TY  - JOUR
PY  - 2016//
TI  - A randomized exploratory study to evaluate two acupuncture methods for the treatment of headaches associated with traumatic brain injury
JO  - Medical acupuncture
A1  - Jonas, Wayne B.
A1  - Bellanti, Dawn M.
A1  - Paat, Charmagne F.
A1  - Boyd, Courtney C.
A1  - Duncan, Alaine
A1  - Price, Ashley
A1  - Zhang, Weimin
A1  - French, Louis M.
A1  - Chae, Heechin
SP  - 113
EP  - 130
VL  - 28
IS  - 3
N2  - BACKGROUND: Headaches are prevalent among Service members with traumatic brain injury (TBI); 80% report chronic or recurrent headache. Evidence for nonpharmacologic treatments, such as acupuncture, are needed. <br><br>OBJECTIVE: The aim of this research was to determine if two types of acupuncture (auricular acupuncture [AA] and traditional Chinese acupuncture [TCA]) were feasible and more effective than usual care (UC) alone for TBI-related headache. <br><br>MATERIALS AND METHODS: Design: This was a three-armed, parallel, randomized exploratory study. Setting: The research took place at three military treatment facilities in the Washington, DC, metropolitan area. Patients: The subjects were previously deployed Service members (18-69 years old) with mild-to-moderate TBI and headaches. Intervention: The interventions explored were UC alone or with the addition of AA or TCA. Outcome Measures: The primary outcome was the Headache Impact Test (HIT). Secondary outcomes were the Numerical Rating Scale (NRS), Pittsburgh Sleep Quality Index, Post-Traumatic Stress Checklist, Symptom Checklist-90-R, Medical Outcome Study Quality of Life (QoL), Beck Depression Inventory, State-Trait Anxiety Inventory, the Automated Neuropsychological Assessment Metrics, and expectancy of outcome and acupuncture efficacy. <br><br>RESULTS: Mean HIT scores decreased in the AA and TCA groups but increased slightly in the UC-only group from baseline to week 6 [AA, -10.2% (-6.4 points); TCA, -4.6% (-2.9 points); UC, +0.8% (+0.6 points)]. Both acupuncture groups had sizable decreases in NRS (Pain Best), compared to UC (TCA versus UC: P = 0.0008, d = 1.70; AA versus UC: P = 0.0127, d = 1.6). No statistically significant results were found for any other secondary outcome measures. <br><br>CONCLUSIONS: Both AA and TCA improved headache-related QoL more than UC did in Service members with TBI.<p />  <p>Language: en</p>
LA  - en
SN  - 1933-6586
UR  - http://dx.doi.org/10.1089/acu.2016.1183
ID  - ref1
ER  -