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Clinical Practice Guideline for acupuncture in Post-stroke urinary incontinence

  • Journal of Sasang Constitution and Immune Medicine
  • Abbr : J Sasang Constitut Med
  • 2017, 29(4), pp.317-325
  • DOI : 10.7730/JSCM.2017.29.4.317
  • Publisher : The Society of Sasang Constitution and Immune Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine
  • Published : December 31, 2017

이지원 1 Shin, Byung Cheul ORD ID 2 Myeong Soo Lee 3 SUNG MIN LIM 4 Yoo Jung Hee 5 ChungSik Cho ORD ID 6 Sang-Kwan Moon 5 Jong-Cheon Joo 7 Eui Ju Lee 5 Yook Tae Han 8

1경희대학교 한의과대학 사상체질과
2부산대학교
3한국한의학연구원
4국립재활원
5경희대학교
6대전대학교
7원광대학교
8우석대학교

Accredited

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.

Citation status

* References for papers published after 2023 are currently being built.