Revues systématiques et méta-analyses : Acupuncture et Insomnies

2922 vues 13/04/2009 14/11/2017 0

Nbre ECR/patients
Revue systématique
Traditional needle acupuncture treatment for insomnia: a systematic review of randomised controlled trials.
Sleep Med. 2009;in press..
Yeung WF Chung KF, Leung YK, Zhang SP, Law AC
20 ECR
Conclusions: Since the majority of evidence regarding TNA for insomnia is based on studies with poor-quality research designs, the data, while somewhat promising, do not allow a clear conclusion on the benefits of TNA for insomnia. Moreover, the results support the need for large scale placebo-controlled double-blinded trials.
Department of Psychiatry, University of Hong Kong. Pokfulam Road, Hong Kong SAR, China.
Revue systématique
A systematic review of the effects of acupuncture in treating insomnia. Sleep Med Rev. 2009;13(1):73-104.
Huang W, Kutner N, Bliwise DL
30 ECR
Conclusions: Although acupuncture has been demonstrated to be safe and holds great potential to be an effective treatment modality for insomnia, the evidence is limited by the quality of these studies and mixed results from those with sham (or unreal treatment) controls. The considerable heterogeneity of acupuncture techniques and acupoint selections among all studies made the results difficult to compare and integrate. High-quality randomized clinical trials of acupuncture in treating insomnia, with proper sham and blinding procedures will be required in the future.
VA Medical Center at Atlanta, Department of Physical Medicine and Rehabilitation, Emory University School of Medicine, 1670 Clairmont Road, Decatur, GA 30033, USA.
Revue systématique
Auricular acupuncture for insomnia: a systematic review. Int. J Pract. 2008;62(11):1744-1752.
Lee MS, Shin BC, Suen LKP, Park TY, Ernst E
10 ECR
1688 patients
Conclusions: We concluded that, because of the paucity and of the poor quality of the data, the evidence for the effectiveness of AA for the symptomatic treatment of insomnia is limited.
Department of Medical Research, Korea Institute of Oriental Medicine, Yuseong-gu, Daejeon, Korea.
Revue systématique et méta-analyse
Acupuncture for insomnia.
Cochrane Database Syst Rev. 2007;(3):CD005472.
Cheuk DK, Yeung WF, Chung KF, Wong V
590 patients
Conclusions: The small number of randomised controlled trials, together with the poor methodological quality and significant clinical heterogeneity, means that the current evidence is not sufficiently extensive or rigorous to support the use of any form of acupuncture for the treatment of insomnia. Larger high quality clinical trials employing appropriate randomisation concealment and blinding with longer follow-up are needed to further investigate the efficacy and safety of acupuncture for the treatment of insomnia.
Department of Pediatrics and Adolescent Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Revue systématique
Role of acupuncture in the treatment of insomnia: a comprehensive review. Ther Clin Pract 2007;13(3):184-193.
Kalavapalli R, Singareddy R
 19 ECR
 1695 patients
Conclusions: Despite the limitations of the reviewed studies, all of them consistently indicate significant evidence in insomnia with acupuncture. Further methodologically strong, randomized controlled studies with large sample size are needed to access the usefulness of acupuncture in treatment of insomnia and explore the possible mechanisms underlying the effects of acupuncture on sleep and sleep disorders.
Department of Psychiatry – H073, Penn State University College of Medicine, 500 University Drive, P.O Box 850, Hershey, PA 17033, USA.
Auricular Acupuncture Treatment for Insomnia:
A Systematic Review.
The Journal of Alternative and Complementary Medicine. 2007;13(6): 669–676
Chen HY, Chi Y, Chan SM, Yung KKL, Zhang KL
673 patients
Conclusions: AA appears to be effective for treating insomnia. Because the trials were low quality, further clinical trials with higher design quality, longer duration of treatment, and longer follow-up should be conducted.
School of Chinese Medicine, and 2Department of Biology, Hong Kong Baptist University, Hong Kong.
[A systematic evaluation of randomised controlled trials for acupuncture and moxibustion treatment of insomnia.]
Chinese Acupuncture & Moxibustion. 2005;25(1):7-10
Li N, Wu B, Wang CW, Kang J, Li HG
585 patients
Conclusions: Acupuncture is possibly effective for insomnia. However, because of lower methodological quality of all the trials, this conclusion has no enough evidence.
Acupuncture of department of West China, Hospital of Sichuan University, Chengdu 610041, China.
Revue systématique
Effects of acupuncture therapy on insomnia.
 J Adv Nurs. 2003 Nov;44(4):375-84.
Sok Sr, Erlen JA, Kim KB.
11 ECR
Conclusions: The results of this review suggest that acupuncture may be an effective intervention for the relief of insomnia. Further research, using a randomized clinical trial design, are necessary to determine the effectiveness of acupuncture. More work is also needed to promote the long-term therapeutic effects of acupuncture and to compare it with other therapies for insomnia.
School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA.