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Acupuncture is effective in improving functional communication in post-stroke aphasia

A systematic review and meta-analysis of randomized controlled trials

Zeitschrift:: Wiener klinische Wochenschrift > Ausgabe 9-10/2019

Autoren:: Binlong Zhang, Yi Han, Xing Huang, Zhaolan Liu, Shuren Li, Jingling Chang, Ying Gao

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Publisher’s Note

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Summary

Objective

In this meta-analysis the authors evaluated the effectiveness of acupuncture in improving functional communication and language function in post-stroke aphasia (PSA) patients.

Methods

Data sources: MEDLINE, EMBASE, CENTRAL, AMED, SinoMed, CNKI, VIP, and Wanfang databases, ICTRP, ISRCTN, EUCTR, ClinicalTrials.gov, and Stroke Trials Registries. A search was carried out for randomized controlled trials (RCTs) investigating the effects of acupuncture compared with no treatment or placebo acupuncture on post-stroke aphasia (PSA). The searched records were independently screened by two authors, who extracted the data, and assessed risk of bias of the included RCTs. Data aggregation and risk of bias evaluation were conducted on Review Manager Version 5.3. The protocol was registered in the PROSPERO database (CRD42016037543).

Results

A total of 28 RCTs involving 1747 patients (883 patients in the treatment group and 864 patients in the control group) were included in the quantitative synthesis. The results demonstrated significant effects of acupuncture in improving PSA functional communication (P < 0.00001, standardized mean difference (SMD) = 1.01 [0.81, 1.20]), severity of impairment (P < 0.0001, SMD = 0.64 [0.45, 0.84]), spontaneous speech (P = 0.0002, SMD = 1.51 [0.71, 2.32]), auditory comprehension (P < 0.0001, SMD = 0.84 [0.43, 1.26]), repetition (P < 0.00001, SMD = 1.13 [0.75, 1.52]), naming (P = 0.03, SMD = 0.65 [0.08, 1.23]), reading (P < 0.0001, SMD = 1.56 [0.83, 2.29]), and writing (P = 0.009, SMD = 1.03 [0.25, 1.80]).

Conclusion

Acupuncture seems to be effective in improving PSA functional communication and language function.

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Titel: Acupuncture is effective in improving functional communication in post-stroke aphasia
A systematic review and meta-analysis of randomized controlled trials
Autoren:: Binlong Zhang
Yi Han
Xing Huang
Zhaolan Liu
Shuren Li
Jingling Chang
Ying Gao
Publikationsdatum: 18.04.2019
DOI: https://doi.org/10.1007/s00508-019-1478-5
Verlag: Springer Vienna
Zeitschrift: Wiener klinische Wochenschrift The Central European Journal of Medicine
Ausgabe 9-10/2019
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671

Springer Medizin Österreich

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Publisher’s Note

Summary

Objective

Methods

Results

Conclusion

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