Electroacupuncture for Poststroke Spasticity: A Systematic Review and Meta-Analysis

Archives of Physical Medicine and Rehabilitation

Volumn 98, Issue 12, 2017, Pages 2578-2589.e4

  Cai, Yiyi ^a,b   Zhang, Claire Shuiqing ^a   Liu, Shaonan ^b   Wen, Zehuai ^b   Zhang, Anthony Lin ^a   Guo, Xinfeng ^b   Lu, Chuanjian ^a,b   Xue, Charlie Changli ^a,b  

^a RMIT UNIVERSITY   (Australia)

^b GUANGDONG PROVINCIAL HOSPITAL OF CHINESE MEDICINE   (China)

Author keywords

Acupuncture; Meta Analysis; Muscle spasticity; Rehabilitation; Stroke

Indexed keywords

ADVERSE EVENT; BARTHEL INDEX; CEREBROVASCULAR ACCIDENT; CHINESE BIOMEDICAL DATABASE; CINAHL; CLINICAL EVALUATION; CNKI DATABASE; COCHRANE LIBRARY; DAILY LIFE ACTIVITY; DISEASE SEVERITY; ELECTROACUPUNCTURE; EMBASE; FOLLOW UP; FUGL MEYER ASSESSMENT OF SENSORIMOTOR RECOVERY; FUNCTIONAL STATUS ASSESSMENT; HUMAN; MEDICAL INFORMATION; MEDLINE; META ANALYSIS; MODIFIED ASHWORTH SCALE; MOTOR PERFORMANCE; NEUROLOGIC DISEASE ASSESSMENT; NEUROREHABILITATION; OUTCOME ASSESSMENT; PATIENT SAFETY; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SPASTICITY; STROKE PATIENT; SYSTEMATIC REVIEW; THERAPY EFFECT; UPPER LIMB; WANFANG DATABASE; PROCEDURES; STROKE REHABILITATION;

ELECTROACUPUNCTURE; HUMANS; MUSCLE SPASTICITY; STROKE REHABILITATION; UPPER EXTREMITY;

EID: 85020876033     PISSN: 00039993     EISSN: 1532821X     Source Type: Journal    
DOI: 10.1016/j.apmr.2017.03.023     Document Type: Review

References (71)

