Abstract:
BACKGROUND:Hemiplegia after stroke is one of the main dysfunctions in stroke patients. Acupuncture had been widely used for poststroke spastic hemiplegia (PSSH), but the efficiency was unclear. This study aimed to examine the efficiency and safety of acupuncture for individuals with PSSH. METHODS:We searched nine databases from their inception to 27th July 2019. Randomized controlled trials (RCTs) of acupuncture for the treatment of PSSH met the screening criteria. The quality of methodology was evaluated by Cochrane's risk of bias tool. RevMan 5.3 was used to perform the meta-analysis. The primary outcome was the Fugl-Myer Assessment (FMA) score, and the secondary outcomes were the Ashworth Scale for Spasticity (ASS) and Barthel Index (BI) scores. To evaluated the safety of acupuncture therapy, researchers scanned the full text to collect adverse events. RESULTS:Researchers retrieved 2452 articles in total, after screening, thirty-eight studies with 2628 participants of were included. In this meta-analysis, twenty-seven trials revealed that acupuncture therapy was associated with an increase in FMA scores compared with rehabilitation training (RT) (MD: 8.43, 95% CI, 6.57 to 10.28, p < 0.00001, I2 = 75%). According to the analysis of subgroup of interventions, ten trials showed that manual acupuncture (MA) plus RT was associated with an increase in FMA compared with RT (MD: 10.84, 95% CI, 9.29 to 13.29, p < 0.00001, I2 = 24%), three trials showed that electroacupuncture (EA) plus RT was associated with an improvement in FMA compared with RT (MD: 9.44, 95% CI, 1.00 to 17.88, p = 0.03, I2 = 81%), twelve trials showed that MA was associated with an increase in FMA compared with RT (MD: 5.48, 95% CI, 2.07 to 8.89, p = 0.002, I2 = 74%), and one trials showed that EA was associated with an improvement in FMA compared with RT (MD: 11.35, 95% CI, 5.03 to 17.67, p = 0.0004). According to the analysis of subgroup of treatment duration, four trials used acupuncture therapy for more than 1 month, revealed that acupuncture therapy was associated with an increase in FMA scores compared with RT (MD: 9.24, 95% CI, 0.42 to 18.06, p = 0.04, I2 = 93%). Thirty-two trials used acupuncture therapy for less than or equal to 1 month, revealed that acupuncture therapy was associated with an increase in FMA scores compared with RT (MD: 8.32, 95% CI, 6.56 to 10.09, p < 0.00001, I2 = 61%). Six trials indicated that acupuncture therapy was better than RT in terms of the ASS (MD: 0.46, 95% CI, -0.65 to -0.27, p < 0.00001, I2 = 67%), twenty-four trials indicated that acupuncture therapy was better than RT in terms of the BI scores (MD: 8.32, 95% CI, 5.30 to 11.35, p < 0.00001, I2 = 88%). In general, the methodologies of the RCTs were of poor quality. Two RCTs reported no adverse events, one trial reported five adverse events without severe influence, others did not mention. CONCLUSIONS:This review discovered that acupuncture might be a safe and effective adjuvant therapy for individuals with PSSH. Nevertheless, there were methodological limitations in the included RCTs, and well-designed and large-scale studies should be carried out to confirm our results.
journal_name
Complement Ther Clin Practjournal_title
Complementary therapies in clinical practiceauthors
Fan W,Kuang X,Hu J,Chen X,Yi W,Lu L,Xu N,Wang Ldoi
10.1016/j.ctcp.2020.101176subject
Has Abstractpub_date
2020-08-01 00:00:00pages
101176eissn
1744-3881issn
1873-6947pii
S1744-3881(20)30338-8journal_volume
40pub_type
杂志文章,meta分析abstract:BACKGROUND AND AIM:Physical activity can improve the mental and physical functioning of older people. This study investigated the impact of Tai Chi exercise on the quality of life of older men. METHODS:This randomized controlled clinical trial was conducted on 132 older men in an urban area of Iran. The subjects were ...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2018.10.009
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To assess the role of massage therapy in the cardiac surgery postoperative period. Specific aims included determining the difference in pain, anxiety, tension, and satisfaction scores of patients before and after massage compared with patients who received standard care. DESIGN:A randomized controlled trial...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2009.10.006
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To examine the effects of a 10-week Tai Chi (TC) program on neuropsychological, psychological, and physical health of female cancer survivors. DESIGN:Twenty-three women with a history of cancer participated in 60-min TC classes two times/week for 10-weeks. MAIN OUTCOME MEASURES:Before and after the interven...
