Revues systématiques et meta-analyses : Acupuncture et AVC

2373 vues 26/04/2009 14/11/2017 0

Nbre ECR/patients
Dysphagie post-AVC
Systematic assessment of acupoint stimulating therapy for deglutition disorders after apoplexy.
Chinese Acupuncture & Moxibustion. 2009;29(1):66-71.
He J, Zheng M, He CQ, Lan Q, Qu Y, Gao Q, Wang L, Yong YH, Guan M
 37 ECR
 3697 patients
Conclusions: The therapeutic effect of acupoint stimulating therapy on deglutition disorders after apoplexy is better than that of the control group, but more randomized, double blind, controlled trials with good designs are needed to confirm this result.
Center of Rehabilitation and Acupuncture, Huaxi Hospital of Sichuan University, Chengdu 610041, China.
Dysphagie post-AVC
Revue systématique
Acupuncture for dysphagia in acute stroke
Cochrane Database Syst Rev. 2008;(3):CD006076.
Xie Y, Wang L, He J, Wu T
 1 ECR
 66 patients
Conclusions: There is not enough evidence to make any conclusion about the therapeutic effect of acupuncture for dysphagia after acute stroke. High quality and large scale randomised controlled trials are needed.
Department of Acupuncture and Moxibustion, Huguosi Hospital of Traditional Chinese Medicine, No. 83 Cotton Hu Tong, Xi Cheng Qu, Beijing, China
Rééducation post-AVC
Acupuncture for stroke rehabilitation.
Cochrane Database Syst Rev. 2008;(4):CD004131.
Wu Hong Mei, Tang JL, Lin XP, Lau JTF, Leung PC, WooJ, Li Y
368 patients
Conclusions: Currently there is no clear evidence on the effects of acupuncture on subacute or chronic stroke. Large, methodologically-sound trials are required.
Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
AVC aigu
Cochrane Database Syst Rev. 2008;(3): CD003317
Zhang SH, Liu M, Asplund K, Li L
14 ECR
1208 patients
Conclusions: Acupuncture appeared to be safe but without clear evidence of benefit. The number of patients is too small to be certain whether acupuncture is effective for treatment of acute ischemic or haemorrhagic stroke. Larger, methodologically-sound trials are required.
Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.
AVC : rééducation post-AVC
Stroke. 20021;33:2604-2616
Sze FKH, Wong E, Lau J, Woo J
14 ECR
1213 patients
Conclusions: This meta-analysis suggests that with stroke rehabilitation, acupuncture has no additional effect on motor ecovery but has a small positive effect on disability, which may be due to a true placebo effect and varied study quality. The efficacy of acupuncture without stroke rehabilitation remains uncertain, mainly because of the poor quality of such studies.
Department of Medicine and Geriatrics, Shatin Hospital, Hong Kong (F.K.S.,K.K.H.O.); Center for Clinical Trials and Epidemiological Research (E.W.) and Department of Medicine and Therapeutics, Prince of Wales Hospital (J.W.), Chinese University of Hong Kong; and Division of Clinical Care Research, Tufts New England Medical Center, Boston, Mass (J.L.).
Hémiplégie post-AVC
[Meta-analysis of acupuncture for hemiplegia caused by stroke]
Journal of Chengdu University of Traditional Chinese Medicine 2002;25(2):37.
Li Ning et al
1253 patients
Conclusions: Bases on the systematic review of current eligible RCTs, acupuncture may have positive effect on hemiplegia after stroke. However, due to the lack of high quality RCTs, we can not draw a reliable conclusion about the effect of acupuncture for semiplegia after stroke at the moment. We need additional high quality RCTs to support our research.
Rééducation post-AVC
Revue systématique
J Neurol. 2001;248:558-563.
Park J, Hopwood V, White AR, Ernst E
538 patients
Conclusions: Based on the evidence randomised controlled trials, there is no compelling evidence to show that acupuncture is effective in stroke rehabilitation.
Department of Complementary Medicine School of Postgranduate Medicine and Health Sciences University of Exeter, 25 Victoria Park Road, Exeter, EX2 4NT, UK.
Rééducation post-AVC
Revue systématique
Acupuncture as an adjuvant therapy in stroke rehabilitation.
Wien Med Wschr. 1996;146(21-2):556-8.
Ernst E, White AR
425 patients
Conclusions: The evidence that acupuncture is a useful adjunct for stroke rehabilitation is encouraging but not compelling. More and better trials are required to clarify this highly relevant issue.
Department of Complementary Medicine School of Postgranduate Medicine and Health Sciences University of Exeter, 25 Victoria Park Road, Exeter, EX2 4NT, UK.