1. World Health Organization. Global status report on noncommunicable diseases 2014. Available at: http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf. Accessed January 20, 2016.
2. Watkins, C.L., Leathley, M.J., Gregson, J.M., Moore, A.P., Smith, T.L., Sharma, A.K., Prevalence of spasticity post stroke. Clin Rehabil 16 (2002), 515–522.
3. Zorowitz, R.D., Gillard, P.J., Brainin, M., Poststroke spasticity: sequelae and burden on stroke survivors and caregivers. Neurology 80:3 Suppl 2 (2013), S45–S52.
4. Kwah, L.K., Harvey, L.A., Diong, J.H., Herbert, R.D., Half of the adults who present to hospital with stroke develop at least one contracture within six months: an observational study. J Physiother 58 (2012), 41–47.
5. Bravo-Esteban, E., Taylor, J., Abian-Vicen, J., et al. Impact of specific symptoms of spasticity on voluntary lower limb muscle function, gait and daily activities during subacute and chronic spinal cord injury. NeuroRehabilitation 33 (2013), 531–543.
6. Gillard, P.J., Sucharew, H., Kleindorfer, D., et al. The negative impact of spasticity on the health-related quality of life of stroke survivors: a longitudinal cohort study. Health Qual Life Outcomes, 13, 2015, 159.
7. Martin, A., Abogunrin, S., Kurth, H., Dinet, J., Epidemiological, humanistic, and economic burden of illness of lower limb spasticity in adults: a systematic review. Neuropsychiatr Dis Treat 10 (2014), 111–121.
8. Milinis, K., Young, C.A., Trajectories of Outcome in Neurological Conditions (TONiC) study. Systematic review of the influence of spasticity on quality of life in adults with chronic neurological conditions. Disabil Rehabil 38 (2016), 1431–1441.
9. European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 25 (2008), 457–507.
10. Australian National Stroke Foundation. Clinical guidelines for stroke management 2010. Available at: https://informme.org.au/guidelines/∼/media/a27bfc8844dd4ee2a3e4c401a675e5a1.ashx Accessed May 22, 2016.
11. Miller, E.L., Murray, L., Richards, L., et al. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke 41 (2010), 2402–2448.
12. Smith, L.N., James, R., Barber, M., Ramsay, S., Gillespie, D., Chung, C., Rehabilitation of patients with stroke: summary of SIGN guidance. BMJ, 340, 2010, c2845.
13. Stroke Foundation of New Zealand and New Zealand Guidelines Group. Clinical guidelines for stroke management. 2010, Stroke Foundation of New Zealand, Wellington.
14. Chinese Society of Neurology and Stroke Prevention Project Committee of National Health and Family Planning Commission in China. [China post-stroke rehabilitation guideline]. [Chinese] Chin J Rehabil Theory Pract, 18, 2012, 18.
15. National Institute for Health and Care Excellence. Stroke rehabilitation in adults clinical guideline 2013. Available at: https://www.nice.org.uk/guidance/cg162. Accessed January 20, 2016.
16. Bensmail, D., Quera Salva, M.A., Roche, N., et al. Effect of intrathecal baclofen on sleep and respiratory function in patients with spasticity. Neurology 67 (2006), 1432–1436.
17. Bensmail, D., Ward, A.B., Wissel, J., et al. Cost-effectiveness modeling of intrathecal baclofen therapy versus other interventions for disabling spasticity. Neurorehabil Neural Repair 23 (2009), 546–552.
18. Harned, M.E., Salles, S.S., Grider, J.S., An introduction to trialing intrathecal baclofen in patients with hemiparetic spasticity: a description of 3 cases. Pain Physician 14 (2011), 483–489.
19. Sze, K.H., Wong, E., Or, K.H., Lum, C.M., Woo, J., Factors predicting stroke disability at discharge: a study of 793 Chinese. Arch Phys Med Rehabil 81 (2000), 876–880.
20. Nair, K.P., Marsden, J., The management of spasticity in adults. BMJ, 349, 2014, g4737.
21. Wu, P., Mills, E., Moher, D., Seely, D., Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke 41 (2010), e171–e179.
22. Fan, L.B., Liu, S.Z., Wang, Z.T., et al. Application of electro-acupuncture plus movement therapy in recovering neurologic function of patients with spastic hemiplegia. Shanghai J Acupunct Moxibustion, 34, 2015, 3.
23. Lim, S.M., Yoo, J., Lee, E., Kim, H.J., Shin, S., Acupuncture for spasticity after stroke: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med, 2015, 2015, 870398.
24. Liu, A.J., Li, J.H., Li, H.Q., et al. Electroacupuncture for acute ischemic stroke: a meta-analysis of randomized controlled trials. Am J Chin Med 43 (2015), 1541–1566.
25. Mukherjee, M., McPeak, L.K., Redford, J.B., Sun, C., Liu, W., The effect of electro-acupuncture on spasticity of the wrist joint in chronic stroke survivors. Arch Phys Med Rehabil 88 (2007), 159–166.
