The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea.
Medicine (Baltimore). 2022 Nov 4;101(44):e31472. doi: 10.1097/MD.0000000000031472.
Scalp acupuncture (SA) is a new acupuncture method that connects head acupoints and aculines, and many systematic reviews (SRs) have been published on its use against neuropsychiatric diseases. However, no overview of SRs on the effectiveness of SA in stroke recovery has been conducted. Therefore, our overview aims to evaluate the methodological bias and reliability of the conclusions of SRs regarding SA for stroke recovery and help clinical decision-makers translate this research into clinical policy and practice.
We will consider SRs and meta-analyses of randomized controlled trials to evaluate the effects of SA on stroke recovery. Two reviewers will identify relevant studies, extract data information, and assess the methodological quality using the Assessment of Multiple Systematic Reviews-2 tool. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses report checklist will also be included in the study to assess the quality of the reports. We will use evaluations of the Grading of Recommendations Assessment, Development and Evaluation of the authors of the included SRs. The Risk of Bias in Systematic Review tool will be used to assess the risk of bias of SRs. The screening of SRs, eligibility evaluation, data extraction, methodological quality, and quality of evidence will be conducted by independent reviewers in pairs. The outcomes of interest include the Modified Edinburgh-Scandinavian Stroke Scale, Ability of Daily Living, Functional Independence Measure, Barthel index, Fugl-Meyer assessment, clinical effective rate, and adverse events. Data will be extracted using predefined forms designed to summarize the important characteristics of each review. The evidence will be a descriptive synthesis of the type and content of the intervention and the results reported.
The results will be published in a peer-reviewed journal.
We expect to organize evidence from multiple SRs on the effectiveness of SA for stroke recovery and synthesize the findings in an accessible and useful documentation.
头皮针刺（SA）是一种新的针刺方法，连接头部穴位和经络，许多系统评价（SR）已经发表了关于其在神经精神疾病中的应用。然而，目前还没有关于 SA 对中风康复效果的 SR 综述。因此，我们的综述旨在评估 SA 对中风康复作用的 SR 结论的方法学偏倚和可靠性，并帮助临床决策者将这项研究转化为临床政策和实践。
我们将考虑 SR 和随机对照试验的荟萃分析，以评估 SA 对中风康复的影响。两位评审员将识别相关研究，提取数据信息，并使用评估多个系统评价-2 工具评估方法学质量。还将包括系统评价和荟萃分析报告清单的首选报告项目，以评估报告的质量。我们将使用对纳入的 SR 作者的推荐评估、制定和评估的评价来评估纳入的 SR 的质量。将使用系统评价偏倚风险工具评估 SR 的偏倚风险。SR 的筛选、合格性评估、数据提取、方法学质量和证据质量将由独立评审员进行双人评估。感兴趣的结果包括改良爱丁堡-斯堪的纳维亚中风量表、日常生活能力、功能独立性测量、巴氏指数、Fugl-Meyer 评估、临床有效率和不良事件。将使用预先设计的表格提取数据，以总结每个综述的重要特征。证据将是对干预类型和内容以及报告结果的描述性综合。
结果将发表在同行评议的期刊上。
我们期望从多个关于 SA 对中风康复效果的 SR 中组织证据，并以易于理解和有用的文档形式综合研究结果。
