Acupuncture plus Rehabilitation for Unilateral Neglect after Stroke: A Systematic Review and Meta-Analysis.


Journal

Evidence-based complementary and alternative medicine : eCAM
ISSN: 1741-427X
Titre abrégé: Evid Based Complement Alternat Med
Pays: United States
ID NLM: 101215021

Informations de publication

Date de publication:
2020
Historique:
received: 24 11 2019
revised: 01 02 2020
accepted: 06 02 2020
entrez: 8 4 2020
pubmed: 8 4 2020
medline: 8 4 2020
Statut: epublish

Résumé

To systematically assess the efficacy of acupuncture combined with rehabilitation on unilateral neglect after stroke. The Cochrane Library, PubMed, Excerpt Medical Database (EMBASE), China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), Chinese Biomedical Literature Database (CBM), and Wan Fang databases were searched online for randomised controlled trials (RCTs) of acupuncture and its effects on unilateral neglect after stroke from their inception to September 2019. RCTs on acupuncture combined with rehabilitation in the experimental group for unilateral neglect compared with rehabilitation alone or rehabilitation plus sham acupuncture in the control group were included. Two authors separately screened the literature, extracted the data, and evaluated the quality of the included studies. Review Manager 5.3 software was used for the data analysis. A total of 542 patients from nine RCTs were included. The meta-analysis showed that the experimental groups could significantly improve Fugl-Meyer Assessment (FMA) (MD = 11.54, 95% CI [9.54, 13.54], Acupuncture combined with rehabilitation was more effective in improving the motor function and the ability of daily living. Because of the limitations regarding the quantity and quality of the studies in this meta-analysis, high-quality and well-designed RCTs are necessary to validate the above conclusions.

Identifiants

pubmed: 32256649
doi: 10.1155/2020/5301568
pmc: PMC7085868
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5301568

Informations de copyright

Copyright © 2020 Yonghui Hou et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest in the research.

Références

Cochrane Database Syst Rev. 2013 Jul 01;(7):CD003586
pubmed: 23813503
Front Hum Neurosci. 2013 Jun 10;7:248
pubmed: 23772209
Evid Based Complement Alternat Med. 2015;2015:164792
pubmed: 26576189
Neurorehabil Neural Repair. 2014 Jun;28(5):483-93
pubmed: 24376064
Stroke. 2010 Apr;41(4):e171-9
pubmed: 20167912
Cochrane Database Syst Rev. 2002;(2):CD003586
pubmed: 12076489
Acupunct Med. 2015 Jun;33(3):180-7
pubmed: 25828908
Front Hum Neurosci. 2013 May 09;7:182
pubmed: 23675336
Sichuan Da Xue Xue Bao Yi Xue Ban. 2017 Mar;48(2):309-313
pubmed: 28612547
Curr Neurol Neurosci Rep. 2009 Nov;9(6):459-65
pubmed: 19818233
PLoS One. 2014 Jun 20;9(6):e100584
pubmed: 24950224
Ann Phys Rehabil Med. 2017 Jun;60(3):191-197
pubmed: 27986428
Restor Neurol Neurosci. 2006;24(4-6):209-15
pubmed: 17119299

Auteurs

Yonghui Hou (Y)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
The First Hospital of Shijiazhuang City, Shijiazhuang, Hebei, China.

Ying Liu (Y)

The First Hospital of Shijiazhuang City, Shijiazhuang, Hebei, China.

Minying Li (M)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Baile Ning (B)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Zehuai Wen (Z)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
National Center for Design Measurement and Evaluation in Clinical Research, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Wenbin Fu (W)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.

Classifications MeSH