Acupuncture for stroke rehabilitation

Tang, JL; Wu, HM; Lin, XP; Yl, Zhang; Lau, Joseph; Leung, P. C.; Woo, J

doi:10.1002/14651858.cd004131

Cited by 44 publications

(54 citation statements)

References 18 publications

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“…On the one hand, they trust the facility in which it is offered, and on the other, they are made aware of the benefits of CAM through word of mouth from other patients who have benefited from it, which is easily passed on in such a small facility [7]. It is now certain that acupuncture offers benefits to stroke patients, as also reported in a 2010 review [17,28], whereas the benefits of homeopathy have not been unambiguously confirmed [12,22,23]. To our knowledge, there are no reports in the literature of experiences with an IM protocol similar to that described herein, namely homeopathy plus acupuncture.…”

Section: Discussionmentioning

confidence: 87%

“…In Canada, a survey of stroke survivors found that 98% of those interviewed would like more information on the use of acupuncture in post-stroke rehabilitation, and 87% would be willing to consider acupuncture as a therapeutic option [12]. Numerous reviews and animal studies [13] agree on the utility of acupuncture in post-stroke rehabilitation therapy for the treatment of numerous sequela [14][15][16][17]. It has also been demonstrated as a valid tool for the treatment of post-stroke shoulder pain [18], aphasia [19], and dysphagia [20].…”

Section: Discussionmentioning

confidence: 99%

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Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Bernardini¹,

Bechini²,

Braccesi³

et al. 2018

obm icm

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Since 2011, the Tuscany Regional Authority has been funding the use of Integrated Medicine (IM) in a clinical setting in Pitigliano Hospital, with the aim of testing the true efficacy of complementary and alternative medicine (CAM) in a hospital setting. The clinical setting also comprises the Manciano rehabilitation facility whose services include post-stroke rehabilitation. This study aims to establish if IM helps to improve the rehabilitation performance of stroke patients. The study compared 212 patients divided into two groups: 94 treated with IM (conventional therapy plus homeopathy and acupuncture) and 118 treated with conventional therapy alone. All patients were evaluated with the rehabilitation scores in use

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Bernardini¹,

Bechini²,

Braccesi³

et al. 2018

obm icm

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“…(2) single subcortical lesion restricted to the motor pathway involving the internal capsule, basal ganglia, corona radiate and its neighbouring regions in the unilateral hemisphere; (3) right-handed before stroke; (4) age range from 40 to 75 years old; (5) within 6 weeks after the onset of stroke; (6) in conscious and stable condition; (7) no psychiatric medications have been taken in 1 month; (8) informed consent is signed by the patient or his/her immediate family.…”

Section: Inclusion Criteriamentioning

confidence: 99%

Acupuncture for poststroke hemiplegia focusing on cerebral bilateral connections: study protocol for a randomised controlled neuroimaging trial

Jiang

Geng

et al. 2020

BMJ Open

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IntroductionAcupuncture is safe and effective for improving the motor function of poststroke hemiplegic patients, but there still exists a certain gap between clinical practice and understanding its neural mechanisms. The cerebral functional reconstruction after unilateral motor pathway injury exhibits a bilateral tendency, however current studies seldom pay attention to it. Hence, based on cerebral bilateral connections, the underlying mechanism of acupuncture in stroke rehabilitation remains an area for further research. The results of this study will increase our understanding of acupuncture-induced motor recovery in patients who had suffered a stroke and demonstrate the differences in brain response and clinical assessments.Methods and analysisThis is a single-centre, randomised controlled, paralleled neuroimaging trial, with patients and outcome assessors blinded. Thirty patients who had a stroke with motor dysfunction meeting the inclusion criteria will be randomly assigned (2:1) to receive either 10 sessions true or sham acupoints treatments (five sessions per week for 2 weeks). All the participants will receive conventional standard medical care and rehabilitation. Motor function assessments and neuroimaging scanning will be conducted before and after the entire acupuncture treatment. The clinical and neuroimaging data will be analysed, respectively. The voxel-mirrored homotopic connectivity will be the primary outcome and the primary effect indicator. The secondary outcomes comprise clinical evaluations and neuroimaging assessments, which include Fugl-Meyer Assessment, the National Institutes of Health Stroke Scale, fractional anisotropy and gray matter volume. The Needle Sensation Assessment Scale is an additional outcome. The correlation analysis will be explored between the neuroimaging indicators, clinical motor assessments and needle sensation.Ethics and disseminationThe protocol has been approved by the ethics committee of Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine (DZMEC-KY-2018-04). The results of the neuroimaging trial will be disseminated through peer-reviewed publications and conferences.Trial registration numberChinese Clinical Trials Registry (ChiCTR 1800016263).

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“…10 A recent systematic review of 31 trials done on acupuncture in stroke rehabilitation have demonstrated that acupuncture may have beneficial effects in improving dependency and decreasing neurological deficiency with no serious adverse events. 11 However, there has been very little studies done on medicinal food in stroke management. Natto is a traditional Japanese food that is made from fermented soybeans and is typically characterized by its slimy, sticky features.…”

Section: Introductionmentioning

confidence: 99%

Nattospes as Effective and Safe Functional Supplements in Management of Stroke

Pham¹,

Han

Hoang

2020

Journal of Medicinal Food

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Stroke remains a major cause of human disability worldwide. Interventions and rehabilitation at the poststroke stage are critical for recovery. A single-blinded randomized controlled trial was conducted on 61 patients diagnosed with subacute stage of ischemic stroke. Ingestion of Nattospecs was tested as an adjuvant to support rehabilitation when combined with standard of care (SOC) treatment (electroacupuncture and Naatrapyl) (Trial group) and compared to SOC treatment alone (Control group). After 60 days, results showed that both Trial and Control groups achieved significant improvements in physical activities, blood pressure control, serum lipid panels, and quality of life. Nattospes as a food supplement has good supportive effects on treatment and rehabilitation after ischemic stroke by showing statistically significant improvement of stroke-related symptom in scores from modified Rankin, Orgogozo, and Barthel scales. In addition, Nattospes showed a good safety profile, with no adverse effects reported in both clinical and paraclinical parameters. This study indicated that Nattospes as nutraceutical supplement can be applied safely and effectively in the management of subacute stage ischemic stroke. The findings of the study may also encourage further extensive clinical trials to fully explore the prospect of Nattospes as a nutraceutical adjunct in the management of cardiovascular disease.

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Acupuncture for stroke rehabilitation

Cited by 44 publications

References 18 publications

Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Acupuncture for poststroke hemiplegia focusing on cerebral bilateral connections: study protocol for a randomised controlled neuroimaging trial

Nattospes as Effective and Safe Functional Supplements in Management of Stroke

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