| Articles connexes: - vertiges cervicaux - troubles de l'équilibre post-AVC - conduites thérapeutiques - pathologies - qigong - acupuncture expérimentale - |
He J, Jiang L, Peng T, Xia M, Chen H. Acupuncture Points Stimulation for Meniere's Disease/Syndrome: A Promising Therapeutic Approach. Evid Based Complement Alternat Med. 2016. [187765].
| Objective | This study aims to explore evidence for acupuncture points stimulation (APS) in treatment of Meniere's disease (MD). |
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| Method | A literature search was conducted in seven databases including EMBASE, Medline, Cochrane Library, Web of Science, CBM, CNKI, and WangFang database and the data analysis was performed by using the RevMan version 5.3. |
| Results | 12 RCTs with 993 participants were acquired after the search. The quality of most eligible studies was very low which limited the value of the meta-analysis. Compared with western medicine comprehensive treatment (WMCT), the APS alone or in combination with WMCT had a significant positive effect in controlling vertigo; however, the result was negative in hearing improvement and DHI. No adverse events were reported in the studies. |
| Conclusion | The APS might be a promising therapeutic approach for MD. However, the currently available evidence is insufficient to make a definitive conclusion for the poor quality of included studies. More high-quality researches with larger sample size are urgently needed to assess the effectiveness and safety. |
Long AF, Xing M, Morgan K, Brettle A. Exploring the evidence base for acupuncture in the treatment of meniere's syndrome–a systematic review. Evid Based Complement Alternat Med. 2009. [153310] .
| Objectives | Ménière's syndrome is a long-term, progressive disease that damages the balance and hearing parts of the inner ear. To address the paucity of information on which evidence-based treatment decisions should be made, a systematic review of acupuncture for Ménière's syndrome was undertaken. |
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| Method | The method used was a systematic review of English and Chinese literature, from six databases for randomized, non-randomized and observational studies. All studies were critically appraised and a narrative approach to data synthesis was adopted. |
| Results | Twenty-seven studies were included in this review (9 in English and 18 in Chinese languages): three randomized controlled trials, three non-randomized controlled studies and four pre-test, post-test designs. All but one of the studies was conducted in China. The studies covered body acupuncture, ear acupuncture, scalp acupuncture, fluid acupuncture point injection and moxibustion. The studies were of varying quality. The weight of evidence, across all study types, is of beneficial effect from acupuncture, for those in an acute phase or those who have had Ménière's syndrome for a number of years. The review reinforces the importance of searching for studies from English and Chinese literature. The transferability of the findings from China to a Western context needs confirmation. Further research is also needed to clarify questions around the appropriate frequency and number of treatment/courses of acupuncture. |
| Conclusions | The weight of evidence suggests a potential benefit of acupuncture for persons with Ménière's disease, including those in an acute phase and reinforces the importance of searching for published studies in the Chinese language. |
| ⊕ positive recommendation (regardless of the level of evidence reported) Ø negative recommendation (or lack of evidence) |
Basura GJ, Colandrea M, Walsh SA, Kuch AA, Monjur TM. Plain Language Summary: Ménière's Disease. Otolaryngol Head Neck Surg. 2020;162(4):435-45. [212226]. doi
| Thus, overall, there is a lack of sufficient evidence at this point to recommend acupuncture. |