Welcome to Scholar Publishing Group

International Journal of World Medicine, 2023, 4(1); doi: 10.38007/IJWM.2023.040102.

Meta-analysis of Acupuncture Combined with Cognitive Rehabilitation Training in the Treatment of Cognitive Impairment after Stroke

Author(s)

Shuangjuan Liu, Yingying Hu, Ximei Xie

Corresponding Author:
Ximei Xie
Affiliation(s)

School of Acupuncture and Tuina, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China 

Xi'an Hospital of Traditional Chinese Medicine, Acupuncture Department, Xian, Shaanxi, China

Abstract

To systematically review the clinical efficacy and safety of acupuncture combined with rehabilitation training in the treatment of post-stroke cognitive impairment (PSCI). Chinese and English databases such as CNKI, Wanfang database, CBM, PubMed, Embase and The Cochrane Library were searched for randomized controlled trials of acupuncture combined with rehabilitation training in the treatment of PSCI. RevMan 5.4 was used to evaluate the quality of the literature and Meta analysis. Publication bias was determined by Egger test and funnel plot. A total of 30 RCTS were included with 2506 participants. The results of Meta-analysis showed that acupuncture combined with rehabilitation training was superior to the single treatment group in improving the effective rate, increasing the Montreal cognitive assessment (MoCA) score and BI index, reducing P300 delay and increasing P300 amplitude. Acupuncture combined with rehabilitation training has significant clinical effect in the treatment of PSCI, and the combination of the two has synergistic effect, and it is worthy of further study and discussion.

Keywords

Acupuncture, Cognitive Rehabilitation Training, Cognitive Impairment after Stroke, Meta-Analysis

Cite This Paper

Shuangjuan Liu, Yingying Hu, Ximei Xie. Meta-analysis of Acupuncture Combined with Cognitive Rehabilitation Training in the Treatment of Cognitive Impairment after Stroke. International Journal of World Medicine (2023), Vol. 4, Issue 1: 7-14. https://doi.org/10.38007/IJWM.2023.040102.

References

[1]Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol 2021;20, 795-820.  

[2]Wang, K., Dong, Q., Yu, J.T., and Hu, P. P. Expert Consensus on the Management of post-stroke cognitive impairment 2021. Chin J Stroke2021;16, 376-389.

[3]Pinter, D., Enzinger, C., Gattringer, T., Eppinger, S., Niederkorn, K., Horner, S., et al. Prevalence and short-term changes of cognitive dysfunction in young ischaemic stroke patients. Eur J Neurol2019; 26, 727-732.

[4]Sexton, E., McLoughlin, A., Williams, D.J., Merriman, N.A., Donnelly, N., Rohde, D., et al. Systematic review and meta-analysis of the prevalence of cognitive impairment no dementia in the first year post-stroke. Eur Stroke J2019; 4, 160-171. 

[5]Kwon, H.S., Lee, D., Lee, M.H., Yu, S., Lim, J.S., Yu, K.H., et al. Post-stroke cognitive impairment as an independent predictor of ischemic stroke recurrence: PICASSO sub-study. J Neurol2020;267, 688-693. 

[6]Yuan, H. W., Liu, Y. X., Zhang, H., Liu, Y., Li, X. L., and Ni, J. X. Tongdu Xingshen acupuncture and moxibustion combined with cognitive training in treatment of post-stroke mild cognitive impairment: a randomized controlled trial. Zhong guo zhen jiu 2022; 42, 839-843

[7]Wei, B. X, Liu, G. C., and Zeng, J. Y. Clinical observation of Kinesiotherapy-Combined scalp acupuncture combined with cognitive function training in the treatment of post-stroke cognitive impairment. Journal of Guangzhou University of Traditional Chinese Medicine 2023;40,368-374

[8]Zhang, Y., Tang, W., Song, X. G., et al. Systematical review and meta analysis of the efficacy of acupuncture and moxibustion plus cognitive rehabilitation training in treating post-stroke cognitive disorder. Shanghai J Acu-mox 2015;34, 1013-1020

