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Article: Acupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials

TitleAcupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials
Authors
KeywordsAcupressure
Acupuncture
Auricular acupressure
Meta-analysis
Reflexology
Systematic review
Issue Date2012
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep
Citation
Sleep Medicine, 2012, v. 13 n. 8, p. 971-984 How to Cite?
AbstractPrevious randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia. © 2012 Elsevier B.V.
Persistent Identifierhttp://hdl.handle.net/10722/159818
ISSN
2023 Impact Factor: 3.8
2023 SCImago Journal Rankings: 1.368
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYeung, WFen_HK
dc.contributor.authorChung, KFen_HK
dc.contributor.authorPoon, MMKen_HK
dc.contributor.authorHo, FYYen_HK
dc.contributor.authorZhang, SPen_HK
dc.contributor.authorZhang, ZJen_HK
dc.contributor.authorZiea, ETCen_HK
dc.contributor.authorWong, VTen_HK
dc.date.accessioned2012-08-16T05:57:36Z-
dc.date.available2012-08-16T05:57:36Z-
dc.date.issued2012en_HK
dc.identifier.citationSleep Medicine, 2012, v. 13 n. 8, p. 971-984en_HK
dc.identifier.issn1389-9457en_HK
dc.identifier.urihttp://hdl.handle.net/10722/159818-
dc.description.abstractPrevious randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia. © 2012 Elsevier B.V.en_HK
dc.languageengen_US
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleepen_HK
dc.relation.ispartofSleep Medicineen_HK
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in Sleep Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sleep Medicine, 2012, v. 13 n. 8, p. 971-984. DOI: 10.1016/j.sleep.2012.06.003-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAcupressureen_HK
dc.subjectAcupunctureen_HK
dc.subjectAuricular acupressureen_HK
dc.subjectMeta-analysisen_HK
dc.subjectReflexologyen_HK
dc.subjectSystematic reviewen_HK
dc.titleAcupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trialsen_HK
dc.typeArticleen_HK
dc.identifier.emailChung, KF: kfchung@hkucc.hku.hken_HK
dc.identifier.emailZhang, ZJ: zhangzj@hkucc.hku.hken_HK
dc.identifier.authorityChung, KF=rp00377en_HK
dc.identifier.authorityZhang, ZJ=rp01297en_HK
dc.description.naturepostprint-
dc.identifier.doi10.1016/j.sleep.2012.06.003en_HK
dc.identifier.pmid22841034-
dc.identifier.scopuseid_2-s2.0-84865295924en_HK
dc.identifier.hkuros204316en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84865295924&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue8en_HK
dc.identifier.spage971en_HK
dc.identifier.epage984en_HK
dc.identifier.isiWOS:000309038300002-
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridYeung, WF=24345897100en_HK
dc.identifier.scopusauthoridChung, KF=7404086681en_HK
dc.identifier.scopusauthoridPoon, MMK=55318142900en_HK
dc.identifier.scopusauthoridHo, FYY=55341898100en_HK
dc.identifier.scopusauthoridZhang, SP=16148285900en_HK
dc.identifier.scopusauthoridZhang, ZJ=8061473900en_HK
dc.identifier.scopusauthoridZiea, ETC=6507982323en_HK
dc.identifier.scopusauthoridWong, VT=16176799600en_HK
dc.identifier.citeulike11514345-
dc.identifier.issnl1389-9457-

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