Effect of acupuncture and tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy

Shen, Zhi-fang; Luo, Kaitao; Yan, Yu-qin

doi:10.1007/s11726-017-0971-5

Cited by 1 publication

(5 citation statements)

References 3 publications

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“…Dimension A: Pooled data from 3 studies ( Li et al, 2017 ; Shen et al, 2017 ; Ji et al, 2019 ) showed a significant result (WMD 6.63; 95% CI 5.36–7.91, P < 0.001, I 2 = 0.0%) ( Figure 2C ).…”

Section: Resultsmentioning

confidence: 93%

“…Dimension D: Pooled data from 5 studies ( Li et al, 2017 ; Shen et al, 2017 ; Qi and Wang, 2018 ; Ji et al, 2019 ; Luo et al, 2020 ) showed a significant result (WMD 2.88; 95% CI 1.33–4.43, P < 0.001, I 2 = 82.6%) ( Figure 2F ). After removing Ji et al (2019) from the pooled data based on sensitivity analysis, there was no significant statistical heterogeneity, but the intervention group still showed a significantly better effect than the control group (WMD 3.18; 95% CI 2.39–3.97, P < 0.001, I 2 = 0.0%).…”

Section: Resultsmentioning

confidence: 93%

“…Dimension B: Pooled data from 5 studies ( Zhang and Du, 2013 ; Li et al, 2017 ; Shen et al, 2017 ; Qi and Wang, 2018 ; Ji et al, 2019 ) showed a significant result (WMD 5.76; 95% CI 3.20–8.31, P < 0.001, I 2 = 84.6%) ( Figure 2D ). After removing Zhang and Du (2013) based on sensitivity analysis, the pooled results still showed significant differences between the intervention group and the control group while there was no significant heterogeneity (WMD 7.07; 95% CI 5.90–8.23, P < 0.001, I 2 = 27.4%).…”

Section: Resultsmentioning

confidence: 94%

“…Modern rehabilitation therapy includes physiotherapy ( Zhang et al, 2007 ; Duncan et al, 2012 ; Liu et al, 2013 ; Li et al, 2017 ), occupational therapy ( Zhang et al, 2007 ; Wang et al, 2011 ; Duncan et al, 2012 ; Liu et al, 2013 ; Zhang and Liu, 2018 ), speech therapy ( Zhang et al, 2007 ; Wang et al, 2011 ; Liu et al, 2013 ; Li et al, 2017 ; Zhang and Liu, 2018 ), and hydrotherapy ( Dabbous et al, 2016 ). Fifteen studies explicitly used Bobath therapy ( Zhang et al, 2007 , 2020 ; Ji et al, 2008 , 2019 ; Wang et al, 2008 , 2011 ; Zhang and Hu, 2012 ; Liu et al, 2013 ; Zhang N. X. et al, 2014 ; Mo et al, 2016 ; Li et al, 2017 ; Shen et al, 2017 ; Zhao et al, 2017 ; Qi and Wang, 2018 ; Zhang and Liu, 2018 ), and 5 conducted ADL training ( Deng et al, 2005 ; Zhang et al, 2007 , 2020 ; Duncan et al, 2012 ; Mo et al, 2016 ). Zhang et al (2020) used biofeedback therapy, and Zhang N. et al (2014) added virtual reality games for treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Zhang et al (2020) used biofeedback therapy, and Zhang N. et al (2014) added virtual reality games for treatment. In the TCM treatment of the intervention group, 21 studies applied acupuncture treatment, 2 studies used massage therapy ( Wang et al, 2008 ; Shen et al, 2017 ), and 1 study applied TCM fumigation ( Mo et al, 2016 ). Particularly, 10 studies applied scalp acupuncture ( Deng et al, 2005 ; Zhang et al, 2007 , 2020 ; Ji et al, 2008 ; Duncan et al, 2012 ; Zhang and Hu, 2012 ; Liu et al, 2013 ; Zhang N. X. et al, 2014 ; Li et al, 2017 ; Luo et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

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Effects of traditional Chinese medicine combined with modern rehabilitation therapies on motor function in children with cerebral palsy: A systematic review and meta-analysis

Chen

Huang²,

Li³

et al. 2023

Front. Neurosci.

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ObjectiveTraditional Chinese Medicine (TCM) has considerable experience in the treatment of cerebral palsy (CP), but little evidence shows the effect of a combination of TCM and modern rehabilitation therapies on CP. This systematic review aims to evaluate the effect of integrated TCM and modern rehabilitation therapies on motor development in children with CP.MethodsWe systematically searched five databases up to June 2022, including PubMed, the Cumulative Index to Nursing and Allied Health, Cochrane Library, Embase, and Web of Science. Gross motor function measure (GMFM) and Peabody Development Motor Scales-II were the primary outcomes to evaluate motor development. Secondary outcomes included the joint range of motion, the Modified Ashworth scale (MAS), the Berg balance scale, and Activities of Daily living (ADL). Weighted mean differences (WMD) and 95% confidence intervals (CIs) were used to determine intergroup differences.ResultsA total of 2,211 participants from 22 trials were enrolled in this study. Among these, one study was at a low risk of bias and seven studies showed a high risk of bias. Significant improvements were found in GMFM-66 (WMD 9.33; 95% CI 0.14–18.52, P < 0.05, I2 = 92.1%), GMFM-88 (WMD 8.24; 95% CI 3.25–13.24, P < 0.01, I2 = 0.0%), Berg balance scale (WMD 4.42; 95% CI 1.21–7.63, P < 0.01, I2 = 96.7%), and ADL (WMD 3.78; 95% CI 2.12–5.43, P < 0.01, I2 = 58.8%). No adverse events were reported during the TCM intervention in the included studies. The quality of evidence was high to low.ConclusionIntegrated TCM and modern rehabilitation therapies may be an effective and safe intervention protocol to improve gross motor function, muscle tone, and the functional independence of children with CP. However, our results should be interpreted carefully because of the heterogeneity between the included studies.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022345470.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 93%