Acupuncture for tinnitus: a systematic review and meta-analysis of randomized controlled trials

Author:

Huang Kaiyu1,Liang Shuang1,Chen Lei1,Grellet Antoine2

Affiliation:

1. Department of Acupuncture, Ningbo Municipal Hospital of TCM, Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, China

2. The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, China

Abstract

Objective: To evaluate the efficacy/effectiveness of acupuncture for the treatment of tinnitus. Methods: Four English and four Chinese databases were searched for randomized controlled trials (RCTs) of acupuncture for tinnitus published before 30 September 2018. RCTs applying acupuncture alone compared with conventional treatments, sham acupuncture, or no treatment, as well as acupuncture plus conventional treatments compared with conventional treatments alone, were included. The primary outcome was the visual analogue scale (VAS). Secondary outcomes included tinnitus handicap inventory (THI) and tinnitus severity index (TSI) scores. Meta-analysis was conducted using RevMan V5.3 software. The protocol was registered in the PROSPERO database (ref. CRD42018108692). Results: Eight studies involving 504 participants were included. Meta-analysis showed no significant differences in the VAS score (mean difference (MD) = −1.81, 95% confidence interval (CI) = −3.69 to 0.07; p = 0.06) between the acupuncture and control groups. However, favorable effects of acupuncture on changes in THI score (MD = −10.11, 95% CI = −12.74 to −7.48; p < 0.001) and TSI score (MD = −8.36, 95% CI = −8.87 to −7.86; p < 0.001) were found. Conclusion: Acupuncture had no significant effect on the primary outcome of VAS score compared with control treatment; however, positive effects on secondary outcomes (THI and TSI score) were observed in acupuncture versus control groups. Due to the low quality and small sample size of the included trials, the level of evidence was insufficient to draw any definitive conclusions. Further rigorous and high-quality studies with larger sample sizes should be conducted to confirm the efficacy/effectiveness of acupuncture for tinnitus.

Publisher

SAGE Publications

Subject

Clinical Neurology,Complementary and alternative medicine,General Medicine

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1. The Current State of Tinnitus Diagnosis and Treatment: a Multidisciplinary Expert Perspective;Journal of the Association for Research in Otolaryngology;2024-08-13

2. Acupuncture for Tinnitus: A Scoping Review of Clinical Studies;Complementary Medicine Research;2024

3. The out-of-pocket expenses of people with tinnitus in Europe;Journal of Epidemiology;2024

4. Similarities Between Tinnitus and Pain;Textbook of Tinnitus;2024

5. Tinnitus Treatment: Evidence and Guidelines;Textbook of Tinnitus;2024

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