Acupuncture for poststroke spasticity

Shi, Lihong; Guo, Liuxue; Zhang, Huiling; Li, Yuxi; Zhong, Dongling; Xiao, Qiwei; Li, Juan; Xiao-qian, YE; Jin, Rongjiang

doi:10.1097/md.0000000000017124

Cited by 5 publications

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the current experimental research results and review, the mechanisms by which fire acupuncture produces antispasmodic effects after stroke are believed to be related to spasm-related neurotransmitters and receptors, and spasticity is relieved by increasing the expression of inhibitory transmitters or decreasing the expression of excitatory neurotransmitters [53]. Acupuncture also has been shown to protect central neurons in multiple ways to achieve functional restructuring of the CNS, which is crucial for strengthening central control of lower motor neurons that regulate muscle tension and to relieve muscle spasticity [54,55].…”

Section: Plos Onementioning

confidence: 99%

Fire Acupuncture versus conventional acupuncture to treat spasticity after stroke: A systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

Background Post-stroke spasm is currently a complex clinical problem that remains to be resolved. Due to its excellent efficacy and few side effects, clinicians have used fire acupuncture to treat post-stroke spasticity in China. Objectives The purpose of this study was to evaluate the clinical efficacy of fire acupuncture compared with conventional acupuncture to treat post-stroke spasms and provide a detailed summary of the commonly used acupoints. Methods Eight databases (MEDLINE/PubMed, Web of Science, the Cochrane database, EMBASE, CBM, CNKI, WanFang, and VIP) were searched for randomized controlled trials (RCTs) published from database inception through August 30, 2020. RCTs that compared fire acupuncture with conventional acupuncture as a treatment intervention for patients with spasticity after stroke were included. Revman 5.3 software was used to calculate risk ratios (RR) and standard mean differences (SMD) with 95% confidence intervals (CI). Methodological evaluation or critical appraisal of the included articles was assessed using RoB-2. Results Sixteen studies with a total of 1,118 patients were included. Although according to the standards of the Rob 2.0 tool, most studies are considered to have some problems. Comprehensive analysis of the results revealed a consistent trend indicating several advantages of using fire needles compared to conventional acupuncture in treating post-stroke spasms, including the effective rate, recovery rate, and improvement of multiple scales represented by MAS. Concerning secondary outcomes, using the scales of FMA, BI, or NDS in this random model meta-analysis, fire acupuncture exhibited better performance compared to acupuncture [SMD = 2.27, 95%CI [1.40,3.13 (random-effects model) ], [SMD = 1.46,95% CI [1.03,1.90 (random-effects model)], and [SMD = 0.90, 95%CI [0.44,1.35 (random-effects model)], respectively, with moderately high heterogeneity. When the effective rate was used as an outcome in the subgroup analysis, fire needles performed better than conventional acupuncture with respect to damage to the upper or lower limbs, and the thickness and depth of acupuncture. When the modified Ashworth scale (MAS) was used as the outcome, and the damage occurred in the lower extremity, the acupuncture depth exceeded 15mm, or the duration of stroke was longer than six months, the fire needles did not perform better than conventional acupuncture, [SMD = 0.01, 95%CI [-0.47,0.48 (fix-effects model)], [SMD = 0.21 [-0.51,0.93(random-effects model)], and [SMD = 0.76, 95%CI [-0.08,1.60 (random-effects model)], respectively. The acupoints identified with the highest frequencies in this study were Yang-meridian, including LI11-Quchi (nine times), LI4-Hegu (seven times), and ST36-Zusanli (five times). Moreover, no serious adverse effects were reported in any of the studies included in this analysis. Conclusions Despite several limitations, this was the first meta-analysis to focus on the treatment of post-stroke spasticity using fire needle acupuncture compared with conventional acupuncture. Our results confirmed that fire needles could provide a better clinical effect than conventional acupuncture, which will help standardize fire needle treatment strategies for post-stroke spasms.

show abstract

Section: Plos Onementioning

confidence: 99%

Fire Acupuncture versus conventional acupuncture to treat spasticity after stroke: A systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

Network meta-analysis on different acupuncture therapies for post-stroke spastic hemiplegia

Wang

Huang

2022

World Journal of Acupuncture - Moxibustion

View full text Add to dashboard Cite

Different acupuncture therapies for spastic paralysis after stroke

Wang

Xie

et al. 2020

Medicine

View full text Add to dashboard Cite

Background: Stroke is emerging as a significant health issue that threatens human health worldwide and as a common sequela of stroke spastic paralysis after stroke (SPAS) has received wide attention. Currently, several systematic reviews have suggested that the commonly used acupuncture therapy (electroacupuncture, fire acupuncture, warm acupuncture, and filiform needle acupuncture) has achieved significant efficacy in the treatment of SPAS. In this study, network meta-analysis will be used to analyze the results of different clinical trials and evaluate the differences in the efficacy of different acupuncture treatments for SPAS. Methods: Only randomized controlled trials will be included and all patients were diagnosed as spastic paralysis after stroke. A computer-based retrieval will be conducted at CNKI, WanFang databases, VIP, Sinoed, Pubmed, Embase, Web of Science, and the Cochrane library. The search period limit is from the time the date of database establishment to April 17, 2020. To avoid omissions, we will manually retrieve relevant references and conference papers. The risk of bias in the final included studies will be evaluated based on the guidelines of the Cochrane Handbook for Systematic Reviews of Interventions. All data analysis will be conducted by Revman5.3, WinBUGS 1.4.3, and Stata14.2. Results: This study quantified the effectiveness of each intervention for different outcome indicators. The primary outcomes include the Fugl-Meyer Assessment score, the modified Ashworth scale for the assessment of spasticity, and Barthel Index. The secondary outcomes include clinical effectiveness and adverse reactions. Conclusion: It will provide evidence-based medical evidence for clinicians to choose more effective acupuncture therapy for SPAS

show abstract

Acupuncture for poststroke spasticity

Abstract: Supplemental Digital Content is available in the text

Cited by 5 publications

References 31 publications

Fire Acupuncture versus conventional acupuncture to treat spasticity after stroke: A systematic review and meta-analysis

Fire Acupuncture versus conventional acupuncture to treat spasticity after stroke: A systematic review and meta-analysis

Network meta-analysis on different acupuncture therapies for post-stroke spastic hemiplegia

Different acupuncture therapies for spastic paralysis after stroke

Contact Info

Product

Resources

About