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The quality of studies was variable, with a median Jadad score of two. Acupuncture was compared to sham acupuncture in 14 studies, the majority of which showed at least a trend in favour of acupuncture. 30) for tension headache. The authors concluded that, overall, the 18 ACUPUNCTURE: EFFICACY, SAFETY AND PRACTICE existing evidence suggests that acupuncture has a role in the treatment of recurrent headache but the quality and amount of evidence is not fully convincing. Nausea and vomiting For the treatment of nausea and vomiting, acupuncture is usually given at a single site, known as P6 on the inner wrist.
1999) and temporomandibular joint dysfunction (Ernst and White, 1999b) have promising results but more research is required, particularly shamcontrolled RCTs. , 2000), rheumatic diseases (Lautenschlaeger, 1997), and for tinnitus (Park, et al. in press) have shown no evidence of an effect in these conditions. 22 ACUPUNCTURE: EFFICACY, SAFETY AND PRACTICE Summary According to the current evidence, acupuncture appears to be more effective than sham acupuncture or other control interventions for nausea and vomiting (most convincing for post-operative symptoms in adults), and for back pain, dental pain and migraine.
Such a combination of research methods, including the randomised controlled trial, may provide answers to the outstanding questions raised by the Royal London Homoeopathic Hospital, but it is clear that current standards of research into the clinical effectiveness of acupuncture require greater methodological rigour. Finally, it is important to consider that effectiveness measures in clinical trials do not take into consideration the comparative merits of particular forms of treatment. As health service resources are finite, considerations of cost and unwanted effects of particular treatments need to be considered.
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