Review Article

Acupuncture to Treat Sleep Disorders in Postmenopausal Women: A Systematic Review

Table 3

Evaluation of the selected articles based on STRICTA criteria.

Hammes et al., 2014 [38]Baccetti et al., 2014 [39]Hachul et al., 2013 [35]Painovich et al., 2012 [30]Kung et al., 2011 [36]Borud et al., 2009 [40]Avis et al., 2008 [32]Huang et al., 2006 [31]Hu, 2005 [37]Cohen et al., 2003 [33]Bijak, 2009 [29]

() Acupuncture rationale(1a) Style of acupunctureYes, TCMYes, TCM, five elementsYes, TCMYes, TCMYes, ear acupunctureYes, TCMYes, TCMYes, TCMYes, TCM, ear acupunctureYes, TCMYes,TCM, ear acupuncture
(1b) Reasoning for treatment providedYesYesNoYesYesYesYesYesYesYesYes
(1c) Extent to which treatment was variedN/A, case reportYes, partially individualizedYes, no individualizationYes, no individualizationYes, no individualizationYes, individualized treatmentYes, partially individualizedYes, partially individualizedN/A, case reportYes, No individualizationN/A, case report

() Detail of needling(2a) Number of needle insertions per subject per sessionNoYes for common protocol; No for individualized treatmentNoYes, 28 pointsYes, 5 auricular pointsNoYes, 11 to 16 needle insertions per subject per sectionYes, 5–7 pointsYes, 21 points + 9 ear pointsYes, 9 pointsYes, 5 points + 2 ear points
(2b) Names or location of points used YesPartially, Yes for common protocol; No for individualized treatmentNoYesYesNoPartially, Yes for common protocol; No for individualized treatment YesYesYesYes
(2c) Depth of insertionNoNoNoYes, 0.5 to 1.5 inNoNoYes, 0.5 to 3 cmNoNoNoNo
(2d) Response soughtYes, needles inserted until deqi sensation was obtainedNoNoYes, manually stimulated until reaching deqiNoYes, deqi obtained, if possibleYes, deqi obtained, if possibleNoNoNoNo
(2e) Needle stimulationYes, needling with tonifying techniqueYesNoYes, manually stimulated until reaching deqiNoPartially, needle manipulation allowedNoNoNoNoYes, superficial tonification
(2f) Needle retention timeYes, 20 minYes, 30 minYes, 30 minYes, 30 minNoNoYes, 20 min for anterior points; 10 min for posterior pointsNoNoNo No
(2g) Needle typeYes, DBC Spring-Ten sterile and disposable needles 0.20 × 0.30 mmNoYes, disposable 0.25 × 40 mm acupuncture needlesNoYes, 0.2 cm sized magnetic pellet on a 1 cm sized sticky patch (Ching-Ming Co., Taiwan)NoYes, Sterile, single-use, Vinco 34-gauge, 1-inch (0.22 25 mm) and 30-gauge, 1.5-inch (0.30 40 mm)NoNoNoYes, disposable 0.3 mm needles and ASP needles for auriculotherapy

() Treatment regimen(3a) Number of treatment sessionsYesYesYesYesNoYesYesYesNoYesYes
(3b) Frequency and duration of treatment sessionsYesYes; ca. 50 min/sessionYesYesYesYesYesYes; 20 min per sectionYesYesYes

() Other components of treatment(4a) Details of other interventions administered to the acupuncture groupYes, description about medicinesYes, diet (according to TCM) and self-massage (TuiNa)NoNoNoYes, moxibustion was allowedNoNoNoNoNo
(4b) Setting and context of treatment, including instructions to practitioners, and information and explanations to patientsNoYes, participants received instructions about diet and self-massage Practitioners received specific training before the beginning of the study NoNoNoYes, participants free to use self-provided care.
Acupuncturists discussed the expected TCM diagnoses and the recommended acupuncture point selection
Yes, all study participants were instructed not to take hormonal medications or initiate other treatments for their hot flashes during treatmentYes, acupuncturists were instructed to limit verbal contact to the most pertinent clinical information and to refrain from counseling and offering adviceYes, take light food, more fruits and vegetables, and avoid greasy and spicy food, do appropriate physical exercises to strengthen the body constitution (among others)NoNo

() Practitioner background(5a) Description of participating acupuncturistsNoYes, sessions were conducted by MDs trained at the TCM with at least 400 h of experience Practitioners received training and were supervised by the director of the studyNoNoYes, licensed acupuncturistYes, the study acupuncturists met the current membership criteria of the Norwegian Acupuncture Society (2,500 h) and had at least 3 years of experience Yes, treatments were performed by experienced acupuncturists trained in TCMNoNoYes, licensed acupuncturistNo

() Control or comparator interventions(6a) Rationale for the control or comparator in the context of the research questionN/A, case reportYes, control group were given diet and self-massage training, but no acupunctureYes, Sham groupYes, Sham groupNoYes, control group with no interventionYes, Sham groupYes, Sham groupN/A, case reportYes, comparison acupuncture treatmentN/A, case report
(6b) Precise description of the control or comparatorN/A, case reportYes, TuiNa massage (30 min massage for the areas in which acupuncture points are present) and diet (food choice based on the energetic balance of the individual)Yes, needles in different acupointsYes, Sham points were proximate to the treatment points site, but not considered activeNoYes, no medical treatment, but free to use self-provided nonpharmaceutical interventions Yes, needling at sites thought to have minimal effects on hot flashes. Six needles in each side, shallowly needled, no attempt to reach deqiYes, Streitberger placebo needles in 4-5 pointsN/A, case reportYes, general treatment: LV4, KI7, ShenMen sympathetic, kidney, liver, and lung points N/A, case report

STRICTA: Standards for Reporting Interventions in Clinical Trials of Acupuncture; N/A: nonapplicable; data detailed in Table 1.