Effects of acupuncture on heart rate variability in adult tinnitus patients

ISRCTN ISRCTN58013563
DOI https://doi.org/10.1186/ISRCTN58013563
Secondary identifying numbers N/A
Submission date
25/06/2012
Registration date
03/09/2012
Last edited
04/02/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Ear, Nose and Throat
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Current plain English summary as of 04/02/2019:
Background and study aims
Tinnitus is the term for hearing sounds that come from inside your body rather than from an outside source, often described as "ringing in the ears". Severe tinnitus is associated with anxiety and depression. Hand acupuncture is a system of acupuncture in which the hand is considered to be a representation of the entire body and stimulation of specific points on the hand with needles or lasers is used to obtain effects in distant areas of the body. The aim of this study is to evaluate the effect of acupuncture on ANS reactivity in patients with chronic tinnitus.

Who can participate?
Patients aged 18-65 with tinnitus

What does the study involve?
Participants are randomly allocated to be treated with deep acupuncture or shallow acupuncture. Treatment is conducted over a period of 3 weeks, at a frequency of two sessions per week. No additional treatment is allowed. Tinnitus severity and adverse events are assessed in both groups.

What are the possible benefits and risks of participating?
It is possible that acupuncture will help improve tinnitus symptoms but we cannot say this for certain until we have completed this and further studies. Adverse events may include discomfort or bruising at the sites of needle insertion, nausea, or feeling faint.

Where is the study run from?
Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University (China)

When is the study starting and how long is it expected to run for?
October 2012 to October 2013

Who is funding the study?
Beijing health system high-level health technology talent cultivation plan (China)

Who is the main contact?
Dr Cunzhi Liu


Previous plain English summary:
Background and study aims
Tinnitus is the term for hearing sounds that come from inside your body rather than from an outside source, often described as "ringing in the ears". Severe tinnitus is associated with anxiety and depression. Hand acupuncture is a system of acupuncture in which the hand is considered to be a representation of the entire body and stimulation of specific points on the hand with needles or lasers is used to obtain effects in distant areas of the body. The aim of this study is to test whether acupuncture can be used to treat tinnitus by comparing the effect of needle and laser acupuncture in adult tinnitus patients.

Who can participate?
Patients aged 18-65 with tinnitus

What does the study involve?
Participants are randomly allocated to be treated with acupuncture using either needles or lasers. Treatment is conducted over a period of 3 weeks, at a frequency of two sessions per week. No additional treatment is allowed. Tinnitus severity and adverse events are assessed in both groups.

What are the possible benefits and risks of participating?
It is possible that acupuncture will help improve tinnitus symptoms but we cannot say this for certain until we have completed this and further studies. Adverse events may include discomfort or bruising at the sites of needle insertion, nausea, or feeling faint.

Where is the study run from?
Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University (China)

When is the study starting and how long is it expected to run for?
October 2012 to October 2013

Who is funding the study?
Beijing health system high-level health technology talent cultivation plan (China)

Who is the main contact?
Dr Cunzhi Liu

Contact information

Dr Cunzhi Liu
Scientific

23 Meishuguanhou Street
Dongcheng District
Beijing
100010
China

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleCurrent scientific title as of 04/02/2019: Effects of deep acupuncture versus shallow acupuncture on heart rate variability in adult tinnitus patients: an exploratory study Previous scientific title: Effects of hand acupuncture and shallow acupuncture on heart rate variability in adult tinnitus patients: a randomized controlled trial
Study hypothesisCurrent study hypothesis as of 04/02/2019:
This study is aimed to compare the effect of deep acupuncture versus shallow acupuncture on heart rate variability in adult tinnitus patients.

Previous study hypothesis:
This study is aimed to compare the effect of hand acupuncture and shallow acupuncture on heart rate variability in adult tinnitus patients.
Ethics approval(s)Beijing Hospital of Traditional Chinese Medicine & Capital Medical University, 28/02/ 2012
ConditionTinnitus
InterventionCurrent interventions as of 04/02/2019:
30 tinnitus patients are randomized to receive deep acupuncture or shallow acupuncture for 3 weeks (twice per week).

Patients are stimulated by 5 main acupoints: Baihui (Du-20), Shenting (Du-24), Tinghui (GB-2), Waiguan (SJ-5), Zulinqi (GB-41). The acupoints are stimulated by the true needles or the laser-needles for 20 minutes per session.


Previous interventions:
30 tinnitus patients are randomized to receive hand acupuncture or shallow acupuncture for 3 weeks (twice per week).

Patients are stimulated by 5 main acupoints: Baihui (Du-20), Shenting (Du-24), Tinghui (GB-2), Waiguan (SJ-5), Zulinqi (GB-41). The acupoints are stimulated by the true needles or the laser-needles for 20 minutes per session.
Intervention typeOther
Primary outcome measureHeart rate variability (HRV), measured before and after the first acupuncture session, as well as 3 weeks after the whole acupuncture treatment.
Secondary outcome measures1. Change of tinnitus severity according to the tinnitus questionnaire of Tinnitus Handicap Inventory (THI):
1.1. F: Functional subscale (11 factors)
1.2. E: Emotional subscale (9 factors)
1.3. C: Catastrophic subscale (5 factors)
Each question of the THI can be answered by the patient with either often (2 points), sometimes (1 point) or never (0 points) with a maximum total score of 100 indicating most severe suffering from tinnitus. The assessment was before and after the first acupuncture session, as well as 3 weeks after the whole acupuncture treatment.
2. Participants also reported adverse events they experienced, including discomfort or bruising at the sites of needle insertion, nausea, or feeling faint after each treatment.
Overall study start date03/10/2012
Overall study end date06/10/2013

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants30
Participant inclusion criteria1. Typical conditions of unilateral or bilateral tinnitus
2. Age 18-65 years, either sex
3. Tinnitus duration of more than 3 months
4. Not receive any treatment last 1 month
5. Normal language and intelligence ability to answer and fill in the questionnaire
6. Correct understanding of acupuncture, and good compliance to the research observation and evaluation
7. Written and informed consent
Participant exclusion criteria1. Objectivity tinnitus
2. Acute or intermittent tinnitus, history of Meniere disease or tinnitus induced by middle ear/inner ear/small pons Angle tumor
3. Underlying disease or history: otitis media, tympanic membrane perforation, eustachian tube function obstacle
4. Acoustic neuroma, Intracranial damage, inner ear disease or use of any ototoxic drugs
5. Severe dysfunction of heart, kidneys or liver
6. The serious original disease of hematopoietic system or endocrine system
7. Serious aphasia, depression syndrome or mental disease
Recruitment start date03/10/2012
Recruitment end date06/10/2013

Locations

Countries of recruitment

  • China

Study participating centre

23 Meishuguanhou Street
Beijing
100010
China

Sponsor information

Beijing Municipal Health Bureau (China)
Government

70 Zaolinqian Sreet
Xuanwu District
Beijing
100053
China

ROR logo "ROR" https://ror.org/0374a5s68

Funders

Funder type

Government

Beijing Health System (China) - High Level Health Technology Talent Cultivation Plan ref: 2011-3-055

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 04/02/2019 04/02/2019 No No

Additional files

ISRCTN58013563_BasicResults_4Feb19.pdf
Uploaded 04/02/2019

Editorial Notes

04/02/2019: The following changes were made:
1. The scientific title was updated.
2. The hypothesis was updated.
3. The interventions were updated.
4. The plain English summary was updated.
5. The basic results of this trial have been uploaded as an additional file.
29/10/2012: the overall trial end date was changed from 12/10/2012 to 06/10/2013.
05/08/2016: Plain English summary added.