Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

A Systematic Review of Clinical Trials on Acupuncture on the Post-stroke Muscle Spasticity

중풍 후 강직의 침구치료에 대한 계통적 연구

  • Seo, Byung-Kwan (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-hee University) ;
  • Baek, Yong-Hyeon (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-hee University) ;
  • Park, Dong-Suk (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-hee University)
  • 서병관 (경희대학교 한의과대학 침구학교실) ;
  • 백용현 (경희대학교 한의과대학 침구학교실) ;
  • 박동석 (경희대학교 한의과대학 침구학교실)
  • Received : 2010.05.25
  • Accepted : 2010.07.19
  • Published : 2010.12.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The aim of this systematic review was to assess the efficacy of acupuncture and its relevant modality on post-stroke muscle spasticity Methods : We included 7 randomized controlled trials(RCTs) and 1 crossover study on acupuncture on the post-stroke muscle spasticity. Articles searches were performed in various databases in October 2009. Eight studies from 38 articles met the inclusion criteria and were used to assess the quality of clinical trials by means of Jadad scale, STRICTA, CONSORT statement and cochrane-handbook for systematic reviews of interventions. Results : Electrical stimulation such as electroacupuncture and TENS on acupoints was used in five studies. Repeatition of electroacupuncture showed significant decrease of the post-stroke muscle spasticity and persistence of the effect. Only three studies were assessed high quality as the methodological assessment tool(Jadad scale) and none of the studies matched STRICTA recommendations. Conclusions : This systematic review shows that there is beneficial effects of electroacupuncture on the post-stroke muscle spasticity. Further study of large population with high methodological quality will be needed.

Keywords

References

  1. Lance JW. Symposium synopsis. In: Feldman FG, Young RR, Koella WPs, eds. Spasticity : Disorder of Motor Control. Chicago, III : Year Book Medical. 1980 ; 485-94.
  2. Brin MF. Preface. Mescle Nerve Supple. 1997 ; 6 : 1.
  3. McGuire JR, Harvey RL. The prevention and management of complications after stroke. Phys Med Rehabil Clin North Am. 1999 ; 10 : 857-74.
  4. Roth E, Harvey R. Rehabilitation of stroke syndromes. In : Braddom R, editor. Physical medicine and rehabilitation. Philadelphia : WB Saunders. 1996 ; 1053-87.
  5. Mayer NH, Esquenazi A, Childers MK. Common patterns of clinical motor dysfunction. Muscle Nerve Suppl. 1997 ; 6 : S21-35.
  6. Katz RT. Management of spasticity. In : Braddom R, editor. Physical medicine and rehabilitation. Philadelphia : WB Saunders. 1996 : 580- 604.
  7. 통계청. 사망원인통계연보. 2007. Available from : URL : http//www.kosis.kr/
  8. Bogey RA, Geis CC, Bryant PR, Moroz A, O'neill BJ. Stroke and neurodegenerative disorders. 3. Stroke : rehabilitation management. Arch Phys Med Rehabil. 2004 ; 85(3) : S15-20.
  9. Moher D, Cook DJ, Jadad AR, Tugwell P, Moher P, Jones A, Pham B, Klassen TP. Assessing the quality of reports of randomized trials: Implications for the conduct of meta-analyses. Health Technology Assessment. 1999 ; 3(12) :1-98.
  10. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials : is blinding necessary? Control Clin Trials. 1996 ; 17 : 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  11. 이향숙, 박종배, 서정철, 박히준, 이혜정. 침의 대조군 연구에서 실험처치 보고에 대한 표준- STRICTA 권장안 및 침 임상실험에서 최적의 치료, 거짓대조군 및 블라인딩에 관한 동의안. 대한침구학회지. 2002 ; 19(6) : 134-54.
  12. 김우영, 이승덕, 임병묵, 김갑성. STRICTA 권장안에 기초한 침 연구방법론의 적절성 평가-새로운 평가지수를 이용한 5편 Systematic review와 그 대상인 58편 무작위대조시험의 고찰-. 대한침구학회지. 2007 ; 24(5) : 151-70.
  13. 김용석. 중풍경직에 전침, TENS 및 신경근 자극기의 효과에 대한 연구. 대한침구학회지. 2000 ; 17(2) : 209-20.
  14. 유진호, 김용석, 강성길. 전침자극이 중풍환자의 경직에 미치는 효과. 대한침구학회지. 1999 ; 16 (2) : 1-12.
  15. Moon SK, Whang YK, Park SU, Ko CN, Kim YS, Bae HS, Cho KH. Antispastic effect of electroacupuncture and moxibustion in stroke patients. Am J Chin Med. 2003 ; 31(3) : 467-74. https://doi.org/10.1142/S0192415X03001077
  16. Mukherjee M, McPeak LK, Redford JB, Sun C, Liu W. The effect of electro-acupuncture on spasticity of the wrist joint in chronic stroke survivors. Arch Phys Med Rehabil. 2007 ; 88(2) : 159-66. https://doi.org/10.1016/j.apmr.2006.10.034
  17. Fink M, Rollnik JD, Bijak M, Borstädt C, Däuper J, Guergueltcheva V, Dengler R, Karst M. Needle acupuncture in chronic poststroke leg spasticity. Arch Phys Med Rehabil. 2004 ; 85(4) : 667-72. https://doi.org/10.1016/j.apmr.2003.06.012
  18. Wayne PM, Krebs DE, Macklin EA, Schnyer R, Kaptchuk TJ, Parker SW, Scarborough DM, McGibbon CA, Schaechter JD, Stein J, Stason WB. Acupuncture for upper-extremity rehabilitation in chronic stroke : a randomized shamcontrolled study. Arch Phys Med Rehabil. 2005 ; 86(12) : 2248-55. https://doi.org/10.1016/j.apmr.2005.07.287
  19. Zhao JG, Cao CH, Liu CZ, Han BJ, Zhang J, Li ZG, Yu T, Wang XH, Zhao H, Xu ZH. Effect of acupuncture treatment on spastic states of stroke patients. J Neurol Sci. 2009 ; 276 : 143-7. https://doi.org/10.1016/j.jns.2008.09.018
  20. Yan T, Hui-Chan CW. Transcutaneous electrical stimulation on acupuncture points improves muscle function in subjects after acute stroke : a randomized controlled trial. J Rehabil Med. 2009 ; 41(5) : 312-6. https://doi.org/10.2340/16501977-0325
  21. Young RR. Spasticity : a review. Neurology. 1994 ; 44(Suppl) : S12-20.
  22. Lalith E. Satkunam. Rehabilitation medicine : 3. Management of adult spasticity. CMAJ. 2003 ; 169(11) : 1173-9.