Acupuncture for acute stroke

Xu, Mangmang; Li, Dan; Zhang, Shihong

doi:10.1002/14651858.cd003317.pub3

Cited by 33 publications

(43 citation statements)

References 41 publications

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“…The included CSRs focused on 50 different diseases or conditions. Eight reviews (16%) evaluated acupuncture for joint and muscle pain [8,18,20,22,23,25,34,36], 5 reviews (9%) for obstetrics [11,16,41,42,44], 5 reviews (9%) for gynecological diseases [7,31,32,43,56], 3 reviews (4%) for stroke [51,52,54] and 2 reviews (4%) for smoking cessation [21,48] The other diseases are listed in Table S1.…”

Section: Treated Conditionsmentioning

confidence: 99%

“…The conclusions of included CSRs can be summarized into four categories: 1) thirty-two reviews (64%) concluded that the evidence was not sufficient or the level of evidence was not adequate; 2) seven reviews (14%) reported positive results and found acupuncture to be effective in the treatment of chronic kidney disease [26], induction of labor [42], episodic migraine [32], tension- type headache [33], fibromyalgia [18], pain in childbirth [41], and nausea and vomiting after surgery [30]; 3) ten reviews (20%) reported "potential efficacy" for acute management and rehabilitation of traumatic brain injury [49], endometrial pain [56], osteoarthritis [34], schizophrenia [39], post stroke rehabilitation [52] breech presentation [16], side effects of chemotherapy or radiotherapy in persons with cancer [55], acute stroke [51], induction of labour [44], premenstrual syndrome [7]; and 4) one review reported negative results for irritable bowel syndrome [35]. With regard to acupuncture safety, 24 reviews (48%) reported adverse events in the included RCTs, eleven reviews (22%) did not report information about adverse events [8, 20, 22, 32-34, 37, 41, 42, 48, 50], and 15 reviews (30%) reported no adverse events [7, 9, 11, 17, 18, 21, 26, 28, 29, 38-40, 43, 49, 56].…”

Section: Outcomes and Safetymentioning

confidence: 99%

“…With regard to acupuncture safety, 24 reviews (48%) reported adverse events in the included RCTs, eleven reviews (22%) did not report information about adverse events [8, 20, 22, 32-34, 37, 41, 42, 48, 50], and 15 reviews (30%) reported no adverse events [7, 9, 11, 17, 18, 21, 26, 28, 29, 38-40, 43, 49, 56]. Regarding the main adverse events, 9 reviews reported unbearable pain or pain caused by anxiety [12,13,15,16,36,47,51,52,54]; 5 reviews reported headache, dizziness or even syncope [14,16,23,35,51]; 2 reviews reported local infection [10,23]; 3 reviews reported local fever or swelling [10,31,47]; 2 reviews reported blood stasis [19,31]; one review reported allergy [30]; and one review reported ear irritation [47].…”

Section: Outcomes and Safetymentioning

confidence: 99%

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The quality of Cochrane systematic reviews of acupuncture: an overview

Zhang

Menniti‐Ippolito³

et al. 2020

BMC Complement Med Ther

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Background Many systematic reviews of clinical trials on acupuncture were performed within the Cochrane Collaboration, the evidence-based medicine (EBM) most recognized organization. Objective of the article was to systematically collect and identify systematic reviews of acupuncture published in the Cochrane Library and assess their quality from a methodological perspective. Methods A comprehensive literature search was performed in the Cochrane Database of Systematic Reviews to identify the reviews of acupuncture conducted until June 2019. The methodological quality of the included reviews was assessed using the AMSTAR 2 checklist, an evaluation tool for systematic reviews. Results Out of a total of 126 eligible reviews, 50 systematic reviews were included. According to the AMSTAR 2, 52% of Cochrane Systematic Reviews (CSRs) were of low quality, due to the presence of one or more weaknesses in at least one of the domains defined as critical for the methodological quality assessment. The less satisfied critical domain was inadequate investigation and discussion of publication bias. Declaration of potential sources of conflict of interest, and funding of the authors of the review and of the included studies were other important weaknesses. Conclusions The main methodological flaws in the included CSRs were related to topics of relatively new concern in the conduction of systematic reviews of the literature. However, both, lack of attention about retrieval of negative studies, and statements about conflict of interests are crucial point for the evaluation of therapeutic interventions according to EBM methodology.

