Acupuncture in infantile colic

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Detaljer

Titel Acupuncture in infantile colic
Person och roll
Beskrivning Inbjuden talare på akupunkturkonferens. Abstrakt: Infantile colic is common, but no safe and effective conventional treatment exists. Even if the prognosis is good, the baby and the family suffer for the duration. Infants with colic also have an increased risk of exposure to physical abuse. For these reasons, it is essential to find a safe and effective treatment that shortens the colic period. The use of acupuncture in colic has been increasing despite weak evidence. As acupuncture is effective in other gastrointestinal disorders and gives pain reduction it is plausible that acupuncture can help infants with colic. Acupuncturists in at least nine countries, representing many styles of acupuncture, claim good results when treating infants with colic (Landgren 2013), but until 2016 only three randomized trials on acupuncture in colic had been published. Two of them showed effect (Reinthal et al 2008, Landgren et al 2010) but not the third (Skjeie et al 2013). A recently published study including 147 infants (Landgren et al 2017) evaluated the effect of two types of minimal acupuncture compared to no acupuncture. In this three-armed study, all infants received usual care plus four extra visits to CHCs with advice/support (twice a week for 2 weeks), comprising gold standard care. The infants were randomly allocated to three groups. One group got standardized acupuncture in LI4 bilaterally for 5 seconds, another group got semi- standardised individual acupuncture (maximum 5 insertions and 30 seconds) and the third group got no acupuncture. Parents and the nurse they met were blinded. The effect of the two types of acupuncture was similar and both were superior to gold standard care alone. Relative to baseline, there was a greater relative reduction in time spent crying and colicky crying by the second intervention week (p=0.050) and follow-up period (p=0.031), respectively, in infants receiving either type of acupuncture. More infants receiving acupuncture cried <3 hours/day, and thereby no longer fulfilled criteria for colic, in the first (p=0.040) and second (p=0.006) intervention weeks. No serious adverse events were reported. The results from this trial will be discussed, as well as the response from media and how the results from this and other trials can be interpreted.
Dato/periode

2017

Forskningsområden

Ämnesklassifikation (UKÄ)

  • Medicin och hälsovetenskap
Relaterade organisationer
Inbjuden talare på akupunkturkonferens. Abstrakt: Infantile colic is common, but no safe and effective conventional treatment exists. Even if the prognosis is good, the baby and the family suffer for the duration. Infants with colic also have an increased risk of exposure to physical abuse. For these reasons, it is essential to find a safe and effective treatment that shortens the colic period. The use of acupuncture in colic has been increasing despite weak evidence. As acupuncture is effective in other gastrointestinal disorders and gives pain reduction it is plausible that acupuncture can help infants with colic. Acupuncturists in at least nine countries, representing many styles of acupuncture, claim good results when treating infants with colic (Landgren 2013), but until 2016 only three randomized trials on acupuncture in colic had been published. Two of them showed effect (Reinthal et al 2008, Landgren et al 2010) but not the third (Skjeie et al 2013). A recently published study including 147 infants (Landgren et al 2017) evaluated the effect of two types of minimal acupuncture compared to no acupuncture. In this three-armed study, all infants received usual care plus four extra visits to CHCs with advice/support (twice a week for 2 weeks), comprising gold standard care. The infants were randomly allocated to three groups. One group got standardized acupuncture in LI4 bilaterally for 5 seconds, another group got semi- standardised individual acupuncture (maximum 5 insertions and 30 seconds) and the third group got no acupuncture. Parents and the nurse they met were blinded. The effect of the two types of acupuncture was similar and both were superior to gold standard care alone. Relative to baseline, there was a greater relative reduction in time spent crying and colicky crying by the second intervention week (p=0.050) and follow-up period (p=0.031), respectively, in infants receiving either type of acupuncture. More infants receiving acupuncture cried <3 hours/day, and thereby no longer fulfilled criteria for colic, in the first (p=0.040) and second (p=0.006) intervention weeks. No serious adverse events were reported. The results from this trial will be discussed, as well as the response from media and how the results from this and other trials can be interpreted.
2017

Extern organisation

NamnBritish Medical Acupuncture Society (BMAS)
AkronymBMAS
LandStorbritannien

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