Details

Autor(en) / Beteiligte

• Hung, Caroline Yik-fong
• Wu, Xin-yin
• Chung, Vincent Chi-ho
• Tang, Endy Chun-hung
• Wu, Justin Che-yuen
• Lau, Alexander Yuk-lun

Titel

Overview of systematic reviews with meta-analyses on acupuncture in post-stroke cognitive impairment and depression management

Ist Teil von

• Integrative Medicine Research, 2019, 8(3), 28, pp.145-159

Ort / Verlag

Netherlands: Elsevier B.V

Erscheinungsjahr

2019

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Acupuncture has been using as an alternative non-pharmacological therapy in the management of post stroke depression and cognitive impairment but its effectiveness and safety remain controversial. We conducted an overview of systematic reviews with meta-analyses to evaluate the evidence on the effect of acupuncture in the treatment of stroke with conventional medicine intervention. Systematic reviews summarized the treatment effects of acupuncture for post stroke cognitive impairment and post stroke depression were considered eligible. Methodological quality of included systematic reviews was assessed using A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2). Four systematic reviews on post stroke cognitive impairment and ten systematic reviews on post stroke depression with good methodological quality were included. Meta-analyses revealed that acupuncture plus cognitive rehabilitation; and acupuncture or moxibustion plus cognitive rehabilitation, versus cognitive rehabilitation demonstrated statistically significant increase in Mini-Mental State Examination scores in compared to cognitive rehabilitation after 4 weeks treatment [Pooled weighted mean difference (WMD)=3.14, 95% confidence interval (CI)=2.06 to 4.21, I2=36%]; and (Pooled WMD=3.22, 95% CI=2.09 to 4.34, I2=0%). Furthermore, acupuncture versus antidepressant demonstrated statistically significant improve depression measured by increasing in 17-item Hamilton Depression Rating Scale in comparing to cognitive rehabilitation after 2 weeks treatment (Pooled WMD= -2.34, 95% CI= -3.46 to -1.22, I2 = 5%). Acupuncture usage was not associated with increased risk of adverse events. Acupuncture is safe and improves cognitive function and depressive disorder without obvious serious adverse events for post stroke patients.