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The women who underwent acupuncture were 65pc more likely to become pregnant

 

Acupuncture could boost the chances of a woman becoming pregnant after IVF by more than half.

 

The effect is so significant that just 10 women needed to combine the treatments for one to conceive who would not otherwise have done so, a study showed.

It is not clear how acupuncture affects fertility. However, IVF is extremely stressful and it could be that the relaxation involved in the therapy helps, experts said.

The findings come from a review of seven scientific trials, involving a total of 1,366 women of all ages, published in the British Medical Journal today.

The study looked at pregnancy rates among women having acupuncture around the time that the embryo was transferred to the womb during IVF.

It compared the results with those given a fake acupuncture treatment and women who had no extra therapy.

Those who had real acupuncture increased their chances of becoming pregnant by 65 per cent compared with the sham treatment or nothing.

Eric Manheimer, of the University of Maryland School of Medicine, in Baltimore, who was the lead author of the study, said that the effect was smaller in trials where the pregnancy rate was already high.

However, it still means acupuncture may be a cost-effective additional therapy in IVF because it is so cheap compared with repeated cycles of fertility treatment.

One in seven couples will experience difficulty conceiving. The average cost of one cycle of IVF in Britain is about £4,000, including drugs.

Around 32,000 patients a year have IVF with about 11,000 babies born annually as a result, accounting for one per cent of births.

 

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Acupuncture Today
May, 2004, Vol. 05, Issue 05

Acupuncture Provides Significant Benefits for Migraine Patients

By Michael Devitt

A new report published in the online version of the British Medical Journal1 has found that acupuncture is a useful, cost-effective treatment for chronic headaches, particularly migraines.

The report found that over a 12-month period, headache patients who received regular acupuncture sessions reported fewer headaches, had a higher quality of life, missed fewer days from work, used less medication, and made fewer visits to a general practitioner than patients given standard treatment for headaches.

The research was conducted at a series of single acupuncture practices and general practices in Wales and Great Britain. In the study, the authors recruited 401 patients who suffered from chronic headaches, predominantly migraine headaches. The patients were randomized to receive either acupuncture or "usual care" from a general practitioner. In the acupuncture group, subjects standard care for headaches, and were also treated with acupuncture up to 12 times over a three-month period. Treatment patterns were individualized to each patient, and different points were used based on the discretion of the acupuncturist providing care. In the usual care group, patients received standard headache care from their general practitioner, but were not referred out for acupuncture.

At various times throughout the study, patients used a daily diary to track the frequency and severity of headache pain, and any related medication use. Headache severity was measured four times a day on a six-point scale, with the total summed to give a headache score. In addition, the patients completed the SF 36 Health Status Questionnaire at the start of the study, and at three months and 12 months after treatment. Patients also completed a series of questionnaires every three months that monitored use of different headache treatments, days missed from work due to illness, and other usual activities.

Initially, there was not much difference between patients in either group. By the 12-month interval, however, striking differences were noted in terms of frequency of headache, doctor visits and medication use:

  • Patients given acupuncture had an average of 1.8 less days with headaches over the first four weeks of the study compared to the control group. When projected over 52 weeks, the authors estimated that acupuncture would result in an average 22 fewer days of headaches per year.
  • The effects of acupuncture appeared to be long-lasting. At the start of treatment, the average weekly headache score among acupuncture patients was 24.6. Three months after the start of the study, the average score had dropped to 18.0; at 12 months, it had dropped by more than 34 percent, to 16.2. In the standard care patients, weekly headaches scores dropped only 16 percent over the course of the year.
  • Results from the SF-36 questionnaire showed significant benefits for acupuncture patients in terms of physical role functioning, energy levels and changes in health. Over the course of a year, physical role functioning, energy and health change scores increased an average of 9.6, 7.4 and 10.3 points, respectively, for those in the acupuncture group. These scores also increased in usual care patients, but at much lower levels.
  • Acupuncture patients used an average of 15 percent less medication to treat headaches than patients receiving only usual care. They also made 26 percent fewer visits to a general practitioner, and missed fewer days from work due to sickness.

