Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
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Clinical Practice Guideline for acupuncture in Post-stroke urinary incontinence

뇌졸중 후 요실금에 대한 침치료 임상진료지침

  • Lee, Ji-Won (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University) ;
  • 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) ;
  • Yoo, Jung-Hee (College of Nursing Science, Kyung Hee University) ;
  • Cho, Chung-Sik (Dept. of Internal Medicine, College of Oriental Medicine, Dae-jeon University) ;
  • Moon, Sang-Kwan (Dept. of Korean Internal Medicine, Kyung Hee Uiversity Korean Medicine Hospital) ;
  • Yook, Tae-Han (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, WooSuk University) ;
  • Joo, Jong-Cheon (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Wonkwang University) ;
  • Lee, Eui-Ju (Dept. of Sasang Constitutional Medicine, Kyung Hee University Korean Medicine Hospital)
  • 이지원 (경희대학교 한의과대학 사상체질과) ;
  • 신병철 (부산대한의전 한방병원 한방재활의학과) ;
  • 이명수 (한국한의학연구원) ;
  • 임성민 (국립재활원) ;
  • 유정희 (경희대학교 간호과학대학) ;
  • 조충식 (대전대학교 한의과대학 신계내과학교실) ;
  • 문상관 (경희대학교 한방병원 한방내과) ;
  • 육태한 (우석대학교 침구의학교실) ;
  • 주종천 (원광대학교 한의과대학 사상체질과) ;
  • 이의주 (경희대학교 한방병원 사상체질과)
  • Received : 2017.12.14
  • Accepted : 2017.12.26
  • Published : 2017.12.31
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Abstract

Objectives This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the stroke patients with Post-stroke Urinary Incontinence(PSUI). 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 PSUI, 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 8 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment for PSUI. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over 4 weeks on the acupoints, such as BL23, CV3, SP6, CV4, CV6, ST28, BL28, BL32, GV20, BL22, GV4 or ST36, for 15-30 minutes. 1-150 Hz frequency is suggested if electro-acupuncture treatments is performed with. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. There was a moderate evidence to support safety of acupuncture treatment for PSUI. We recommend acu-points of constitutional acupuncture for Sasangin on the healthy side.

Keywords

References

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