Systematic evaluation of acupuncture for treatment of post-stroke spastic paralysis / 中国针灸
Chinese Acupuncture & Moxibustion
;
(12): 683-688, 2009.
Article
Dans Chinois
| WPRIM
| ID: wpr-260503
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effects of acupuncture on post-stroke spastic paralysis.</p><p><b>METHODS</b>A systematic evaluation including all the relavant randomized controlled trials (RCTs) or quasi-RCTs of acupuncture and moxibustion for treatment of post-stroke spastic paralysis were carried out according to the method recommended by the Cochrane Collaboration.</p><p><b>RESULTS</b>Nine hundred and seventy-eight patients being included in fourteen papers met the enrolled criteria. However, their methodological quality was relatively poor. Meta-analysis of nine trials indicated that there was no significant difference between the treatment groups and the control groups in Ashworth scores, Carr-Shepherd scores, nerve defect scores and hip adductor tension scores. Whereas the Fugel-Meyer scores in one trial and the Barthel scores in three trials were better in the treatment groups than those of the control group.</p><p><b>CONCLUSION</b>A reliable conclusion can not be drawn from the present data because of the defects in methodological quality and insufficient numbers of trials, especially lack the long-term terminal outcomes, although it appears a tedency that acupuncture can improve the conditions of post-stroke spastic paralysis. Therefore, it is necessary to perform more multi-central RCTs of high quality in future.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Thérapeutique
/
Thérapie par acupuncture
/
Essais contrôlés randomisés comme sujet
/
Paralysie cérébrale
/
Résultat thérapeutique
/
Accident vasculaire cérébral
Type d'étude:
Essai clinique contrôlé
Limites du sujet:
Humains
langue:
Chinois
Texte intégral:
Chinese Acupuncture & Moxibustion
Année:
2009
Type:
Article
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