Comparison of Tongue Acupuncture and Traditional Acupuncture in the Treatment of Poststroke Dysarthria: A Meta-Analysis and Tongue Acupuncture System Classification Evaluation
Objective. To discuss whether tongue acupuncture is more effective than traditional acupuncture in the treatment of poststroke dysarthria and explore the advantage of tongue acupuncture treatment parameters. Methods. We evaluated the efficacy of tongue acupuncture compared with traditional acupunctu...
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| Veröffentlicht in: | Evidence-based complementary and alternative medicine 2022-11, Vol.2022, p.1-12 |
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| creator | Yang, Xinming Shi, Lei Ran, Dawei Kong, Ying Shi, Weiping Zhou, Jiaxiao Gao, Huasong Han, Yutong Zhang, Huixue |
| description | Objective. To discuss whether tongue acupuncture is more effective than traditional acupuncture in the treatment of poststroke dysarthria and explore the advantage of tongue acupuncture treatment parameters. Methods. We evaluated the efficacy of tongue acupuncture compared with traditional acupuncture through a rigorous meta-analysis process. The included studies were from eight databases in English and Chinese. The Cochrane risk of bias assessment tool was used to evaluate the quality of studies. Stata15.1 software was used for meta-analysis and sensitivity analysis. Tongue acupuncture therapeutic parameters were classified and counted based on tongue acupoint location, acupuncture manipulation, and the number of manipulations. Subgroup analysis was used to compare the differences between various treatment parameters. Outcome The meta-analysis eventually included a total of 9 studies. Tongue acupuncture is superior to traditional acupuncture in clinical efficacy [OR = 3.62, 95%Cl (2.24, 5.85), P |
| doi_str_mv | 10.1155/2022/4897863 |
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To discuss whether tongue acupuncture is more effective than traditional acupuncture in the treatment of poststroke dysarthria and explore the advantage of tongue acupuncture treatment parameters. Methods. We evaluated the efficacy of tongue acupuncture compared with traditional acupuncture through a rigorous meta-analysis process. The included studies were from eight databases in English and Chinese. The Cochrane risk of bias assessment tool was used to evaluate the quality of studies. Stata15.1 software was used for meta-analysis and sensitivity analysis. Tongue acupuncture therapeutic parameters were classified and counted based on tongue acupoint location, acupuncture manipulation, and the number of manipulations. Subgroup analysis was used to compare the differences between various treatment parameters. Outcome The meta-analysis eventually included a total of 9 studies. Tongue acupuncture is superior to traditional acupuncture in clinical efficacy [OR = 3.62, 95%Cl (2.24, 5.85), P<0.0001], FDA score [SMD = −1.99, 95%Cl (−3.77, −0.21), P=0.028], and NIHSS score [WMD = 0.86, 95%Cl (0.15, 1.57), P=0.017, I2 = 31.7%] in the treatment of poststroke dysarthria. According to the classified statistics of tongue acupuncture treatment parameters, there are three kinds of tongue acupuncture points in 9 studies: lingual surface, sublingual, and both lingual surface and sublingual acupoints. The operation methods include the oblique stabbing of the root of the tongue, twisting after stabbing, and acupoint pricking. The number of operation methods varies from 1 to 3. Conclusion. Tongue acupuncture outperforms traditional acupuncture in terms of clinical efficacy, FDA score, and NIHSS score in the treatment of poststroke dysarthria. The curative effect of sublingual acupoints is better than that of lingual surface acupoints, the combined use of multiple manipulations is better than that of a single manipulation, and acupuncture manipulation has a cumulative effect. PROSPERO registration number: CRD42021285722.