The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Clinical Practice Guideline on Acupuncture for Post-stroke Spasticity

뇌졸중후 경직에 대한 침치료 임상진료지침

  • Kim, Je-Shin (Dept. of Sasang Constitutional Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Shin, Seung-Won (Dept. of Sasang Constitutional Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Eui-Ju (Dept. of Sasang Constitutional Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Shin, Byung-Cheul (Dept. of Korean Physical Medicine Rehabilitation, School of Korean Medicine, Pusan National University) ;
  • Lee, Myeong-Soo (Korean Institute of Oriental Medicine) ;
  • Lim, Sung-Min (Department of Clinical Research on Rehabilitation, Korean National Rehabilitation Research Institute) ;
  • Nam, Dong-Woo (Dept. of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Moon, Sang-Kwan (Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital)
  • 김제신 (경희대학교한방병원 사상체질과) ;
  • 신승원 (경희대학교한방병원 사상체질과) ;
  • 이의주 (경희대학교한방병원 사상체질과) ;
  • 신병철 (부산대한의전 한방병원 한방재활의학과) ;
  • 이명수 (한국한의학연구원) ;
  • 임성민 (국립재활원) ;
  • 남동우 (경희대학교한방병원 침구과) ;
  • 문상관 (경희대학교한방병원 한방내과)
  • Received : 2014.11.23
  • Accepted : 2015.03.17
  • Published : 2015.03.31
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Abstract

Objectives: This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the patients with post-stroke spasticity. Methods: Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on post-stroke spasticity, compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine. Results & Conclusions: One systematic review and 7 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of electroacupuncture treatment for post-stroke spasticity. However, it did not show any sufficient evidence to treat the patients with post-stroke spasticity with the sole acupuncture. The moderate evidence was presented that over 3 times of the electroacupuncture treatments with 1-100 Hz frequency should be performed every week on the acupoints, such as LI11, LI10, TE5, LI4, ST36, GB34, ST40, or LR3, for 20-30 minutes. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. Finally, there was a moderate evidence to support safety of acupuncture treatment for post-stroke spasticity.

Keywords

References

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  1. Development of an Evidence-Based Clinical Practice Guideline of Korean Medicine for Stroke: A Study Protocol vol.39, pp.4, 2018, https://doi.org/10.13048/jkm.18032