中风患者干针疗法的安全性:范围界定综述。

IF 3.3 3区 医学 Q1 REHABILITATION
Iris Malfait, Sabien Gijsbers, Annemie Smeets, Britta Hanssen, Anton Pick, Koen Peers, Fabienne Schillebeeckx
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引用次数: 0

摘要

简介痉挛是中风患者的常见问题。痉挛治疗通常会产生副作用或效果不佳。干针疗法(DN)被认为是中风后痉挛多模式治疗中一个潜在的额外选择,但其安全性仍存在疑问。本研究旨在评估干针疗法在中风患者中的安全性:2023 年 6 月,在 Medline、Embase、The Cochrane Library、Web of Science、CIHNAL 和 PEDro 中进行了系统检索。两名审稿人根据资格标准独立筛选摘要:本综述共纳入 25 篇文章。只有六项研究报告了不良事件,且均为轻微不良事件。所纳入的研究均未报告任何严重不良事件。在所纳入的研究中,有四项研究认为抗凝剂是 DN 的禁忌症。其他纳入研究则未提及抗凝剂:总之,有关中风患者 DN 安全性的文献很少。本综述是首次调查 DN 在脑卒中患者中的安全性,根据调查结果,有关 DN 在脑卒中患者中安全性的证据不足:临床康复影响:尽管 DN 是治疗脑卒中后痉挛的一种有前途的方法,但仍需进一步研究其作用机制及其对治疗效果的影响。然而,在进行大型临床试验以评估结果参数之前,必须进一步调查 DN 对中风患者的安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Safety of dry needling in stroke patients: a scoping review.

Introduction: Spasticity is a common problem in stroke patients. Treatments of spasticity often have side effects or are insufficiently effective. Dry needling (DN) has been proposed as a potential additional option to consider in the multimodal treatment of post-stroke spasticity, although questions about its safety remain. The goal of this study is to assess the safety of DN in stroke patients.

Evidence acquisition: A systematic search in Medline, Embase, The Cochrane Library, Web of Science, CIHNAL and PEDro was conducted in June 2023. Two reviewers independently screened abstracts according to the eligibility criteria.

Evidence synthesis: Twenty-five articles were included in this review. Only six studies reported adverse events, all of which were considered minor. None of the included studies reported any serious adverse events. In four of the included studies anticoagulants were regarded as contra-indicative for DN. Anticoagulants were not mentioned in the other included studies.

Conclusions: There is a paucity of literature concerning the safety of DN in stroke patients. This review is the first to investigate the safety of DN in stroke patients and based on the results there is insufficient evidence regarding the safety of DN in stroke patients.

Clinical rehabilitation impact: Although DN could be a promising treatment in post-stroke spasticity, further research is indicated to investigate its mechanism of action and its effect on outcome. However, before conducting large clinical trials to assess outcome parameters, the safety of DN in stroke patients must be further investigated.

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来源期刊
CiteScore
8.50
自引率
4.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: The European Journal of Physical and Rehabilitation Medicine publishes papers of clinical interest in physical and rehabilitation medicine.
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