지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the patients with post-stroke spasticity.
Methods: Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on post-stroke spasticity, compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine.
Results & Conclusions: One systematic review and 7 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of electroacupuncture treatment for post-stroke spasticity. However, it did not show any sufficient evidence to treat the patients with post-stroke spasticity with the sole acupuncture. The moderate evidence was presented that over 3 times of the electroacupuncture treatments with 1-100 ㎐ frequency should be performed every week on the acupoints, such as LI11, LI10, TE5, LI4, ST36, GB34, ST40, or LR3, for 20-30 minutes. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. Finally, there was a moderate evidence to support safety of acupuncture treatment for post-stroke spasticity.
Methods: Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on post-stroke spasticity, compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine.
Results & Conclusions: One systematic review and 7 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of electroacupuncture treatment for post-stroke spasticity. However, it did not show any sufficient evidence to treat the patients with post-stroke spasticity with the sole acupuncture. The moderate evidence was presented that over 3 times of the electroacupuncture treatments with 1-100 ㎐ frequency should be performed every week on the acupoints, such as LI11, LI10, TE5, LI4, ST36, GB34, ST40, or LR3, for 20-30 minutes. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. Finally, there was a moderate evidence to support safety of acupuncture treatment for post-stroke spasticity.
목차
서론
연구 대상 및 방법
결과
고찰 및 결론
참고문헌
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Francisco GE / 2012 / Poststroke spasticity management / Stroke; a journal of cerebral circulation 43 (11) : 3132 ~ 3136
2. [학술지(정기간행물)] - Kim YH / 2009 / Clinical Practice Guideline for Stroke Rehabilitation in Korea / Brain & Neuro Rehabilitation 2 (1) : 1 ~ 38
3. [학술지(정기간행물)] - / 2010 / VA/DOD Clinical practice guideline for the management of stroke rehabilitation / Journal of rehabilitation research and development 47 (9) : 1 ~ 43
4. [기타자료] - Lee MS / 2013 / Recommendations for Development of Clinical Practice Guideline in Korean Medicine(PRIDE-CPG-KM) / Korea Institute of Oriental Medicine
5. [학술지(정기간행물)] - Park SW / 2014 / Acupuncture for the treatment of spasticity after stroke : a meta-analysis of randomized controlled trials / J Altern Complement Med 20 (9) : 672 ~ 682
2. [학술지(정기간행물)] - Kim YH / 2009 / Clinical Practice Guideline for Stroke Rehabilitation in Korea / Brain & Neuro Rehabilitation 2 (1) : 1 ~ 38
3. [학술지(정기간행물)] - / 2010 / VA/DOD Clinical practice guideline for the management of stroke rehabilitation / Journal of rehabilitation research and development 47 (9) : 1 ~ 43
4. [기타자료] - Lee MS / 2013 / Recommendations for Development of Clinical Practice Guideline in Korean Medicine(PRIDE-CPG-KM) / Korea Institute of Oriental Medicine
5. [학술지(정기간행물)] - Park SW / 2014 / Acupuncture for the treatment of spasticity after stroke : a meta-analysis of randomized controlled trials / J Altern Complement Med 20 (9) : 672 ~ 682
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UCI(KEPA) : I410-ECN-0101-2016-519-001392115