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Efficacy of meridian massage for motor function after a stroke: a systematic review and Meta-analysis

Journal of Traditional Chinese Medicine 2022年第3期42卷 321-331页

作者： XIE Yunhui GU Hao ZHAO Qing LI Dejie GONG Ying XIE Junxing SHI Guofeng Nursing school Guizhou University of Traditional Chinese MedicineGuiyang 550000China Graduate School Guizhou Medical UniversityGuiyang 550000China Guizhou Provincial People’s Hospital Guiyang 550000China Qiannan Medical College for Nationalities Duyun 558000China Nanjing Medical University Nanjing 210029China Nursing School Guizhou University of Traditional Chinese MedicineGuiyang 550000China

OBJECTIVE:To evaluate the efficacy of meridian massage on motor function after a stroke.METHODS:This systematic review and Meta-analysis of randomised(RCTs)and quasi-randomised controlled trials(q RCTs)was performed to determine the effects of meridian massage on motor dysfunction following a stroke.Articles published until December 2020 related to stroke and meridian massage from National Library of Medicine,Cochrane Central Register of Controlled Trials,Embase,Korea Med,Japan science and Technology Agency,China National Knowledge Infrastructure Database,Wanfang Database,Chinese Biomedical Literature Database and China Science and Technology Journal Database were searched.The primary outcomes included Fugl-Mayer Assessment(FMA),modified Barthel Index(m BI)and clinical efficiency,while the secondary outcomes included modified Ashworth(m AS)and Berg Balance Scale(BBS).Two authors independently selected the literature,extracted the data and assessed the risk of bias,after which Meta-analysis with subgroups and sensitivity analysis was conducted.RESULTS:A total of 16 RCTs and 3 q-RCTs involved 1556 patients satisfied the inclusion.Meta-analysis showed that compared to conventional rehabilitation,meridian massage had significantly better FMA[mean difference(MD)=1.16,95%confidence interval(CI):0.43,1.89,P=0.002],FMA-L(MD=3.21,95%CI:1.97,4.45,P=0.00001),m BI(MD=8.87,95%CI:4.24,13.49,P=0.00002),clinical efficiency[relative risk(RR)=1.37,95%CI:1.24,1.51,Pmeridian massage and control group when the intervention duration was>8 weeks(MD=0.89,95%CI:-0.64,2.42,P=0.25)but improving motor function in the meridian massage when the intervention duration was≤8 weeks(meridian massage as an alternative and complementary therapy seems to have short-term benefits in

关键词： stroke meridian massage motor function Meta-analysis randomized controlled trial

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