Contralateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review.
Summary of "Contralateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review."
Contralateral 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).
Seventeen 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.
Eight 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).
The 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.
This article was published in the following journal.
Name: BMC complementary and alternative medicine
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20673364
- DOI: http://dx.doi.org/10.1186/1472-6882-10-41
Medical and Biotech [MESH] Definitions
A type of massage in which finger pressure on specific body sites is used to promote healing, relieve fatigue, etc. Although the anatomical locations are the same as the ACUPUNCTURE POINTS used in ACUPUNCTURE THERAPY (hence acu-), no needle or other acupuncture technique is employed in acupressure. (From Random House Unabridged Dictionary, 2d ed). Shiatsu is a modern outgrowth that focuses more on prevention than healing.
Analgesia produced by the insertion of ACUPUNCTURE needles at certain ACUPUNCTURE POINTS on the body. This activates small myelinated nerve fibers in the muscle which transmit impulses to the spinal cord and then activate three centers - the spinal cord, midbrain and pituitary/hypothalamus - to produce analgesia.
Acupuncture therapy by inserting needles in the ear. It is used to control pain and for treating various ailments.
Designated locations along nerves or organ meridians for inserting acupuncture needles.
The occupational discipline of the traditional Chinese methods of ACUPUNCTURE THERAPY for treating disease by inserting needles along specific pathways or meridians.
BACKGROUND: Acupuncture is frequently advocated as an adjunct treatment during stroke rehabilitation. The aim of this review was to assess its effectiveness in this setting. METHODS: We searched 25 da...
OBJECTIVES: The objective of this study was to analyse whether auricular acupuncture, acupuncture at the outer ear, could reduce state anxiety before dental treatment....
The hypothesis of this study was that acupuncture in conjunction with standard care of pulmonary rehabilitation improves outcome measures compared to pulmonary rehabilitation alone.
Aim of the study is to investigate specific effects of acupuncture points.
The purpose of this study is to see whether acupuncture may help patients recover from colon cancer surgery.
During IVF treatment, acupuncture at the time of embryo transfer may improve the pregnancy rate. This study aims to compare IVF pregnancy between two groups of patients that received eithe...
We aim to study the efficacy of Acupuncture versus sham acupuncture in children with ASD.