Electroacupuncture as an adjunctive therapy for motor dysfunction in acute stroke survivors: a systematic review and meta-analyses

ObjectivesTo assess the effectiveness and safety of electroacupuncture (EA) combined with rehabilitation therapy (RT) and/or conventional drugs (CD) for improving poststroke motor dysfunction (PSMD).DesignSystematic review and meta-analysis.MethodsThe China National Knowledge Infrastructure, Chinese...

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Bibliographic Details
Published in:BMJ open 2018-01, Vol.8 (1), p.e017153-e017153
Main Authors: Zhan, Jie, Pan, Ruihuan, Zhou, Mingchao, Tan, Feng, Huang, Zhen, Dong, Jing, Wen, Zehuai
Format: Article
Language:English
Subjects:
Activities of Daily Living
China
Clinical medicine
Combined Modality Therapy
Electroacupuncture
Electroacupuncture - methods
Evidence-based medicine
Humans
Motor Skills Disorders - rehabilitation
Neurology
Publication Bias
Randomized Controlled Trials as Topic
Rehabilitation
Stroke
Stroke - complications
Stroke Rehabilitation - methods
Survivors
Systematic review
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Summary:ObjectivesTo assess the effectiveness and safety of electroacupuncture (EA) combined with rehabilitation therapy (RT) and/or conventional drugs (CD) for improving poststroke motor dysfunction (PSMD).DesignSystematic review and meta-analysis.MethodsThe China National Knowledge Infrastructure, Chinese Biological Medicine Database, Chinese Scientific Journal Database, Cochrane Library, Medline and Embase were electronically searched from inception to December 2016. The methodological quality of the included trials was assessed using the Cochrane risk of bias assessment tool. Statistical analyses were performed by RevMan V.5.3 and Stata SE V.11.0.ResultsNineteen trials with 1434 participants were included for qualitative synthesis and meta-analysis. The methodological quality of the included trials was generally poor. The meta-analysis indicated that the EA group might be benefiting more than the non-EA group in terms of the changes in the Fugl-Meyer Assessment Scale (FMA) (weighted mean difference (WMD): 10.79, 95% CI 6.39 to 15.20, P
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2017-017153