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Efficacy and Safety of Auricular Acupuncture for Cognitive Impairment and Dementia: A Systematic Review
Joint Authors
Chung, Sun Yong
Kim, Jong Woo
Lee, Boram
Kwon, Chan-Young
Suh, Hyo-Weon
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-15, 15 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-31
Country of Publication
Egypt
No. of Pages
15
Main Subjects
Abstract EN
Objectives.
To analyze the efficacy and safety of auricular acupuncture (AA) in patients with cognitive impairment and dementia.
Methods.
Twelve electronic databases were searched for randomized controlled trials evaluating effects of AA in patients with cognitive impairment and/or dementia, from their inception to August 2017.
The primary outcome was cognitive function, and secondary outcomes were self-care ability, quality of life, clinical efficacy rate, and incidences of adverse events.
Results.
Nine studies were included, and five involving 677 participants were analyzed quantitatively.
Compared with Western medications (WM), AA had mixed effects on cognitive functions (Mini-Mental State Examination [MMSE], mean difference [MD] 0.73, 95% confidence interval [CI] −0.02 to 1.48; Hierarchic Dementia Scale [HDS], MD 2.21, 95% CI 1.09 to 3.33); there was no significant improvement in the activities of daily living (ADL) score (MD 0.20, 95% CI −3.51 to 3.91) in patients with vascular dementia (VD).
Compared to WM, AA combined with WM showed better clinical efficacy rate (risk ratio [RR] 1.42, 95% CI 1.06 to 1.91) in patients with VD; there was no significant improvement in cognitive functions (MMSE, MD 0.97, 95% CI −0.44 to 2.38; Montreal Cognitive Assessment [MoCA], MD 0.22, 95% CI −1.83 to 2.27) in patients with mild cognitive impairment (MCI).
Compared to herbal medicine (HM), AA plus HM showed significant improvements in cognitive function (MMSE, MD 1.31, 95% CI 0.13 to 2.49) in patients with MCI and patients with vascular cognitive impairment, no dementia (VCIND) and in ADL score (MD −6.70, 95% CI −8.78 to −4.62) in patients with MCI.
No adverse event associated with AA was reported.
Conclusion.
The evidence reveals mixed efficacy of AA in patients with cognitive impairment and/or dementia.
However, the results were inconclusive because of the small number and poor methodological quality of the included studies.
American Psychological Association (APA)
Kwon, Chan-Young& Lee, Boram& Suh, Hyo-Weon& Chung, Sun Yong& Kim, Jong Woo. 2018. Efficacy and Safety of Auricular Acupuncture for Cognitive Impairment and Dementia: A Systematic Review. Evidence-Based Complementary and Alternative Medicine،Vol. 2018, no. 2018, pp.1-15.
https://search.emarefa.net/detail/BIM-1154848
Modern Language Association (MLA)
Kwon, Chan-Young…[et al.]. Efficacy and Safety of Auricular Acupuncture for Cognitive Impairment and Dementia: A Systematic Review. Evidence-Based Complementary and Alternative Medicine No. 2018 (2018), pp.1-15.
https://search.emarefa.net/detail/BIM-1154848
American Medical Association (AMA)
Kwon, Chan-Young& Lee, Boram& Suh, Hyo-Weon& Chung, Sun Yong& Kim, Jong Woo. Efficacy and Safety of Auricular Acupuncture for Cognitive Impairment and Dementia: A Systematic Review. Evidence-Based Complementary and Alternative Medicine. 2018. Vol. 2018, no. 2018, pp.1-15.
https://search.emarefa.net/detail/BIM-1154848
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154848