journal_title:Complementary therapies in clinical practice
pub_type: 临床试验,杂志文章
doi:10.1016/j.ctcp.2011.02.005
更新日期:2012-02-01 00:00:00
abstract::This article presents a pilot project implementing a mindfulness-based stress reduction program among traumatized youth in foster and kinship care over 10 weeks. Forty-two youth participated in this randomized controlled trial that used a mixed-methods (quantitative, qualitative, and physiologic) evaluation. Youth sel...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2015.06.007
更新日期:2015-08-01 00:00:00
abstract:UNLABELLED:This paper explores the potentiality of Bach flower remedies as a means of pain relief through a retrospective case-study analysis to establish how clients suffering with painful conditions responded to the therapy. RESULTS:Of 384 subjects, 41 suffered pain. Of these, 46% felt treatment had relieved their p...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2007.03.001
更新日期:2007-08-01 00:00:00
abstract::The absence of hormone fluctuations and/or the analgesic effects of increased beta-endorphins are thought to confer improvements in headache symptoms during pregnancy. However, for a number of pregnant patients, they continue to suffer or have worsening headache symptoms. The use of pharmacotherapy for palliative care...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2009.03.005
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:The present study tests whether a combined treatment of acupuncture and transcutaneous electrical nerve stimulation (TENS) is more effective than acupuncture or TENS alone for treating chronic low back pain (LBP). METHODS:Thirty-two patients with chronic LBP were randomly allocated to four groups. The acupun...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2008.09.003
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:This study investigated the disclosure of complementary and alternative medicine (CAM) use to health care providers by Malaysian thalassemia patients. METHODS:The semi-structured interviews were audio taped, transcribed verbatim, and translated into English. RESULTS:Thematic analysis identified...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2018.06.004
更新日期:2018-11-01 00:00:00
abstract::Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) has now been described globally, as a clinically significant pathogen, particularly associated with skin and soft tissue infections, including abscesses, cellulitis and furunculosis. The recent emergence of CA-MRSA combined with its predominant...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2007.11.004
更新日期:2008-05-01 00:00:00
abstract:STUDY DESIGN:Scoping review. INTRODUCTION:The art and science of magic traces back to ancient days. Physicians are often compared to magicians metaphorically. Nonetheless, there exist various genuine applications of magic in the healthcare setting. PURPOSE:To explore and summarize the literature reporting the applica...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,评审
doi:10.1016/j.ctcp.2016.11.002
更新日期:2017-02-01 00:00:00
abstract:PURPOSE:This study has been carried out to investigate the analgesic effect of black cumin oil on individuals with knee pain. METHOD:The experimental group (n = 30) and control group (n = 30) have been randomly selected. The control group patients have continued their routine prescription. For the experimental group, ...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2018.03.013
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Anorexia nervosa (AN) becomes chronic, with high physical, psychological and social morbidity and high mortality without early and effective treatment. The impact of physical exercise as a coadjutant to conventional treatment in this clinical population has been studied with favorable results. Al...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2020.101161
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:To determine and compare activation of core muscles during yoga to traditional back exercises. METHODS:Surface electromyography was used to quantify activation of the rectus abdominis (RA), abdominal obliques (AO), lumbar extensors (LE), and gluteus maximus (GMX) during four yoga poses. Data were expressed a...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2017.09.009
更新日期:2017-11-01 00:00:00
abstract::The aim of this study was to explore the experience of being a massage therapist on the Training and Support Programme (TSP) in relation to Continued Professional Development (CPD). The TSP instructs parents caring for children with life-long and life-limiting conditions in simple massage techniques. Data were collect...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2008.03.002
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:The purpose of this study was to assess the frequency of use of Complementary and Alternative Medicine (CAM) therapies among a sample of Muslim Jordanian patients diagnosed with cancer. METHOD:Interviews using a modified structured questionnaire from Lengacher et al. survey with a convenient sample of 123 pati...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2011.10.003
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To conduct a pilot trial of yoga for the treatment of chronic low back pain (LBP) to inform the feasibility and practicality of conducting a full-scale trial in the UK; and to assess the efficacy of yoga for the treatment of chronic low back pain. DESIGN:A pragmatic randomised controlled trial was undertaken...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2010.05.007
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:In this study, the effect of chamomile odssor on some parameters of pregnancy was examined. METHOD:This is a randomized clinical trial conducted on 130 primpa women. In the group of aromatherapy, women smell chamomile essence. The investigator recorded duration, number and intensity of contractions and level o...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2018.04.009
