Therapeutic effects of scalp-acupuncture in patients with vascular dementia induced by cerebral infarction: a randomized controlled trial

Liu, Yicheng; Zhang, Hongxing; Chen, Guohua; Wu, Wenli; Hu, Jingjing; Wan, Wen-Jun; C, Ma

doi:10.3736/jcim20080807

Cited by 17 publications

(24 citation statements)

References 2 publications

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“…Moreover, better indicators in the Syndrome Differentiation Scale of Vascular Dementia and in the above tests were exhibited in the acupuncture group than in the medication group, implying better enhancements in cognition. This was further supported by Liu and team [76], Jia [77], Tan and colleagues [78], and Zheng and Zhang [79]. Another similar study compared acupuncture and piracetam, showing more positive signals on P300 (an endogenous potential) in the acupuncture group, implying better improvements in their memory, cognition, and emotions [80].…”

Section: Acupuncture Used Alonementioning

confidence: 75%

How Can Acupuncture Be Used in Treating Dementia?

Cheng¹

2018

OBM Integr Complement Med

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(1) Background: Dementia erodes the quality of life of patients and their caregivers, and the growing dementia population threatens public finance in the health and social services. In addition to formal medical treatments, complementary and alternative medicine is applicable to dementia, in which acupuncture has become an option for prevention, remedy, and rehabilitation. Acupuncture is a traditional Chinese medical method that uses needle penetration at acupoints (specific points throughout the body which will be stimulated for therapeutic achievements), resulting in alleviating dementia symptoms; for example, enhancements in cognition, memory, language, behaviour, emotion, and self-care. (2) Methods: This narrative review analyses 44 clinical human-based studies conducted 1998-2017, pertaining to 3078 participants who were 45-100 years old in Austria, China, Hong Kong, Japan, and the USA. (3) Results: This review offers an overview of various methods of acupuncture (using acupuncture alone or combined with other therapies), and how they can be conducive to people inflicted by dementia. (4) Conclusions: This study also reveals future research directions to develop acupuncture, which offers a novel approach to health care practitioners and patients.

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Section: Acupuncture Used Alonementioning

confidence: 75%

How Can Acupuncture Be Used in Treating Dementia?

Cheng¹

2018

OBM Integr Complement Med

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“…In the Chinese medical literature it is cited, primarily, for the treatment of stroke. 9 A Medline and Google Scholar search did not return any publications in which CSA was used to treat CRPS. One can hypothesize that it, through an unknown mechanism, affects the central component of CRPS.…”

Section: Discussionmentioning

confidence: 99%

Chinese Scalp Acupuncture Relieves Pain and Restores Function in Complex Regional Pain Syndrome

Hommer

2012

Military Medicine

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Complex Regional Pain Syndrome (CRPS) can result from trauma or after surgery. It is often difficult to manage effectively. If not recognized early, it can result in significant debilitation. Symptoms attributed to CRPS include neuropathic pain, allodynia, sudomotor changes, and decreased range of motion. It can occur with (Type II) or without (Type I) nerve injury. A number of soldiers sustaining extremity injuries during combat have manifested these symptoms. Two subjects were diagnosed with CRPS after sustaining upper extremity injuries during military operations. After failing conservative treatment, Chinese Scalp Acupuncture (CSA) was used once to twice a week for 1 to 4 weeks. CSA resulted in improvement in the pain visual analog scale or numeric rating scale by over 80% in two soldiers with upper extremity CRPS. Additionally, decreased sensory changes and improved function were noted on exam and therapy assessments. Notably, the pain reduction, functional improvement, and normalization of sensation have been fully maintained between treatments. The treatment response had been sustained at 20-month follow-up with no recurrence. CSA provided lasting pain reduction, and improved function and sensation in this group of combatants with upper extremity CRPS.

