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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Effectiveness of Dry Needling in the Management of Spasticity in Patients Post Stroke
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Effectiveness of Dry Needling in the Management of Spasticity in Patients Post Stroke

机译：干针对患者痉挛治疗后脑卒中后痉挛的有效性

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Objective: To determine the effectiveness of the dry needling technique (DNT) in the treatment of spasticity for individuals with stroke. Design: We reviewed the Embase, Pubmed/MEDLINE, Web of Science and Cochrane Central Register of Controlled Trials (CENTRAL) databases. We also performed a manual search of the references that are included in the selected articles. Studies included were: i) randomized clinical trials (RCTs); ii) involving patients with a diagnosis of stroke; and iii) using DNT alone or in a multimodal treatment. Muscular spasticity was the primary outcome of the study. The additional outcomes included were: pressure pain sensitivity, range of motion and perception of pain. The analysis of the certainty of the evidence was analyzed using GRADE. The risk of bias of the included studies was assessed with the Cochrane Risk of Bias Tool for Randomized Controlled Trials. Results: A total of six RCTs with 221 patients were included in this systematic review, where a significant decrease in spasticity was observed in most of the muscles evaluated, though the certainty of the evidence was low. The effects were only evaluated in the short term in all included studies and the sample size was small. Conclusion: These results should be taken with caution because the included studies are few in number and have different comparators. More RCTs are needed to cover aspects of biases found in the literature, in particular the blinding of participants and personnel.
机译：目的：确定干针刺技术（DNT）治疗脑卒中患者痉挛的有效性。设计：我们回顾了Embase、Pubmed/MEDLINE、科学网和Cochrane中央对照试验注册数据库。我们还对所选文章中包含的参考文献进行了手动搜索。研究包括：i）随机临床试验（RCT）；ii）涉及被诊断为中风的患者；以及iii）单独使用DNT或在多模式治疗中使用DNT。肌肉痉挛是这项研究的主要结果。其他结果包括：压力疼痛敏感性、运动范围和疼痛感知。证据的确定性分析使用GRADE进行分析。纳入研究的偏倚风险采用随机对照试验的Cochrane偏倚风险工具进行评估。结果：共有6项随机对照试验（共221名患者）被纳入本系统评价，尽管证据的确定性较低，但在大多数评估的肌肉中观察到痉挛显著减少。在所有纳入的研究中，这些影响仅在短期内进行评估，样本量较小。结论：这些结果应谨慎对待，因为纳入的研究数量较少，且有不同的对照。需要更多的随机对照试验来涵盖文献中发现的偏见方面，尤其是参与者和工作人员的失明。

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