26. Park, S.W., Yi, S.H., Lee, J.A., Hwang, P.W., Yoo, H.C., Kang, K.S., Acupuncture for the treatment of spasticity after stroke: a meta-analysis of randomized controlled trials. J Altern Complement Med 20 (2014), 672–682.
27. Qi, Y., Fu, L., Xiong, J., Wang, Z., Mou, J., Lu, Y., Systematic evaluation of acupuncture for treatment of post-stroke spastic paralysis. Chin Acupunct Moxibustion, 29, 2009, 6.
28. Yu, M., Zhang, H., [The effects of electro-acupuncture combined with rehabilitation exercises for spasticity in hemiplegia patients]. [Chinese] Chin Gen Pract, 10, 2007, 2.
29. Liu, M., Li, Z.H., Ma, H., Clinical evaluation of electric acupuncture at antagonistic muscle acupoints combined with rehabilitation training for the treatment of apoplexy spastic paralysis. J Clin Acupunct Moxibustion, 32, 2016, 3.
30. Cheng, P., Jin, H.M., Zheng, J., Liu, Z.G., Clinical research on transcranial direct current stimulation and electrical acupuncture therapy for upper limb spasticity after stroke. Chin Arch Tradit Chin Med, 33, 2015, 4.
31. Zhang, S., Lei, M., Xiao, Y., Zou, L., [A clinical research on the effects of electro-acupuncture combined with Bobath therapy for post-stroke spasticity]. [Chinese] Chin J Public Health, 31, 2015, 2.
32. Huang, R.L., Xia, Q., Zhu, Z.J., Yuan, H., Chen, R.Q., Xiao, H.B., [A clinical research on the effects of acupuncture combined with rehabilitation for post-stroke spasticity]. [Chinese] J Anhui Univ Chin Med, 35, 2016, 4.
33. Yao, G., Zeng, K., Zhou, F., [Applying electro-acupuncture to acupoints in antagonistic muscles combined with physical therapies for post-stroke muscle spasticity]. [Chinese] Chin Manipulation Rehabil Med, 3, 2012, 1.
34. Yang, D., Lin, X., Yu, Z., [The effects of acupuncture combined with Bobath therapy for post-stroke spasticity and motor function]. [Chinese] Liaoning J Tradit Chin Med, 34, 2007, 2.
35. Yan, W., Huo, W., Yao, B., Yin, J., [The effects of electro-acupuncture combined with physical therapies for muscle spasticity after cerebral infarction]. [Chinese] Chin J Phys Med Rehabil, 32, 2010, 3.
36. Xue, Q., Li, S., Huo, G., [The effects of acupuncture therapy to balance muscle tones for hemiplegia patients with spasticity in motor function rehabilitation]. [Chinese] Jiangsu J Tradit Chin Med, 40, 2008, 2.
37. Xing, X., Yang, B., Li, F., et al. [Acupuncture and moxibustion combined with rehabilitation treatment of 30 cases of spastic hemiplegia after ischemic stroke] [Article in Chinese]. Liaoning J Tradit Chin Med, 42, 2015, 3.
38. Wu, W., [The effects of acupuncture combined with rehabilitation therapies for strephenopodia in hemiplegia side after stroke]. [Chinese] Shanghai J Acupunct Moxibustion, 30, 2011, 3.
39. Wu, B., Gao, W., Yang, X., et al. [Electro-acupuncture combined with rehabilitation therapies for post-stroke spasticity in 30 hemiplegia patients]. [Chinese] J Clin Acupunct Moxibustion, 24, 2008, 2.
40. Wang, G., Guan, Y., Ma, X., [The clinical observation on acupuncture combined with oral medications for stroke survivors with increased muscle tone]. [Chinese] Acta Chin Med Pharmacol, 35, 2007, 2.
41. Lu, J., [Clinical observation on needling combined with rehabilitation treatment of foot-drop for post-stroke patients] [Article in Chinese]. 2003, Fujian University of Traditional Chinese Medicine, Fuzhou: Minhou.
42. Lu, J., Tu, W., Zhang, D., et al. Effects of acupuncture on different acupoints in combination with rehabilitation on hemiplegic muscle spasticity in hemiplegia patients. Chin Acupunct Moxibustion, 30, 2010, 5.
43. Lu, F., [The combination of acupuncture Bobath therapy tendon junction of spastic paralysis after stroke clinical efficacy] [Article in Chinese]. 2011, Heilongjiang University of Chinese Medicine, Harbin: Xiangfang.
44. Li, L., Yang, W., Hu, F., et al. [Clinical effect of electric acupuncture and baclofen on recovery of spasticity] [Article in Chinese]. Chin J Rehabil, 22, 2007, 2.
45. Li, H., Yue, G., Liu, D., et al. [Electro-acupuncture combined with rehabilitation therapies for 30 cases with post-stroke foot drop]. [Chinese] Yunnan J Tradit Chin Med Materia Medica, 32, 2011, 2.
46. Guo, J., [The study of acupuncture for early stage of post-stroke rehabilitation]. [Chinese], 2003, Beijing University of Chinese Medicine, Beijing: Chaoyang District.
47. Guo, J., Yang, L., Lu, H., [An observational study on acupuncture for motor dysfunction of upper limbs after cerebral infarction]. [Chinese] Guang Ming Zhong Yi, 30, 2015, 2.
