Effectiveness and safety of acupuncture for post-stroke spasticity: A systematic review and meta-analysis

Xue, Chen; Jiang, Chengzhi; Zhu, Yuanyuan; Liu, Xiaobo; Zhong, Dongling; Li, Yuxi; Zhang, Huiling; Tang, Wenjing; She, Jian; Xie, Changsheng; Li, Juan; Feng, Yue; Jin, Rongjiang

doi:10.3389/fneur.2022.942597

Cited by 9 publications

(6 citation statements)

References 91 publications

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“…Meta-analysis [ 104 ] from 88 studies indicated acupuncture positive impacts on motor function and daily activities in stroke patients. Li et al [ 105 ] reported mixed results after a 2-week acupuncture treatment, with some improvements seen in NIHSS scores and BI scores.…”

Section: Discussionmentioning

confidence: 99%

“…Acupuncture efficacy in post-stroke rehabilitation has been extensively explored, with over 829 related articles indexed in PubMed. [103] Meta-analysis [104] from 88 studies indicated acupuncture positive impacts on motor function and daily activities in stroke patients. Li et al [105] reported mixed results after a 2-week acupuncture treatment, with some improvements seen in NIHSS scores and BI scores.…”

Section: Research On Acupuncture For Stroke Rehabilitationmentioning

confidence: 99%

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Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Chuang,

Chou,

Chien

et al. 2023

Medicine

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Background: Acupuncture role in stroke treatment and post-stroke rehabilitation has garnered significant attention. However, there is a noticeable gap in bibliometric studies on this topic. Additionally, the precision and comprehensive methodology of cluster analysis remain underexplored. This research sought to introduce an innovative cluster analysis technique (called follower-leading clustering algorithm, FLCA) to evaluate global publications and trends related to acupuncture for stroke in the recent decade. Methods: Publications pertaining to acupuncture for stroke from 2013 to 2022 were sourced from the Web of Science Core Collection. For the assessment of publication attributes—including contributing countries/regions (e.g., US states, provinces, and major cities in China) in comparison to others, institutions, departments, authors, journals, and keywords—we employed bibliometric visualization tools combined with the FLCA algorithm. The analysis findings, inclusive of present research status, prospective trends, and 3 influential articles, were presented through bibliometrics with visualizations. Results: We identified 1050 publications from 92 countries/regions. An initial gradual rise in publication numbers was observed until 2019, marking a pivotal juncture. Prominent contributors in research, based on criteria such as regions, institutions, departments, and authors, were Beijing (China), Beijing Univ Chinese Med (China), the Department of Rehabilitation Medicine, and Lidian Chen (Fujian). The journal “Evid.-based Complement Altern” emerged as the most productive. The FLCA algorithm was effectively employed for co-word and author collaboration analyses. Furthermore, we detail the prevailing research status, anticipated trends, and 3 standout articles via bibliometrics. Conclusion: Acupuncture for stroke presents a vast research avenue. It is imperative for scholars from various global regions and institutions to transcend academic boundaries to foster dialogue and cooperation. For forthcoming bibliometric investigations, the application of the FLCA algorithm for cluster analysis is advocated.

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Section: Discussionmentioning

confidence: 99%

Section: Research On Acupuncture For Stroke Rehabilitationmentioning

confidence: 99%

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Chuang,

Chou,

Chien

et al. 2023

Medicine

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“…This was followed by a collaboration with the CONSORT group and the Chinese Cochrane Center in 2008 to revise a set of extended CONSORT statements [107]. In recent years, some scholars have used the latest RCT CONSORT statement (https://www.consort-statement.org/) and STRICTA (https://stricta.info/) to evaluate the quality of RCT reports of acupuncture-treated diseases [109][110][111]. Inaccurate randomization and low sample size were identified as the main reasons for low quality in an RCT evaluating the reported quality of acupuncture for low back pain trials from 2010-2020 [22].…”

Section: Bibliometrics Of T100 Articles On Acupuncturementioning

confidence: 99%

The Top 100 Cited Articles on Acupuncture in the Last 20 Years: A Bibliometric Analysis

