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Warm-needle acupuncture for limb spasticity post-stroke: a systematic review

机译：中风后肢体痉挛的温针针灸：系统评价

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Highlights Warm-needle acupuncture is an effective treatment for limb spasticity post-stroke. A treatment frequency of more than 20 days appears to have better effectiveness than that of less than 20 days. Abstract Background: Warm acupuncture, or warm-needle acupuncture, is a traditional external treatment widely used in China for thousands of years. However, the effects of different treatment times on limb spasticity post-stroke have not been evaluated. Methods: We searched PubMed, Embase, the Cochrane Library, the Web of Science, the China National Knowledge Infrastructure, the Chinese Scientific and Journal Database, the Wanfang database, and the Chinese Biomedical Literature Database from inception to May 21st, 2020, to seek information regarding randomized controlled trials studying warm-needle acupuncture for limb spasticity post-stroke. Two authors selected 24 studies fitting the eligibility criteria and developed this systematic review and meta-analysis. Results: Warm-needle acupuncture is shown to be more effective than other treatments used in the control groups (odds ratio (OR) = 3.61, 95% confidence intervals (CI) (2.51, 5.19), P 0.001). This treatment decreased limb spasticity as assessed with the Modified Ashworth Scale (mean differences (MD) = ?0.78, 95% CI (?1.00, ?0.56), P 0.001) and the Clinic Spasticity Index (MD = 1.06, 95% CI (0.51, 1.60), P = 0.0002), improved sensorimotor impairments according to the Fugl-Meyer Assessment (MD = 9.51, 95% CI (6.99, 12.03), P 0.001), and improved activities of daily living according to the Barthel Index (MD = 9.70, 95% CI (6.27, 13.12), P 0.001). Subgroup analysis based on the length of the treatment using the Modified Ashworth Scale, Fugl-Meyer Assessment, and Barthel Index showed better outcomes for patients who received more than 20 days of treatments ( P 0.001). Conclusion: Warm-needle acupuncture is an effective treatment for limb spasticity post-stroke. A treatment frequency of more than 20 days appears to have better effectiveness than that of less than 20 days.
机译：凸显温针针灸是肢体后痉挛的有效处理。治疗频率超过20天似乎具有比不到20天更好的效果。摘要背景：温暖针灸或暖针针灸，是在中国广泛使用的传统外部治疗千年。然而，尚未评估不同治疗时间对肢体痉挛后行程的影响。方法：我们搜索了PubMed，Embase，Cochrane图书馆，科学Web，中国国家知识基础设施，中国科学数据库，万芳数据库，以及中国生物医学文献数据库从成立于2020年5月21日，寻求关于肢体痉挛术后术治疗温针针刺的随机对照试验的信息。两位作者选择了24项研究，拟合资格标准，并开发了该系统审查和荟萃分析。结果：暖针针灸显示比对照组中使用的其他治疗更有效（差距（或）= 3.61,95％置信区间（CI）（2.51,5.19），P <0.001）。这种处理降低了随着改性的ashworth尺度评估的速率降低（平均差异（md）=Δ0.78,95％ci（α1.1.00，Δ0.56），p <0.001）和临床痉挛指数（md = 1.06,95％ci （0.51,1.60），P = 0.0002），根据Fugl-Meyer评估（MD = 9.51,95％CI（6.99,12.03），P <0.001）和根据Barthel的改进活动，改善了感觉电流障碍指数（MD = 9.70,95％CI（6.27,13.12），P <0.001）。基于使用改良的Ashworth规模，Fugl-Meyer评估和Barthel指数的治疗长度的亚组分析显示出超过20天治疗的患者的更好的结果（P <0.001）。结论：暖针针灸是肢体痉挛后卒中后的有效处理。治疗频率超过20天似乎具有比不到20天更好的效果。

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