Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta-Analysis

Abstract

Objective. Systematic evaluation of the efficacy of acupuncture combined with cognitive rehabilitation training in the treatment of upper limb spasm after cerebral apoplexy. Methods. The data of CNKI, CBM, CQVIP, Wanfang, and the libraries of Pubmed and Cochrane were searched by computer, and the related literatures about acupuncture combined with cognitive rehabilitation training in the treatment of cognitive dysfunction after stroke were searched. The search time is from January 1, 1995 to January 1, 2022. All data segments were independently analyzed and extracted by two evaluators. After evaluating the quality of the methodology, meta-analysis was carried out by using the RevMan5.4 software. Results. Finally, 11 studies were included, with a total of 789 subjects. The results of meta-analysis indicated that acupuncture combined with cognitive rehabilitation training was superior to simple cognitive rehabilitation training or drugs in the following aspects, the difference exhibited statistically significant, the total effective rate ( RR = 1.58 , 95% CI), latency of P300 ( MD = − 18.46 , 95% CI), amplitude of P300 ( MD = 1.23 , 95% CI (0.82), P < 0.00001 , 95% CI (0.31)), and activity of daily living (ADL), respectively, were significantly higher compared to the control group ( P < 0.00001 ), and the difference was statistically significant ( P < 0.05 ). Based on the results of systematic evaluation, the GRADE system recommendation classification method is used to evaluate the quality of evidence. The results show that the level of evidence is low and the intensity of recommendation is weak. Conclusion. The results of this meta-analysis suggest that the curative effect of acupuncture combined with cognitive rehabilitation training is better compared to simple cognitive rehabilitation training or drugs. However, due to the low quality of the original literature, it needs to be confirmed by multicenter, high-quality, large-sample randomized blind controlled trials in the future.

Efficacy of acupuncture and rehabilitation therapy on brain function activation area and neurological function in ischemic stroke: A systematic review and meta-analysis

“…377 duplicate articles were excluded, 115 systematic reviews, animal experiments and other articles were excluded, and 1087 articles were excluded after screening titles and abstracted. After gradual screening, 17 studies were included [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41], The literature screening process is shown in Fig 1.…”

“…3.4.3 Data analysis of FMA scores. For the 10 studies [27,[29][30][31]33,[36][37][38][40][41][42]44] that conducted data analysis on FMA scores. From the above forest plot, it can be clearly seen that there is no heterogeneity in the baseline difference (effect size) of the FMA scores between the two groups (I 2 = 0% < 50%, P = 0.93 > 0.1).…”

Scalp acupuncture for post-stroke spastic hemiparesis: A systematic review and meta-analysis

“…[2] Approximately 65% of stroke patients suffer from spastic paralysis of the limbs, with some patients even experiencing long-term muscle spasms. [3] If not treated promptly, this can lead to limb pain, muscle atrophy, joint stiffness, and even deformity, severely reducing the patient's ability to perform daily activities and impacting their quality of life. [4] Modern medicine posits that the neurons within the central nervous system have the ability to reorganize both structurally and functionally after a stroke, with some neurons able to regenerate under certain conditions, thereby partially restoring function.…”

“…[2] Approximately 65% of stroke patients suffer from spastic paralysis of the limbs, with some patients even experiencing long-term muscle spasms. [3] If not treated promptly, this can lead to limb pain, muscle atrophy, joint stiffness, and even deformity, severely reducing the patient’s ability to perform daily activities and impacting their quality of life. [4]…”

Retracted: Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta‐Analysis

“…This article has been retracted by Hindawi, as publisher, following an investigation undertaken by the publisher [1]. This investigation has uncovered evidence of systematic manipulation of the publication and peer-review process.…”