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Review of Clinical Research about Acupuncture for Spastic Hmiplegia after Stroke - Research on China Academic Journal

뇌졸중 후 경련성 편마비의 침치료에 대한 최신 임상 연구 동향 - CAJ 검색을 중심으로

  • Jo, Myeong Jae (Department of Rehabilitation Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital) ;
  • Kim, Da Hye (Department of Rehabilitation Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital) ;
  • Kim, Seon U (Department of Acupuncture & Moxibustion Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital) ;
  • Park, Cheol U (Department of Acupuncture & Moxibustion Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital) ;
  • Kim, Young Kwang (Department of Internal Medicine of Korean Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Jang, Hye Yeon (Department of Internal Medicine of Korean Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Kim, Min Uk (Department of Acupuncture & Moxibustion Medicine of Korean Medicine, College of Korean Medicine, Dong-Shin University)
  • 조명재 (광주자생한방병원 한방재활의학과) ;
  • 김다혜 (광주자생한방병원 한방재활의학과) ;
  • 김선우 (광주자생한방병원 침구의학과) ;
  • 박철우 (광주자생한방병원 침구의학과) ;
  • 김영광 (동신대학교 한의과대학 내과학교실) ;
  • 장혜연 (동신대학교 한의과대학 내과학교실) ;
  • 김민욱 (동신대학교 한의과대학 침구의학과학교실)
  • Received : 2020.10.26
  • Accepted : 2021.01.15
  • Published : 2021.02.25

Abstract

To analyze the clinical efficacy of acupuncture for spastic hemiplegia after stroke, this study was accomplished by considering Randomized Controlled Trials. We searched for papers that performed acupuncture for spastic hemiplegia after stroke in the China Academic Journal of the China National Knowledge Infrastructure, from January 1, 2017 to June 30, 2020. In total, 23 reports were included in this review. There are 18 studies conducted with more than 50 subjects and less than 100 subjects. The largest number of treatment was 20 times. 28days(4weeks) was the largest number of treatment period, which accounted 10 studies. The most frequently used evaluation index was The Fugl-Meyer Assessment(FMA) and Clinical Efficacy, each used 21 times and 17 times. The most frequently used acupuncture point was LI3, which was used 13 times. The retention time was 30 minutes and 11 studies were conducted. Western medicine treatment was the most common control group in 15 studies. Most of studies showed result of the intervention group was statistically significant, compared with the control group. These results suggest that acupuncture for spastic hemiplegia after stroke was effective and it was statistically more significant than the control group. However, it is difficult to confirm a conclusion, because the quality of most of studies was low.

