Efficacy and safety of acupuncture-moxibustion for cerebral palsy-induced speech impairment: a systematic review and meta-analysis

Objective To evaluate the efficacy and safety of acupuncture-moxibustion in the treatment of cerebral palsy-related speech impairment. Methods A systematic literature search of 7 electronic databases was conducted between January 7, 2000 and January 12, 2021 to find randomized controlled trials (RCT...

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Bibliographic Details
Published in:Journal of acupuncture and tuina science 2023-06, Vol.21 (3), p.229-238
Main Authors: Wang, Jiahui, Zhou, Taocheng, Bao, Chao, Li, Jianbing, Sui, Yuhang
Format: Article
Language:English
Subjects:
Acupuncture
Cerebral palsy
Handbooks
Medicine
Medicine & Public Health
Rehabilitation
Speech
Systematic Review
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Summary:Objective To evaluate the efficacy and safety of acupuncture-moxibustion in the treatment of cerebral palsy-related speech impairment. Methods A systematic literature search of 7 electronic databases was conducted between January 7, 2000 and January 12, 2021 to find randomized controlled trials (RCTs) examining the benefits of acupuncture-moxibustion combined with rehabilitation training to cerebral palsy-induced speech impairment. The included trials’ quality was assessed using the Cochrane Reviewers’ Handbook as a guide, and statistical analysis was carried out using the RevMan 5.3 software. Results A total of 17 RCTs with 1 238 subjects were finally recruited and analyzed. When acupuncture- moxibustion was combined with rehabilitation training, the results showed a considerable improvement in speech impairment compared with the rehabilitation training alone. The most commonly used points for the treatment of speech disorders are Baihui (GV20), Speech Area, Zhisanzhen [Shenting (GV24) and bilateral Benshen (GB13)], Niesanzhen [2 Cun above the ear tip as the first point, with 1.0 Cun anterior and posterior to the current point as the second and third points], and Sishenzhen [1.5 Cun anterior, posterior, and bilateral to Baihui (GV20)]. Conclusion Acupuncture-moxibustion has a stronger effect on children’s development of receptive and expressive language, as well as the developmental quotient. Acupuncture-moxibustion in combination with rehabilitation training is not only more successful than the control treatment, but also safer and more dependable. Baihui (GV20), Speech Area, Zhisanzhen, Niesanzhen, and Sishenzhen are the most widely used points for speech impediment.
ISSN:1672-3597
1993-0399
DOI:10.1007/s11726-023-1380-6