Efficacy and safety of acupuncture for posterior circulation ischemic vertigo

Li, Bo-Xuan; Li, Chen; Du, Yiqin; Meng, Xiangzhao

doi:10.1097/md.0000000000022132

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, this study protocol was registered in PROSPERO (Registration number: CRD42020199622) and INPLASY (Registration number: INPLASY202070116) and was published on September 11, 2020 [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Zhao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Vertigo is a cardinal symptom of posterior circulation infarction (POCI). Acupuncture is demonstrated to have a beneficial effect on posterior circulation infarction vertigo (PCIV). However, the mechanism of acupuncture therapy is not clarified. This study aims to assess the cerebral blood flow velocity modulation and clinical efficacy of acupuncture for PCIV patients. Methods. We conducted this systematic review for clinical randomized controlled trials (RCTs) regarding acupuncture on PCIV. The study duration was from September 2020 to September 2021. We searched the PubMed, EMBASE, Cochrane Library, Web of Science, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP. The publication date was set from inception to August 31, 2020. Based on the inclusion and exclusion criteria, two researchers independently screened literature and extracted data including basic study information, intervention details, outcome details, and adverse events. Outcome measures included the blood flow velocities of vertebrobasilar arteries and the Clinical Effective Rate of posterior circulation infarction vertigo. Pooled data were presented as standardized mean differences (SMDs) and relative risks (RR), with 95% confidence intervals (CIs). The meta-analysis was conducted using Review Manager software version 5.3.0. Results. A total of 20 eligible RCTs (1541 participants) were included in this review, which compared acupuncture therapy (1 RCT) or acupuncture combined with pharmaceutical therapy (19 RCTs) to pharmaceutical therapy in patients with posterior circulation infarction vertigo. 7 studies assessed the blood flow velocities of the basilar artery examined by Transcranial Doppler (TCD), 8 studies assessed the bilateral vertebral arteries, and 13 studies evaluated the Clinical Effective Rate of posterior circulation infarction vertigo. Meta-analysis results showed that blood flow velocities of the basilar artery (SMD = 0.58, 95% CI = 0.40–0.76; P < 0.05 ), left vertebral artery (SMD = 0.48, 95% CI = 0.22–0.73; P < 0.05 ), and right vertebral artery (SMD = 0.44, 95% CI = 0.19–0.69; P < 0.05 ) were significantly higher in the acupuncture group compared with the control group. Clinical Effective Rate (RR = 1.22, 95% CI = 1.15–1.29; P = 0.792 ) was significantly better in the acupuncture group compared with the control group. Conclusions. This study shows that acupuncture therapy is useful in improving the blood flow velocity of vertebrobasilar arteries and Clinical Effective Rate in patients with posterior circulation infarction vertigo. However, double-blind, sham-controlled trials with large sample sizes are required to support our conclusions.

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Section: Methodsmentioning

confidence: 99%

Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Zhao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Ada beberapa pilihan pengobatan atau terapi yang dapat dimanfaatkan oleh penderita vertigo yaitu secara farmakologi dan non farmakologi untuk mengurangi gejala yang dirasakan saat timbulnya vertigo (Amin & Lestari, 2020). Seseorang yang memiliki vertigo umumnya mengonsumsi obat untuk meredakan gejala yang dirasakan, akan tetapi obat yang dikonsumsi dengan jangka waktu yang lama akan mempunyai dampak hepatotoksik, sebagai alternatif dalam mencegah risiko tersebut serta dapat mengurangi gejala vertigo ada beberapa cara pemulihan lainnya yang dapat digunakan secara nonfarmakologi salah satunya terapi akupunktur (Li, Li, Du, & Meng, 2020;Setiawati, Mediastari, & Suta, 2021).…”

Section: Latar Belakangunclassified

Efek Akupunktur Terapi Pada Penderita Benign Paroxymal Positional Vertigo: Sebuah Laporan Kasus

Harditya

Widiatmaja²,

Anggaraeni

et al. 2023

JRKN

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Abstrak Benign Paroxymal Positional Vertigo (BPPV) merupakan kondisi vertigo yang paling umum dimana penderita mengalami sensasi berputar, biasanya dipicu oleh perubahan spesifik pada posisi kepala. Laporan kasus ini menggunakan metode deskriptif dari hasil anamnesis dan observasi terapi akupunktur pada seorang penderita Benign Paroxysmal Positional Vertigo. Seorang perempuan berusia 34 tahun mengeluh pusing berputar yang disertai dengan insomnia. Dari hasil observasi tanda-tanda vital dalam batas normal, diagnosa akupunktur sindrom diferensiasi Hiperaktivitas Yang Hati (Hyperactivity Liver Yang) dengan gejala pusing, insomnia, diagnosis lidah berwarna merah dengan lapisan berwarna kuning, diagnosis nadi wiry dan tingkat keparahan vertigo tinggi. Dilakukan akupunktur terapi pada titik GV20 (Baihui), GB20 (Fengchi), ST8 (Touwei), LR3 (Taichong), KI3 (Taixi), SP6 (Sanyinjiao) GB43 (Xiaxi), BL23 (Shenshu) dengan durasi 30 menit per sesi. Setelah 12 kali terapi (2 kali seminggu), menunjukkan adanya perbaikan kondisi menunjukkan, nyeri kepala sudah tidak dirasakan lagi, rasa pusing berputar sudah sangat jarang terjadi, lidah berwarna merah muda dengan selaput lidah sedikit berwarna putih, nadi normal, insomnia sudah mulai berkurang dan tingkat keparahan vertigo rendah. Akupunktur dapat dipertimbangkan sebagai salah satu terapi non-farmakologis yang aman untuk penanganan gejala-gejala vertigo. Kata Kunci: akupunktur, laporan kasus, observasi, vertigo

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Linggui Zhugan Decoction for peripheral vertigo

Guo²,

Chen

et al. 2021

Medicine

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Background: Vertigo is a sense of movement or rotation of the patient's own or an external object. At present, western medicine treatment such as vestibular suppressant medications commonly used in clinical practice are ineffective and have adverse reactions. In traditional Chinese medicine, Linggui Zhugan Decoction (LZD) was used by doctors to warm yang for resolving fluid retention, strengthen the spleen and clear away dampness, with significant effect. Recently, some clinical studies have also shown that LZD has reliable effect in treating peripheral vertigo, but there is no systematic evidence. Therefore, this study aims to objectively evaluate the efficacy and safety of LZD in the treatment of peripheral vertigo. Methods: Eight electronic databases will be searched from inception to August 2020 by 2 independent researchers, in order to collect qualified randomized controlled trials (RCTs) on the LZD treatment for peripheral vertigo. The therapeutic effects according to Clinical efficacy will be adopted as the primary outcomes. RevMan V.5.3 software will be used for the data synthesis and the Cochrane's risk of bias assessment tool will be used to assess the risk of bias. Results: This review will conduct a high-quality synthesis on present evidence of LZD for peripheral vertigo. Conclusion: The conclusion of the study will indicate whether LZD is an effective treatment for peripheral vertigo by providing updated evidence. PROSPERO registration number: PROSPERO CRD 42021238817.

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Efficacy and safety of acupuncture for posterior circulation ischemic vertigo

Cited by 3 publications

References 33 publications

Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Efek Akupunktur Terapi Pada Penderita Benign Paroxymal Positional Vertigo: Sebuah Laporan Kasus

Linggui Zhugan Decoction for peripheral vertigo

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