Abstract
Migraine without aura is a primary painful disorder characterized by pulsating, unilateral, and recurrent headaches. Pharmacological therapy is the first option for crisis relief; however, about 40% of patients require prophylactic therapy. In this context, acupuncture emerges as it has shown to be very effective in controlling painful conditions. To analyze the effectiveness of acupuncture prophylaxis compared to pharmacological therapies in migraine without aura. A Systematic Literature Review was conducted. Articles were selected from various databases using English Health Sciences Descriptors associated with the boolean operator "AND", "Acupuncture", and "Migraine Without Aura". Eligibility criteria included Randomized Clinical Trials in English, Spanish, and Portuguese with full-text availability, resulting in a final sample of five articles. Most studies agree that initially prophylactic acupuncture therapy showed superiority in reducing frequency, pain, symptomatic medication use, and improving patients' quality of life. However, after six months, there was no significant difference between the acupuncture and pharmacological therapy groups in the analyzed clinical outcomes. Acupuncture is valid as an alternative prophylactic therapy to pharmacological therapies, having shown short-term superiority in all selected outcomes with low risk of bias in the analyzed articles. However, it is important to note the scarcity of studies related to the topic, recommending greater effort from the scientific community in research and testing regarding integrative practice in migraine without aura prophylaxis.
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Copyright (c) 2024 Henrique Jorge Rebouças Júnior, Ana Luísa Moreira Barreiro de Araújo, Bárbara Maria Oliveira Bitencourt Nóbrega, Karolainy Formiga da Silva, Neidivania Medeiros da Nóbrega, Maria Izadora de Caldas Francelino, Gabriel dos Santos Medeiros, Ana Caroliny Suassuna de Aquino, Erinaldo Pinto de Almeida Júnior, Luiz Antônio Barbosa de Figueiredo Medeiros, Ruthy Anny Mendes Dantas, Lucas Matheus Formiga Farias, Milena Nunes Alves de Sousa