Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke? a randomized controlled trial

@article{Xia2016DoesTA,
  title={Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke? a randomized controlled trial},
  author={Wen-guang Xia and Chanjuan Zheng and Suiqiang Zhu and Zhouping Tang},
  journal={Clinical Rehabilitation},
  year={2016},
  volume={30},
  pages={237 - 246}
}
Objective: To assess the effect of adding acupuncture to standard swallowing training for patients with dysphagia after stroke. Design: Single-blind randomized controlled trial. Setting: Inpatient and outpatient clinics. Subjects: A total of 124 patients with dysphagia after stroke were randomly divided into two groups: acupuncture and control. Interventions: The acupuncture group received standard swallowing training and acupuncture treatment. In comparison, the control group only received… 

Figures from this paper

Additional effects of acupuncture on early comprehensive rehabilitation in patients with mild to moderate acute ischemic stroke: a multicenter randomized controlled trial

This trial showed acupuncture is safe and has additional multi-effect in improving neurologic deficits, swallowing disorder, cognitive impairment, and lower extremity function, but has no significant improvement for upper extremityfunction during this short-term study period.

Retraction: Effect of acupuncture and Chinese herbal medicine on subacute stroke outcomes: a single center randomized controlled trial

Evaluating a treatment protocol commonly used in clinical practice demonstrates that comprehensive rehabilitation including acupuncture and Chinese herbal medicine may comprehensively improve subacute stroke outcomes.

Systematic Review on Acupuncture for Treatment of Dysphagia after Stroke

The result showed that the acupuncture group was better than control group in terms of efficacy rate of dysphagia after stroke, and the combining result of those researches using blind method was more strong in proof.

Acupuncture combined with swallowing training for poststroke dysphagia: a meta-analysis of randomised controlled trials

  • Lingxin LiK. Deng
  • Medicine, Psychology
    Acupuncture in medicine : journal of the British Medical Acupuncture Society
  • 2019
It was showed that acupuncture combined with swallowing training may improve the ER, swallowing function and activities of daily life of patients with poststroke dysphagia compared with conventional swallowing training alone.

An overview of dysphagia rehabilitation for stroke patients.

This study aimed to investigate the most commonly used phonoaudiological interventions as therapy for the treatment of swallowing disorders in patients with dysphagia after stroke by reviewing studies indexed in MEDLINE-PubMed, LILACS, Cochrane, and Clinical trials.

Efficacy of neuromuscular electrical stimulation in improving the negative psychological state in patients with cerebral infarction and dysphagia

Patients with cerebral infarction and dysphagia have varying degrees of anxiety, depression, and other negative affect disorders, which could be minimized by neuromuscular electrical stimulation in conjunction with conventional therapy.

Post-stroke Dysphagia: Prognosis and Treatment–A Systematic Review of RCT on Interventional Treatments for Dysphagia Following Subacute Stroke

The amount and quality of studies are not enough to suggest certain therapies, but some therapeutical concepts seem to be good potential therapeutic options, but further research is needed.

The Effect of Acupuncture on the Motor Function and White Matter Microstructure in Ischemic Stroke Patients

In conclusion, acupuncture had a better behavioral score than traditional medicine treatment, however, acupuncture did not significantly change WM in the AG compared to the CG as expected within one month after the intervention.

Would integrated Western and traditional Chinese medicine have more benefits for stroke rehabilitation? A systematic review and meta-analysis

The results indicate that the combined use of CM and WM could be more efficacious in stroke rehabilitation compared with the use of WM therapy alone, however, most studies were short in duration and prone to different types of biases, which prevents making any conclusion regarding the long-term effects.

Summaries of Recent Papers

  • A. WhiteM. Meinen
  • Medicine
    Acupuncture in medicine : journal of the British Medical Acupuncture Society
  • 2016
A Ragmatic randomised controlled trial of auricular acupuncture plus standard treatment versus standard treatment plus ear acupuncture for acute sore throat found significant improvement in pain relief from ear acupuncture added to pain relief medication.

References

SHOWING 1-10 OF 35 REFERENCES

[Clinical research on post-stroke dysphagia treated with nape acupuncture and rehabilitation training].

Nape acupuncture combined with rehabilitation training significantly improves swallowing function of the patients after stroke.

The Effect of Bedside Exercise Program on Stroke Patients with Dysphagia

Bedside exercise program showed an improvement of swallowing function and exhibited a positive secondary effect, such as mood state and quality of life, on subacute stroke patients with dysphagia, and suggests that additional intensive bedside exercise would be necessary.

A Meta-Analysis of the Efficacy of Acupuncture in Treating Dysphagia in Patients with a Stroke

The study quality was generally low and of insufficient quality to make recommendations about using acupuncture in the rehabilitation of patients with dysphagia due to stroke, and the evidence justifies future high-quality studies.

Treatment of post-stroke dysphagia by vitalstim therapy coupled with conventional swallowing training

It was concluded that VitalStim therapy coupled with conventional swallowing training was conducive to recovery of post-stroke dysphagia.

Effectiveness of strengthened stimulation during acupuncture for the treatment of Bell palsy: a randomized controlled trial

Among patients with Bell palsy, acupuncture with strong stimulation that elicited de qi had a greater therapeutic effect, and stronger intensity of deqi was associated with the better therapeutic effects.

The Effect of Early Neuromuscular Electrical Stimulation Therapy in Acute/Subacute Ischemic Stroke Patients With Dysphagia

The results indicated that the early application of NMES could be used as a supplementary treatment of TDT to help rehabilitate acute/subacute dysphagic stroke patients by improving their swallowing coordination.

Dysphagia Management: An Analysis of Patient Outcomes Using VitalStim™ Therapy Compared to Traditional Swallow Therapy

This study compares the outcomes using VitalStim™ therapy to outcomes using traditional swallowing therapy for deglutition disorders and shows no statistically significant difference between the experimental and control groups.

Acupuncture for dysphagia in acute stroke.

Not enough evidence is found to make any conclusion about the therapeutic effect of acupuncture for dysphagia after acute stroke, and high quality and large scale randomised controlled trials are needed.

Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence.

The case is made for essential collaboration between clinical and basic scientists to expand the positive influences of dysphagia rehabilitation in synergy with growth in technology and knowledge to contribute to evidence-based practice.

Interventions for dysphagia and nutritional support in acute and subacute stroke.

Dysphagia at end-of-trial was reduced by acupuncture and behavioural interventions, and percutaneous endoscopic gastrostomy and nasogastric tube (NGT) feeding did not differ for case fatality or the composite outcome of death or dependency, but PEG was associated with fewer treatment failures as compared to late feeding.