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Published in: BMC Complementary Medicine and Therapies 1/2019

Open Access 01-12-2019 | Acupuncture | Research article

Efficacy of acupuncture in the management of post-apoplectic aphasia: a systematic review and meta-analysis of randomized controlled trials

Authors: He-yong Tang, Wei Tang, Feng Yang, Wei-wei Wu, Guo-ming Shen

Published in: BMC Complementary Medicine and Therapies | Issue 1/2019

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Abstract

Background

Aim of this study was to evaluate the effectiveness of scalp, tongue, and Jin’s 3-needle acupuncture for the improvement of postapoplectic aphasia.

Method

PubMed, Cochrane, Embase databases were searched using index words to identify qualifying randomized controlled trials (RCTs). Meta-analyses of odds ratios (OR) or standardized mean differences (SMD) were performed to evaluate the outcomes between investigational (scalp / tongue / Jin’s 3-needle acupuncture) and control (traditional acupuncture; TA and/or rehabilitation training; RT) groups.

Results

Thirty-two RCTs (1310 participants in investigational group and 1270 in control group) were included. Compared to TA, (OR 3.05 [95% CI: 1.77, 5.28]; p<0.00001), tongue acupuncture (OR 3.49 [1.99, 6.11]; p<0.00001), and Jin’s 3-needle therapy (OR 2.47 [1.10, 5.53]; p = 0.03) had significantly better total effective rate. Compared to RT, scalp acupuncture (OR 4.24 [95% CI: 1.68, 10.74]; p = 0.002) and scalp acupuncture with tongue acupuncture (OR 7.36 [3.33, 16.23]; p<0.00001) had significantly better total effective rate. In comparison with TA/RT, scalp acupuncture, tongue acupuncture, scalp acupuncture with tongue acupuncture, and Jin’s three-needling significantly improved ABC, oral expression, comprehension, writing and reading scores.

