Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta-Analysis
Objective. Systematic evaluation of the efficacy of acupuncture combined with cognitive rehabilitation training in the treatment of upper limb spasm after cerebral apoplexy. Methods. The data of CNKI, CBM, CQVIP, Wanfang, and the libraries of Pubmed and Cochrane were searched by computer, and the re...
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| creator | Liao, Yantan Liu, Fengbin Yang, Jingda Ma, Qishou Li, Junzhe Chen, Yihui Wu, Jiayong |
| description | Objective. Systematic evaluation of the efficacy of acupuncture combined with cognitive rehabilitation training in the treatment of upper limb spasm after cerebral apoplexy. Methods. The data of CNKI, CBM, CQVIP, Wanfang, and the libraries of Pubmed and Cochrane were searched by computer, and the related literatures about acupuncture combined with cognitive rehabilitation training in the treatment of cognitive dysfunction after stroke were searched. The search time is from January 1, 1995 to January 1, 2022. All data segments were independently analyzed and extracted by two evaluators. After evaluating the quality of the methodology, meta-analysis was carried out by using the RevMan5.4 software. Results. Finally, 11 studies were included, with a total of 789 subjects. The results of meta-analysis indicated that acupuncture combined with cognitive rehabilitation training was superior to simple cognitive rehabilitation training or drugs in the following aspects, the difference exhibited statistically significant, the total effective rate (RR=1.58, 95% CI), latency of P300 (MD=−18.46, 95% CI), amplitude of P300 (MD=1.23, 95% CI (0.82), P |
| doi_str_mv | 10.1155/2022/8663356 |
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Systematic evaluation of the efficacy of acupuncture combined with cognitive rehabilitation training in the treatment of upper limb spasm after cerebral apoplexy. Methods. The data of CNKI, CBM, CQVIP, Wanfang, and the libraries of Pubmed and Cochrane were searched by computer, and the related literatures about acupuncture combined with cognitive rehabilitation training in the treatment of cognitive dysfunction after stroke were searched. The search time is from January 1, 1995 to January 1, 2022. All data segments were independently analyzed and extracted by two evaluators. After evaluating the quality of the methodology, meta-analysis was carried out by using the RevMan5.4 software. Results. Finally, 11 studies were included, with a total of 789 subjects. The results of meta-analysis indicated that acupuncture combined with cognitive rehabilitation training was superior to simple cognitive rehabilitation training or drugs in the following aspects, the difference exhibited statistically significant, the total effective rate (RR=1.58, 95% CI), latency of P300 (MD=−18.46, 95% CI), amplitude of P300 (MD=1.23, 95% CI (0.82), P<0.00001, 95% CI (0.31)), and activity of daily living (ADL), respectively, were significantly higher compared to the control group (P<0.00001), and the difference was statistically significant (P<0.05). Based on the results of systematic evaluation, the GRADE system recommendation classification method is used to evaluate the quality of evidence. The results show that the level of evidence is low and the intensity of recommendation is weak. Conclusion. The results of this meta-analysis suggest that the curative effect of acupuncture combined with cognitive rehabilitation training is better compared to simple cognitive rehabilitation training or drugs. However, due to the low quality of the original literature, it needs to be confirmed by multicenter, high-quality, large-sample randomized blind controlled trials in the future.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2022/8663356</identifier><identifier>PMID: 35983251</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Activities of daily living ; Acupuncture ; Acupuncture Therapy - methods ; Care and treatment ; Chinese medicine ; Cognitive ability ; Cognitive therapy ; Combined modality therapy ; Complications and side effects ; Disease ; Drug therapy ; Drugs ; Effectiveness ; Evaluation ; Humans ; Latency ; Meta-analysis ; Methods ; Muscle pain ; Physical therapy ; Quality ; Recommender systems ; Rehabilitation ; Review ; Spasm ; Spasms ; Statistical analysis ; Stroke ; Stroke (Disease) ; Stroke - complications ; Stroke - psychology ; Stroke Rehabilitation - methods ; Tendons ; Testing ; Therapeutics, Experimental ; Training ; Upper Extremity ; Veins & arteries</subject><ispartof>BioMed research international, 2022, Vol.2022 (1), p.8663356-8663356</ispartof><rights>Copyright © 2022 Yantan Liao et al.</rights><rights>COPYRIGHT 2022 John Wiley & Sons, Inc.