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Author (up) Liu, F.; Li, Z. M.; Jiang, Y. J.; Chen, L. D.
Title A Meta-Analysis of Acupuncture Use in the Treatment of Cognitive Impairment After Stroke Type of Study Systematic Review
Year 2014 Publication Journal of alternative and complementary medicine (New York, N.Y.) Abbreviated Journal J Altern Complement Med
Volume 20 Issue 7 Pages 535-544
Keywords Systematic Review; Stroke; Mild Cognitive Impairment; Nervous System Diseases; Cerebrovascular Disease; Cerebrovascular Disorder; Acupuncture; Meta-Analysis
Abstract Abstract Objective: This meta-analysis was conducted to evaluate the efficacy of acupuncture on cognitive impairment (function) after a stroke. Design: Randomized controlled trials (RCTs) comparing acupuncture with no acupuncture in addition to medicine or rehabilitation were identified from databases (PubMed, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, VIP Chinese Periodical Database, Wangfang Chinese Periodical Database, Chinese Bio-medicine Database, Cochrane Library, and Chinese medical literature databases) and two relevant journals (Chinese Acupuncture and Moxibustion and the Journal of Shanghai Acupuncture and Moxibustion). Meta-analyses were conducted for the eligible RCTs. Results: Twenty-one trials with a total of 1421 patients met inclusion criteria. Pooled random-effects estimates of the change in the Mini-Mental State Examination were calculated for the comparison of acupuncture with no acupuncture in addition to medicine or rehabilitation. Following 4 weeks and 8 weeks of intervention with acupuncture, the merged mean difference was 3.14 (95% confidence interval [CI], 2.06-4.21; p<.00001) and 2.03 (95% CI, 0.26-3.80; p=0.02), respectively. For the comparison of 3-4 weeks of acupuncture with no acupuncture in addition to medicine or rehabilitation groups, the merged MD in Neurobehavioral Cognitive State Examination total scores was 5.63 (95% CI, 3.95-7.31; p<.00001). For the comparison of 8-12 weeks of acupuncture with no acupuncture in addition to medicine or rehabilitation groups, the P300 latency merged MD was -12.80 (95% CI, -21.08 to -4.51; p<.00001), while the P300 amplitude merged MD was 1.38 (95% CI, 0.93-1.82; p<.00001). Overall, the study quality was rated as moderate on the basis of the Cochrane Handbook for Systematic Reviews of Interventions (part 2: 8.5). Conclusions: This meta-analysis suggests that acupuncture had positive effects on cognitive function after stroke and supports the need for additional research on the potential benefits of this therapeutic approach.
Address Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine , Fuzhou, China .
Publisher
Language Number of Treatments
Treatment Follow-up Frequency Number of Participants
Time in Treatment Condition Mild Cognitive Impairment
Disease Category Stroke OCSI Score
Notes Approved no
Call Number Serial 745
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Author (up) Liu, F.; Li, Z.-M.; Jiang, Y.-J.; Chen, L.-D.
Title A Meta-Analysis of Acupuncture Use in the Treatment of Cognitive Impairment After Stroke Type of Study Journal Article
Year 2014 Publication Journal of Alternative & Complementary Medicine Abbreviated Journal J Altern Complement Med
Volume 20 Issue 7 Pages 535-544
Keywords Acupuncture; Cognition Disorders -- Therapy; Stroke -- Complications; Human; Alternative Therapies; Professional Practice, Evidence-Based; Systematic Review; Meta Analysis; China; Funding Source; Randomized Controlled Trials -- Evaluation; PubMed; Cochrane Library; Neuropsychological Tests; Data Analysis Software; Odds Ratio; Linear Regression; Research Methodology -- Evaluation; Study Design -- Evaluation; Male; Female; Adolescence; Young Adult; Adult; Middle Age; Aged; Aged, 80 and Over; Descriptive Statistics; Confidence Intervals; Chi Square Test
Abstract Objective: This meta-analysis was conducted to evaluate the efficacy of acupuncture on cognitive impairment (function) after a stroke. Design: Randomized controlled trials (RCTs) comparing acupuncture with no acupuncture in addition to medicine or rehabilitation were identified from databases (PubMed, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, VIP Chinese Periodical Database, Wangfang Chinese Periodical Database, Chinese Bio-medicine Database, Cochrane Library, and Chinese medical literature databases) and two relevant journals ( Chinese Acupuncture and Moxibustion and the Journal of Shanghai Acupuncture and Moxibustion). Meta-analyses were conducted for the eligible RCTs. Results: Twenty-one trials with a total of 1421 patients met inclusion criteria. Pooled random-effects estimates of the change in the Mini-Mental State Examination were calculated for the comparison of acupuncture with no acupuncture in addition to medicine or rehabilitation. Following 4 weeks and 8 weeks of intervention with acupuncture, the merged mean difference was 3.14 (95% confidence interval [CI], 2.06-4.21; p<.00001) and 2.03 (95% CI, 0.26-3.80; p=0.02), respectively. For the comparison of 3-4 weeks of acupuncture with no acupuncture in addition to medicine or rehabilitation groups, the merged MD in Neurobehavioral Cognitive State Examination total scores was 5.63 (95% CI, 3.95-7.31; p<.00001). For the comparison of 8-12 weeks of acupuncture with no acupuncture in addition to medicine or rehabilitation groups, the P300 latency merged MD was ?12.80 (95% CI, ?21.08 to ?4.51; p<.00001), while the P300 amplitude merged MD was 1.38 (95% CI, 0.93-1.82; p<.00001). Overall, the study quality was rated as moderate on the basis of the Cochrane Handbook for Systematic Reviews of Interventions (part 2: 8.5). Conclusions: This meta-analysis suggests that acupuncture had positive effects on cognitive function after stroke and supports the need for additional research on the potential benefits of this therapeutic approach.
Address Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Publisher Mary Ann Liebert, Inc.
Language Number of Treatments
Treatment Follow-up Frequency Number of Participants
Time in Treatment Condition
Disease Category OCSI Score
Notes Accession Number: 103971838. Language: English. Entry Date: 20140709. Revision Date: 20150820. Publication Type: Journal Article; meta analysis; research; systematic review; tables/charts. Journal Subset: Alternative/Complementary Therapies; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Psychiatry/Psychology. Instrumentation: Mini-Mental Status Examination (MMSE) (Folstein et al); Neurobehavioral Cognitive State Examination. Grant Information: This study was supported by the Fujian University of Traditional Chinese Medicine.. NLM UID: 9508124. Approved no
Call Number OCOM @ refbase @ 103971838 Serial 2347
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