Systematic Review of Acupuncture plus Rehabilitation for Post-Stroke Spasm
10.13460/j.issn.1005-0957.2016.05.0612
- VernacularTitle:针刺配合康复疗法治疗中风后痉挛的系统评价
- Author:
Hongliang LI
;
Zhihui XUE
;
Guo CHEN
;
Juan XIANG
;
Fei LI
;
Tielang LI
- Publication Type:Journal Article
- Keywords:
Acupuncture therapy;
Rehabilitation;
Spasm;
Review,Systematic;
Post-stroke sequelae;
Meta-analysis
- From:
Shanghai Journal of Acupuncture and Moxibustion
2016;35(5):612-617
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically review the therapeutic efficacy of acupuncture plus rehabilitation in treating post-stroke spasm and to summarize the commonly-used acupoints.Method The randomized controlled trials and quasi-randomized trials of acupuncture plus rehabilitation for post-stroke spasm published from January 1 of 2005 to December 31 of 2014 in China were retrieved from CNKI, WanFang database, and VIP database, etc. by using computer. The eligible studies were recruited for review. Result Totally 15 studies were enrolled. The Meta-analysis showed that the most commonly used acupoints in acupuncture treatment for post-stroke spasm were Quchi (LI 11), Jianyu (LI 15), Hegu (LI 4), Tianjing (TE 10), Waiguan (TE 5), Zusanli (ST 36), Sanyinjiao (SP 6), Chize (LU 5), and so on. Compared to the controls, acupuncture plus rehabilitation had significantly better effective rate [OR=3.13, 95%CI (2.00,4.89),P<0.00001], recovery rate [OR=2.42, 95%CI (1.53,3.83),P=0.0002], MAS score [MD=﹣0.48, 95%CI (﹣0.62,﹣0.35),P<0.00001], FMA score [MD=5.58, 95%CI (4.96,6.20),P<0.00001], and NDS score [SMD=﹣0.68,95%CI (﹣0.91,﹣0.44),P<0.00001].Conclusion Acupuncture plus rehabilitation can effectively mitigate the post-stroke spasm and is worth promoting in clinic; more high-quality researches are expected as the quality of the currently recruited trials is not so satisfactory.
