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Acupuncture for infantile colic: a blinding-validated, randomized controlled multicentre trial in general practice.
Holgeir Skjeie1, Trygve Skonnord, Arne Fetveit
1Department of General Practice, Institute of Health and Society , University of Oslo , Norway.
Scandinavian Journal of Primary Health Care
|November 16, 2013
Summary
Acupuncture did not show a significant or clinically relevant effect for treating infantile colic in a randomized controlled trial. Further research is recommended before widespread use in clinical practice.
Area of Science:
- Pediatrics
- Complementary Medicine
- Clinical Research
Background:
- Infantile colic is a common and distressing condition in early infancy.
- Acupuncture is utilized as a treatment for infantile colic in some regions, notably Scandinavia.
- The clinical effectiveness of acupuncture for infantile colic requires rigorous scientific evaluation.
Purpose of the Study:
- To test the hypothesis that acupuncture treatment offers a clinically relevant benefit for infantile colic.
- To evaluate the efficacy of acupuncture compared to a control group in reducing crying time in infants with colic.
Main Methods:
- A prospective, blinding-validated, randomized controlled multicentre trial was conducted across 13 general practices in Southern Norway.
- 90 infants diagnosed with colic were randomized into two groups: one receiving acupuncture at the ST36 point for three days, and a control group receiving no treatment.
- Blinding of research assistants and parents was validated, and outcomes were assessed through diaries and interviews focusing on changes in crying time.
Main Results:
- The blinding validation confirmed successful blinding of participants and researchers (p = 0.41 and 0.60).
- No statistically significant difference in crying time reduction was observed between the acupuncture and control groups (p = 0.26).
- A non-significant trend favored acupuncture, but the difference was not considered clinically relevant.
Conclusions:
- Acupuncture treatment for infantile colic demonstrated neither a statistically significant nor a clinically relevant effect in this trial.
- Based on current evidence, the use of acupuncture for infantile colic should be limited to controlled clinical trials.
- Further research may be needed to definitively establish the role, if any, of acupuncture in managing infantile colic.