Meta analysis of the curative effect of acupuncture on post-stroke depression

Zhang, Guangcai; Fu, Wenbin; Xu, Nenggui; Liu, Jianhua; Zhu, Xiaoping; Liang, Zhaohui; Huang, Yefei; Chen, Yuanfang

doi:10.1016/s0254-6272(12)60024-7

Cited by 48 publications

(80 citation statements)

References 3 publications

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“…These findings are consistent with previous studies8,9,10,11,12 ) reporting improvement of PSD due to the electro-acupuncture treatment. However, as these previous studies did not provide detailed protocols and results in English, it is hard to make direct comparison between these previous results and those of the present study.…”

Section: Discussionsupporting

confidence: 93%

“…Since we did not have control groups that did not receive the treatment for ethical reasons, it is not possible to know if our patients would have improved without the treatment. Some studies have evaluated the effects of acupuncture on PSD against control groups that did not receive the treatment8,9,10,11,12 ) . However, those studies did not control for motor function of the patients, and some studies failed to report significant effects of acupuncture on PSD15 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have turned to acupuncture as a non-pharmacological treatment for PSD8,9,10,11,12 ) . However, the effects of acupuncture on PSD have not been consistent, and as a result, it is not yet clear that acupuncture is an effective treatment for PSD13,14,15 ) .…”

Section: Introductionmentioning

confidence: 99%

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Effects of Electro-Acupuncture Therapy on Post-Stroke Depression in Patients with Different Degrees of Motor Function Impairments: a Pilot Study

et al. 2013

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[Purpose] The present study examined whether electro-acupuncture therapy reduces post-stroke depression (PSD) and whether motor function impairments interact with the effects of the therapy. [Subjects] Twenty-eight PSD patients were assessed and assigned to either a good or poor motor function group depending on their motor grade. [Methods] The Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS) and Manual Muscle Test (MMT) were administered at the screening and initial phases of the study, and at the 4th, 8th, 12th and 16th week of the daily electro-acupuncture treatment. [Results] The electro-acupuncture treatment reduced PSD (as assessed by BDI and HDRS) of the patients. In particular, the depression of the good motor function group was significantly more reduced than that of the poor motor function group. The degree of motor function impairment did not change throughout the study in either group. [Conclusion] The results of the present study demonstrate that electro-acupuncture therapy can improve PSD, and that the treatment effect varies depending on the degree of motor function impairment.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Effects of Electro-Acupuncture Therapy on Post-Stroke Depression in Patients with Different Degrees of Motor Function Impairments: a Pilot Study

et al. 2013

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“…A total of 39 SRs were included, including 24 published in Chinese and 15 published in English (Figure 1). The publication year ranged from 2005 to 2017 (Figures 2–3).…”

Section: Resultsmentioning

confidence: 99%

Risk of bias assessments and reporting quality of systematic reviews and randomized controlled trials examining acupuncture for depression: An overview and meta‐epidemiology study

Luo

Long

Xiao

et al. 2020

J Evidence Based Medicine

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Objectives To assess the use of risk of bias (ROB) assessment tools and the reporting quality of ROB assessment results in systematic reviews (SRs) of acupuncture for depression, as well as to evaluate the ROB of depression‐related randomized controlled trials (RCT). Methods Embase, Medline, Chinese Journal Full‐Text Database (CJFD), VIP Chinese Technology Periodical Database, and WanFang Data Resource System of Digital Periodicals were searched from their inception to 24 November 2017. SRs of RCTs concerning acupuncture on depression were included. General characteristics and the information related to risk of bias in SRs were extracted. A descriptive analysis was used. Results Thirty‐nine SRs were included. Of these, two (5%) did not perform a ROB assessment, 18.9% did not report the ROB assessment results, and 62.2% did not report the assessment results of each ROB item. Text descriptions and tables were commonly used in reporting forms. Only 32.4% of SRs reported support for judgment. The reporting rate of ROB assessment results was low in all items (13.5%‐35.1%). Regarding RCTs, 59.7% used adequate randomization methods, 13.1% performed adequate allocation concealment, 12.5% performed adequate blinding of participants and personnel, 27.3% performed adequate blinding of the assessment outcomes, and 41.5% and 49.3% had a low ROB in terms of incomplete outcome data and selective outcome reporting, respectively. Conclusion For the SRs of acupuncture for depression, the selection of ROB assessment tools needs to be optimized. The reporting quality is poor, and the overall ROB of RCTs is high. Therefore, the results may not be reliable.

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“…Other meta-analyses have concluded that acupuncture has no beneficial effect on poststroke paralysis [7, 8]. However, some analyses have demonstrated that acupuncture can improve cognitive function and decrease depressive symptoms after stroke [9, 10]. …”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of Acupuncture as Treatment for Complications of Cerebrovascular Accidents: A Randomized, Sham‐Controlled, Subject‐ and Assessor‐Blind Trial

Liao

Chen

et al. 2017

Evidence-Based Complementary and Alternative Medicine

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Background and Purpose. The effect of acupuncture as treatment for poststroke complications is questionable. We performed a randomized, sham-controlled double-blind study to investigate it. Methods. Patients with first-time acute stroke were randomized to receive 24 sessions of either real or sham acupuncture during an eight-week period. The primary outcome measure was change in National Institute of Health Stroke Scale (NIHSS) score. Secondary outcome measures included changes in Barthel Index (BI), Instrumental Activities of Daily Living (IADL), Hamilton Depression Rating Scale (HAM-D), and Visual Analogue Scale (VAS) for pain scores. Results. Of the 52 patients who were randomized to receive acupuncture (n = 28) or placebo (n = 24), 10 patients in the acupuncture group and 9 patients in the placebo group failed to complete the treatment. In total, 18 patients in the acupuncture group and 15 patients in the control group completed the treatment course. Reduction in pain was significantly greater in the acupuncture group than in the control group (p value = 0.04). There were no significant differences in the other measures between the two groups. Conclusions. Acupuncture provided more effective poststroke pain relief than sham acupuncture treatment. However, acupuncture had no better effect on neurological, functional, and psychological improvement.

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Meta analysis of the curative effect of acupuncture on post-stroke depression

Cited by 48 publications

References 3 publications

Effects of Electro-Acupuncture Therapy on Post-Stroke Depression in Patients with Different Degrees of Motor Function Impairments: a Pilot Study

Effects of Electro-Acupuncture Therapy on Post-Stroke Depression in Patients with Different Degrees of Motor Function Impairments: a Pilot Study

Risk of bias assessments and reporting quality of systematic reviews and randomized controlled trials examining acupuncture for depression: An overview and meta‐epidemiology study

Clinical Evaluation of Acupuncture as Treatment for Complications of Cerebrovascular Accidents: A Randomized, Sham‐Controlled, Subject‐ and Assessor‐Blind Trial

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