48. Cai, H., Liao, R., Zhang, Y., et al. [Neurodevelopment treatment combined with acupuncture for 30 cases at the stage of spasticity after stroke]. [Chinese] Hunan J Tradit Chin Med, 27, 2011, 2.
49. Page, S.J., Fulk, G.D., Boyne, P., Clinically important differences for the upper-extremity Fugl-Meyer scale in people with minimal to moderate impairment due to chronic stroke. Phys Ther 92 (2012), 791–798.
50. Wagner, J.M., Rhodes, J.A., Patten, C., Reproducibility and minimal detectable change of three-dimensional kinematic analysis of reaching tasks in people with hemiparesis after stroke. Phys Ther 88 (2008), 652–663.
51. Hsieh, Y.W., Wang, C.H., Wu, S.C., Chen, P.C., Sheu, C.F., Hsieh, C.L., Establishing the minimal clinically important difference of the Barthel Index in stroke patients. Neurorehabil Neural Repair 21 (2007), 233–238.
52. McMakin, C.R., Oschman, J.L., Visceral and somatic disorders: tissue softening with frequency-specific microcurrent. J Altern Complement Med 19 (2013), 170–177.
53. Zhao, W., Wang, C., Li, Z., et al. Efficacy and safety of transcutaneous electrical acupoint stimulation to treat muscle spasticity following brain injury: a double-blinded, multicenter, randomized controlled trial. PLoS One, 10, 2015, e0116976.
54. World Health Organization. WHO international standard terminologies on traditional medicine in the western Pacific region. 2007, Office of Publications, World Health Organization, Geneva.
55. White, A., Cummings, M., Barlas, P., et al. Defining an adequate dose of acupuncture using a neurophysiological approach—a narrative review of the literature. Acupunct Med 26 (2008), 111–120.
56. Deare, J.C., Zheng, Z., Xue, C.C., et al. Acupuncture for treating fibromyalgia. Cochrane Database Syst Rev(5), 2013, CD007070.
57. Thibaut, A., Chatelle, C., Ziegler, E., Bruno, M.A., Laureys, S., Gosseries, O., Spasticity after stroke: physiology, assessment and treatment. Brain Inj 27 (2013), 1093–1105.
58. Fleuren, J.F., Voerman, G.E., Erren-Wolters, C.V., et al. Stop using the Ashworth Scale for the assessment of spasticity. J Neurol Neurosurg Psychiatry 81 (2010), 46–52.
59. Cousins, E., Ward, A.B., Roffe, C., Rimington, L.D., Pandyan, A.D., Quantitative measurement of poststroke spasticity and response to treatment with botulinum toxin: a 2-patient case report. Phys Ther 89 (2009), 688–697.
60. Lindsay, C., Helliwell, B., Harding, P., et al. A prospective observational study investigating the time course of arm recovery and the development of spasticity and contractures following stroke. Physiotherapy 101:Suppl 1 (2015), e887–e888.
61. Zhao, J.G., Cao, C.H., Liu, C.Z., et al. Effect of acupuncture treatment on spastic states of stroke patients. J Neurol Sci 276 (2009), 143–147.
62. Dincer, F., Linde, K., Sham interventions in randomized clinical trials of acupuncture—a review. Complement Ther Med 11 (2003), 235–242.
63. Koog, Y.H., Effect of placebo acupuncture over no-treatment: a simple model incorporating the placebo and nocebo effects. Complement Ther Med 24 (2016), 69–72.
64. Wong, E.L., Leung, P.C., Zhang, L., Placebo acupuncture in an acupuncture clinical trial. How good is the blinding effect?. J Acupunct Meridian Stud 8 (2015), 40–43.
65. Zhu, D., Gao, Y., Chang, J., Kong, J., Placebo acupuncture devices: considerations for acupuncture research. Evid Based Complement Alternat Med, 2013, 2013, 628907.
66. Pildal, J., Hrobjartsson, A., Jorgensen, K.J., Hilden, J., Altman, D.G., Gotzsche, P.C., Impact of allocation concealment on conclusions drawn from meta-analyses of randomized trials. Int J Epidemiol 36 (2007), 847–857.
67. Hrobjartsson, A., Emanuelsson, F., Skou Thomsen, A.S., Hilden, J., Brorson, S., Bias due to lack of patient blinding in clinical trials. A systematic review of trials randomizing patients to blind and nonblind sub-studies. Int J Epidemiol 43 (2014), 1272–1283.
68. Schulz, K.F., Altman, D.G., Moher, D., CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Int J Surg 9 (2011), 672–677.
69. MacPherson, H., Altman, D.G., Hammerschlag, R., et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med, 7, 2010, e1000261.
70. Ada, L., O'Dwyer, N., O'Neill, E., Relation between spasticity, weakness and contracture of the elbow flexors and upper limb activity after stroke: an observational study. Disabil Rehabil 28 (2006), 891–897.
71. Botte, M.J., Nickel, V.L., Akeson, W.H., Spasticity and contracture. Physiologic aspects of formation. Clin Orthop Related Res(233), 1988, 7–18.