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2015 ; 7
(11
): 4442-54
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Acupoint injection of onabotulinumtoxin A for migraines
#MMPMID26529014
Hou M
; Xie JF
; Kong XP
; Zhang Y
; Shao YF
; Wang C
; Ren WT
; Cui GF
; Xin L
; Hou YP
Toxins (Basel)
2015[Oct]; 7
(11
): 4442-54
PMID26529014
show ga
Onabotulinumtoxin A (BoNTA) has been reported to be effective in the therapy for
migraines. Acupuncture has been used worldwide for the treatment of migraine
attacks. Injection of a small amount of drug at acupuncture points is an
innovation as compared to traditional acupuncture. The purpose of this study was
to evaluate and compare the effectiveness of fixed (muscle)-site and
acupoint-site injections of BoNTA for migraine therapy in a randomized,
double-blinded, placebo-controlled clinical trial extending over four months.
Subjects with both episodic and chronic migraines respectively received a placebo
(n = 19) or BoNTA (2.5 U each site, 25 U per subject) injection at fixed-sites (n
= 41) including occipitofrontalis, corrugator supercilii, temporalis and
trapeziue, or at acupoint-sites (n = 42) including Yintang (EX-HN3), Taiyang
(EX-HN5), Baihui (GV20), Shuaigu (GB8), Fengchi (GB20) and Tianzhu (BL10). The
variations between baseline and BoNTA post-injection for four months were
calculated monthly as outcome measures. BoNTA injections at fixed-sites and
acupoint-sites significantly reduced the migraine attack frequency, intensity,
duration and associated symptoms for four months compared with placebo (p <
0.01). The efficacy of BoNTA for migraines in the acupoint-site group (93%
improvement) was more significant than that in the fixed-site group (85%
improvement) (p < 0.01). BoNTA administration for migraines is effective, and at
acupoint-sites shows more efficacy than at fixed-sites. Further blinded studies
are necessary to establish the efficacy of a low dose toxin (25 U) introduced
with this methodology in chronic and episodic migraines.
|*Acupuncture Points
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Botulinum Toxins, Type A/*administration & dosage/adverse effects/*therapeutic
use
[MESH]