Comparison of Different Rehabilitation Techniques of Traditional Chinese and Western Medicine in the Treatment of Motor Dysfunction After Stroke Based on Frequency Method: A Network Meta-analysis.
Study Goal
The researchers aimed to compare the effectiveness of various rehabilitation techniques, including Neuromuscular Electrical Stimulation, for improving motor dysfunction after stroke.
Results Summary
Neuromuscular Electrical Stimulation was found to be less effective than acupuncture therapy and virtual reality but more effective than mirror therapy and common therapy for improving lower limb balance function.
Population
Poststroke patients with motor dysfunction (5128 patients across 74 randomized controlled trials).
Effective Dosage
Not available
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
biofeedback therapy | increase | total scores of Fugl-Meyer Assessment, Action Research Arm Test, and Berg Balance Scale | patients with poststroke motor dysfunction | - | had the best comprehensive effect | #1 |
biofeedback therapy | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #2 |
mirror therapy | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #3 |
repetitive transcranial magnetic stimulation | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #4 |
acupuncture therapy | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #5 |
transcranial direct current stimulation | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #6 |
Taichi | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #7 |
common therapy | increase | total scores of Fugl-Meyer Assessment | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #8 |
virtual reality | increase | total scores of Action Research Arm Test | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #9 |
transcranial direct current stimulation | increase | total scores of Action Research Arm Test | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #10 |
repetitive transcranial magnetic stimulation | increase | total scores of Action Research Arm Test | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #11 |
mirror therapy | increase | total scores of Action Research Arm Test | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #12 |
common therapy | increase | total scores of Action Research Arm Test | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #13 |
acupuncture therapy | increase | total scores of Berg Balance Scale | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #14 |
virtual reality | increase | total scores of Berg Balance Scale | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #15 |
neuromuscular electrical stimulation | increase | total scores of Berg Balance Scale | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #16 |
mirror therapy | increase | total scores of Berg Balance Scale | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #17 |
common therapy | increase | total scores of Berg Balance Scale | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #18 |
transcranial direct current stimulation | increase | total scores of Berg Balance Scale | patients with poststroke motor dysfunction | - | showed the following order regarding improvement | #19 |
virtual reality | increase | index of action research arm test | patients with poststroke motor dysfunction | - | was the best intervention for improving | #20 |
virtual reality | increase | Fugl-Meyer Assessment-lower extremity | patients with poststroke motor dysfunction | - | was the best intervention for improving | #21 |
acupuncture therapy | increase | lower limb balance function | patients with poststroke motor dysfunction | - | improved | #22 |
OBJECTIVE: The aim of the study is to evaluate the effect of different traditional Chinese and western medicine rehabilitation techniques on motor dysfunction after stroke using a network meta-analysis. METHODS: CNKI, Wanfang, PubMed, Embase, and Cochrane databases were searched from inception to September 2022. We independently searched and screened randomized controlled trials of rehabilitation techniques for poststroke motor dysfunction treatment, evaluated the quality, and analyzed the data using Stata 14.0. RESULTS: Seventy-four randomized controlled trials involving nine rehabilitation techniques and 5128 patients were included. The results of network meta-analysis showed the following orders regarding improvement of the total scores of Fugl-Meyer Assessment, Action Research Arm Test, and Berg Balance Scale: biofeedback therapy > mirror therapy > repetitive transcranial magnetic stimulation > acupuncture therapy > transcranial direct current stimulation > Taichi > common therapy, virtual reality > transcranial direct current stimulation > repetitive transcranial magnetic stimulation > mirror therapy > common therapy, and acupuncture therapy > virtual reality > neuromuscular electrical stimulation > mirror therapy > common therapy > transcranial direct current stimulation, respectively. CONCLUSIONS: Biofeedback therapy had the best comprehensive effect, while virtual reality was the best intervention for improving the index of action research arm test and Fugl-Meyer Assessment-lower extremity. Acupuncture therapy improved lower limb balance function.