Acupuncture for Post Stroke Shoulder Hand Syndrome: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

1. Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China; 2. The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.;

Corresponding author：

Keywords：

Acupuncture; Shoulder hand syndrome; Randomized control trials; Systematic review

DOI：

10.7507/1672-2531.20090173

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Objective 　To assess the therapeutic effect of acupuncture for shoulder hand syndrome after stroke.
Methods 　We searched MEDLINE (1966 to Sep. 2008), EMbase (1980 to Sept. 2008), CBM (1978 to Sept. 2008), VIP (1989 to Sept. 2008), WANFANG Database (1998 to Sept. 2008), CNKI (1979 to Sept. 2008) and handsearched relevant journals and conference proceedings. We included all randomized controlled trials (RCTs) and quasi-RCTs of acupuncture treatment for patients with shoulder hand syndrome. We evaluated the internal validity of the RCTs and quasi-RCTs. If all included trials were of high quality and homogeneity, then the meta-analysis was conducted.
Results 　Three RCTs were identified but due to the defects in quality and clinical differences between the trials, data from these trials were not combined through meta-analysis, and a descriptive analysis was performed. The results showed that acupuncture was effective for treating shoulder hand syndrome.
Conclusions 　The results of our review suggest that acupuncture may be effective for treating houlder hand syndrome, but because of the defects in the methodological quality of included trials, further large sample, double-blind RCTs are urgently needed.

Citation： LU Yinming,FU Lixin,MU Jiao,XU Hongjun,QI Yingzhou. Acupuncture for Post Stroke Shoulder Hand Syndrome: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2009, 09(9): 976-978. doi: 10.7507/1672-2531.20090173 Copy

1.	Braus DF, Krauss JK, Strobel J. Shoulder-hand syndrome after stroke prospective clinical trial. Ann Neurol, 1994, 36(5): 728-733.
2.	Davis SW, Petrillo CR, Eichberg RD, et al. Shoulder-hand syndrome in a hemiplegic population: a 5-year retrospective study. Arch Phys Med Rehabil, 1977, 58: 353-356.
3.	Chalsen GG, Fitzpatrick KA, Navia RA, et al. Prevalence of the shoulder- hand pain syndrome in an in-patient stroke rehabilitation population: a quantitative cross-sectional study. Neurol Rehab, 1987, 1: 137-141.
4.	卓大宏. 中国康复医学. 北京: 华夏出版社, 1990. 638.
5.	Eto F, Yoshikawa M, Ueda S, et al. Posthemiplegic shoulder-hand syndrome, with special reference to related cerebral localization. Am Geriatr Soc, 1980, 28(1): 13-17.
6.	Nerve Latencies of the affected and nonaffected Upper Extremity. Neurol Rehab, 1995, 9: 229-233.
7.	夏晨. 针刺治疗中风偏瘫肩手综合征26例——附甲襞微循环变化观察. 辽宁中医杂志, 1998, 25(7): 322-323.
8.	木村研一. 同时检测SSR、SFR和精神性出汗反应探讨针刺对皮肤交感神经功能的影响. 国外医学. 中医中药分册, 1999, 21(4): 38-39.
9.	中华神经学会, 中华神经外科学会. 各类脑血管疾病诊断要点. 中华神经科杂志, 1996, 29(6): 379.
10.	Kozin F, Ryan LM, CarerraGF, et al. The reflex sympathetic dystrophy syndrome (RSDS). Am J Med, 1991, 70: 23-30.
11.	Tepperman PS, Greyson ND, Hilbert L, et al. Reflex sympathetic dystrophy in hemiplegia. Arch Phys Med Rehabil, 1984, 65: 442-447.
12.	缪鸿石, 朱镛连. 脑卒中的康复评定与治疗. 北京: 华夏出版社, 1996. 149-150.
13.	曾容洽. 脑血管病偏瘫合并肩手综合征对肢体功能康复的影响. 中国康复, 1998, 13(1): 13.
14.	陈勇, 常娜. 针灸配合康复训练改善SHS肩部症状疗效分析. 军医进修学院学报, 2006, 27(2): 136-137.
15.	常娜, 刘森. 针灸结合康复训练治疗肩手综合征的疗效分析. 第四军医大学学报, 2005, 26(24): 2295-2297.
16.	金瑛, 汪军华, 王爱君, 等. 针刺加康复训练治疗肩一手综合征40例疗效观察. 针灸临床杂志, 2007, 23(1): 14-15.
17.	刘大建, 张翔. 针灸治疗反射性交感神经营养不良综合征的临床疗效. 现代中西医结合杂志, 2006, 15(3): 326-327.

1. Braus DF, Krauss JK, Strobel J. Shoulder-hand syndrome after stroke prospective clinical trial. Ann Neurol, 1994, 36(5): 728-733.
2. Davis SW, Petrillo CR, Eichberg RD, et al. Shoulder-hand syndrome in a hemiplegic population: a 5-year retrospective study. Arch Phys Med Rehabil, 1977, 58: 353-356.
3. Chalsen GG, Fitzpatrick KA, Navia RA, et al. Prevalence of the shoulder- hand pain syndrome in an in-patient stroke rehabilitation population: a quantitative cross-sectional study. Neurol Rehab, 1987, 1: 137-141.
4. 卓大宏. 中国康复医学. 北京: 华夏出版社, 1990. 638.
5. Eto F, Yoshikawa M, Ueda S, et al. Posthemiplegic shoulder-hand syndrome, with special reference to related cerebral localization. Am Geriatr Soc, 1980, 28(1): 13-17.
6. Nerve Latencies of the affected and nonaffected Upper Extremity. Neurol Rehab, 1995, 9: 229-233.
7. 夏晨. 针刺治疗中风偏瘫肩手综合征26例——附甲襞微循环变化观察. 辽宁中医杂志, 1998, 25(7): 322-323.
8. 木村研一. 同时检测SSR、SFR和精神性出汗反应探讨针刺对皮肤交感神经功能的影响. 国外医学. 中医中药分册, 1999, 21(4): 38-39.
9. 中华神经学会, 中华神经外科学会. 各类脑血管疾病诊断要点. 中华神经科杂志, 1996, 29(6): 379.
10. Kozin F, Ryan LM, CarerraGF, et al. The reflex sympathetic dystrophy syndrome (RSDS). Am J Med, 1991, 70: 23-30.
11. Tepperman PS, Greyson ND, Hilbert L, et al. Reflex sympathetic dystrophy in hemiplegia. Arch Phys Med Rehabil, 1984, 65: 442-447.
12. 缪鸿石, 朱镛连. 脑卒中的康复评定与治疗. 北京: 华夏出版社, 1996. 149-150.
13. 曾容洽. 脑血管病偏瘫合并肩手综合征对肢体功能康复的影响. 中国康复, 1998, 13(1): 13.
14. 陈勇, 常娜. 针灸配合康复训练改善SHS肩部症状疗效分析. 军医进修学院学报, 2006, 27(2): 136-137.
15. 常娜, 刘森. 针灸结合康复训练治疗肩手综合征的疗效分析. 第四军医大学学报, 2005, 26(24): 2295-2297.
16. 金瑛, 汪军华, 王爱君, 等. 针刺加康复训练治疗肩一手综合征40例疗效观察. 针灸临床杂志, 2007, 23(1): 14-15.
17. 刘大建, 张翔. 针灸治疗反射性交感神经营养不良综合征的临床疗效. 现代中西医结合杂志, 2006, 15(3): 326-327.

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Acupuncture for Post Stroke Shoulder Hand Syndrome: A Systematic Review

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