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2022/4897863</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Acupuncture ; Bias ; Brain research ; Clinical trials ; Disease ; Dysarthria ; Dyskinesia ; Electroacupuncture ; Intervention ; Medical research ; Meta-analysis ; Nervous system ; Review ; Risk assessment ; Sensitivity analysis ; Statistical analysis ; Stroke ; Systematic review ; Tongue</subject><ispartof>Evidence-based complementary and alternative medicine, 2022-11, Vol.2022, p.1-12</ispartof><rights>Copyright © 2022 Xinming Yang et al.</rights><rights>Copyright © 2022 Xinming Yang 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 Xinming Yang et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-229d3d463bfc591c607d2fa7ddde8da9b0b893c76ac92188080403ea7f2a80fe3</citedby><cites>FETCH-LOGICAL-c355t-229d3d463bfc591c607d2fa7ddde8da9b0b893c76ac92188080403ea7f2a80fe3</cites><orcidid>0000-0002-1442-9671 ; 0000-0003-1060-1769 ; 0000-0003-0561-0548 ; 0000-0002-7231-7344 ; 0000-0001-9974-0946 ; 0000-0002-8761-0666 ; 0000-0002-4177-3128 ; 0000-0002-7291-6080 ; 0000-0002-5215-5819</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/PMC9643060/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643060/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><contributor>Kung, Woon-Man</contributor><contributor>Woon-Man Kung</contributor><creatorcontrib>Yang, Xinming</creatorcontrib><creatorcontrib>Shi, Lei</creatorcontrib><creatorcontrib>Ran, Dawei</creatorcontrib><creatorcontrib>Kong, Ying</creatorcontrib><creatorcontrib>Shi, Weiping</creatorcontrib><creatorcontrib>Zhou, Jiaxiao</creatorcontrib><creatorcontrib>Gao, Huasong</creatorcontrib><creatorcontrib>Han, Yutong</creatorcontrib><creatorcontrib>Zhang, Huixue</creatorcontrib><title>Comparison of Tongue Acupuncture and Traditional Acupuncture in the Treatment of Poststroke Dysarthria: A Meta-Analysis and Tongue Acupuncture System Classification Evaluation</title><title>Evidence-based complementary and alternative medicine</title><description>Objective. To discuss whether tongue acupuncture is more effective than traditional acupuncture in the treatment of poststroke dysarthria and explore the advantage of tongue acupuncture treatment parameters. Methods. We evaluated the efficacy of tongue acupuncture compared with traditional acupuncture through a rigorous meta-analysis process. The included studies were from eight databases in English and Chinese. The Cochrane risk of bias assessment tool was used to evaluate the quality of studies. Stata15.1 software was used for meta-analysis and sensitivity analysis. Tongue acupuncture therapeutic parameters were classified and counted based on tongue acupoint location, acupuncture manipulation, and the number of manipulations. Subgroup analysis was used to compare the differences between various treatment parameters. Outcome The meta-analysis eventually included a total of 9 studies. Tongue acupuncture is superior to traditional acupuncture in clinical efficacy [OR = 3.62, 95%Cl (2.24, 5.85), P<0.0001], FDA score [SMD = −1.99, 95%Cl (−3.77, −0.21), P=0.028], and NIHSS score [WMD = 0.86, 95%Cl (0.15, 1.57), P=0.017, I2 = 31.7%] in the treatment of poststroke dysarthria. According to the classified statistics of tongue acupuncture treatment parameters, there are three kinds of tongue acupuncture points in 9 studies: lingual surface, sublingual, and both lingual surface and sublingual acupoints. The operation methods include the oblique stabbing of the root of the tongue, twisting after stabbing, and acupoint pricking. The number of operation methods varies from 1 to 3. Conclusion. Tongue acupuncture outperforms traditional acupuncture in terms of clinical efficacy, FDA score, and NIHSS score in the treatment of poststroke dysarthria. The curative effect of sublingual acupoints is better than that of lingual surface acupoints, the combined use of multiple manipulations is better than that of a single manipulation, and acupuncture manipulation has a cumulative effect. PROSPERO registration number: CRD42021285722.