Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials
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...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Integrative Medicine Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422020300639 |
| _version_ | 1819263055828090880 |
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| author | Qianwen Xie Xueyin Chen Jingmin Xiao Shaonan Liu Lihong Yang Jing Chen Jiaqi Lai Rui Lan Yi Chen Haifang Yang Xinfeng Guo |
| author_facet | Qianwen Xie Xueyin Chen Jingmin Xiao Shaonan Liu Lihong Yang Jing Chen Jiaqi Lai Rui Lan Yi Chen Haifang Yang Xinfeng Guo |
| author_sort | Qianwen Xie |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T20:07:31Z |
| format | Article |
| id | doaj.art-9b6b1cb009ff424e91fcfec88dc95757 |
| institution | Directory Open Access Journal |
| issn | 2213-4220 |
| language | English |
| last_indexed | 2024-12-23T20:07:31Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj.art-9b6b1cb009ff424e91fcfec88dc957572022-12-21T17:32:54ZengElsevierIntegrative Medicine Research2213-42202020-12-0194100431Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trialsQianwen Xie0Xueyin Chen1Jingmin Xiao2Shaonan Liu3Lihong Yang4Jing Chen5Jiaqi Lai6Rui Lan7Yi Chen8Haifang Yang9Xinfeng Guo10The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaGuangdong Provincial Hospital of Chinese Medicine, Guangzhou, China; Corresponding author at: Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.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.http://www.sciencedirect.com/science/article/pii/S2213422020300639AcupunctureMeta-analysisPost-stroke dysarthriaSpeech rehabilitation training |
| spellingShingle | Qianwen Xie Xueyin Chen Jingmin Xiao Shaonan Liu Lihong Yang Jing Chen Jiaqi Lai Rui Lan Yi Chen Haifang Yang Xinfeng Guo Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials Integrative Medicine Research Acupuncture Meta-analysis Post-stroke dysarthria Speech rehabilitation training |
| title | Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials |
| title_full | Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials |
| title_fullStr | Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials |
| title_full_unstemmed | Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials |
| title_short | Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials |
| title_sort | acupuncture combined with speech rehabilitation training for post stroke dysarthria a systematic review and meta analysis of randomized controlled trials |
| topic | Acupuncture Meta-analysis Post-stroke dysarthria Speech rehabilitation training |
| url | http://www.sciencedirect.com/science/article/pii/S2213422020300639 |
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