By Board of Science and Education
This e-book investigates the medical foundation and efficacy of acupuncture and the standard of teaching and criteria of competence in its practitioners. sufferers are more and more asking approximately CAM possible choices to orthodox clinical practices as they worry the side-effects of ever stronger conventional drug remedy. The ebook discusses the real questions of safety and the schooling and coaching of acupuncture experts. furthermore the ebook investigates GP's attitudes to acupunture and the level to which they give the remedy to their sufferers.
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Additional info for Acupuncture: Efficacy, Safety and Practice
In press) have shown no evidence of an effect in these conditions. 22 ACUPUNCTURE: EFFICACY, SAFETY AND PRACTICE Summary According to the current evidence, acupuncture appears to be more effective than sham acupuncture or other control interventions for nausea and vomiting (most convincing for post-operative symptoms in adults), and for back pain, dental pain and migraine. The present evidence is unclear as to whether the response of osteoarthritis and neck pain to acupuncture is more than non-specific.
Their quality was poor: the two most rigorous studies were negative and the two less rigorous were positive. Thus, at present there is no evidence to support any role for acupuncture in the management of smoking cessation or weight loss. Acupuncture for stroke Six controlled trials of acupuncture treatment to assist recovery from stroke were reviewed (see table 7, page 34) (Ernst and White, 1996). All showed some benefit of acupuncture compared to the control intervention. None of these trials was placebo-controlled, so it is impossible to say whether the effect was due to the placement and stimulation of the needles, or due to the extra attention and mental stimulation given to the subjects.
In five studies, needling did not prove to be superior to placebo controls. The clinical impression exists among acupuncturists that neck pain usually responds well to acupuncture. This review concludes that neck pain does improve with acupuncture, but there is no clear evidence that this is due to the needling or the overall effect of the therapeutic encounter. Acupuncture for osteoarthritis Thirteen studies were identified in a systematic review of acupuncture for osteoarthritis in any joint, (Ernst, 1997) of which seven reported a positive result and six a negative one (see table 4, page 32).