</description><subject>Acupuncture</subject><subject>Bias</subject><subject>Brain research</subject><subject>Clinical trials</subject><subject>Disease</subject><subject>Dysarthria</subject><subject>Dyskinesia</subject><subject>Electroacupuncture</subject><subject>Intervention</subject><subject>Medical research</subject><subject>Meta-analysis</subject><subject>Nervous system</subject><subject>Review</subject><subject>Risk assessment</subject><subject>Sensitivity analysis</subject><subject>Statistical analysis</subject><subject>Stroke</subject><subject>Systematic review</subject><subject>Tongue</subject><issn>1741-427X</issn><issn>1741-4288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kV1rFDEUhoei0A-98wcEelOoYzPJzCTphbCs9QMqCq7gXTibZLppZ5I1H5X9Vf5Fs92lUAWvcuB9eE6St6peNfhN03TdBcGEXLRcMN7Tg-qoYW1Tt4TzZ48z-3FYHcd4izERjLGj6vfcT2sINnqH_IAW3t1kg2Yqr7NTKQeDwGm0CKBtst7B-CSzDqWVKbGBNBmXtoqvPqaYgr8z6N0mQkirYOESzdBnk6CeFcUm2rjT_rvt2yYmM6H5CDHawSrYbkVX9zDmh_FF9XyAMZqX-_Ok-v7-ajH_WF9_-fBpPruuFe26VBMiNNVtT5eD6kSjesw0GYBprQ3XIJZ4yQVVrAclSMM55rjF1AAbCHA8GHpSvd1513k5Ga3K4wKMch3sBGEjPVj5NHF2JW_8vRR9S3GPi-BsLwj-ZzYxyclGZcYRnPE5SsIoaxkhTBT09C_01udQPuqB6vpiFF2hXu8oFXyMwQyPl2mw3NYvt_XLff0FP9_hK-s0_LL_p_8ABMG01A</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Yang, Xinming</creator><creator>Shi, Lei</creator><creator>Ran, Dawei</creator><creator>Kong, Ying</creator><creator>Shi, Weiping</creator><creator>Zhou, Jiaxiao</creator><creator>Gao, Huasong</creator><creator>Han, Yutong</creator><creator>Zhang, Huixue</creator><general>Hindawi</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1442-9671</orcidid><orcidid>https://orcid.org/0000-0003-1060-1769</orcidid><orcidid>https://orcid.org/0000-0003-0561-0548</orcidid><orcidid>https://orcid.org/0000-0002-7231-7344</orcidid><orcidid>https://orcid.org/0000-0001-9974-0946</orcidid><orcidid>https://orcid.org/0000-0002-8761-0666</orcidid><orcidid>https://orcid.org/0000-0002-4177-3128</orcidid><orcidid>https://orcid.org/0000-0002-7291-6080</orcidid><orcidid>https://orcid.org/0000-0002-5215-5819</orcidid></search><sort><creationdate>20221101</creationdate><title>Comparison of Tongue Acupuncture and Traditional Acupuncture in the Treatment of Poststroke Dysarthria: A Meta-Analysis and Tongue Acupuncture System Classification Evaluation</title><author>Yang, Xinming ; Shi, Lei ; Ran, Dawei ; Kong, Ying ; Shi, Weiping ; Zhou, Jiaxiao ; Gao, Huasong ; Han, Yutong ; Zhang, Huixue</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-229d3d463bfc591c607d2fa7ddde8da9b0b893c76ac92188080403ea7f2a80fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acupuncture</topic><topic>Bias</topic><topic>Brain research</topic><topic>Clinical trials</topic><topic>Disease</topic><topic>Dysarthria</topic><topic>Dyskinesia</topic><topic>Electroacupuncture</topic><topic>Intervention</topic><topic>Medical research</topic><topic>Meta-analysis</topic><topic>Nervous system</topic><topic>Review</topic><topic>Risk assessment</topic><topic>Sensitivity analysis</topic><topic>Statistical analysis</topic><topic>Stroke</topic><topic>Systematic review</topic><topic>Tongue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Xinming</creatorcontrib><creatorcontrib>Shi, Lei</creatorcontrib><creatorcontrib>Ran, Dawei</creatorcontrib><creatorcontrib>Kong, Ying</creatorcontrib><creatorcontrib>Shi, Weiping</creatorcontrib><creatorcontrib>Zhou, Jiaxiao</creatorcontrib><creatorcontrib>Gao, Huasong</creatorcontrib><creatorcontrib>Han, Yutong</creatorcontrib><creatorcontrib>Zhang, Huixue</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</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>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Evidence-based