Abstract 3506: Acupuncture in Managing of Spasticity of Post Stroke Survivor: A Systematic Review
Background Stroke is the second leading cause of death in the world. Spasticity is one of the most commonly found sequelae of stroke. No systematic review of trials of acupuncture mainly focusing on spasticity management in post stroke patient have been searched.
Objective The objective of this review was to evaluate the efficacy of acupuncture in managing of spasticity for patients with acute, subacute and chronic stroke.
Search strategy We searched the MEDLINE (Ovid), EMBASE, AMED, CINAHL Plus, Cochrane Controlled Trials Register (CCTR), CBM and CMCC, from inception to March 2010. Reference lists of retrieved articles were also searched.
Selection criteria Randomized controlled clinical trials and crossover studies in stroke patients with spasticity syndrome in any phase were included in this review.
Data collection and analysis Two review authors independently extracted data and assessed the quality of the papers. The Cochrane Review Manager software RevMan 4.2 was used for meta-analyses. For dichotomous outcomes, the results were expressed as odds ratio (OR) with 95% confidence intervals (CI), for continuous data, the weighted mean difference (WMD) was used.
Main results There were 4 relevant trials in the review including one trial with adequate quality and three trials with low quality, involving 176 participants. Conflicting results were found among the trials for the change of the spasticity level of the affected extremities and the change of the activities of daily life. Only one trial reported the change of upper extremity motor function, grip strength of affected upper extremity, range of motion of affected upper and/or lower extremity and health-related quality of life. No statistically significant differences in all mentioned outcomes between active and sham acupuncture groups were found by Intention to treat analysis. No data was available to analyze ambulation function. There was insufficient available data to be pooled in meta-analysis. Limited safety information was reported.
Reviewers’ conclusion This review does not provide evidence to support the routine use of acupuncture in management of spasticity for patients with acute, subacute and chronic stroke. Large, methodologically sound randomized controlled trials are needed.
- © 2012 by American Heart Association, Inc.