Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis

Introduction Spasticity is a common complication of poststroke, tuina is a widely used rehabilitation treatment, although there is a lack of supportive evidence on efficacy and safety for patients with poststroke spasticity. The aim of this systematic review is to assess and synthesis evidence of ef...

Full description

Saved in:
Bibliographic Details
Main Authors: Fang Cao, Xiaohong Xu, Qiongshuai Zhang, Guangcheng Ji, Yihan Sun, Guanyu Hu, Shaoqian Sun, Yanze Liu, Jiazhen Cao, Yufeng Wang, Bailin Song
Format: Article
Language:English
Published: BMJ Publishing Group 2020-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/12/e038705.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846160158430855168
author Fang Cao
Xiaohong Xu
Qiongshuai Zhang
Guangcheng Ji
Yihan Sun
Guanyu Hu
Shaoqian Sun
Yanze Liu
Jiazhen Cao
Yufeng Wang
Bailin Song
author_facet Fang Cao
Xiaohong Xu
Qiongshuai Zhang
Guangcheng Ji
Yihan Sun
Guanyu Hu
Shaoqian Sun
Yanze Liu
Jiazhen Cao
Yufeng Wang
Bailin Song
author_sort Fang Cao
collection DOAJ
description Introduction Spasticity is a common complication of poststroke, tuina is a widely used rehabilitation treatment, although there is a lack of supportive evidence on efficacy and safety for patients with poststroke spasticity. The aim of this systematic review is to assess and synthesis evidence of efficacy and safety of tuina for spasticity of poststroke.Methods and analysis A comprehensive electronic search of EMBASE, MEDLINE, Cochrane Library, Web of Science, Wiley, Springer, PEDro, Chinese Science Citation Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific and Journal Database (VIP), Wanfang Database (Wanfang), Japanese medical database (CiNii), Korean Robotics Institute Summer Scholars and Thailand Thai-Journal Citation Index Centre will be conducted to search literatures of randomised controlled trials of tuina for spasticity of poststroke survivors range from the establishment to 1 January 2020.There is no time of publication limitations. The primary outcome will be measured with the Modified Ashworth Scale, and the second outcome will include Fugl-Meyer Assessment Scale, surface electromyogram RMS value, the Modified Barthel Index, Stroke Specific Quality of Life Scale, quality of life 36-Item Short-Form Health Survey and Visual Analogue Scale. Cochrane Handbook for Systematic Reviews of Interventions will be used to assess the risk of bias, and GRADE will be used to access the confidence in cumulative evidence. The protocol will be conducted according to approach and Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015.Ethics and dissemination Ethical approval will not be required, for no primary data of individual patients were collected. We will publish the findings in a peer-reviewed journal.PROSPERO registration number CRD42020163384.
format Article
id doaj-art-d7cc1dd9d5484d35a25c259a528c3c09
institution Kabale University
issn 2044-6055
language English
publishDate 2020-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-d7cc1dd9d5484d35a25c259a528c3c092024-11-22T09:55:10ZengBMJ Publishing GroupBMJ Open2044-60552020-12-01101210.1136/bmjopen-2020-038705Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysisFang Cao0Xiaohong Xu1Qiongshuai Zhang2Guangcheng Ji3Yihan Sun4Guanyu Hu5Shaoqian Sun6Yanze Liu7Jiazhen Cao8Yufeng Wang9Bailin Song10Acupuncture Department, Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaAff2 0000 0000 2220 2544grid.417540.3Eli Lilly and Company 450 East 29th Street New York USAAcupuncture and Tuina Department, Changchun University of Chinese Medicine, Changchun, ChinaRehabilitation Medicine Department, Changchun University of Chinese Medicine, Changchun, ChinaTCM Department, Changchun University of Chinese Medicine, Changchun, ChinaAcupuncture and Tuina Department, Changchun University of Chinese Medicine, Changchun, ChinaRehabilitation Medicine Department, Jilin University Third Affiliated Hospital, Changchun, ChinaCollege of Acupuncture and Massage, Changchun University of Chinese Medicine, Changchun, Jilin, ChinaCollege of Acupuncture and Massage, Changchun University of Chinese Medicine, Changchun, Jilin, China3 Psychiatry Department, Peking University Sixth Hospital, Beijing, ChinaAcupuncture and Tuina Department, Changchun University of Chinese Medicine, Changchun, ChinaIntroduction Spasticity is a common complication of poststroke, tuina is a widely used rehabilitation treatment, although there is a lack of supportive evidence on efficacy and safety for patients with poststroke spasticity. The aim of this systematic review is to assess and synthesis evidence of efficacy and safety of tuina for spasticity of poststroke.Methods and analysis A comprehensive electronic search of EMBASE, MEDLINE, Cochrane Library, Web of Science, Wiley, Springer, PEDro, Chinese Science Citation Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific and Journal Database (VIP), Wanfang Database (Wanfang), Japanese medical database (CiNii), Korean Robotics Institute Summer Scholars and Thailand Thai-Journal Citation Index Centre will be conducted to search literatures of randomised controlled trials of tuina for spasticity of poststroke survivors range from the establishment to 1 January 2020.There is no time of publication limitations. The primary outcome will be measured with the Modified Ashworth Scale, and the second outcome will include Fugl-Meyer Assessment Scale, surface electromyogram RMS value, the Modified Barthel Index, Stroke Specific Quality of Life Scale, quality of life 36-Item Short-Form Health Survey and Visual Analogue Scale. Cochrane Handbook for Systematic Reviews of Interventions will be used to assess the risk of bias, and GRADE will be used to access the confidence in cumulative evidence. The protocol will be conducted according to approach and Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015.Ethics and dissemination Ethical approval will not be required, for no primary data of individual patients were collected. We will publish the findings in a peer-reviewed journal.PROSPERO registration number CRD42020163384.https://bmjopen.bmj.com/content/10/12/e038705.full
spellingShingle Fang Cao
Xiaohong Xu
Qiongshuai Zhang
Guangcheng Ji
Yihan Sun
Guanyu Hu
Shaoqian Sun
Yanze Liu
Jiazhen Cao
Yufeng Wang
Bailin Song
Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis
BMJ Open
title Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis
title_full Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis
title_fullStr Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis
title_full_unstemmed Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis
title_short Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis
title_sort tuina for spasticity of poststroke protocol of a systematic review and meta analysis
url https://bmjopen.bmj.com/content/10/12/e038705.full
work_keys_str_mv AT fangcao tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT xiaohongxu tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT qiongshuaizhang tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT guangchengji tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT yihansun tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT guanyuhu tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT shaoqiansun tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT yanzeliu tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT jiazhencao tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT yufengwang tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis
AT bailinsong tuinaforspasticityofpoststrokeprotocolofasystematicreviewandmetaanalysis