He</au><au>Shi, Hangyu</au><au>Gao, Shuai</au><au>Fang, Jiufei</au><au>Liu, Xinkun</au><au>Liu, Zhishun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Durable effects of acupuncture for tension-type headache: A systematic review and meta-analysis</atitle><jtitle>Heliyon</jtitle><addtitle>Heliyon</addtitle><date>2024-06-15</date><risdate>2024</risdate><volume>10</volume><issue>11</issue><spage>e32174</spage><pages>e32174-</pages><artnum>e32174</artnum><issn>2405-8440</issn><eissn>2405-8440</eissn><abstract>Acupuncture may be effective in treating tension-type headache (TTH). The durability of its effects after treatment completion remains inconclusive. We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acupuncture for TTH. We assessed the methodological quality of RCTs using the Cochrane Risk of Bias 2.0 (RoB 2) tool. Primary outcome was response rate, defined as the proportion of participants who reported at least a 50% reduction in monthly headache days from baseline after completion of treatment. Secondary outcomes included headache days, headache intensity, and analgesic use. Safety outcomes were also evaluated. A total of seven RCTs involving 3,221 participants with frequent episodic and chronic TTH were included. Individuals receiving acupuncture reported a significantly higher response rate versus sham acupuncture (SA) immediately and at 1–6 months after completion of treatment (P&lt;0.05). Compared with SA, post-treatment results of headache days and headache intensity appeared consistent on the whole, showing associations favoring acupuncture. However, no significant reduction in analgesic use was found post-treatment. Acupuncture showed no superiority over physical training or relaxation training in headache days and headache intensity. Moreover, no serious adverse events associated with acupuncture were reported. Limited evidence suggested that acupuncture might provide durable post-treatment effects in the management of frequent episodic and chronic TTH for up to 6 months compared with SA,with no severe treatment-related adverse events reported.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38933960</pmid><doi>10.1016/j.heliyon.2024.e32174</doi><orcidid>https://orcid.org/0000-0001-7570-8917</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2405-8440
ispartof Heliyon, 2024-06, Vol.10 (11), p.e32174, Article e32174
issn 2405-8440
2405-8440
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_998c4c6213a64c9493eeafbcd9b419e8
source Open Access: PubMed Central; ScienceDirect (Online service)
subjects Acupuncture
analgesics
durability
Durable effects
headache
Meta-analysis
Prevention
risk
systematic review
Tension-type headache
title Durable effects of acupuncture for tension-type headache: A systematic review and meta-analysis
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T06%3A44%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Durable%20effects%20of%20acupuncture%20for%20tension-type%20headache:%20A%20systematic%20review%20and%20meta-analysis&rft.jtitle=Heliyon&rft.au=Chen,%20He&rft.date=2024-06-15&rft.volume=10&rft.issue=11&rft.spage=e32174&rft.pages=e32174-&rft.artnum=e32174&rft.issn=2405-8440&rft.eissn=2405-8440&rft_id=info:doi/10.1016/j.heliyon.2024.e32174&rft_dat=%3Cproquest_doaj_%3E3153847790%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c445t-7e0e016890a4c2cb11d89bbbf2eb7a0e84d7d6e4889e37c9179f2c5f094ededf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3072814955&rft_id=info:pmid/38933960&rfr_iscdi=true