</rights><rights>Copyright © 2022 Yantan Liao et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Yantan Liao et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-a3e6df42a90ee289cbf67417029de8ce4333ea9a8e5e7e91cddf410a3dd54c733</citedby><cites>FETCH-LOGICAL-c476t-a3e6df42a90ee289cbf67417029de8ce4333ea9a8e5e7e91cddf410a3dd54c733</cites><orcidid>0000-0002-5327-879X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381264/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381264/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4009,27902,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35983251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Teekaraman, Yuvaraja</contributor><contributor>Yuvaraja Teekaraman</contributor><creatorcontrib>Liao, Yantan</creatorcontrib><creatorcontrib>Liu, Fengbin</creatorcontrib><creatorcontrib>Yang, Jingda</creatorcontrib><creatorcontrib>Ma, Qishou</creatorcontrib><creatorcontrib>Li, Junzhe</creatorcontrib><creatorcontrib>Chen, Yihui</creatorcontrib><creatorcontrib>Wu, Jiayong</creatorcontrib><title>Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta-Analysis</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objective. Systematic evaluation of the efficacy of acupuncture combined with cognitive rehabilitation training in the treatment of upper limb spasm after cerebral apoplexy. Methods. The data of CNKI, CBM, CQVIP, Wanfang, and the libraries of Pubmed and Cochrane were searched by computer, and the related literatures about acupuncture combined with cognitive rehabilitation training in the treatment of cognitive dysfunction after stroke were searched. The search time is from January 1, 1995 to January 1, 2022. All data segments were independently analyzed and extracted by two evaluators. After evaluating the quality of the methodology, meta-analysis was carried out by using the RevMan5.4 software. Results. Finally, 11 studies were included, with a total of 789 subjects. The results of meta-analysis indicated that acupuncture combined with cognitive rehabilitation training was superior to simple cognitive rehabilitation training or drugs in the following aspects, the difference exhibited statistically significant, the total effective rate (RR=1.58, 95% CI), latency of P300 (MD=−18.46, 95% CI), amplitude of P300 (MD=1.23, 95% CI (0.82), P<0.00001, 95% CI (0.31)), and activity of daily living (ADL), respectively, were significantly higher compared to the control group (P<0.00001), and the difference was statistically significant (P<0.05). Based on the results of systematic evaluation, the GRADE system recommendation classification method is used to evaluate the quality of evidence. The results show that the level of evidence is low and the intensity of recommendation is weak. Conclusion. The results of this meta-analysis suggest that the curative effect of acupuncture combined with cognitive rehabilitation training is better compared to simple cognitive rehabilitation training or drugs. However, due to the low quality of the original literature, it needs to be confirmed by multicenter, high-quality, large-sample randomized blind controlled trials in the future.</description><subject>Activities of daily living</subject><subject>Acupuncture</subject><subject>Acupuncture Therapy - methods</subject><subject>Care and treatment</subject><subject>Chinese medicine</subject><subject>Cognitive ability</subject><subject>Cognitive therapy</subject><subject>Combined modality therapy</subject><subject>Complications and side effects</subject><subject>Disease</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>Effectiveness</subject><subject>Evaluation</subject><subject>Humans</subject><subject>Latency</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Muscle pain</subject><subject>Physical therapy</subject><subject>Quality</subject><subject>Recommender systems</subject><subject>Rehabilitation</subject><subject>Review</subject><subject>Spasm</subject><subject>Spasms</subject><subject>Statistical analysis</subject><subject>Stroke</subject><subject>Stroke (Disease)</subject><subject>Stroke - complications</subject><subject>Stroke - psychology</subject><subject>Stroke Rehabilitation - methods</subject><subject>Tendons</subject><subject>Testing</subject><subject>Therapeutics, Experimental</subject><subject>Training</subject><subject>Upper Extremity</subject><subject>Veins & arteries</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kkuP0zAURiMEYkbD7FgjS2yQoEz8TMICKaqGh1SERDtry3VuWg-JnbGdqfqH-J04tFMeC7zx6-jce6Uvy57j_C3GnF-RnJCrUghKuXiUnROK2Uxghh-fzpSeZZch3OZplVjklXianVFelZRwfJ79qK3q9sEE5FoUt4Cu29ZopffTvdbjMFodRw9o7vq1sdCgnYlb9A22am06E1U0zqKVV8Yau0HG_pKsPKjYg42T5WYYwKOF6ddoOajQI9XG9LCM3n2Hd6hGy32I0CeTTt57AzukbIO-QFSzh-6eZU9a1QW4PO4X2c2H69X802zx9ePneb2YaVaIOFMURNMyoqocgJSVXreiYLjISdVAqYFRSkFVqgQOBVRYN4nGuaJNw5kuKL3I3h-8w7juodFpBK86OXjTK7-XThn59481W7lx97KiJSaCJcGro8C7uxFClL0JGrpOWXBjkKTIWSkqXuCEvvwHvXWjTwMfqIIzzvLf1EZ1II1tXaqrJ6msC8x4RQWZ-n5zoLR3IXhoTy3jXE5JkVNS5DEpCX_x55gn-CEXCXh9ALbGNmpn_q_7Cbe_x0Y</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Liao, Yantan</creator><creator>Liu, Fengbin</creator><creator>Yang, Jingda</creator><creator>Ma, Qishou</creator><creator>Li, Junzhe</creator><creator>Chen, Yihui</creator><creator>Wu, Jiayong</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5327-879X</orcidid></search><sort><creationdate>2022</creationdate><title>Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta-Analysis</title><author>Liao, Yantan ; Liu, Fengbin ; Yang, Jingda ; Ma, Qishou ; Li, Junzhe ; Chen, Yihui ; Wu, Jiayong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-a3e6df42a90ee289cbf67417029de8ce4333ea9a8e5e7e91cddf410a3dd54c733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Activities of daily living</topic><topic>Acupuncture</topic><topic>Acupuncture Therapy - methods</topic><topic>Care and treatment</topic><topic>Chinese medicine</topic><topic>Cognitive ability</topic><topic>Cognitive therapy</topic><topic>Combined modality therapy</topic><topic>Complications and side effects</topic><topic>Disease</topic><topic>Drug therapy</topic><topic>Drugs</topic><topic>Effectiveness</topic><topic>Evaluation</topic><topic>Humans</topic><topic>Latency</topic><topic>Meta-analysis</topic><topic>Methods</topic><topic>Muscle pain</topic><topic>Physical therapy</topic><topic>Quality</topic><topic>Recommender systems</topic><topic>Rehabilitation</topic><topic>Review</topic><topic>Spasm</topic><topic>Spasms</topic><topic>Statistical analysis</topic><topic>Stroke</topic><topic>Stroke (Disease)</topic><topic>Stroke - complications</topic><topic>Stroke - psychology</topic><topic>Stroke Rehabilitation - methods</topic><topic>Tendons</topic><topic>Testing</topic><topic>Therapeutics, Experimental</topic><topic>Training</topic><topic>Upper Extremity</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liao, Yantan</creatorcontrib><creatorcontrib>Liu, Fengbin</creatorcontrib><creatorcontrib>Yang, Jingda</creatorcontrib><creatorcontrib>Ma, Qishou</creatorcontrib><creatorcontrib>Li, Junzhe</creatorcontrib><creatorcontrib>Chen, Yihui</creatorcontrib><creatorcontrib>Wu, Jiayong</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liao, Yantan</au><au>Liu, Fengbin</au><au>Yang, Jingda</au><au>Ma, Qishou</au><au>Li, Junzhe</au><au>Chen, Yihui</au><au>Wu, Jiayong</au><au>Teekaraman, Yuvaraja</au><au>Yuvaraja Teekaraman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta-Analysis</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2022</date><risdate>2022</risdate><volume>2022</volume><issue>1</issue><spage>8663356</spage><epage>8663356</epage><pages>8663356-8663356</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Objective. Systematic evaluation of the efficacy of acupuncture combined with cognitive rehabilitation training in the treatment of upper limb spasm after cerebral apoplexy. Methods. The data of CNKI, CBM, CQVIP, Wanfang, and the libraries of Pubmed and Cochrane were searched by computer, and the related literatures about acupuncture combined with cognitive rehabilitation training in the treatment of cognitive dysfunction after stroke were searched. The search time is from January 1, 1995 to January 1, 2022. All data segments were independently analyzed and extracted by two evaluators. After evaluating the quality of the methodology, meta-analysis was carried out by using the RevMan5.4 software. Results. Finally, 11 studies were included, with a total of 789 subjects. The results of meta-analysis indicated that acupuncture combined with cognitive rehabilitation training was superior to simple cognitive rehabilitation training or drugs in the following aspects, the difference exhibited statistically significant, the total effective rate (RR=1.58, 95% CI), latency of P300 (MD=−18.46, 95% CI), amplitude of P300 (MD=1.23, 95% CI (0.82), P<0.00001, 95% CI (0.31)), and activity of daily living (ADL), respectively, were significantly higher compared to the control group (P<0.00001), and the difference was statistically significant (P<0.05). Based on the results of systematic evaluation, the GRADE system recommendation classification method is used to evaluate the quality of evidence. The results show that the level of evidence is low and the intensity of recommendation is weak. Conclusion. The results of this meta-analysis suggest that the curative effect of acupuncture combined with cognitive rehabilitation training is better compared to simple cognitive rehabilitation training or drugs. However, due to the low quality of the original literature, it needs to be confirmed by multicenter, high-quality, large-sample randomized blind controlled trials in the future.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>35983251</pmid><doi>10.1155/2022/8663356</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-5327-879X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Acupuncture Acupuncture Therapy - methods Care and treatment Chinese medicine Cognitive ability Cognitive therapy Combined modality therapy Complications and side effects Disease Drug therapy Drugs Effectiveness Evaluation Humans Latency Meta-analysis Methods Muscle pain Physical therapy Quality Recommender systems Rehabilitation Review Spasm Spasms Statistical analysis Stroke Stroke (Disease) Stroke - complications Stroke - psychology Stroke Rehabilitation - methods Tendons Testing Therapeutics, Experimental Training Upper Extremity Veins & arteries |
| title | Analysis of the Efficacy of Acupuncture Combined with Rehabilitation Training in the Treatment of Upper Limb Spasm after Stroke: A Systematic Review and Meta-Analysis |
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