Review Article

The Efficacy of Acupuncture for the Treatment of Cervical Vertigo: A Systematic Review and Meta-Analysis

Table 5

Level of evidence (GRADE).

OutcomeEffectNumber of participants (studies)Quality of the evidence (GRADE)
Relative effect (95% CI)Absolute effect (95% CI)

Total effectivenessRR 1.27
(1.19 to 1.34)
201 more per 100
(from 141 more to 253 more)
914
(10 studies)
OO  
Low1,4

VertigoRR 1.15
(1.03 to 1.28)
124 more per 1000
(from 25 more to 231 more)
188
(2 studies)
  
Very low1,2,4

HeadacheRR 1.3
(1.11 to 1.53)
220 more per 1000
(from 81 more to 389 more)
124
(2 studies)
  
Very low1,2,4

Left vertebral artery MD 2.86 higher
(1.25 to 4.46 higher)
208
(3 studies)
  
Very low1,2,3,4

Right vertebral artery MD 3.52 higher
(1.52 to 5.51 higher)
208
(3 studies)
  
Very low1,2,3,4

Basilar artery MD 2.6 higher
(1.42 to 3.79 higher)
208
(3 studies)
  
Very low1,2,4

Most of them did not mention randomization process, allocation concealment, and blinding.
Published evidence is limited due to a small number of trials, all of which are showing benefits.
The heterogeneity is significant.
Publication bias exists.