"Acupuncture in addition to standard care results in persisting, clinically relevant benefits for primary care patients with chronic headache, particularly migraine, compared with controls," the researchers commented. "We also found improvements in quality of life, decreases in use of medication and visits to general practitioners, and reductions in days off sick."

In their conclusion, the researchers admitted they could not rule out the occurrence of a placebo effect, as the study did not include a sham acupuncture group. In addition, since the patients knew which treatment group they were assigned to, there remained the possibility that patients could give somewhat biased assessments of their treatments. However, the authors noted that the results of their study were similar to results seen in blinded, placebo-controlled trials, which "provides further evidence that bias does not completely explain the apparent effects of acupuncture."

The authors recommended that their findings should be taken into account by policymakers when assessing the most cost-effective ways of treating patients. They also called for an expansion of acupuncture services for the treatment of chronic headaches in the National Health Service, which provides health care to millions of Britons each year.

In an interview with the BBC, Dr. Mike Cummings, the medical director for the British Medical Acupuncture Society, called the study "innovative" and agreed with the authors' assertions.2

"It is very positive for us," he said of the research. "This should help to lift acupuncture out of what is seen to be alternative to mainstream medicine ... It should be made available in primary care to treat pain and to prevent costly referrals to hospitals."

 

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Acupuncture-Like Treatments Improve Outcomes Compared to Usual Care for Low Back Pain

People suffering from chronic low back pain who received acupuncture or simulated acupuncture treatments fared better than those receiving only conventional care according to a recent study published in the Archives of Internal Medicine.1 The study highlights central questions about the mechanisms of benefit seen in acupuncture studies.

This trial, led by Daniel Cherkin, Ph.D., of Group Health Center for Health Studies in Seattle, was funded by the National Center for Complementary and Alternative Medicine (NCCAM), a component of the National Institutes of Health.

"Because of the lack of highly effective medical treatments for chronic low back pain, we were pleased to find that acupuncture-like treatments were helpful for persons suffering from chronic back pain," said Dr. Cherkin. "However, the finding that real acupuncture produced no greater benefit than simulated acupuncture raises important questions about acupuncture's mechanisms of action."

This trial enrolled 638 adults with chronic low back pain who had never had acupuncture and who had rated the "bothersomeness" of their pain as at least a 3 on a 0-to-10 scale. The participants were randomly assigned to one of four groups: individualized acupuncture, involving a customized prescription for acupuncture points from a diagnostician; standardized acupuncture, using a single prescription for acupuncture points that experts consider generally effective for chronic low back pain; simulated acupuncture, which mimics needle acupuncture but does not involve actual penetration of the skin; or usual care, which is standard medical care.

The patients assigned to any of the three acupuncture groups (individualized, standardized, or simulated) were treated twice weekly for three weeks, and then weekly for four weeks. At 8, 26, and 52 weeks, researchers measured back-related dysfunction and how much symptoms bothered participants.

The researchers found that at eight weeks the individualized, standardized, and simulated acupuncture groups all improved their dysfunction scores significantly more than the group receiving usual care. These benefits persisted for one year, though diminished over time. However, there was no significant difference between the groups receiving the needle and simulated forms of acupuncture. Thus, while acupuncture was found effective in treating low back pain, neither tailoring acupuncture needle sites to an individual patient nor penetrating the skin appears to be important for receiving therapeutic benefit.

"The findings of this research show that acupuncture-like treatments, including simulated acupuncture, can elicit positive responses," said Josephine P. Briggs, M.D., director of NCCAM. "This adds to the growing body of evidence that there is something meaningful taking place during acupuncture treatments outside of actual needling. Future research is needed to delve deeper into what is evoking these responses."

The researchers believe that further research is needed to determine the roles of patient expectancy, practitioner reassurance and the physiological effects of non-insertive stimulation and other effects that may contribute to acupuncture-like benefits.

Reference

Cherkin DC, Sherman KJ, Avins AL, et al. A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain. Arch Intern Med, 2009;169(9):858-66.

 

The news releases above talk about the benefits of acupuncture to specific conditions. Acupuncture can help with the vast majority of conditions see the contitions treated page for more details or email me

 

 

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