TY - JOUR
T1 - Acupuncture and Acupoints for Managing Pediatric Cerebral Palsy
T2 - A Meta-Analysis of Randomized Controlled Trials
AU - Cheng, Ya Yun
AU - Huang, Ying Yu
AU - Yang, Tsung Hsien
AU - Chang, Yi Jung
AU - Fu, Ren Huei
AU - Chen, Hsing Yu
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/9/5
Y1 - 2024/9/5
N2 - BACKGROUND: Acupuncture is frequently used to manage pediatric cerebral palsy (CP), yet updated evidence is needed to guide future research and clinical practice.METHODS: Seven databases were searched from 1994 to 26 June 2023. Randomized controlled trials (RCTs) involving body, scalp, or ear acupuncture for managing CP, excluding acupoint injection, catgut embedding, electro-acupuncture, or laser acupuncture, were included.RESULTS: Twenty RCTs with 1797 participants were analyzed. Acupuncture groups had better improvements in gross motor function measure (GMFM) scores by 5% (mean difference: 5.93, 95% CI: 3.67-8.19,
p < 0.001, I
2 = 57%); a 16% higher probability to yield prominent improvement in effectiveness rate (ER) (risk ratio: 1.16, 95% CI: 1.08-1.25,
p < 0.001, I
2 = 0%); and better outcomes in the Modified Ashworth Scale (MAS) (standardized mean difference [SMD]: 0.3, 95%, CI: 0.11-0.49,
p < 0.001, I
2 = 0%), the Berg Balance Scale (BBS) (SMD: 2.48; 95% CI: 2.00-2.97,
p < 0.001, I
2 = 72%) and ADL (SMD: 1.66; 95% CI: 1.23-2.08,
p < 0.001, I
2 = 91%). Studies with eight core acupoints identified from all ninety-five acupoints had better ER.
CONCLUSIONS: Acupuncture, especially using core acupoints, may be effective for managing symptoms in children with CP.
AB - BACKGROUND: Acupuncture is frequently used to manage pediatric cerebral palsy (CP), yet updated evidence is needed to guide future research and clinical practice.METHODS: Seven databases were searched from 1994 to 26 June 2023. Randomized controlled trials (RCTs) involving body, scalp, or ear acupuncture for managing CP, excluding acupoint injection, catgut embedding, electro-acupuncture, or laser acupuncture, were included.RESULTS: Twenty RCTs with 1797 participants were analyzed. Acupuncture groups had better improvements in gross motor function measure (GMFM) scores by 5% (mean difference: 5.93, 95% CI: 3.67-8.19,
p < 0.001, I
2 = 57%); a 16% higher probability to yield prominent improvement in effectiveness rate (ER) (risk ratio: 1.16, 95% CI: 1.08-1.25,
p < 0.001, I
2 = 0%); and better outcomes in the Modified Ashworth Scale (MAS) (standardized mean difference [SMD]: 0.3, 95%, CI: 0.11-0.49,
p < 0.001, I
2 = 0%), the Berg Balance Scale (BBS) (SMD: 2.48; 95% CI: 2.00-2.97,
p < 0.001, I
2 = 72%) and ADL (SMD: 1.66; 95% CI: 1.23-2.08,
p < 0.001, I
2 = 91%). Studies with eight core acupoints identified from all ninety-five acupoints had better ER.
CONCLUSIONS: Acupuncture, especially using core acupoints, may be effective for managing symptoms in children with CP.
KW - acupuncture
KW - cerebral palsy
KW - core acupoints
KW - meta-analysis
KW - pediatric
UR - http://www.scopus.com/inward/record.url?scp=85204113766&partnerID=8YFLogxK
U2 - 10.3390/healthcare12171780
DO - 10.3390/healthcare12171780
M3 - 文献综述
C2 - 39273805
AN - SCOPUS:85204113766
SN - 2227-9032
VL - 12
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
IS - 17
M1 - 1780
ER -