Conclusion

As treatments to postapoplectic aphasia, scalp / tongue acupuncture and Jin’s Three-needling are found better than TA and/or RT in yielding total effective rate and improving ABC, oral expression, comprehension, reading and writing scores.
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Literature
2.
go back to reference Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: global burden of disease study. Lancet. 1997;349:1269–76.PubMedCrossRef Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: global burden of disease study. Lancet. 1997;349:1269–76.PubMedCrossRef
3.
go back to reference American Heart Association, 2009 Update at-a-Glance. Heart Disease and Stroke Statistics. Dallas: American Heart Association; 2009. p. 14–6. American Heart Association, 2009 Update at-a-Glance. Heart Disease and Stroke Statistics. Dallas: American Heart Association; 2009. p. 14–6.
7.
go back to reference Guzik A, Bushnell C. Stroke epidemiology and risk factor management. Continuum (Minneap Minn). 2017;23:15–39. Guzik A, Bushnell C. Stroke epidemiology and risk factor management. Continuum (Minneap Minn). 2017;23:15–39.
8.
go back to reference Allam H, ElDine NG, Helmy G. Scalp acupuncture effect on language development in children with autism: a pilot study. J Altern Complement Med. 2008;14:109–14.PubMedCrossRef Allam H, ElDine NG, Helmy G. Scalp acupuncture effect on language development in children with autism: a pilot study. J Altern Complement Med. 2008;14:109–14.PubMedCrossRef
9.
go back to reference Cai H, Ma B, Gao X, Gao H. Tongue acupuncture in treatment of post-stroke dysphagia. Int J Clin Exp Med. 2015;8:14090–4.PubMedPubMedCentral Cai H, Ma B, Gao X, Gao H. Tongue acupuncture in treatment of post-stroke dysphagia. Int J Clin Exp Med. 2015;8:14090–4.PubMedPubMedCentral
10.
go back to reference Zhou Z, Zhuang L, Xu ZLiao M, Zhang B. Effect of combined Jin’s 3-needle and rehabilitation care on post-stroke hemiplegia. J Acupunct Tuina Sci. 2013;11:218–21.CrossRef Zhou Z, Zhuang L, Xu ZLiao M, Zhang B. Effect of combined Jin’s 3-needle and rehabilitation care on post-stroke hemiplegia. J Acupunct Tuina Sci. 2013;11:218–21.CrossRef
11.
go back to reference Zhang X, Liu X, Kang D. GRADE in systematic reviews of acupuncture for stroke rehabilitation: recommendations based on high-quality evidence. Sci Rep. 2015;5:16582.CrossRef Zhang X, Liu X, Kang D. GRADE in systematic reviews of acupuncture for stroke rehabilitation: recommendations based on high-quality evidence. Sci Rep. 2015;5:16582.CrossRef
12.
go back to reference Wu P, Mills E, Moher D, Seely D. Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke. 2010;41:e171–9.PubMed Wu P, Mills E, Moher D, Seely D. Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke. 2010;41:e171–9.PubMed
13.
go back to reference Ottawa P, Khadilkar A, Phillips K, Jean N, Lamothe C, Milne S, et al. Ottawa panel evidence-based clinical practice guidelines for post-stroke rehabilitation. Top Stroke Rehabil. 2006;13:1–269. Ottawa P, Khadilkar A, Phillips K, Jean N, Lamothe C, Milne S, et al. Ottawa panel evidence-based clinical practice guidelines for post-stroke rehabilitation. Top Stroke Rehabil. 2006;13:1–269.
14.
go back to reference Cai F, Gu W, Shi X. Clinical observation of “Xingnao Kaiqiao” acupuncture therapy oil aphasia after cerebral infarction. Tianjin J Tradit Chin Med. 2014;31:272–4. Cai F, Gu W, Shi X. Clinical observation of “Xingnao Kaiqiao” acupuncture therapy oil aphasia after cerebral infarction. Tianjin J Tradit Chin Med. 2014;31:272–4.
15.
go back to reference Chen G, Yang Y, Ni F, Sang L. Study of pestle needle therapy for speech rehabilitation in patients with post-stroke motor aphasia. Shang J Acu-mox. 2018;37:742–5. Chen G, Yang Y, Ni F, Sang L. Study of pestle needle therapy for speech rehabilitation in patients with post-stroke motor aphasia. Shang J Acu-mox. 2018;37:742–5.
16.
