Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map
Evidence mapping of systematic reviews (SRs) systematically and comprehensively identifies, organizes, and summarizes the distribution of scientific evidence in a field. The aim of this evidence map is to provide a synopsis of the best clinical practices and interventions in stroke rehabilitative ca...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-05-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.885095/full |
| _version_ | 1818009044818853888 |
|---|---|
| author | Tae-Young Choi Ji Hee Jun Hye Won Lee Jong-Min Yun Min Cheol Joo Myeong Soo Lee |
| author_facet | Tae-Young Choi Ji Hee Jun Hye Won Lee Jong-Min Yun Min Cheol Joo Myeong Soo Lee |
| author_sort | Tae-Young Choi |
| collection | DOAJ |
| description | Evidence mapping of systematic reviews (SRs) systematically and comprehensively identifies, organizes, and summarizes the distribution of scientific evidence in a field. The aim of this evidence map is to provide a synopsis of the best clinical practices and interventions in stroke rehabilitative care and to identify areas with a paucity of evidence to guide future research. PubMed, EMBASE, CDSR, six Korean databases, and two Chinese databases were searched for SRs evaluating the effectiveness of any stroke rehabilitation intervention through October 2021. The quality of the SRs was assessed using AMSTAR 2. A bubble plot was used to graphically display clinical topics, the number of articles, the number of patients included, confidence, and effectiveness. In total, ninety-five SRs were identified; however, after methodological analysis, only 48 had sufficient quality to be included. In total, forty-eight SRs were included in the evidence mapping. The overall search identified SRs from 2015 to 2021. A total of four SRs focused on post-stroke cognitive impairment, whereas the other forty-four SRs focused on post-stroke motor function. In total, nineteen different traditional Chinese medicine (TCM) intervention modalities were included. Acupuncture was the most commonly used treatment. Overall, the quality of the included SRs was low or very low. Most SRs concluded that TCM interventions may have potential benefits in stroke rehabilitation. The results were more promising when acupuncture was used for shoulder–hand syndrome. However, the identified reviews cautioned that firm conclusions cannot be drawn. The evidence map provides a visual overview of the research volume and content involving TCM interventions in stroke rehabilitation. Evidence mapping can facilitate the process of knowledge translation from scientific findings to researchers and policymakers and possibly reduce waste in research. |
| first_indexed | 2024-04-14T05:37:57Z |
| format | Article |
| id | doaj.art-e8a8f150076648c8b34e21dd12db5761 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-14T05:37:57Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-e8a8f150076648c8b34e21dd12db57612022-12-22T02:09:35ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-05-011310.3389/fneur.2022.885095885095Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence MapTae-Young Choi0Ji Hee Jun1Hye Won Lee2Jong-Min Yun3Min Cheol Joo4Myeong Soo Lee5KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, South KoreaKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, South KoreaKM Convergence Research Division, Korea Institute of Oriental Medicine, Daejeon, South KoreaDepartment of Korean Internal Medicine, College of Korean Medicine, Wonkwang University, Iksan, South KoreaDepartment of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, South KoreaKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, South KoreaEvidence mapping of systematic reviews (SRs) systematically and comprehensively identifies, organizes, and summarizes the distribution of scientific evidence in a field. The aim of this evidence map is to provide a synopsis of the best clinical practices and interventions in stroke rehabilitative care and to identify areas with a paucity of evidence to guide future research. PubMed, EMBASE, CDSR, six Korean databases, and two Chinese databases were searched for SRs evaluating the effectiveness of any stroke rehabilitation intervention through October 2021. The quality of the SRs was assessed using AMSTAR 2. A bubble plot was used to graphically display clinical topics, the number of articles, the number of patients included, confidence, and effectiveness. In total, ninety-five SRs were identified; however, after methodological analysis, only 48 had sufficient quality to be included. In total, forty-eight SRs were included in the evidence mapping. The overall search identified SRs from 2015 to 2021. A total of four SRs focused on post-stroke cognitive impairment, whereas the other forty-four SRs focused on post-stroke motor function. In total, nineteen different traditional Chinese medicine (TCM) intervention modalities were included. Acupuncture was the most commonly used treatment. Overall, the quality of the included SRs was low or very low. Most SRs concluded that TCM interventions may have potential benefits in stroke rehabilitation. The results were more promising when acupuncture was used for shoulder–hand syndrome. However, the identified reviews cautioned that firm conclusions cannot be drawn. The evidence map provides a visual overview of the research volume and content involving TCM interventions in stroke rehabilitation. Evidence mapping can facilitate the process of knowledge translation from scientific findings to researchers and policymakers and possibly reduce waste in research.https://www.frontiersin.org/articles/10.3389/fneur.2022.885095/fullacupunctureTCMevidence mapevidence synthesisoverviewstroke rehabilitation |
| spellingShingle | Tae-Young Choi Ji Hee Jun Hye Won Lee Jong-Min Yun Min Cheol Joo Myeong Soo Lee Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map Frontiers in Neurology acupuncture TCM evidence map evidence synthesis overview stroke rehabilitation |
| title | Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map |
| title_full | Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map |
| title_fullStr | Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map |
| title_full_unstemmed | Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map |
| title_short | Traditional Chinese Medicine Interventions in the Rehabilitation of Cognitive and Motor Function in Patients With Stroke: An Overview and Evidence Map |
| title_sort | traditional chinese medicine interventions in the rehabilitation of cognitive and motor function in patients with stroke an overview and evidence map |
| topic | acupuncture TCM evidence map evidence synthesis overview stroke rehabilitation |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.885095/full |
| work_keys_str_mv | AT taeyoungchoi traditionalchinesemedicineinterventionsintherehabilitationofcognitiveandmotorfunctioninpatientswithstrokeanoverviewandevidencemap AT jiheejun traditionalchinesemedicineinterventionsintherehabilitationofcognitiveandmotorfunctioninpatientswithstrokeanoverviewandevidencemap AT hyewonlee traditionalchinesemedicineinterventionsintherehabilitationofcognitiveandmotorfunctioninpatientswithstrokeanoverviewandevidencemap AT jongminyun traditionalchinesemedicineinterventionsintherehabilitationofcognitiveandmotorfunctioninpatientswithstrokeanoverviewandevidencemap AT mincheoljoo traditionalchinesemedicineinterventionsintherehabilitationofcognitiveandmotorfunctioninpatientswithstrokeanoverviewandevidencemap AT myeongsoolee traditionalchinesemedicineinterventionsintherehabilitationofcognitiveandmotorfunctioninpatientswithstrokeanoverviewandevidencemap |