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Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials

Integrative Medicine Research 2020년 9권 4호 p.1 ~ 1
Xie Qianwen, Chen Xueyin, Xiao Jingmin, Liu Shaonan, Yang Lihong, Chen Jing, Lai Jiaqi, Lan Rui, Chen Yi, Yang Haifang, Guo Xinfeng,
소속 상세정보
 ( Xie Qianwen ) - Guangzhou University of Chinese Medicine Second Clinical College
 ( Chen Xueyin ) - Guangzhou University of Chinese Medicine Second Clinical College
 ( Xiao Jingmin ) - Guangzhou University of Chinese Medicine Second Clinical College
 ( Liu Shaonan ) - Guangdong Provincial Hospital of Chinese Medicine
 ( Yang Lihong ) - Guangdong Provincial Hospital of Chinese Medicine
 ( Chen Jing ) - Guangdong Provincial Hospital of Chinese Medicine
 ( Lai Jiaqi ) - Guangdong Provincial Hospital of Chinese Medicine
 ( Lan Rui ) - Guangzhou University of Chinese Medicine Second Clinical College
 ( Chen Yi ) - Guangdong Provincial Hospital of Chinese Medicine
 ( Yang Haifang ) - Guangdong Provincial Hospital of Chinese Medicine
 ( Guo Xinfeng ) - Guangdong Provincial Hospital of Chinese Medicine

Abstract


Background: The evidence of Acupuncture combined with speech rehabilitation training for post-stroke dysarthria is insufficient and there is no consensus on its efficacy.

Methods: We searched seven Chinese and English medicine databases for randomized controlled trials (RCTs) from their inception to November 2019. The primary outcome measure was the clinical response rate, assessed with the Frenchay Dysarthria Assessment (FDA) tool. We assessed risk of bias using the Cochrane risk-of-bias tool. We used GRADE to assess the certainty of evidence (CoE).

Results: Thirty studies were included in this systematic review, 23 of which were pooled in meta-analysis. Acupuncture combined with speech rehabilitation training is likely beneficial for was response rate (n = 1685; RR = 1.37; 95% CI [1.29, 1.46], P < 0.01, I2 = 34%; 17 studies, low CoE) compared to speech rehabilitation treatment alone.

Conclusion: The combination of acupuncture and speech rehabilitation training may improve total response rate of stroke patients with dysarthria. However, more RCTs with rigorous study design and validated outcome measures are needed to confirm the evidence.

키워드

Acupuncture; Meta-analysis; Post-stroke dysarthria; Speech rehabilitation training

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