Différences
Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente | |||
|
acupuncture:evaluation:neuro-psychiatrie:07. syndrome epaule-main post-avc [13 Aug 2025 17:30] Nguyen Johan [1.2.2.1. Wei 2019] |
acupuncture:evaluation:neuro-psychiatrie:07. syndrome epaule-main post-avc [13 Aug 2025 17:34] (Version actuelle) Nguyen Johan [1.1. Generic Acupuncture] |
||
|---|---|---|---|
| Ligne 10: | Ligne 10: | ||
| ==== Generic Acupuncture ==== | ==== Generic Acupuncture ==== | ||
| + | |||
| + | === Gao 2025 === | ||
| + | |||
| + | Gao H, Li Z, Chen W, Shen F, Lu Y. Effectiveness of acupuncture and moxibustion combined with rehabilitation training for post-stroke shoulder-hand syndrome: a systematic review and meta-analysis. Front Neurol. 2025 Jul 28;16:1576595. https://doi.org/10.3389/fneur.2025.1576595 | ||
| + | ^Backgound| Post-stroke shoulder-hand syndrome (SHS) significantly impacts patients' quality of life and functional recovery. While both acupuncture and rehabilitation training have shown promise individually, their combined effect needs systematic evaluation.| | ||
| + | ^Methods| A comprehensive search was conducted across seven databases (PubMed, Embase, Cochrane Library, Web of Science, Sinomed, CNKI, and Wanfang) for randomized controlled trials comparing combined acupuncture-moxibustion-rehabilitation therapy vs. rehabilitation alone. The primary outcomes included Fugl-Meyer Assessment (FMA) scale, visual analog scale (VAS), and Barthel Index (BI) scores. Risk of bias was assessed using the Cochrane tool.| | ||
| + | ^Results| **Twenty-seven randomized controlled trials involving 2,175 participants** were included. Meta-analysis showed significant improvements in the combination therapy group compared to rehabilitation alone: VAS score (SMD = 1.62, 95% CI: 1.19-2.06), FMA scale (SMD = 1.78, 95% CI: 1.41-2.15), and BI/MBI scores (SMD = 1.01, 95% CI: 0.48-1.54). The combination therapy also showed superior effects on swelling reduction (SMD = -1.75, 95% CI: -2.08, -1.42) and total response rate (RR = 1.21, 95% CI: 1.01-1.44). Most studies demonstrated low to moderate risk of bias.| | ||
| + | ^Conclusion| The combination of acupuncture and moxibustion with rehabilitation training appears to be more effective than rehabilitation alone for post-stroke SHS, improving motor function, pain relief, and activities of daily living. However, high heterogeneity warrants careful interpretation and further high-quality studies.| | ||
| === Shi 2025 === | === Shi 2025 === | ||
