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: ncluding stroke. The aim of this study was to systematically review the clinical evidence of CT for stroke.
Methods: To identify randomized controlled trials (RCTs) reporting the effectiveness and/or safety of CT, seven databases including PubMed, EMBASE, and Cochrane Library were searched for articles published from January 2000 to February 2021 without language restrictions. Meta-analysis was performed using Review Manager 5.4 software and the results were presented as mean difference (MD) or standard mean difference (SMD) for continuous variables and odds ratio (OR) for diverse variables with 95% confidence intervals (CIs). Assessment of the methodological quality of the eligible trials was conducted using the Cochrane Collaboration tool for risk of bias in RCTs.
Results: Twenty-two RCTs with 1653 participants were included in the final analysis. CT provided additional benefit in improving upper limb motor function (Fugl-Meyer assessment for upper limb motor function, MD 6.91, 95% CI 4.64 to 1.67, P<0.00001) and spasticity (response rate, OR 3.28, 95% CI 1.31 to 8.22, P=0.08) in stroke survivors receiving conventional medical treatment. These findings were supported with a moderate level of evidence. CT did not significantly increase the occurrence of adverse events.
Conclusions: This study demonstrated the potential of CT to be beneficial in managing a variety of complications in stroke survivors. However, to compensate for the shortcomings of the existing evidence, rigorously designed large-scale RCTs are warranted in the future.
Methods: To identify randomized controlled trials (RCTs) reporting the effectiveness and/or safety of CT, seven databases including PubMed, EMBASE, and Cochrane Library were searched for articles published from January 2000 to February 2021 without language restrictions. Meta-analysis was performed using Review Manager 5.4 software and the results were presented as mean difference (MD) or standard mean difference (SMD) for continuous variables and odds ratio (OR) for diverse variables with 95% confidence intervals (CIs). Assessment of the methodological quality of the eligible trials was conducted using the Cochrane Collaboration tool for risk of bias in RCTs.
Results: Twenty-two RCTs with 1653 participants were included in the final analysis. CT provided additional benefit in improving upper limb motor function (Fugl-Meyer assessment for upper limb motor function, MD 6.91, 95% CI 4.64 to 1.67, P<0.00001) and spasticity (response rate, OR 3.28, 95% CI 1.31 to 8.22, P=0.08) in stroke survivors receiving conventional medical treatment. These findings were supported with a moderate level of evidence. CT did not significantly increase the occurrence of adverse events.
Conclusions: This study demonstrated the potential of CT to be beneficial in managing a variety of complications in stroke survivors. However, to compensate for the shortcomings of the existing evidence, rigorously designed large-scale RCTs are warranted in the future.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (46)
참고문헌 신청
Naghavi M / 2017 / Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 / Lancet 390(10100):1151~1210
Gresham GE / 1975 / Residual Disability in Survivors of Stroke —The Framingham Study / N. Engl. J. Med 293(19):954~956
Ovbiagele B / 2013 / Forecasting the future of stroke in the United States : a policy statement from the American Heart Association and American Stroke Association / Stroke 44(8):2361~2375
Shah SH / 2008 / Patterns of complementary and alternative medicine use among United States stroke survivors / Neurol Sci 271(1):180~185
Al-Bedah AM / 2016 / Classification of cupping therapy : a tool for modernization and standardization / JOCAMR 1(1):1~10
Gresham GE / 1975 / Residual Disability in Survivors of Stroke —The Framingham Study / N. Engl. J. Med 293(19):954~956
Ovbiagele B / 2013 / Forecasting the future of stroke in the United States : a policy statement from the American Heart Association and American Stroke Association / Stroke 44(8):2361~2375
Shah SH / 2008 / Patterns of complementary and alternative medicine use among United States stroke survivors / Neurol Sci 271(1):180~185
Al-Bedah AM / 2016 / Classification of cupping therapy : a tool for modernization and standardization / JOCAMR 1(1):1~10
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