Acupuncture combined with repeated transcranial magnetic stimulation for upper limb motor function after stroke: A systematic review and meta-analysis.
NeuroRehabilitation
; 53(4): 423-438, 2023.
Article
em En
| MEDLINE
| ID: mdl-38143390
ABSTRACT
BACKGROUND:
Upper limb motor dysfunction after stroke is an important factor affecting patients' motor function and daily life. Acupuncture and repetitive transcranial magnetic stimulation are effective methods for stroke rehabilitation. However, a systematic and comprehensive overview of the combined efficacy of the two is lacking.OBJECTIVE:
Through a systematic review and meta-analysis of randomized controlled trials, this study aimed to assess the effectiveness of acupuncture combined with repetitive transcranial magnetic stimulation on upper extremity motor function in post-stroke patients.METHODS:
The relevant randomized controlled trials on acupuncture combined with repetitive transcranial magnetic stimulation in the treatment of upper limb motor disorders after stroke were searched in PubMed, Embase, Cochrane Library, Web of Science CNKI, VIP, Wanfang, and CBM databases. After screening clinical trials that met the inclusion criteria, data extraction was conducted independently by two investigators. Meta-analysis was performed using RevMan 5.4 software.RESULTS:
After the screening, 18 articles were included, with a total of 1083 subjects. The results of meta-analysis showed that combination therapy could effectively improve the patients' upper limb motor function (MDâ=â7.77, 95%CI [6.32, 9.22], Pâ<â0.05), ability of daily living (MDâ=â8.53, 95%CI [6.28, 10.79], Pâ<â0.05), and hemiplegic shoulder pain (MDâ=â- 1.72, 95%CI [- 2.26, - 1.18], Pâ<â0.05). Meanwhile, for neurophysiological indexes, combined treatment could significantly shorten the latency of motor evoked potential and central motor conduction time (MDâ=â- 1.42, 95%CI [- 2.14, - 0.71], Pâ<â0.05); (MDâ=â- 0.47, 95%CI [- 0.66, - 0.29], Pâ<â0.05), and also could increase the amplitude of motor evoked potential (SMDâ=â0.71, 95%CI [0.28, 1.14], Pâ<â0.05).CONCLUSION:
According to the results of the meta-analysis, we can conclude that acupuncture combined with repeated transcranial magnetic stimulation can significantly improve the upper limb motor function and daily living ability of stroke patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia por Acupuntura
/
Acidente Vascular Cerebral
/
Reabilitação do Acidente Vascular Cerebral
Tipo de estudo:
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
NeuroRehabilitation
Assunto da revista:
NEUROLOGIA
/
REABILITACAO
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
China