go back to reference Cui S, Liu J, Wang S, Xu M, Lai C. Clinical observations of tongue three-needle combined with temporal three-needle in stroke aphasia patients. JETCM. 2013;22:1280–2. Cui S, Liu J, Wang S, Xu M, Lai C. Clinical observations of tongue three-needle combined with temporal three-needle in stroke aphasia patients. JETCM. 2013;22:1280–2.
17.
go back to reference Gu S. Clinical value analysis of acupuncture treatment for aphasia due to apoplexy. Guide China Med. 2014;12:239–40. Gu S. Clinical value analysis of acupuncture treatment for aphasia due to apoplexy. Guide China Med. 2014;12:239–40.
18.
go back to reference Han DX, Zhang Y. Clinical research on aphasia after stroke by Jin's three needles therapy combined with speech training. J Zhejiang Chin Med Univ. 2013;37:771–6. Han DX, Zhang Y. Clinical research on aphasia after stroke by Jin's three needles therapy combined with speech training. J Zhejiang Chin Med Univ. 2013;37:771–6.
19.
go back to reference Hong Q, Wang S. Clinical observation of Dongshi qi point combined with body acupuncture in treating aphasia after stroke. Beijing J Tradit Chin Med. 2012;31:765–77. Hong Q, Wang S. Clinical observation of Dongshi qi point combined with body acupuncture in treating aphasia after stroke. Beijing J Tradit Chin Med. 2012;31:765–77.
20.
go back to reference Hu JL. Clinical observation of acupuncture combined with language rehabilitation training in treatment of stroke aphasia. Yiyao Qianyan. 2014;4:377–8. Hu JL. Clinical observation of acupuncture combined with language rehabilitation training in treatment of stroke aphasia. Yiyao Qianyan. 2014;4:377–8.
21.
go back to reference Jiang GH, Li XL. Observations of the efficacy of Jin’s tongue three needles in treating apoplectic motor aphasia. Shanghai J Acupunct Moxibustion. 2008;27:5–6. Jiang GH, Li XL. Observations of the efficacy of Jin’s tongue three needles in treating apoplectic motor aphasia. Shanghai J Acupunct Moxibustion. 2008;27:5–6.
22.
go back to reference Jiang GH, Li YH, Chen ZH. Clinical observation of surround needling under CT location for treatment of aphasia due to apoplexy. Chin Acupunct Moxibustion. 2001;21:15–6. Jiang GH, Li YH, Chen ZH. Clinical observation of surround needling under CT location for treatment of aphasia due to apoplexy. Chin Acupunct Moxibustion. 2001;21:15–6.
23.
go back to reference Li G, Zhao X. Clinical study on combined acupuncture and speech rehabilitation in treating postapoplectic aphasia. J Acupunct Tuina Sci. 2011;9:120–2.CrossRef Li G, Zhao X. Clinical study on combined acupuncture and speech rehabilitation in treating postapoplectic aphasia. J Acupunct Tuina Sci. 2011;9:120–2.CrossRef
24.
go back to reference Li L, Yue Z. Blood-letting therapy combined with speech rehabilitation in the treatment of motor aphasia after stroke. JCAM. 2011;27:24–6. Li L, Yue Z. Blood-letting therapy combined with speech rehabilitation in the treatment of motor aphasia after stroke. JCAM. 2011;27:24–6.
25.
go back to reference Li X, Cai J, Jinag G. Observation on clinical effect of tongue triple acupuncture in the treatment of 30 aphasia after stroke patients. JCAM. 2009;25:6–8. Li X, Cai J, Jinag G. Observation on clinical effect of tongue triple acupuncture in the treatment of 30 aphasia after stroke patients. JCAM. 2009;25:6–8.
26.
go back to reference Li Z, Fu W. Treatment of anandia after apoplexy by tongue acupuncture therapy: a clinical observation of 46 cases. New J Tradit Chin Med. 2005;37:61–2.CrossRef Li Z, Fu W. Treatment of anandia after apoplexy by tongue acupuncture therapy: a clinical observation of 46 cases. New J Tradit Chin Med. 2005;37:61–2.CrossRef
27.
go back to reference Liao J. The treatment of bloodletting in pointes of Jinjin and Yuye on 50 aphemia due to stroke patients. JCAM. 2007;23:35–6. Liao J. The treatment of bloodletting in pointes of Jinjin and Yuye on 50 aphemia due to stroke patients. JCAM. 2007;23:35–6.
