TY - JOUR
T1 - Efficacy of Scalp Acupuncture in Patients With Post-stroke Hemiparesis
T2 - Meta-Analysis of Randomized Controlled Trials
AU - Huang, Yuan Ju
AU - Huang, Chih Shan
AU - Leng, Kuo Feng
AU - Sung, Jia Ying
AU - Cheng, Sheng Wei
N1 - Funding Information:
The authors would like to express their sincere thanks to colleagues and staff from the WanFang Hospital and the Taipei Medical University for their support. Besides, this manuscript was edited by the Wallace Academic Editing.
Publisher Copyright:
Copyright © 2021 Huang, Huang, Leng, Sung and Cheng.
PY - 2021/12
Y1 - 2021/12
N2 - Objectives: To conduct a meta-analysis to assess the efficacy of scalp acupuncture (SA) in patients with stroke and consequent hemiparesis regardless of brain infarction or intracerebral hemorrhage. Methods: A literature search of randomized controlled trials (RCTs) on SA for stroke was performed in five databases up to May 10, 2021. We investigated three types of outcome: motor function, sequelae of poststroke hemiparesis, and adverse effects. Methodological quality was assessed using the revised Cochrane risk of bias tool version 2.0. Results: Of 1,063 papers, 30 RCTs involving Fugl–Meyer Assessment were selected, among which 10 and four RCTs were selected for evaluation of courses lasting of 1 and 3 months, respectively. The meta-analysis of 1- and 3-month courses revealed significant differences in the motor function of the SA plus Western standard treatment group vs. Western standard treatment only (medication plus rehabilitation; P < 0.001). A 3-month course tended to result in better outcomes than a 1-month course. Conclusions: Our meta-analysis results reveal that SA improves motor function in patients with acute to chronic stroke, regardless of brain infarction or intracerebral hemorrhage. However, because of a lack of methodological quality, thoroughly planned clinical studies are still required.
AB - Objectives: To conduct a meta-analysis to assess the efficacy of scalp acupuncture (SA) in patients with stroke and consequent hemiparesis regardless of brain infarction or intracerebral hemorrhage. Methods: A literature search of randomized controlled trials (RCTs) on SA for stroke was performed in five databases up to May 10, 2021. We investigated three types of outcome: motor function, sequelae of poststroke hemiparesis, and adverse effects. Methodological quality was assessed using the revised Cochrane risk of bias tool version 2.0. Results: Of 1,063 papers, 30 RCTs involving Fugl–Meyer Assessment were selected, among which 10 and four RCTs were selected for evaluation of courses lasting of 1 and 3 months, respectively. The meta-analysis of 1- and 3-month courses revealed significant differences in the motor function of the SA plus Western standard treatment group vs. Western standard treatment only (medication plus rehabilitation; P < 0.001). A 3-month course tended to result in better outcomes than a 1-month course. Conclusions: Our meta-analysis results reveal that SA improves motor function in patients with acute to chronic stroke, regardless of brain infarction or intracerebral hemorrhage. However, because of a lack of methodological quality, thoroughly planned clinical studies are still required.
KW - meta-analysis
KW - randomized controlled trial
KW - revised Cochrane risk of bias assessment
KW - scalp acupuncture
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85121632485&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85121632485&partnerID=8YFLogxK
U2 - 10.3389/fneur.2021.746567
DO - 10.3389/fneur.2021.746567
M3 - Article
AN - SCOPUS:85121632485
SN - 1664-2295
VL - 12
JO - Frontiers in Neurology
JF - Frontiers in Neurology
M1 - 746567
ER -