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“…After checking duplicates and screening titles and abstracts, 509 full-texts were further read. As a result, 48 RCTs, published from 1992 to 2020, involving 3,778 patients with VCI met the eligible criteria and were synthesized in the final quantitative meta-analysis (Huang et al, 1992;Mo et al, 2000a,b;Zhao et al, 2000Zhao et al, , 2009Jiang et al, 2003Jiang et al, , 2019Liu et al, 2006;Niu and Liu, 2007;Chu et al, 2008;Liu Y. et al, 2008;Liu Z. B. et al, 2008;Zhang et al, 2008Zhang et al, , 2015Zhang et al, , 2019Chen et al, 2009Chen et al, , 2015Chen et al, , 2020Li et al, 2009Li et al, , 2019Meng et al, 2009Meng et al, , 2020Shi et al, 2009;Yin et al, 2011;Lin et al, 2012;Li P. et al, 2012;Li S. et al, 2012;Li W. et al, 2012;Teng and Lai, 2012;Pan and Ai, 2013;Zhao and Xu, 2013;Cao et al, 2014;Li and Jiao, 2014;Cui et al, 2015;Luo et al, 2015;Yang et al, 2016Yang et al, , 2019Tan et al, 2017;Wang and Wang, 2017a,b,c;Cheng et al, 2018;Feng et al, 2019;Hu et al, 2019;…”

Section: Study Characteristicsmentioning

confidence: 99%

Effectiveness and Safety of Acupuncture for Vascular Cognitive Impairment: A Systematic Review and Meta-Analysis

Sun

Zhang

et al. 2021

Front. Aging Neurosci.

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Background: Acupuncture may be a promising complementary therapy for vascular cognitive impairment (VCI) and has been extensively applied in China. However, its potential effects remain uncertain, and the clinical findings are inconsistent. This review aimed to systematically appraise the overall effectiveness and safety of acupuncture in treating VCI.Methods: To investigate the effects of acupuncture on VCI from inception to February 28, 2021 using randomized clinical trials (RCTs), seven electro-databases [Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), VIP, and Wanfang] were searched. Two independent investigators identified the eligible RCTs and extracted data into predesigned forms. The risk of bias (ROB) within each individual trial was evaluated using the Cochrane Collaboration's tool. Meta-analyses were conducted for calculating comparative effects in the RevMan software (version 5.3). The strength of attained evidence was rated using the online GRADEpro approach.Results: A total of 48 RCTs involving 3,778 patients with VCI were included. The pooled data demonstrated that acupuncture was more beneficial for a global cognitive function [mean difference (MD) 1.86, 95% CI 1.19–2.54, p < 0.01] and activities of daily living (MD −3.08, 95% CI −4.81 to −1.35, p < 0.01) compared with western medicine (WM). The favorable results were also observed when acupuncture was combined with WM (MD 2.37, 95% CI 1.6–3.14, p < 0.01) or usual care (UC, MD 4.4, 95% CI 1.61–7.19, p = 0.002) in comparison with the corresponding control conditions. Meanwhile, the subgroup analysis did not indicate a statistical effect difference between manual acupuncture (MA) and electroacupuncture (EA) (inter-group I2 < 50% and p > 0.1) when comparing acupuncture with WM. There were no significant differences in the occurrence of adverse events (AEs) between the acupuncture group and the control group (p > 0.05). Owing to the poor methodological quality and considerable heterogeneity among studies, the certainty of the evidence was low or very low.Conclusions: This review suggests that acupuncture as a monotherapy or an adjuvant therapy may play a positive role in improving the cognition and daily performance of VCI patients associated with few side effects. The difference in styles may not significantly influence its effectiveness. More rigorously designed and preregistered RCTs are highly desirable to verify the therapeutic benefits and determine an optimal acupuncture paradigm. The methodological and reporting quality of future researches should be enhanced by adhering to authoritative standardized statements.Systematic Review Registration: [PROSPERO], identifier [No. CRD42017071820].

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Therapeutic effects of scalp-acupuncture in patients with vascular dementia induced by cerebral infarction: a randomized controlled trial

Abstract: Scalp-acupuncture therapy could improve the clinical intelligence level of VaD patients.

Cited by 17 publications

References 2 publications

How Can Acupuncture Be Used in Treating Dementia?

How Can Acupuncture Be Used in Treating Dementia?

Chinese Scalp Acupuncture Relieves Pain and Restores Function in Complex Regional Pain Syndrome

Effectiveness and Safety of Acupuncture for Vascular Cognitive Impairment: A Systematic Review and Meta-Analysis

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