28.
go back to reference Luo W, Huang H, Zhu J. Acupuncture combined with language training for treatment of motor aphasia caused by ischemic apoplexy. World J Acu-moxi. 2008;18:9–17. Luo W, Huang H, Zhu J. Acupuncture combined with language training for treatment of motor aphasia caused by ischemic apoplexy. World J Acu-moxi. 2008;18:9–17.
29.
go back to reference Ma D, He R. The curative effect observation of acupuncture with rehabilitation training on treating palsy aphasia. China J Chin Med. 2010;25:549–50. Ma D, He R. The curative effect observation of acupuncture with rehabilitation training on treating palsy aphasia. China J Chin Med. 2010;25:549–50.
30.
go back to reference Mi J, Zhu X. ClinicaI observations on the treatment of 46 apoplectic aphasia patients by tongue acupuncture as a main method. Shanghai J Acu-mox. 2004;23:8–9. Mi J, Zhu X. ClinicaI observations on the treatment of 46 apoplectic aphasia patients by tongue acupuncture as a main method. Shanghai J Acu-mox. 2004;23:8–9.
31.
go back to reference Qin X, Liu L. Clinical observation of acupuncture combined with rehabilitation in the treatment of stroke sequela. Today Nurse. 2011;11:115–6. Qin X, Liu L. Clinical observation of acupuncture combined with rehabilitation in the treatment of stroke sequela. Today Nurse. 2011;11:115–6.
32.
go back to reference Teng YY. Clinical observation of scalp acupuncture plus speech rehabilitation for Broca’s aphasia after cerebral stroke. J Acupunct Tuina Sci. 2017;15:104–8.CrossRef Teng YY. Clinical observation of scalp acupuncture plus speech rehabilitation for Broca’s aphasia after cerebral stroke. J Acupunct Tuina Sci. 2017;15:104–8.CrossRef
33.
go back to reference Tian L, Hu R, Lou T. Effect of acupuncture plus language function training on language function in patients with post-stroke aphasia. Shanghai J Acu-mox. 2015;34:717–20. Tian L, Hu R, Lou T. Effect of acupuncture plus language function training on language function in patients with post-stroke aphasia. Shanghai J Acu-mox. 2015;34:717–20.
34.
go back to reference Wang S, Yang C. Observation of 50 cases of aphasia after stroke treated by scalp acupuncture. J New Chin Med. 2001;33:47. Wang S, Yang C. Observation of 50 cases of aphasia after stroke treated by scalp acupuncture. J New Chin Med. 2001;33:47.
35.
go back to reference Wang Y, Li A, Wang H, Du K, Du Y. Acupuncture combined with language training in the treatment of aphasia after stroke. JCAM. 2011;27:19–20. Wang Y, Li A, Wang H, Du K, Du Y. Acupuncture combined with language training in the treatment of aphasia after stroke. JCAM. 2011;27:19–20.
36.
go back to reference Wu H, Xu G, Zeng K. Clinical study of speech training with taiji acupuncture on patients with aphasia after wind stroke. World Chin Med. 2016;11:1323–6. Wu H, Xu G, Zeng K. Clinical study of speech training with taiji acupuncture on patients with aphasia after wind stroke. World Chin Med. 2016;11:1323–6.
37.
go back to reference Wu K, Guo X, Wu Z. Clinical observation of tongue three-needle combined with scalp acupuncture in the treatment of stroke aphasia. JCAM. 2018;34:11–4. Wu K, Guo X, Wu Z. Clinical observation of tongue three-needle combined with scalp acupuncture in the treatment of stroke aphasia. JCAM. 2018;34:11–4.
38.
go back to reference Xu Y, Li Q, Hao Y. Observation on the efficacy of acupuncture plus rehabilitation composite treatment for apoplectic aphasia. Shanghai J Acu-mos. 2005;24:30–1. Xu Y, Li Q, Hao Y. Observation on the efficacy of acupuncture plus rehabilitation composite treatment for apoplectic aphasia. Shanghai J Acu-mos. 2005;24:30–1.
39.
go back to reference Yang A. Clinical study on treatment of sequela of apoplectic with hemiplegia with acupuncture and rehabilitation training. JCAM. 2016;32:26–9. Yang A. Clinical study on treatment of sequela of apoplectic with hemiplegia with acupuncture and rehabilitation training. JCAM. 2016;32:26–9.
