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Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis

OBJECTIVE: To analyse the clinical efficacy of acupuncture and routine treatment in improving dystonia in children with cerebral palsy. METHOD: The randomized controlled trials published from the establishment of the databases to August 2022 on acupuncture in the treatment of dystonia in children wi...

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Autores principales: Yuanjie, Yan, Jianyi, Xue, Jinyan, Xu, Mao, Huang, Siyang, Yan, Zhenjin, Yin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219775/
https://www.ncbi.nlm.nih.gov/pubmed/37252107
http://dx.doi.org/10.1155/2023/4662788
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author Yuanjie, Yan
Jianyi, Xue
Jinyan, Xu
Mao, Huang
Siyang, Yan
Zhenjin, Yin
author_facet Yuanjie, Yan
Jianyi, Xue
Jinyan, Xu
Mao, Huang
Siyang, Yan
Zhenjin, Yin
author_sort Yuanjie, Yan
collection PubMed
description OBJECTIVE: To analyse the clinical efficacy of acupuncture and routine treatment in improving dystonia in children with cerebral palsy. METHOD: The randomized controlled trials published from the establishment of the databases to August 2022 on acupuncture in the treatment of dystonia in children with cerebral palsy were collected and comprehensively searched in China national knowledge infrastructure (CNKI), weipu (VIP), Wanfang, SinoMed, PubMed, Excerpta medica database (EMBASE), and Cochrane Library. The literature was selected according to the established standards, the quality of the included studies was evaluated, the heterogeneity of the included studies was evaluated with the I(2) test, and the appropriate model was selected for analysis. Sensitivity analysis was used to evaluate the reliability of the results, and a funnel plot was used to evaluate the publication bias. RESULTS: Fifteen studies were included in the meta-analysis. The control group was treated with routine treatment and acupuncture combined with routine treatment. The outcome index showed that the effect in the treatment group was better: Modified Ashworth Scale score: −0.52, 95% confidence interval (CI) (−0.62 to −0.41), p < 0.01. The treatment group showed reduced muscle tension to a greater extent (integral eletromyographic (iEMG) score: standard mean square deviation = −2.97, 95% CI (−4.87 to −1.06), p < 0.01). The effective rate in the control group was 74.2% and that in the treatment group was 91.5%, odds ratio = 3.70, 95% CI (2.02–6.78), p < 0.01. The funnel plot showed publication bias. CONCLUSION: Acupuncture combined with routine training could improve muscle tension abnormalities and improve the efficiency of clinical treatment.
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spelling pubmed-102197752023-05-27 Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis Yuanjie, Yan Jianyi, Xue Jinyan, Xu Mao, Huang Siyang, Yan Zhenjin, Yin Behav Neurol Review Article OBJECTIVE: To analyse the clinical efficacy of acupuncture and routine treatment in improving dystonia in children with cerebral palsy. METHOD: The randomized controlled trials published from the establishment of the databases to August 2022 on acupuncture in the treatment of dystonia in children with cerebral palsy were collected and comprehensively searched in China national knowledge infrastructure (CNKI), weipu (VIP), Wanfang, SinoMed, PubMed, Excerpta medica database (EMBASE), and Cochrane Library. The literature was selected according to the established standards, the quality of the included studies was evaluated, the heterogeneity of the included studies was evaluated with the I(2) test, and the appropriate model was selected for analysis. Sensitivity analysis was used to evaluate the reliability of the results, and a funnel plot was used to evaluate the publication bias. RESULTS: Fifteen studies were included in the meta-analysis. The control group was treated with routine treatment and acupuncture combined with routine treatment. The outcome index showed that the effect in the treatment group was better: Modified Ashworth Scale score: −0.52, 95% confidence interval (CI) (−0.62 to −0.41), p < 0.01. The treatment group showed reduced muscle tension to a greater extent (integral eletromyographic (iEMG) score: standard mean square deviation = −2.97, 95% CI (−4.87 to −1.06), p < 0.01). The effective rate in the control group was 74.2% and that in the treatment group was 91.5%, odds ratio = 3.70, 95% CI (2.02–6.78), p < 0.01. The funnel plot showed publication bias. CONCLUSION: Acupuncture combined with routine training could improve muscle tension abnormalities and improve the efficiency of clinical treatment. Hindawi 2023-03-21 /pmc/articles/PMC10219775/ /pubmed/37252107 http://dx.doi.org/10.1155/2023/4662788 Text en Copyright © 2023 Yan Yuanjie et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Yuanjie, Yan
Jianyi, Xue
Jinyan, Xu
Mao, Huang
Siyang, Yan
Zhenjin, Yin
Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis
title Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis
title_full Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis
title_fullStr Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis
title_full_unstemmed Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis
title_short Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis
title_sort acupuncture in the treatment of abnormal muscle tone in children with cerebral palsy: a meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219775/
https://www.ncbi.nlm.nih.gov/pubmed/37252107
http://dx.doi.org/10.1155/2023/4662788
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