Abstract
Objective: To investigate the effectiveness of acupuncture compared with minimal acupuncture and with no acupuncture in patients with tension-type headache. Design: Three armed randomised controlled multicentre trial. Setting: 28 outpatient centres in Germany. Participants: 270 patients (74% women, mean age 43 (SD 13) years) with episodic or chronic tension-type headache. Interventions: Acupuncture, minimal acupuncture (superficial needling at non-acupuncture points), or waiting list control. Acupuncture and minimal acupuncture were administered by specialised physicians and consisted of 12 sessions per patient over eight weeks. Main outcome measure: Difference in numbers of days with headache between the four weeks before randomisation and weeks 9-12 after randomisation, as recorded by participants in headache diaries. Results: The number of days with headache decreased by 7.2 (SD 6.5) days in the acupuncture group compared with 6.6 (SD 6.0) days in the minimal acupuncture group and 1.5 (SD 3.7) days in the waiting list group (difference: acupuncture v minimal acupuncture, 0.6 days, 95% confidence interval - 1.5 to 2.6 days, P = 0.58; acupuncture v waiting list, 5.7 days, 3.9 to 7.5 days, P < 0.001). The proportion of responders (at least 50% reduction in days with headache) was 46% in the acupuncture group, 35% in the minimal acupuncture group, and 4% in the waiting list group. Conclusions: The acupuncture intervention investigated in this trial was more effective than no treatment but not significantly more effective than minimal acupuncture for the treatment of tension-type headache.
Original language | English |
---|---|
Pages (from-to) | 376-379 |
Number of pages | 4 |
Journal | BMJ |
Volume | 331 |
Issue number | 7513 |
DOIs | |
State | Published - 13 Aug 2005 |
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Melchart, D., Streng, A., Hoppe, A., Brinkhaus, B., Witt, C., Wagenpfeil, S., Pfaffenrath, V., Hammes, M., Hummelsberger, J., Irnich, D., Weidenhammer, W., Willich, S. N. (2005). Acupuncture in patients with tension-type headache: Randomised controlled trial. BMJ, 331(7513), 376-379. https://doi.org/10.1136/bmj.38512.405440.8F
Melchart, Dieter ; Streng, Andrea ; Hoppe, Andrea et al. / Acupuncture in patients with tension-type headache : Randomised controlled trial. In: BMJ. 2005 ; Vol. 331, No. 7513. pp. 376-379.
@article{debaefc4545243dd89803e407b70cc7a,
title = "Acupuncture in patients with tension-type headache: Randomised controlled trial",
abstract = "Objective: To investigate the effectiveness of acupuncture compared with minimal acupuncture and with no acupuncture in patients with tension-type headache. Design: Three armed randomised controlled multicentre trial. Setting: 28 outpatient centres in Germany. Participants: 270 patients (74% women, mean age 43 (SD 13) years) with episodic or chronic tension-type headache. Interventions: Acupuncture, minimal acupuncture (superficial needling at non-acupuncture points), or waiting list control. Acupuncture and minimal acupuncture were administered by specialised physicians and consisted of 12 sessions per patient over eight weeks. Main outcome measure: Difference in numbers of days with headache between the four weeks before randomisation and weeks 9-12 after randomisation, as recorded by participants in headache diaries. Results: The number of days with headache decreased by 7.2 (SD 6.5) days in the acupuncture group compared with 6.6 (SD 6.0) days in the minimal acupuncture group and 1.5 (SD 3.7) days in the waiting list group (difference: acupuncture v minimal acupuncture, 0.6 days, 95% confidence interval - 1.5 to 2.6 days, P = 0.58; acupuncture v waiting list, 5.7 days, 3.9 to 7.5 days, P < 0.001). The proportion of responders (at least 50% reduction in days with headache) was 46% in the acupuncture group, 35% in the minimal acupuncture group, and 4% in the waiting list group. Conclusions: The acupuncture intervention investigated in this trial was more effective than no treatment but not significantly more effective than minimal acupuncture for the treatment of tension-type headache.",
author = "Dieter Melchart and Andrea Streng and Andrea Hoppe and Benno Brinkhaus and Claudia Witt and Stefan Wagenpfeil and Volker Pfaffenrath and Michael Hammes and Josef Hummelsberger and Dominik Irnich and Wolfgang Weidenhammer and Willich, {Stefan N.} and Klaus Linde",
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day = "13",
doi = "10.1136/bmj.38512.405440.8F",
language = "English",
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pages = "376--379",
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Melchart, D, Streng, A, Hoppe, A, Brinkhaus, B, Witt, C, Wagenpfeil, S, Pfaffenrath, V, Hammes, M, Hummelsberger, J, Irnich, D, Weidenhammer, W, Willich, SN 2005, 'Acupuncture in patients with tension-type headache: Randomised controlled trial', BMJ, vol. 331, no. 7513, pp. 376-379. https://doi.org/10.1136/bmj.38512.405440.8F
Acupuncture in patients with tension-type headache: Randomised controlled trial. / Melchart, Dieter; Streng, Andrea; Hoppe, Andrea et al.