complementary and alternative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Xinming</au><au>Shi, Lei</au><au>Ran, Dawei</au><au>Kong, Ying</au><au>Shi, Weiping</au><au>Zhou, Jiaxiao</au><au>Gao, Huasong</au><au>Han, Yutong</au><au>Zhang, Huixue</au><au>Kung, Woon-Man</au><au>Woon-Man Kung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Tongue Acupuncture and Traditional Acupuncture in the Treatment of Poststroke Dysarthria: A Meta-Analysis and Tongue Acupuncture System Classification Evaluation</atitle><jtitle>Evidence-based complementary and alternative medicine</jtitle><date>2022-11-01</date><risdate>2022</risdate><volume>2022</volume><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>Objective. To discuss whether tongue acupuncture is more effective than traditional acupuncture in the treatment of poststroke dysarthria and explore the advantage of tongue acupuncture treatment parameters. Methods. We evaluated the efficacy of tongue acupuncture compared with traditional acupuncture through a rigorous meta-analysis process. The included studies were from eight databases in English and Chinese. The Cochrane risk of bias assessment tool was used to evaluate the quality of studies. Stata15.1 software was used for meta-analysis and sensitivity analysis. Tongue acupuncture therapeutic parameters were classified and counted based on tongue acupoint location, acupuncture manipulation, and the number of manipulations. Subgroup analysis was used to compare the differences between various treatment parameters. Outcome The meta-analysis eventually included a total of 9 studies. Tongue acupuncture is superior to traditional acupuncture in clinical efficacy [OR = 3.62, 95%Cl (2.24, 5.85), P<0.0001], FDA score [SMD = −1.99, 95%Cl (−3.77, −0.21), P=0.028], and NIHSS score [WMD = 0.86, 95%Cl (0.15, 1.57), P=0.017, I2 = 31.7%] in the treatment of poststroke dysarthria. According to the classified statistics of tongue acupuncture treatment parameters, there are three kinds of tongue acupuncture points in 9 studies: lingual surface, sublingual, and both lingual surface and sublingual acupoints. The operation methods include the oblique stabbing of the root of the tongue, twisting after stabbing, and acupoint pricking. The number of operation methods varies from 1 to 3. Conclusion. Tongue acupuncture outperforms traditional acupuncture in terms of clinical efficacy, FDA score, and NIHSS score in the treatment of poststroke dysarthria. The curative effect of sublingual acupoints is better than that of lingual surface acupoints, the combined use of multiple manipulations is better than that of a single manipulation, and acupuncture manipulation has a cumulative effect. PROSPERO registration number: CRD42021285722.</abstract><cop>New York</cop><pub>Hindawi</pub><doi>10.1155/2022/4897863</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-1442-9671</orcidid><orcidid>https://orcid.org/0000-0003-1060-1769</orcidid><orcidid>https://orcid.org/0000-0003-0561-0548</orcidid><orcidid>https://orcid.org/0000-0002-7231-7344</orcidid><orcidid>https://orcid.org/0000-0001-9974-0946</orcidid><orcidid>https://orcid.org/0000-0002-8761-0666</orcidid><orcidid>https://orcid.org/0000-0002-4177-3128</orcidid><orcidid>https://orcid.org/0000-0002-7291-6080</orcidid><orcidid>https://orcid.org/0000-0002-5215-5819</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Acupuncture Bias Brain research Clinical trials Disease Dysarthria Dyskinesia Electroacupuncture Intervention Medical research Meta-analysis Nervous system Review Risk assessment Sensitivity analysis Statistical analysis Stroke Systematic review Tongue |
| title | Comparison of Tongue Acupuncture and Traditional Acupuncture in the Treatment of Poststroke Dysarthria: A Meta-Analysis and Tongue Acupuncture System Classification Evaluation |
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