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Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis

BACKGROUND: Aphasia is one of the most common complications in patients with ischemic stroke. Studies have shown that acupuncture can improve the symptoms of aphasia patients. However, the effect of acupuncture on language function in patients with ischemic stroke is still controversial. OBJECTIVE:...

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Autores principales: Sang, Bomo, Deng, Shizhe, Zhai, Jingbo, Hao, Ting, Zhuo, Bifang, Qin, Chenyang, Zhang, Menglong, Zhao, Xiaofeng, Meng, Zhihong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535561/
https://www.ncbi.nlm.nih.gov/pubmed/35527577
http://dx.doi.org/10.3233/NRE-220007
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author Sang, Bomo
Deng, Shizhe
Zhai, Jingbo
Hao, Ting
Zhuo, Bifang
Qin, Chenyang
Zhang, Menglong
Zhao, Xiaofeng
Meng, Zhihong
author_facet Sang, Bomo
Deng, Shizhe
Zhai, Jingbo
Hao, Ting
Zhuo, Bifang
Qin, Chenyang
Zhang, Menglong
Zhao, Xiaofeng
Meng, Zhihong
author_sort Sang, Bomo
collection PubMed
description BACKGROUND: Aphasia is one of the most common complications in patients with ischemic stroke. Studies have shown that acupuncture can improve the symptoms of aphasia patients. However, the effect of acupuncture on language function in patients with ischemic stroke is still controversial. OBJECTIVE: This study aimed to critically assess the efficacy and safety of acupuncture for aphasia following ischemic stroke. METHODS: PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science Core Collection, China National Knowledge Infrastructure, Wanfang Digital Periodicals, and Chinese Science and Technology Periodicals database were searched. All randomized controlled trials (RCTs) that met the criteria were included. RESULTS: Meta-analyses showed that mean difference in change of auditory comprehension score (MD = 7.71, 95% CI: 1.83 to 13.59, P = 0.01), spontaneous speech (MD = 2.77, 95% CI: 0.59 to 4.95, P = 0.01), repetition score (MD = 14.48, 95% CI: 11.04 to 17.91, P < 0.00001) and naming score (MD = 14.60, 95% CI: 11.33 to 17.88, P < 0.00001) measured by WAB scale were statistically significant. Subgroup analyses demonstrated that there were statistically significant mean differences in four items of WAB scale in patients with sub-acute stroke, and no statistically significant differences in patients with acute stroke. CONCLUSION: The present study suggests that acupuncture may improve the language function of patients with aphasia following ischemic stroke, especially during the sub-acute phase. However, due to insufficient sample sizes and information on the safety, more high-quality RCTs are still needed
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spelling pubmed-95355612022-10-20 Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis Sang, Bomo Deng, Shizhe Zhai, Jingbo Hao, Ting Zhuo, Bifang Qin, Chenyang Zhang, Menglong Zhao, Xiaofeng Meng, Zhihong NeuroRehabilitation Review Article BACKGROUND: Aphasia is one of the most common complications in patients with ischemic stroke. Studies have shown that acupuncture can improve the symptoms of aphasia patients. However, the effect of acupuncture on language function in patients with ischemic stroke is still controversial. OBJECTIVE: This study aimed to critically assess the efficacy and safety of acupuncture for aphasia following ischemic stroke. METHODS: PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science Core Collection, China National Knowledge Infrastructure, Wanfang Digital Periodicals, and Chinese Science and Technology Periodicals database were searched. All randomized controlled trials (RCTs) that met the criteria were included. RESULTS: Meta-analyses showed that mean difference in change of auditory comprehension score (MD = 7.71, 95% CI: 1.83 to 13.59, P = 0.01), spontaneous speech (MD = 2.77, 95% CI: 0.59 to 4.95, P = 0.01), repetition score (MD = 14.48, 95% CI: 11.04 to 17.91, P < 0.00001) and naming score (MD = 14.60, 95% CI: 11.33 to 17.88, P < 0.00001) measured by WAB scale were statistically significant. Subgroup analyses demonstrated that there were statistically significant mean differences in four items of WAB scale in patients with sub-acute stroke, and no statistically significant differences in patients with acute stroke. CONCLUSION: The present study suggests that acupuncture may improve the language function of patients with aphasia following ischemic stroke, especially during the sub-acute phase. However, due to insufficient sample sizes and information on the safety, more high-quality RCTs are still needed IOS Press 2022-09-30 /pmc/articles/PMC9535561/ /pubmed/35527577 http://dx.doi.org/10.3233/NRE-220007 Text en © 2022 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Sang, Bomo
Deng, Shizhe
Zhai, Jingbo
Hao, Ting
Zhuo, Bifang
Qin, Chenyang
Zhang, Menglong
Zhao, Xiaofeng
Meng, Zhihong
Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis
title Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis
title_full Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis
title_fullStr Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis
title_full_unstemmed Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis
title_short Does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? A systematic review and meta-analysis
title_sort does acupuncture therapy improve language function of patients with aphasia following ischemic stroke? a systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535561/
https://www.ncbi.nlm.nih.gov/pubmed/35527577
http://dx.doi.org/10.3233/NRE-220007
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