Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Electroacupuncture on Both Side Acupuncture Point GB12 and GB20 for Chronic Tension Type Headache

만성 긴장성 두통에 대한 양측 완골과 풍지혈 전침 치료의 효과: 단일맹검 무작위 배정 대조군 파일럿 연구

  • Jeon, Jun-yung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Jong-soo (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University)
  • 전준영 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 이종수 (경희대학교 한의과대학 한방재활의학과교실)
  • Received : 2018.12.19
  • Accepted : 2019.01.11
  • Published : 2019.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives This study is designed to verify the effectiveness of electroacupuncture (EA) on both side acupuncture point GB12, GB20 for chronic tension type headache (CTTH). Methods Subjects aged 18-65 years who had suffered from CTTH for more than 3months were recruited from September 2016 to May 2017. Thirty subjects were voluntarily recruited and they were randomly divided into 2 groups; 15 to EA group, another 15 to sham-EA group. The treatment sessions were performed every 2-4 days for a total of three sessions over 1 week. The symptoms of headache were assessed before the treatment and after a week from the last treatment by visual analogue scale (VAS), headache frequency (HF), Korean Headache Impact Test-6 (KHIT-6). Demographic characteristics of all participants were compared between the groups upon using chi-square test. Wilcoxon signed rank test was used to evaluate the values between baseline and follow-up. Wilcoxon rank sum test was performed to evaluate the differences between groups. p-values less than 0.05 were considered as significant. Results Before and after the intervention, no difference in VAS and KHIT-6 was observed between groups. HF of EA group decreased significantly compared with that of sham-EA group. Within the EA group VAS, HF and KHIT-6 decreased significantly after the treatment. Meanwhile, only KHIT-6 decreased significantly after the treatment in sham-EA group. Conclusions This study suggests that EA on both side acupuncture point GB12 and GB20 is applicable to improve symptoms in patients with CTTH.

Keywords

References

  1. Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193-210. https://doi.org/10.1111/j.1468-2982.2007.01288.x
  2. Pfaffenrath V, Brune K, Diener HC, Gerber WD, Gobel H. Treatment of tension-type headache. Recommendation of German Migraine and Headache Society. Shmerz. 1998;12(2):156-70.
  3. McCrory DC, Penzien DB, Hasselblad V, Gray RN. Evidence Report: Behavioral and Physical Treatments for Tension-Type and Cervicogenic Headache. 1st ed. DesMoines:Foundation for Chiropractic Education and Research. 2001:2085.
  4. Hugh MP, Richard H, George L, Rosa S. Acupuncture Research: Strategies for Establishing an Evidence Base. 1st ed. London:Churchill Livingstone. 2007:195-8.
  5. Linde K, Allais G, Brinkhaus B, Fei Y, Mehring M, Shin BC, Vickers A, White AR. Acupuncture for the prevention of tension-type headache [Internet] 2016 [cited 2017 May 1]. Available from: URL: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007587.pub2/full.
  6. Burke A, Upchurch DM, Dye C, Chyu L. Acupuncture use in the United States: findings from the National Health Interview Study. Journal of Alternative and Complementary Medicine. 2006;12(7):639-48. https://doi.org/10.1089/acm.2006.12.639
  7. Korea Health Industry Development Institute. 2014 Research on the actual condition of Korean Traditional Medicine utilization and consumption. 1st ed. Seoul:Human Culture Arirang. 2014:568-714.
  8. Xue C, Dong L, Polus B, English R, Zheng Z, Da Costa C, Li C, Story D. Electroacupuncture for tension-type headache on distal acupoints only: a randomized, controlled, crossover trial. Headache. 2004;44(4):333-41. https://doi.org/10.1111/j.1526-4610.2004.04077.x
  9. Kwon YJ, Lee DH, Lee UI, Park KM, Lee SH. Effects of fixed-intensity and varied-intensity electroacupuncture in pain and sensory threshold in patients with chronic tension headache. The Journal of Korean Acupuncture and Moxibustion Society. 2012;29(4):25-34.
  10. Chassot M, Dussan-Sarria J, Sehn F, Deitos A, de Souza A, Vercelino R, Torres I, Fregni F, Caumo W. Electroacupuncture analgesia is associated with increased serum brain-derived neurotrophic factor in chronic tension-type headache: a randomized, sham controlled, crossover trial. BMC Complement Altern Med. 2015;15:144. https://doi.org/10.1186/s12906-015-0664-x
  11. Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalagia. 2013;33(9):629-808. https://doi.org/10.1177/0333102413485658
  12. World Health Organization Regional Office for the Western Pacific. WHO Standard Acupuncture Point Locations in the Western Pacific Region. 1st ed. Manila: World Health Organization. 2008:110-24.
  13. Chu MK, Im HJ, Ju YS, Yu KH, Ma HI, Kim YJ, Kim JY, Lee BC. Validity and reliability assessment of Korean headache impact test-6 (HIT-6). J Korean Neurol Assoc. 2009;27(1):1-6.
  14. Kosinski M, Bayliss MS, Bjorner JB, Ware JE Jr, Garber WH, Batenhorst A, Cady R, Dahlof CG, Dowson A, Tepper S. A six-item short-form survey for measuring headache impact: the HIT-6. Qual Life Res. 2003;12(8):963-74. https://doi.org/10.1023/A:1026119331193
  15. Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharmaceut Statist. 2005;4(4):287-91. https://doi.org/10.1002/pst.185
  16. Johanson GA, Brooks GP. Initial scale development sample size for pilot studies. Educational and Psychological Measurement. 2010;70(3):394-400. https://doi.org/10.1177/0013164409355692
  17. Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R. Prognosis of migraine and tension-type headache: a population-based follow-up study. Neurology. 2005;65(4):580-5. https://doi.org/10.1212/01.wnl.0000172918.74999.8a
  18. Choe JR. Studies in muscle contraction headache. The Korean Journal of Pain. 1990;3(2):150-9.
  19. The Compilation Committee of Meridians and Acupoints textbook from school and graduate school of Korean Traditional Medicine. Practice Guidebook of Meridians and Acupoints. 1st ed. Seoul:Palm Tree Publishing Company. 2010:331-550.
  20. Kim BH, Kim K, Nam HJ. A comparative study on the effects of systemic manual acupuncture, periauricular electroacupuncture, and digital electroacupuncture to treat tinnitus: a randomized, paralleled, open-labeled exploratory trial. BMC Complement Altern Med. 2017;17(1):85. https://doi.org/10.1186/s12906-017-1589-3
  21. Leibing E, Leonhardt U, Koster G, Goerlitz A, Rosenfeldt JA, Hilgers R, Ramadori G. Acupuncture treatment of chronic low-back pain -- a randomized, blinded, placebo-controlled trial with 9-month follow up. Pain. 2002;96(1-2):189-96. https://doi.org/10.1016/S0304-3959(01)00444-4