Article

OBJECTIVE: To investigate the effectiveness of traditional manual acupuncture
combined with rehabilitation therapy versus rehabilitation therapy alone for
shoulder hand syndrome after stroke. DATA SOURCES: PubMed, EMBASE, the Cochrane
Library, Chinese Biomedicine Database, China National Knowledge Infrastructure,
VIP Information Database, Wan Fang Database and reference lists of the eligible
studies were searched up to July 2017 for relevant studies. METHODS: Randomized
controlled trials that compared the combined effects of traditional manual
acupuncture and rehabilitation therapy to rehabilitation therapy alone for
shoulder hand syndrome after stroke were included. Two reviewers independently
screened the searched records, extracted the data and assessed risk of bias of
the included studies. The treatment effect sizes were pooled in a meta-analysis
using RevMan 5.3 software. RESULTS: A total of 20 studies involving 1918
participants were included in this study. Compared to rehabilitation therapy
alone, the combined therapy significantly reduced pain on the visual analogue
scale and improved limb movement on the Fugl-Meyer Assessment scale and the
performance of activities of daily living (ADL) on the Barthel Index scale or
Modified Barthel Index scale. Of these, the visual analogue scale score changes
were significantly higher (mean difference = 1.49, 95% confidence interval =
1.15-1.82, P < 0.00001) favoring the combined therapy after treatment, with
severe heterogeneity ( I(2) = 71%, P = 0.0005).
CONCLUSION: Current evidence
suggests that traditional manual acupuncture integrated with rehabilitation
therapy is more effective in alleviating pain, improving limb movement and ADL.
However, considering the relatively low quality of available evidence, further
rigorously designed and large-scale randomized controlled trials are needed to
confirm the results.

Langue : ANGLAIS