Acupuncture in the Treatment of Abnormal Muscle Tone in Children with Cerebral Palsy: A Meta-Analysis.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

Behavioural Neurology Pub Date : 2023-01-01 DOI:10.1155/2023/4662788

Yan Yuanjie, Xue Jianyi, Xu Jinyan, Huang Mao, Yan Siyang, Yin Zhenjin

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引用次数: 2

Abstract

Objective: To analyse the clinical efficacy of acupuncture and routine treatment in improving dystonia in children with cerebral palsy.

Method: The randomized controlled trials published from the establishment of the databases to August 2022 on acupuncture in the treatment of dystonia in children with cerebral palsy were collected and comprehensively searched in China national knowledge infrastructure (CNKI), weipu (VIP), Wanfang, SinoMed, PubMed, Excerpta medica database (EMBASE), and Cochrane Library. The literature was selected according to the established standards, the quality of the included studies was evaluated, the heterogeneity of the included studies was evaluated with the I² test, and the appropriate model was selected for analysis. Sensitivity analysis was used to evaluate the reliability of the results, and a funnel plot was used to evaluate the publication bias.

Results: Fifteen studies were included in the meta-analysis. The control group was treated with routine treatment and acupuncture combined with routine treatment. The outcome index showed that the effect in the treatment group was better: Modified Ashworth Scale score: -0.52, 95% confidence interval (CI) (-0.62 to -0.41), p < 0.01. The treatment group showed reduced muscle tension to a greater extent (integral eletromyographic (iEMG) score: standard mean square deviation = -2.97, 95% CI (-4.87 to -1.06), p < 0.01). The effective rate in the control group was 74.2% and that in the treatment group was 91.5%, odds ratio = 3.70, 95% CI (2.02-6.78), p < 0.01. The funnel plot showed publication bias.

Conclusion: Acupuncture combined with routine training could improve muscle tension abnormalities and improve the efficiency of clinical treatment.

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针刺治疗小儿脑瘫异常肌张力的meta分析。

目的:分析针刺配合常规治疗改善脑瘫患儿肌张力障碍的临床疗效。方法:收集数据库建立至2022年8月发表的针刺治疗脑瘫儿童肌痉挛障碍的随机对照试验，综合检索中国知网(CNKI)、唯普(VIP)、万方、中国医学信息网(sinmed)、PubMed、医学摘录数据库(EMBASE)和Cochrane图书馆。按照建立的标准选择文献，评价纳入研究的质量，采用I2检验评价纳入研究的异质性，选择合适的模型进行分析。采用敏感性分析评价结果的可靠性，采用漏斗图评价发表偏倚。结果:15项研究被纳入meta分析。对照组采用常规治疗和针刺结合常规治疗。结果指标显示，治疗组疗效较好:改良Ashworth量表评分:-0.52,95%可信区间(CI) (-0.62 ~ -0.41)， p < 0.01。治疗组肌肉张力明显降低(积分肌电图评分:标准差= -2.97,95% CI (-4.87 ~ -1.06)， p < 0.01)。对照组有效率为74.2%，治疗组有效率为91.5%，优势比为3.70,95% CI (2.02 ~ 6.78)， p < 0.01。漏斗图显示发表偏倚。结论:针刺配合常规训练可改善肌张力异常，提高临床治疗效率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioural Neurology 医学-临床神经学

CiteScore

5.40

自引率

3.60%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioural Neurology is a peer-reviewed, Open Access journal which publishes original research articles, review articles and clinical studies based on various diseases and syndromes in behavioural neurology. The aim of the journal is to provide a platform for researchers and clinicians working in various fields of neurology including cognitive neuroscience, neuropsychology and neuropsychiatry. Topics of interest include: ADHD Aphasia Autism Alzheimer’s Disease Behavioural Disorders Dementia Epilepsy Multiple Sclerosis Parkinson’s Disease Psychosis Stroke Traumatic brain injury.