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Section: Treated Conditionsmentioning

confidence: 99%

Section: Outcomes and Safetymentioning

confidence: 99%

Section: Outcomes and Safetymentioning

confidence: 99%

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The quality of Cochrane systematic reviews of acupuncture: an overview

Zhang

Menniti‐Ippolito³

et al. 2020

BMC Complement Med Ther

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Section: Introductionmentioning

confidence: 99%

“…Engrafted alternating current stimulation by fine filiform needle, known as electroacupuncture (EA), is widely used clinically to treat brain disorders in Oriental medicine [ 13 ]. In addition, it is accepted as a common complementary therapy for the treatment of stroke [ 13 , 14 ]. EA can ameliorate motor dysfunction and cognitive impairment in ischemic brain disorders by enhancing the proliferation and differentiation of neural stem cells [ 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Electroacupuncture on the Scalp over the Motor Cortex Ameliorates Behavioral Deficits Following Neonatal Hypoxia-Ischemia in Rats via the Activation of Neural Stem Cells

Jung

Pak

Lee

et al. 2020

Life

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Electroacupuncture (EA) therapy via alternating current stimulation on the scalp over the motor cortex is used for the treatment of brain disorders. Perinatal hypoxia-ischemia (HI), a brain injury in newborns, leads to long-term neurologic complications. Here, we investigated whether EA could promote functional improvements and neurogenesis in a neonatal HI rat model. A neonatal HI rat model was induced by permanent ligation of the left carotid artery in postnatal day 7 pups. EA for neonatal HI rats was performed at 2 Hz (1, 3, or 5 mA; 20 min) from 4–6 weeks after birth. HI rats undergoing EA had improved motor and memory function, with the greatest improvement after 3 mA EA. The corpus callosum was significantly thicker and showed a significant increase in proliferating astrocytes in the 3 mA EA group. We observed proliferating cells and a greater number of newly developed neurons and astrocytes in the subventricular zone and dentate gyrus of the 3 mA EA group than in those of the HI group. These results suggest that EA promotes functional improvements following neonatal HI assault via the proliferation and differentiation of neural stem cells. This effect was the strongest after 3 mA EA, suggesting that this is the optimal treatment dose.

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Use of Acupuncture for Adult Health Conditions, 2013 to 2021

et al. 2022

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ImportanceAcupuncture is a popular treatment that has been advocated for dozens of adult health conditions and has a vast evidence base.ObjectiveTo map the systematic reviews, conclusions, and certainty or quality of evidence for outcomes of acupuncture as a treatment for adult health conditions.Evidence ReviewComputerized search of PubMed and 4 other databases from 2013 to 2021. Systematic reviews of acupuncture (whole body, auricular, or electroacupuncture) for adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of acupressure, fire acupuncture, laser acupuncture, or traditional Chinese medicine without mention of acupuncture were excluded. Health condition, number of included studies, type of acupuncture, type of comparison group, conclusions, and certainty or quality of evidence. Reviews with at least 1 conclusion rated as high-certainty evidence, reviews with at least 1 conclusion rated as moderate-certainty evidence, and reviews with all conclusions rated as low- or very low-certainty evidence; full list of all conclusions and certainty of evidence.FindingsA total of 434 systematic reviews of acupuncture for adult health conditions were found; of these, 127 reviews used a formal method to rate certainty or quality of evidence of their conclusions, and 82 reviews were mapped, covering 56 health conditions. Across these, there were 4 conclusions that were rated as high-certainty evidence, and 31 conclusions that were rated as moderate-certainty evidence. All remaining conclusions (&gt;60) were rated as low- or very low-certainty evidence. Approximately 10% of conclusions rated as high or moderate-certainty were that acupuncture was no better than the comparator treatment, and approximately 75% of high- or moderate-certainty evidence conclusions were about acupuncture compared with a sham or no treatment.Conclusions and RelevanceDespite a vast number of randomized trials, systematic reviews of acupuncture for adult health conditions have rated only a minority of conclusions as high- or moderate-certainty evidence, and most of these were about comparisons with sham treatment or had conclusions of no benefit of acupuncture. Conclusions with moderate or high-certainty evidence that acupuncture is superior to other active therapies were rare.

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Acupuncture for acute stroke

Cited by 33 publications

References 41 publications

The quality of Cochrane systematic reviews of acupuncture: an overview

The quality of Cochrane systematic reviews of acupuncture: an overview

Electroacupuncture on the Scalp over the Motor Cortex Ameliorates Behavioral Deficits Following Neonatal Hypoxia-Ischemia in Rats via the Activation of Neural Stem Cells

Use of Acupuncture for Adult Health Conditions, 2013 to 2021

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