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Effects of Acupuncture-Related Therapies in the Rehabilitation of Patients with Post-Stroke Aphasia-A Network Meta-Analysis of Randomized Controlled Trials.

作者信息

Liang Pengpeng, Li Yufei, Feng Yanan, Yin Guoliang, Chen Suwen, Liu Xiangyi, Zhang Fengxia

机构信息

The First Clinical Medical College, Qianfoshan Campus, Shandong University of Traditional Chinese Medicine, 16369 Jingshi Rd., Jinan 250000, China.

Department of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 16369 Jingshi Rd., Jinan 250011, China.

出版信息

Brain Sci. 2022 Sep 23;12(10):1282. doi: 10.3390/brainsci12101282.


DOI:10.3390/brainsci12101282
PMID:36291216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9599621/
Abstract

OBJECTIVE: The purpose of this study was to evaluate the rehabilitation effects of four common interventions (BA: body acupuncture, SA: scalp acupuncture, TA: tongue acupuncture, SLT: speech and language training) used singly or in combination with language function in patients with post-stroke aphasia (PSA). DESIGN: We systematically searched PubMed, EMBASE, Cochrane Library, Ovid, Web of Science, CNKI, VIP, and Wanfang from inception to 4 April 2022. Only randomized controlled trials that met the eligibility criteria were included. The risk of bias of studies included was assessed using the RoB-2 tool. The effects of different interventions for PSA patients were analyzed and ranked according to the surface under the cumulative ranking (SUCRA) analysis. RESULTS: A total of 69 RCTs were included, including 5097 total participants. According to the results of the SUCRA curves, TA ranked highest in improving overall efficacy (SUCRA = 86%) and oral expression score (SUCRA = 86%). BA + TA ranked highest in increasing the comprehension score (SUCRA = 74.9%). BA + SA ranked highest in improving aphasia patients' repetition (SUCRA = 89.2%) and denomination scores (SUCRA = 93%). CONCLUSIONS: Results of our network meta-analysis and SUCRA ranking showed that tongue acupuncture, body acupuncture + tongue acupuncture, and body acupuncture + scalp acupuncture seem to offer better advantages than other interventions for improving the language function in PSA patients. Moreover, it is noteworthy that our results are limited to the Chinese population, since all eligible studies are from China. Future well-designed studies with larger sample sizes and more ethnic groups are required to further verify these findings.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/8e1db5555b93/brainsci-12-01282-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/dce2a9b22a7c/brainsci-12-01282-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/6c61045e93bc/brainsci-12-01282-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/4d4459fcde2a/brainsci-12-01282-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/df20f8706d8d/brainsci-12-01282-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/6f65cdbd63d0/brainsci-12-01282-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/d8a4183bb58e/brainsci-12-01282-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/8e1db5555b93/brainsci-12-01282-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/dce2a9b22a7c/brainsci-12-01282-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/6c61045e93bc/brainsci-12-01282-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/4d4459fcde2a/brainsci-12-01282-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/df20f8706d8d/brainsci-12-01282-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/6f65cdbd63d0/brainsci-12-01282-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/d8a4183bb58e/brainsci-12-01282-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38e/9599621/8e1db5555b93/brainsci-12-01282-g007.jpg

相似文献

[1]
Effects of Acupuncture-Related Therapies in the Rehabilitation of Patients with Post-Stroke Aphasia-A Network Meta-Analysis of Randomized Controlled Trials.

Brain Sci. 2022-9-23

[2]
Comparison of the efficacy of acupuncture-related Therapies for post-stroke motor aphasia: A Bayesian network meta-analysis.

Front Neurol. 2022-12-20

[3]
Head Acupuncture Plus Schuell's Language Rehabilitation for Post-Stroke Aphasia: A Systematic Review and Meta-Analysis of 32 Randomized Controlled Trials.

Chin J Integr Med. 2022-8

[4]
Effect of different modalities of artificial intelligence rehabilitation techniques on patients with upper limb dysfunction after stroke-A network meta-analysis of randomized controlled trials.

Front Neurol. 2023-4-17

[5]
A meta-analysis of functional recovery of aphasia after stroke by acupuncture combined with language rehabilitation training.

Medicine (Baltimore). 2023-11-24

[6]
Efficacy of acupuncture in the management of post-apoplectic aphasia: a systematic review and meta-analysis of randomized controlled trials.

BMC Complement Altern Med. 2019-10-25

[7]
Acupuncture is effective in improving functional communication in post-stroke aphasia : A systematic review and meta-analysis of randomized controlled trials.

Wien Klin Wochenschr. 2019-4-18

[8]
Efficacy and safety of acupuncture-point stimulation combined with opioids for the treatment of moderate to severe cancer pain: a network meta-analysis of randomized controlled trials.

Front Oncol. 2023-6-2

[9]
The treatment of post-stroke dysarthria with a combination of different acupuncture types and language rehabilitation training: a systematic review and network meta-analysis.

Ann Transl Med. 2022-12

[10]
[Effect of acupuncture and moxibustion on post-stroke constipation: a network Meta-analysis].

Zhongguo Zhen Jiu. 2020-9-12

本文引用的文献

[1]
A Hands-On Tutorial for Systematic Review and Meta-Analysis With Example Data Set and Codes.

J Speech Lang Hear Res. 2022-9-12

[2]
Beyond language: The unspoken sensory-motor representation of the tongue in non-primates, non-human and human primates.

Neurosci Biobehav Rev. 2022-8

[3]
Revealing the Neuroimaging Mechanism of Acupuncture for Poststroke Aphasia: A Systematic Review.

Neural Plast. 2022

[4]
A clinician's guide to network meta-analysis.

Eye (Lond). 2022-8

[5]
Novel Advances to Post-Stroke Aphasia Pharmacology and Rehabilitation.

J Clin Med. 2021-8-24

[6]
Neuroplasticity of Acupuncture for Stroke: An Evidence-Based Review of MRI.

Neural Plast. 2021

[7]
Scalp acupuncture enhances local brain regions functional activities and functional connections between cerebral hemispheres in acute ischemic stroke patients.

Anat Rec (Hoboken). 2021-11

[8]
Effectiveness of Acupuncture for Poststroke Aphasia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Complement Med Res. 2021

[9]
Current Approaches to the Treatment of Post-Stroke Aphasia.

J Stroke. 2021-5

[10]
A data-driven approach to post-stroke aphasia classification and lesion-based prediction.

Brain. 2021-6-22

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