40.
go back to reference Yang HB, Hou BG, Zhang ZL, Sun JH, Yang LM. Research on the effect of acupuncture combined with language rehabilitation training in treatment of stroke aphasia. Home Med. 2017;16:52. Yang HB, Hou BG, Zhang ZL, Sun JH, Yang LM. Research on the effect of acupuncture combined with language rehabilitation training in treatment of stroke aphasia. Home Med. 2017;16:52.
41.
go back to reference Zhang J. The feasibility study on acupuncture combined with language training in the treatment of aphasia after stroke. Psychol Doct. 2015;21:98–9. Zhang J. The feasibility study on acupuncture combined with language training in the treatment of aphasia after stroke. Psychol Doct. 2015;21:98–9.
42.
go back to reference Zhang Y, Yu Z, Zhang Y, Zhao X, Lin C. Therapeutic observation on acupuncture and rehabilitation in treating motor aphasia after cerebral apoplexy. Shanghai J Acu-mox. 2012;131:781–3. Zhang Y, Yu Z, Zhang Y, Zhao X, Lin C. Therapeutic observation on acupuncture and rehabilitation in treating motor aphasia after cerebral apoplexy. Shanghai J Acu-mox. 2012;131:781–3.
43.
go back to reference Zhao C, Tong Z, Hunag C, You Y. Research on the effect of acupuncture combined with language rehabilitation training in treatment of stroke aphasia. Pract Clin J Integr Tradit Chin West Med. 2016;16:9–11. Zhao C, Tong Z, Hunag C, You Y. Research on the effect of acupuncture combined with language rehabilitation training in treatment of stroke aphasia. Pract Clin J Integr Tradit Chin West Med. 2016;16:9–11.
44.
go back to reference Zheng X, Zhu Q, Lin Y, Liu T. Effect of blood-letting puncture on endothelin-1 and treatment for stroke aphasia. Hubei J TCM. 2010;32:20–1. Zheng X, Zhu Q, Lin Y, Liu T. Effect of blood-letting puncture on endothelin-1 and treatment for stroke aphasia. Hubei J TCM. 2010;32:20–1.
45.
go back to reference Zheng XB. 32 cases of sports aphasia treated by blood letting puncture at the base of tongue. Shanghai J Acu-mox. 2005;24:20. Zheng XB. 32 cases of sports aphasia treated by blood letting puncture at the base of tongue. Shanghai J Acu-mox. 2005;24:20.
46.
go back to reference Litscher G, Schwarz G. Effects of acupuncture on oxygenation of cerebral tissue. Neurol Res. 1998;20:28–32.CrossRef Litscher G, Schwarz G. Effects of acupuncture on oxygenation of cerebral tissue. Neurol Res. 1998;20:28–32.CrossRef
47.
go back to reference Xiang L, Wang H, Li Z. TCD observation on cerebral blood flow dynamics: inference of cerebral palsy with scalp therapy. Acupunct Res. 1996;21:7–9. Xiang L, Wang H, Li Z. TCD observation on cerebral blood flow dynamics: inference of cerebral palsy with scalp therapy. Acupunct Res. 1996;21:7–9.
48.
go back to reference Wong VC, Sun JG. Randomized controlled trial of acupuncture versus sham acupuncture in autism spectrum disorder. J Altern Complement Med. 2010;16:545–53.PubMedCrossRef Wong VC, Sun JG. Randomized controlled trial of acupuncture versus sham acupuncture in autism spectrum disorder. J Altern Complement Med. 2010;16:545–53.PubMedCrossRef
49.
go back to reference Yang X, Yu H, Zhang T, Luo X, Ding L, Chen B, Li D, Huang X, Guo X, Jia J. The effects of Jin’s 3-needle acupuncture therapy on EEG alpha rhythm of stroke participants. Top Stroke Rehabil. 2018;25(7):1–5. Yang X, Yu H, Zhang T, Luo X, Ding L, Chen B, Li D, Huang X, Guo X, Jia J. The effects of Jin’s 3-needle acupuncture therapy on EEG alpha rhythm of stroke participants. Top Stroke Rehabil. 2018;25(7):1–5.
Metadata
Title
Efficacy of acupuncture in the management of post-apoplectic aphasia: a systematic review and meta-analysis of randomized controlled trials
Authors
He-yong Tang
Wei Tang
Feng Yang
Wei-wei Wu
Guo-ming Shen
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2019
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-019-2687-1

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