[9]Sarker SJ, Rudd AG, Douiri A, Wolfe CD.Comparison of 2 extended activities of daily living scales with the Barthel Index and predictors of their outcomes: cohort study within the South London Stroke Register (SLSR). Stroke 2012;43, 1362-1369

[10]Kawano, H., Johno, T., Torii, M., Kamiyama, H., Amano, T., Honda, Y., et al. Predictable Value of Functional Independence Measure Differs between Anterior and Posterior Circulation Ischemic Strokes. Eur Neurol 2018; 80, 313-320

[11]Wu, Y. Y., and Bian, H. Progress in post-stroke cognitive impairment. J Neurol Neurorehabil 2020;16, 34-40

[12]Rost, N.S., Brodtmann, A., Pase, M.P., van Veluw, S.J., Biffi, A., Duering, M., et al. Post-Stroke Cognitive Impairment and Dementia. Circ Res 2022;130, 1252-1271

[13]Wang, J. Expert consensus on prevention and treatment of post-stroke cognitive impairment in China.Chin J Stroke 2022;15, 158-166

[14]Nie, P., Liu, F., Lin, S., Guo, J., Chen, X., Chen, S., et al. The effects of computer-assisted cognitive rehabilitation on cognitive impairment after stroke: A systematic review and meta-analysis. J Clin Nurs 2022;31, [15]Ma, Q., Tang, M. K., and Sun, W.Y. Review of modern research on pathogenesis of TCM of vascular dementia. CJTCMP 2018;33, 212-215

[16]Xiao, L.Y., Wang, X.R., Yang, J.W., Ye, Y., Zhu, W., Cao, Y., et al. Acupuncture Prevents the Impairment of Hippocampal LTP Through β1-AR in Vascular Dementia Rats. Mol Neurobiol 2018;55, 7677-7690

[17]Yang, J.W., Wang, X.R., Zhang, M., Xiao, L.Y., Zhu, W., Ji, C.S., et al. Acupuncture as a multifunctional neuroprotective therapy ameliorates cognitive impairment in a rat model of vascular dementia: A quantitative iTRAQ proteomics study. CNS Neurosci Ther 2018;24, 1264-1274

[18]Li, C. J.,Chen, W. Y., and Wang, X. J. Effect of acupuncture combined with butylphthalide capsule and computer aided cognitive rehabilitation training on cognitive dysfunction after stroke. Liaoning Journal of Traditional Chinese Medicine 2020;1000-1719

[19]Liu, S., Luo, J., Liu, Y. Z. Effect of“Yizhi Kaiqiao”acupuncture on cognitive dysfunction and Cerebral hemodynamics in Stroke Patients. JCAM.Feb 2021; 37, 36-39

[20]Liu H, Chen L, Zhang G, et al. Scalp Acupuncture Enhances the Functional Connectivity of Visual and Cognitive-Motor Function Network of Patients with Acute Ischemic Stroke. Evid Based Complement Alternat Med 2020;8836794

[21]Lu,J., Shen, H. Q., Han, L.H, and Ma, G.L. Observations on the Efficacy of Acupuncture plus Cognitive Training for Mild to Moderate Cognitive Disorder in Ischemic Stroke. Shanghai J Acu-mox 2022;41, 686-690

[22]Wang, Y., Bai, Y. J., Zhang, M.,et al. Tongduxingshen acupuncture improves the cognitive function and psycho-behavioral symptoms in patients with post-stroke mild cognitive impairment. Chinese General Practice 2021;24, 4223-4228

[23]Xiong, J., Zhang, Z., Ma, Y., Li, Z., Zhou, F., Qiao, N., et al. The effect of combined scalp acupuncture and cognitive training in patients with stroke on cognitive and motor functions. NeuroRehabilitation 2020;46, 75-821136-1148