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Acupuncture for the prevention of episodic migraine.

Linde K, Allais G, Brinkhaus B, Fei Y, Mehring M, Vertosick EA, Vickers A, White AR.8.CD001218.pub3.
Cochrane Database Syst Rev. 2016 Jun 28;2016(6):CD001218. doi: 10.1002/1465185

Diese Metaanalyse zeigte anhand von 22 Studien mit 4985 Patienten, dass Akupunktur zur Migräne -Vorbeugung mindestens genauso effektiv ist, wie prophylaktische Medikamenteneinnahme.


Objectives:
To investigate whether acupuncture is a) more effective than no prophylactic treatment/routine care only; b) more effective than sham (placebo) acupuncture; and c) as effective as prophylactic treatment with drugs in reducing headache frequency in adults with episodic migraine.

Selection criteria: We included randomized trials at least eight weeks in duration that compared an acupuncture intervention with a no-acupuncture control (no prophylactic treatment or routine care only), a sham-acupuncture intervention, or prophylactic drug in participants with episodic migraine.

Authors‘ conclusions: The available evidence suggests that adding acupuncture to symptomatic treatment of attacks reduces the frequency of headaches. Contrary to the previous findings, the updated evidence also suggests that there is an effect over sham, but this effect is small. The available trials also suggest that acupuncture may be at least similarly effective as treatment with prophylactic drugs. Acupuncture can be considered a treatment option for patients willing to undergo this treatment. As for other migraine treatments, long-term studies, more than one year in duration, are lacking.