Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial

Introduction Migraine is a common neurological disorder with a higher prevalence occurring in women. Migraine without aura (MwoA) is the most common type of migraine. In recent years, the safety and effectiveness of acupuncture for migraines have been internationally recognised. Contralateral acupun...

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Main Authors: Ling Zhao, Qifu Li, Yanan Wang, Jialei Feng, Xinghe Zhang, Siwen Zhao, Chonghui Xing, Yongli Song, Xuanxiang Zeng, Meng Kong, Yunqiu Zheng, Taipin Guo
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e061287.full
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author Ling Zhao
Qifu Li
Yanan Wang
Jialei Feng
Xinghe Zhang
Siwen Zhao
Chonghui Xing
Yongli Song
Xuanxiang Zeng
Meng Kong
Yunqiu Zheng
Taipin Guo
author_facet Ling Zhao
Qifu Li
Yanan Wang
Jialei Feng
Xinghe Zhang
Siwen Zhao
Chonghui Xing
Yongli Song
Xuanxiang Zeng
Meng Kong
Yunqiu Zheng
Taipin Guo
author_sort Ling Zhao
collection DOAJ
description Introduction Migraine is a common neurological disorder with a higher prevalence occurring in women. Migraine without aura (MwoA) is the most common type of migraine. In recent years, the safety and effectiveness of acupuncture for migraines have been internationally recognised. Contralateral acupuncture (CAT) (Jùcì) is an ancient classic acupuncture technique from Huang Di Nei Jing that refers to the acupoints on the right side (healthy side) selected for diseases on the left (affected side) and vice versa. Some studies have shown that efficacy of CAT on the painful disorder is even better than ipsilateral acupuncture (IAT), but there remains a lack of high-quality evidence to support it.Methods and analysis This is a single-centre, randomised and sham-controlled clinical trial in China with three parallel groups that aim to evaluate the efficacy of CAT in women with unilateral MwoA. 243 participants will be randomly divided into the experimental group (CAT group), control group 1 (IAT group) and control group 2 (sham acupuncture group) (1:1:1 allocation ratio). Each group will be given 30-minute treatment sessions, once every other day, approximately three times per week, for a total of 24 treatments and follow-up visits two times. The primary outcome is the changes in days of migraine attacks. The secondary outcomes are frequency of migraine attacks, intensity of migraine, migraine duration, the dose of intake of acute medication, the Migraine-Specific Quality of Life Questionnaire, the Migraine Disability Assessment Score, the Headache Impact Test-6 and the Pittsburgh Sleep Quality Index. The data will be collected at the baseline time (week 0), end of treatment (week 4–8) and the follow-up time (week 12–16). Adverse events will be collected and recorded during each treatment.Ethics and dissemination Ethics approval was obtained from the Ethics Committee of the Sports Trauma Specialist Hospital of Yunnan Province (2021-01). All participants will provide written informed consent before randomisation. The results of this study will be published in a peer-reviewed journal and presented at conferences.Trial registration number Chinese Clinical Trial Registration Center (ChiCTR2100051479).
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issn 2044-6055
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series BMJ Open
spelling doaj-art-36cf09773d7143239041353a31d449a92025-01-24T04:25:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-061287Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trialLing Zhao0Qifu Li1Yanan Wang2Jialei Feng3Xinghe Zhang4Siwen Zhao5Chonghui Xing6Yongli Song7Xuanxiang Zeng8Meng Kong9Yunqiu Zheng10Taipin Guo11Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, China1 Institute of Regulatory Science, China Pharmaceutical University, Nanjing, Jiangsu, ChinaInstitute for History of Medicine and Medical Literature, China Academy of Chinese Medical Sciences, Beijing, ChinaSchool of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, ChinaSchool of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, ChinaThe Sports Trauma Specialist Hospital of Yunnan Province, Kunming, Yunnan, ChinaSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, ChinaSchool of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, ChinaSchool of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, ChinaSchool of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, China2 School of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, ChinaIntroduction Migraine is a common neurological disorder with a higher prevalence occurring in women. Migraine without aura (MwoA) is the most common type of migraine. In recent years, the safety and effectiveness of acupuncture for migraines have been internationally recognised. Contralateral acupuncture (CAT) (Jùcì) is an ancient classic acupuncture technique from Huang Di Nei Jing that refers to the acupoints on the right side (healthy side) selected for diseases on the left (affected side) and vice versa. Some studies have shown that efficacy of CAT on the painful disorder is even better than ipsilateral acupuncture (IAT), but there remains a lack of high-quality evidence to support it.Methods and analysis This is a single-centre, randomised and sham-controlled clinical trial in China with three parallel groups that aim to evaluate the efficacy of CAT in women with unilateral MwoA. 243 participants will be randomly divided into the experimental group (CAT group), control group 1 (IAT group) and control group 2 (sham acupuncture group) (1:1:1 allocation ratio). Each group will be given 30-minute treatment sessions, once every other day, approximately three times per week, for a total of 24 treatments and follow-up visits two times. The primary outcome is the changes in days of migraine attacks. The secondary outcomes are frequency of migraine attacks, intensity of migraine, migraine duration, the dose of intake of acute medication, the Migraine-Specific Quality of Life Questionnaire, the Migraine Disability Assessment Score, the Headache Impact Test-6 and the Pittsburgh Sleep Quality Index. The data will be collected at the baseline time (week 0), end of treatment (week 4–8) and the follow-up time (week 12–16). Adverse events will be collected and recorded during each treatment.Ethics and dissemination Ethics approval was obtained from the Ethics Committee of the Sports Trauma Specialist Hospital of Yunnan Province (2021-01). All participants will provide written informed consent before randomisation. The results of this study will be published in a peer-reviewed journal and presented at conferences.Trial registration number Chinese Clinical Trial Registration Center (ChiCTR2100051479).https://bmjopen.bmj.com/content/12/6/e061287.full
spellingShingle Ling Zhao
Qifu Li
Yanan Wang
Jialei Feng
Xinghe Zhang
Siwen Zhao
Chonghui Xing
Yongli Song
Xuanxiang Zeng
Meng Kong
Yunqiu Zheng
Taipin Guo
Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial
BMJ Open
title Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial
title_full Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial
title_fullStr Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial
title_full_unstemmed Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial
title_short Efficacy of contralateral acupuncture in women with migraine without aura: protocol for a randomised controlled trial
title_sort efficacy of contralateral acupuncture in women with migraine without aura protocol for a randomised controlled trial
url https://bmjopen.bmj.com/content/12/6/e061287.full
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