Li¹,

Cui²,

Z³

et al. 2023

Complement Med Res

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Background: Acupuncture has gained increasing international attention in recent decades. The act of incorporating acupuncture treatment into the routine treatment of COVID-19 in China drove us to review the 100 most influential articles of the last 20 years to learn about the current status and trends of acupuncture. Method: Articles related to acupuncture from January 1, 2001, to July 4, 2022, were searched in the Clarivate Analytics Web of Science Core Collection database. The top 100 most cited publications were selected, and information was extracted. Software such as VOSviewer, GraphPad Prism, Scimago Graphica, and CiteSpace were used to visualize and analyze the extracted data. Result: The 100 most cited articles were identified, with an average of 218 citations (range: 131–625). The majority of the top 100 articles were from the USA (n = 53). The institution that published the most highly cited papers was Harvard University (n = 16). The most influential team was Klaus Linde’s group. Pain was the top-ranked journal in terms of the number of publications. The largest clusters for co-occurrence keyword analysis focused on acupuncture and electroacupuncture analgesia and brain imaging responses to acupuncture stimulation via functional MRI. The two highest strength burst keywords were “randomized controlled trials” and “osteoarthritis,” with “randomized controlled trials” being a consistent burst keyword from 2011 to the present. Conclusion: This study provides insight into articles of historical significance in the field of acupuncture through bibliometric analysis. These data should provide clinicians and researchers with insight into future directions related to acupuncture.

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“…For example, in views of traditional Chinese medicine (TCM) theory, acupoints either target to regulate disordered brain functions, such as scalp acupoints/lines (e.g., MS6-parietal anterior temporal oblique line, and MS7-parietal posterior temporal oblique line), governor vessel acupoints (e.g., GV20-Baihui, GV16-Fengfu, GV24-Shenting) and Jiaji acupoints (Ex-B2), or act directly on the spastic muscles (13)(14)(15)(16)(17). A very new systematic review that involves 88 RCTs with 6,431 patients in total has further confirmed that acupuncture possesses a reliable antispastic effect for stroke patients and summarized the most frequently used acupoints: LI4-Hegu, LI15-Jianyu, LI11-Quchi, SJ5-Waiguan, LI10-Shousanli, LU5-Chize and PC6-Neiguan for the upper limb, and GB34-Yanglingquan, ST36-Zusanli, SP6-Sanyinjiao, LR3-Taichong, SP10-Xuehai, SP9-Yinlingquan and ST41-Jiexi for the lower limb, which all locate at the muscle surrounding the affected joints (18). In comparison, research on antispastic acupuncture techniques is insufficient.…”

Section: Introductionmentioning

confidence: 99%

New insights into acupuncture techniques for poststroke spasticity

Wang

Fidimanantsoa

2023

Front. Public Health

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With the trend of aging population getting more obvious, stroke has already been a major public health problem worldwide. As a main disabling motor impairment after stroke, spasticity has unexpected negative impacts on the quality of life and social participation in patients. Moreover, it brings heavy economic burden to the family and society. Previous researches indicated that abnormality of neural modulation and muscle property corelates with the pathogenesis of poststroke spasticity (PSS). So far, there still lacks golden standardized treatment regimen for PSS; furthermore, certain potential adverse-events of the mainstream therapy, for example, drug-induced generalized muscle weakness or high risk related surgery somehow decrease patient preference and compliance, which brings challenges to disease treatment and follow-up care. As an essential non-pharmacological therapy, acupuncture has long been used for PSS in China and shows favorable effects on improvements of spastic hypertonia and motor function. Notably, previous studies focused mainly on the research of antispastic acupoints. In comparison, few studies lay special stress on the other significant factor impacting on acupuncture efficacy, that is acupuncture technique. Based on current evidences from the clinic and laboratory, we will discuss certain new insights into acupuncture technique, in particular the antispastic needling technique, for PSS management in light of its potential effects on central modulations as well as peripheral adjustments, and attempt to provide some suggestions for future studies with respect to the intervention timing and course, application of acupuncture techniques, acupoint selection, predictive and aggravating factors of PSS, aiming at optimization of antispastic acupuncture regimen and improvement of quality of life in stroke patients. More innovations including rigorous study design, valid objective assessments for spasticity, and related experimental studies are worthy to be expected in the years ahead.

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Effectiveness and safety of acupuncture for post-stroke spasticity: A systematic review and meta-analysis

Cited by 9 publications

References 91 publications

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

The Top 100 Cited Articles on Acupuncture in the Last 20 Years: A Bibliometric Analysis

New insights into acupuncture techniques for poststroke spasticity

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