Contralateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review

BMC Complementary and Alternative Medicine

Research Article

Hyangsook Lee¹  Chang-ho Han²  Mi-kyung Kim²  Tae-Young Choi³  Myeong Soo Lee³ 

[1] Acupuncture and Meridian Science Research Center, College of Oriental Medicine, Kyung Hee University, Seoul, South Korea;Department of Korean Internal Medicine, Dongguk University Ilsan Hospital, Goyang, South Korea;Department of Oriental Medicine, Dongguk University Graduate School, Seoul, South Korea;Division of Standard Research, Korea Institute of Oriental Medicine, Daejeon, South Korea;

关键词: Cerebral Infarction;    Herpes Zoster;    Standardize Mean Difference;    Weighted Mean Difference;    Superior Effect;   

DOI  :  10.1186/1472-6882-10-41

 received in 2010-03-28, accepted in 2010-07-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundContralateral acupuncture (CAT) involves inserting needles in the meridian on the side opposite the disease location and is often used in post-stroke rehabilitation. The aim of this systematic review is to summarize and critically evaluate the evidence for and against the effectiveness of CAT for post-stroke rehabilitation as compared to ipsilateral acupuncture (IAT).MethodsSeventeen databases were searched from their inceptions through June 2010. Prospective clinical trials were included if CAT was tested as the sole treatment or as an adjunct to other treatments for post-stroke rehabilitation and compared to IAT.ResultsEight randomized clinical trials (RCTs) met our inclusion criteria. Four of them reported favorable effects of CAT compared to IAT for at least one outcome. A meta-analysis showed superior effects of CAT compared to IAT on recovery rate (n = 361; risk ratio (RR), 1.12; 95% confidence intervals (CIs), 1.04 to 1.22, P = 0.005). Subgroup analysis also showed favorable effects of using CAT on patients with cerebral infarction (n = 261; RR, 1.15; 95% CIs, 1.04 to 1.27, P = 0.006). Further analysis including patients with cerebral infarction and intracranial hemorrhage, however, failed to show these advantages (n = 100; RR, 1.11; 95% CIs, 0.85 to 1.46, P = 0.43).ConclusionThe results of our systematic review and meta-analysis suggest that there is limited evidence for CAT being superior to IAT in the treatment of cerebral infarction. The total number of RCTs included in our analysis was low, however, and the RCTs included had a high risk of bias. Future RCTs appear to be warranted.

【 授权许可】

Unknown   
© Kim et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.