Keywords

References

  1. Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43(11):3132-6. https://doi.org/10.1161/strokeaha.111.639831
  2. Wissel J, Verrier M, Simpson DM, Charles D, Guinto P, Papapetropoulos S, Sunnerhagen KS. Post-stroke spasticity: predictors of early development and considerations for therapeutic intervention. PM R. 2015;7(1):60-7. https://doi.org/10.1016/j.pmrj.2014.08.946
  3. Langhorne P, Fearon P, Ronning OM. Stroke unit care benefits patients with intracerebral hemorrhage: systematic review and meta-analysis, Stroke. 2013;44(11):3044-9. https://doi.org/10.1161/STROKEAHA.113.001564
  4. Higgins J, Green S, editors. Cochrane handbook for systematic reviews of interventions Version 5.1.0. Chichester(UK) : John Wiley & Sons, Ltd. 2011.
  5. Jia C, Zhang H, Ni G, Zhang Y, Su B, Xu X. Scalp acupuncture plus music combined with rehabilitation therapy for post-stroke spastic hemiplegia: a randomized controlled study. Chinese Acupuncture and Moxibustion. 2017;37(12):1271-5.
  6. Shen C. Analysis of the therapeutic effect of acupuncture on spastic hemiplegia after stroke. Inner Mongolia Traditional Chinese Medicine. 2017;7(7):66-7.
  7. Sui l, Wang X. Treatment of 32 Cases of Spastic Hemiplegia after Stroke by Combination of Acupuncture and Medicine. Western Traditional Chinese Medicine. 2017;12(12):91-3.
  8. Zhou X. Clinical observation of Dahuoluo capsule combined with acupuncture on spastic hemiplegia after cerebral infarction. Inner Mongolia Traditional Chinese Medicine. 2017;8(8):53-4.
  9. Chen J. Observation on the effect of acupuncture combined with wrist-ankle acupuncture on spastic hemiplegia after stroke. Inner Mongolia Traditional Chinese Medicine. 2017;4(4):121.
  10. Ma S, Gao C, Pan Y, Zhang C. Therapeutic effect of acupuncture combined with rehabilitation training on patients with spastic hemiplegia after stroke. Medical Equipment. 2017;30(10):138.
  11. Gao X. Analysis of the effect of acupuncture therapy on spastic hemiplegia after stroke. Contemporary Medical Symposium. 2017;15(18):76-8.
  12. Zhu X. Analysis of the clinical effect of acupuncture and moxibustion on spastic hemiplegia after stroke. World Latest Medicine Information. 2017;17(58):162-4.
  13. Gao H, Huang Y. Analysis of clinical curative effect of acupuncture on spastic hemiplegia after stroke. Guide of China Medicine. 2017;15(1):160-1.
  14. Zhang L, Fang J. Acupuncture and moxibustion on the limb motor function, The impact of activities of daily living. Chinese Journal of Gerontology. 2017;9(37):4222-3.
  15. Zhang X, An J. Combination of Fire Needle Therapy and Wenyang Tongluo Decoction on Spasticity after Stroke The influence of limb function in patients with hemiplegia. Journal of Clinical Acupuncture and Moxibustion. 2018;34(7):35-8.
  16. Li Y. Evaluation of the therapeutic effect of electroacupuncture combined with tizanidine on spastic hemiplegia after stroke. Clinical journal of traditional chinese medicine. 2018;30(12):2272-3.
  17. Guo T, Chen J. Treatment of 43 Cases of Spastic Hemiplegia after Stroke by Tension Balance Needle Method Combined with Three Needles. ACTA CHINESE MEDICINE. 2018;33(244):1815-8.
  18. Jin L, Lang B, Li X. Clinical effect of abdominal acupuncture combined with exercise therapy on spastic hemiplegia after stroke Effect observation. Modern Chinese Doctors. 2018;56(13):94-6.
  19. Zhang M, Liu Y. Analysis of the effect of acupuncture combined with wrist-ankle acupuncture on spastic hemiplegia after stroke. Smart Health. 2018;6(6):77-8.
  20. Huang Z, Huang P. Effect of warm needle moxibustion on motor function of patients with spastic hemiplegia after stroke. Journal of Sichuan of Traditional Chinese Medicine. 2018;36(6):184-6.
  21. Li Z, Jiao F, Che J, Zhang Z. Observation on the clinical effect of eye acupuncture combined with giant needling on spastic hemiplegia after stroke. JOURNAL OF LIAONING UNIVERSITY OF TCM. 2019;21(4):107-9.
  22. He X. Clinical effect of electroacupuncture combined with rehabilitation training on spastic hemiplegia after stroke and its influence on patients' quality of life. Chin J of Clinical Rational Drug Use. 2019;12(4):130-2.
  23. Li F, Chen J, Tu M, Liu S. Warm needle moxibustion combined with rehabilitation training to treat post-stroke Analysis of curative effect of spastic hemiplegia. Journal of Clinical Acupuncture and Moxibustion. 2019;35(2):14-7.
  24. Gu Y, Sheng W, Yu C, Wang H. Clinical Study on the Rehabilitation of Upper Limb Function in Patients with Spastic Hemiplegia after Stroke. Journal of Nantong University Medical Sciences. 2019;39(4):305-7.
  25. Li Z, Chen C, Yu X, Chen Y. Clinical Observation on Treatment of Spastic Hemiplegia after Stroke with "Jin Sanzhen" Combined with Exercise Restorative Therapy. JOURNAL OF LIAONING UNIVERSITY OF TCM. 2019;21(11):196-9.
  26. Cui J, Zhang H. Observation on the Therapeutic Effect of Warming Needle Moxibustion Combined with Rehabilitation Training on Spastic Hemiplegia after Stroke. Chin J Convalescent Med. 2020;29(5):522-3.
  27. Zhao W. Analysis of clinical effect of Jiawei Shaoyao Gancao Decoction combined with acupuncture on spastic hemiplegia after stroke. Cardiovascular Disease Electronic Journal of integrated traditional Chinese and Western Medicine. 2020;8(14):160-187.
  28. Zorner B, Filli L, Starkey ML. Profiling locomotor recovery: comprehensive quantification of impairments after CNS damage in rodents, Nature Methods. 2010;7(9):701-8. https://doi.org/10.1038/nmeth.1484
  29. Lee JH. Therapeutic Intervention to Reduce Spasticity. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2019;9(5):427-36.
  30. Jin J. Research progress on acupuncture treatment of spastic hemiplegia after stroke. Gansu Journal of TCM. 2010;23(4):71-3.
  31. Zhao J, Chen X, li N. Research progress on acupuncture treatment of spastic hemiplegia after stroke. Asia-Pacific Traditional Medicine. 2016;12(21):72-5.