Department of Rehabilitation, The Second Affiliated Hospital of Changchun University of Chinese Medicine (Changchun Hospital of Chinese Medicine), Changchun, China.
Changchun University of Chinese Medicine, Changchun, China.
PLoS One. 2021 Nov 12;16(11):e0258921. doi: 10.1371/journal.pone.0258921. eCollection 2021.
INTRODUCTION: The incidence of stroke sequelae among patients is as high as 70%-80%. Flexor spasm is the most common stroke sequela, presenting a heavy burden to the patients and their families. This study will evaluate the results of randomized controlled trials to determine the efficacy and safety of hand manipulation acupuncture for the treatment of upper limb motor dysfunction after stroke. METHODS: Eight databases, including China National Knowledge Infrastructure, Chinese Scientific Journal Database, Cochrane Central Register of Controlled Trials, Embase, MEDLINE, PubMed, Wanfang Database, and Web of Science, will be searched using English and Chinese search strategies. In addition, manual retrieval of research papers, conference papers, ongoing experiments, and internal reports, among others, will supplement electronic retrieval. All eligible studies published on or before January 15, 2021 will be selected. To enhance the effectiveness of the study, only clinical randomized controlled trials related to the use of manual acupuncture for the treatment of upper limb motor dysfunction after stroke will be included. ANALYSIS: The Fugl-Meyer upper extremity assessment will be the primary outcome measure, whereas the Wolf Motor Function Test, Modified Ashworth Scale, arm movement survey test table, and upper extremity freehand muscle strength assessment scores will be the secondary outcomes. Side effects and adverse events will be included as safety evaluations. To ensure the quality of the systematic evaluation, study selection, data extraction, and quality assessment will be independently performed by two authors, and a third author will resolve any disagreement. ETHICS AND DISSEMINATION: This systematic review will evaluate the efficacy and safety of manual acupuncture for the treatment of upper limb motor dysfunction after stroke. Since all included data will be obtained from published articles, it does not require ethical approval and will be published in a peer-reviewed journal. INPLASY registration number: INPLASY202110071.
简介：中风后遗症在患者中的发病率高达 70%-80%。屈肌痉挛是最常见的中风后遗症，给患者及其家庭带来沉重负担。本研究将评估随机对照试验的结果，以确定手部操作针刺治疗中风后上肢运动功能障碍的疗效和安全性。
方法：将使用英文和中文检索策略搜索包括中国知网、中国科学引文数据库、 Cochrane 对照试验中心注册库、Embase、MEDLINE、PubMed、万方数据库和 Web of Science 在内的 8 个数据库。此外，还将通过手工检索研究论文、会议论文、正在进行的实验和内部报告等补充电子检索。选择截止到 2021 年 1 月 15 日之前发表的所有合格研究。为了提高研究的有效性，仅纳入与手动针刺治疗中风后上肢运动功能障碍相关的临床随机对照试验。
分析：Fugl-Meyer 上肢评定将是主要结局指标，而 Wolf 运动功能测试、改良 Ashworth 量表、手臂运动调查测试表和上肢徒手肌肉力量评估评分将是次要结局。将包括副作用和不良事件作为安全性评估。为了确保系统评价的质量，将由两位作者独立进行研究选择、数据提取和质量评估，对于任何分歧将由第三位作者解决。
伦理和传播：本系统评价将评估手动针刺治疗中风后上肢运动功能障碍的疗效和安全性。由于所有纳入的数据都将来自已发表的文章，因此不需要伦理批准，并将在同行评议的期刊上发表。INPLASY 注册号：INPLASY202110071。
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