In: BMJ, Vol. 331, No. 7513, 13.08.2005, p. 376-379.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Acupuncture in patients with tension-type headache
T2 - Randomised controlled trial
AU - Melchart, Dieter
AU - Streng, Andrea
AU - Hoppe, Andrea
AU - Brinkhaus, Benno
AU - Witt, Claudia
AU - Wagenpfeil, Stefan
AU - Pfaffenrath, Volker
AU - Hammes, Michael
AU - Hummelsberger, Josef
AU - Irnich, Dominik
AU - Weidenhammer, Wolfgang
AU - Willich, Stefan N.
AU - Linde, Klaus
PY - 2005/8/13
Y1 - 2005/8/13
N2 - Objective: To investigate the effectiveness of acupuncture compared with minimal acupuncture and with no acupuncture in patients with tension-type headache. Design: Three armed randomised controlled multicentre trial. Setting: 28 outpatient centres in Germany. Participants: 270 patients (74% women, mean age 43 (SD 13) years) with episodic or chronic tension-type headache. Interventions: Acupuncture, minimal acupuncture (superficial needling at non-acupuncture points), or waiting list control. Acupuncture and minimal acupuncture were administered by specialised physicians and consisted of 12 sessions per patient over eight weeks. Main outcome measure: Difference in numbers of days with headache between the four weeks before randomisation and weeks 9-12 after randomisation, as recorded by participants in headache diaries. Results: The number of days with headache decreased by 7.2 (SD 6.5) days in the acupuncture group compared with 6.6 (SD 6.0) days in the minimal acupuncture group and 1.5 (SD 3.7) days in the waiting list group (difference: acupuncture v minimal acupuncture, 0.6 days, 95% confidence interval - 1.5 to 2.6 days, P = 0.58; acupuncture v waiting list, 5.7 days, 3.9 to 7.5 days, P < 0.001). The proportion of responders (at least 50% reduction in days with headache) was 46% in the acupuncture group, 35% in the minimal acupuncture group, and 4% in the waiting list group. Conclusions: The acupuncture intervention investigated in this trial was more effective than no treatment but not significantly more effective than minimal acupuncture for the treatment of tension-type headache.
AB - Objective: To investigate the effectiveness of acupuncture compared with minimal acupuncture and with no acupuncture in patients with tension-type headache. Design: Three armed randomised controlled multicentre trial. Setting: 28 outpatient centres in Germany. Participants: 270 patients (74% women, mean age 43 (SD 13) years) with episodic or chronic tension-type headache. Interventions: Acupuncture, minimal acupuncture (superficial needling at non-acupuncture points), or waiting list control. Acupuncture and minimal acupuncture were administered by specialised physicians and consisted of 12 sessions per patient over eight weeks. Main outcome measure: Difference in numbers of days with headache between the four weeks before randomisation and weeks 9-12 after randomisation, as recorded by participants in headache diaries. Results: The number of days with headache decreased by 7.2 (SD 6.5) days in the acupuncture group compared with 6.6 (SD 6.0) days in the minimal acupuncture group and 1.5 (SD 3.7) days in the waiting list group (difference: acupuncture v minimal acupuncture, 0.6 days, 95% confidence interval - 1.5 to 2.6 days, P = 0.58; acupuncture v waiting list, 5.7 days, 3.9 to 7.5 days, P < 0.001). The proportion of responders (at least 50% reduction in days with headache) was 46% in the acupuncture group, 35% in the minimal acupuncture group, and 4% in the waiting list group. Conclusions: The acupuncture intervention investigated in this trial was more effective than no treatment but not significantly more effective than minimal acupuncture for the treatment of tension-type headache.
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U2 - 10.1136/bmj.38512.405440.8F
DO - 10.1136/bmj.38512.405440.8F
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SN - 0959-8146
VL - 331
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ER -
Melchart D, Streng A, Hoppe A, Brinkhaus B, Witt C, Wagenpfeil S et al. Acupuncture in patients with tension-type headache: Randomised controlled trial. BMJ. 2005 Aug 13;331(7513):376-379. doi: 10.1136/bmj.38512.405440.8F