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Acupuncture for dysphagia in acute stroke.

Yue Xie¹, Liping Wang, Jinghua He

¹Department of Acupuncture and Moxibustion, Huguosi Hospital of Traditional Chinese Medicine, No. 83 Cotton Hu Tong, Xi Cheng Qu, Beijing, China, 100035. xie11022@hotmail.com

The Cochrane Database of Systematic Reviews

|July 23, 2008

Summary

Acupuncture shows potential for post-stroke dysphagia recovery, but current evidence is insufficient. More large-scale trials are needed to confirm its therapeutic effect in improving feeding post-stroke.

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Area of Science:

Neurology
Complementary Medicine
Rehabilitation

Background:

Dysphagia is a common complication following acute stroke, often leading to poor prognosis.
Acupuncture is a frequently used treatment for post-stroke dysphagia in China, yet its efficacy remains uncertain.

Purpose of the Study:

To evaluate the therapeutic effect of acupuncture for dysphagia in patients who have experienced an acute stroke.
To compare acupuncture interventions against placebo, sham, or no acupuncture controls.

Main Methods:

A systematic search of multiple electronic databases and trial registers was conducted up to January 2007.
Included were randomized controlled trials (RCTs) of acupuncture for dysphagia within 30 days of stroke onset, with recovery of normal feeding as the primary outcome.

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Main Results:

Only one RCT involving 66 participants met the inclusion criteria.
The acupuncture group showed a higher recovery rate (35.3%) compared to the control group (21.9%), but this difference was not statistically significant (RR 1.61, 95% CI 0.73-3.58).

Conclusions:

The current evidence is insufficient to conclude on the therapeutic effect of acupuncture for post-stroke dysphagia.
High-quality, large-scale randomized controlled trials are required to establish the efficacy of acupuncture for this condition.