Evidence map›Paper›PMID 38046583›Full record

SynthesisFrontiers in neurology2023

Effectiveness of acupuncture for pain relief in shoulder-hand syndrome after stroke: a systematic evaluation and Bayesian network meta-analysis.

Ting Huang, Hongfang Yao, Junneng Huang, Ning Wang, Chunjun Zhou, Xuyang Huang, Xiangyuan Tan, Yanyan Li, Yuyu Jie, Xiang Wang and 7 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Ting Huang *The First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Hongfang Yao *Department of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Junneng HuangThe First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning, China.
Ning WangThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Chunjun ZhouThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Xuyang HuangThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Xiangyuan TanThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Yanyan LiDepartment of Traditional Chinese Medicine, Nanning Maternal and Child Health Hospital, Nanning, China.
Yuyu JieThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Xiang WangSainz College of New Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Yu YangThe First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning, China.
Yingye LiangThe First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning, China.
Siqian YueThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Yawen MaoThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Songxian LaiThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Jingyiqi ZhengThe First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, China.
Yufeng HeThe First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine, Nanning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Shoulder-hand syndrome (SHS) is a common complication after stroke, and SHS-induced pain significantly hampers patients' overall recovery. As an alternative therapy for pain relief, acupuncture has certain advantages in alleviating pain caused by SHS after stroke. However, choosing the best treatment plan from a variety of acupuncture options is still a serious challenge in clinical practice. Therefore, we conducted this Bayesian network meta-analysis to comprehensively compare the effectiveness of various acupuncture treatment methods. Methods: We systematically searched for randomized controlled trials (RCTs) of acupuncture treatment in patients with post-stroke SHS published in PubMed, Embase, Cochrane, and Web of Science until 9 March 2023. We used the Cochrane bias risk assessment tool to assess the bias risk in the included original studies. Results: A total of 50 RCTs involving 3,999 subjects were included, comprising 19 types of effective acupuncture interventions. Compared to single rehabilitation training, the top three interventions for VAS improvement were floating needle [VAS = -2.54 (95% CI: -4.37 to -0.69)], rehabilitation + catgut embedding [VAS = -2.51 (95% CI: -4.33 to -0.68)], and other multi-needle acupuncture combinations [VAS = -2.32 (95% CI: -3.68 to -0.94)]. The top three interventions for improving the Fugl-Meyer score were eye acupuncture [Meyer = 15.73 (95% CI: 3.4627.95)], other multi-needle acupuncture combinations [Meyer = 12.22 (95% CI: 5.1919.34)], and traditional western medicine + acupuncture + traditional Chinese medicine [Meyer = 11.96 (95% CI: -0.59 to 24.63)]. Conclusion: Multiple acupuncture methods are significantly effective in improving pain and upper limb motor function in post-stroke SHS, with relatively few adverse events; thus, acupuncture can be promoted. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, CRD42023410957.

Indexed as

acupunctureBayesian network meta-analysispain reliefpost-stroke shoulder-hand syndromesystematic review

Identifiers

PMID38046583
PMCPMC10693460

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.