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Although mindfulness-based childbirth and parenting is suggested to promote maternal-fetal attachment, no study has yet addressed its potential effects. This study aimed to determine the effects of a mindfulness-based childbirth and parenting program on maternal-fetal attachment among Iranian pre...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2020.101226
更新日期:2020-11-01 00:00:00
abstract::Pharmacists need to know about complementary therapies so they can advise patients on their suitability, and also their compatibility with conventional drugs. This article discusses, from a pharmaceutical perspective, the types of therapies available, their applications and indications, and issues surrounding the plac...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2009.06.001
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:and purpose: Heart rate variability (HRV) represents a marker of autonomic activity, self-regulation and psychiatric illness. Few studies of manual therapy have investigated the neurophysiological effects of manual cranial therapy (MC-t). This study assessed the neurophysiological short/medium-term effects o...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ctcp.2019.06.008
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:This paper reports the results of a questionnaire exploring the role, training and experience of a 'clinical reflexologist'. The sample (n=105) was delegates at a clinical reflexology conference held at a major cancer treatment centre in the North West of England. RESULTS:The majority of participants had co...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2010.08.002
更新日期:2011-05-01 00:00:00
abstract::Prompt and effective treatment of maternal depression during pregnancy is important as it is an independent predictor of negative maternal and fetal outcomes. Yoga is an increasingly popular non-pharmacological modality. This study thus aimed to undertake a meta-analysis of the efficacy of yoga-based interventions for...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ctcp.2018.10.016
更新日期:2019-02-01 00:00:00
abstract::Previous research has shown the vast mental and physical health benefits associated with yoga. Yoga practice can be divided into subcategories that include posture-holding exercise (asana), breathing (pranayama, Kriya), and meditation (Sahaj) practice. Studies measuring mental health outcomes have shown decreases in a...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,评审
doi:10.1016/j.ctcp.2015.02.002
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Aromatherapy, a CAM therapy, is a natural way of treating the mind, body and soul of individuals. The purpose of this study was to systematically review the literature to determine the effect of aromatherapy on hemodialysis complications. METHODS:In this systematic review, international (PubMed,...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,评审
doi:10.1016/j.ctcp.2018.06.008
更新日期:2018-08-01 00:00:00
abstract::Traditional herbal medicine is predominantly practiced by the rural people of India, especially remote areas such as the Uttara Kannada District in Western Ghats of Karnataka. Local traditional healers play an important role in the management of reproductive health problems of the native population due to socio-econom...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2006.09.002
更新日期:2007-02-01 00:00:00
abstract::In this study we aimed to develop a theoretical account of the experienced benefit of psychomotor therapy in addition to treatment as usual in patients with chronic shoulder pain. The qualitative study design was based on a grounded theory approach. Open-ended face-to-face interviews were conducted after treatment was...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2018.03.001
更新日期:2018-05-01 00:00:00
abstract::Many women typically experience a significant reduction in sexual desire during the late perimenopausal and early postmenopausal stages, with the biggest decline in sexual desire occurring from three years prior to two years after the final menstrual period. Despite being a prevalent female complaint, currently no sta...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,评审
doi:10.1016/j.ctcp.2016.09.007
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To determine the frequency of use of different types of CAM among patients who attended outpatient general practices (GP). METHODS:CAM use, type, reason, administration, satisfaction, and disclosure to physician were documented by interviewing 360 patients. RESULTS:A total of 192 individuals (53.3%) reporte...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2017.12.008
更新日期:2018-02-01 00:00:00
abstract::Relaxation and guided imagery are useful strategies for cancer pain; however, their effects vary from patient to patient. Patients' perceptions of these treatments and factors that contribute to their effectiveness have not previously been described. Data from interviews conducted after a trial of guided imagery and p...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章
doi:10.1016/j.ctcp.2008.04.002
更新日期:2008-08-01 00:00:00
abstract:OBJECT:To systematically evaluate the effects of cognitive behavioral therapy on anxiety and depression symptoms of patients with Parkinson's disease. METHODS:Four electronic databases (MEDLINE, EMBASE, CINAHL and the Cochrane Library) to May 2019 were searched. The outcome measure of interest was anxiety and depressi...
journal_title:Complementary therapies in clinical practice
pub_type: 杂志文章,meta分析
doi:10.1016/j.ctcp.2020.101111
更新日期:2020-05-01 00:00:00