뇌졸중 환자의 실어증에 대한 전침 치료 : 체계적 문헌 고찰 = Electro-Acupuncture on Aphasia after Stroke: A Systemic Review of Randomized Controlled Trials

다국어 초록 (Multilingual Abstract)

Objectives: This study investigates the effect of electro-acupuncture on aphasia after stroke. Methods: A search of OASIS, NDSL, PubMed, Cochrane, and CNKI was executed between 4 January 2021 and 4 February 2021, with no limitation on publication year. Extraction and selection from the studies were made by 3 authors. The quality of the studies was evaluated using Cochrane's risk of bias (RoB) tool. Results: 10 studies met the selection criteria. As the treatment site for electro-acupuncture, GV20 (Baihui) was used the most. In all studies, the region located on the head was used for treatment without distinguishing between acupoints and areas of scalp acupuncture, and the stimulation was organized into 3 conditions: speed, intensity, and time. The outcome indicators used before and after treatment focused on the evaluation of language function and the degree of aphasia. The results showed that using electro-acupuncture with speech rehabilitation therapy for aphasia after stroke was more effective than using speech rehabilitation therapy alone. Conclusions: In this review, electro-acupuncture for aphasia after stroke was found to have a significant effect compared to the previous treatment alone. However, because of limitations, information was not reliable enough. Additional research is needed to produce more objective evidence.

참고문헌 (Reference)

1 이형걸, "전침을 이용한 국내 연구문헌 분석: 국내의 정상인 및 환자를 대상으로 시행한 임상연구 경향 분석" 대한침구의학회 30 (30): 139-153, 2013

2 김계진, "자동 염전침의 진통효과" 대한침구의학회 21 (21): 133-144, 2004

3 김봄님, "월경통에 대한 전침의 임상 효과" 대한한방부인과학회 17 (17): 138-146, 2004

4 여진주, "언어치료와 한방치료를 병행한 중풍 실어증환자 치험 2례" 대한한방내과학회 25 (25): 662-668, 2004

5 김향희, "실어증 선별검사 개발을 위한 내용타당도 검증" 한국언어청각임상학회 13 (13): 353-380, 2008

6 정용, "신경행동장애에 대한 병상 평가" 대한신경과학회 20 (20): 325-338, 2002

7 김하리, "두침 요법을 포함한 한의 치료로 호전된 피각 출혈 후 명칭 실어증 치험 1례" 대한한방내과학회 41 (41): 1200-1209, 2020

8 강아름, "뇌졸중으로 유발된 전체성 실어증 환자에 대한 두침치료 치험 2례" 대한한방내과학회 37 (37): 265-272, 2016

9 권승원, "뇌졸중 환자의 실어증에 대한 언어치료시 한방치료가 병행되었을 때의 효과" 대한한의학회 31 (31): 129-140, 2010

10 김영석, "뇌경색 환자의 운동장애에 대한 주파수별 전침치료효과의 비교" 대한한의학회 28 (28): 289-298, 2007

11 Ma YP, "Therapeutic Effect of Scalp Electroacupuncture Combined with Language Training on Stroke Motor Aphasia" 11 (11): 62-64, 2020

12 Mitchum CC, "The Cognitive Neuropsychological Approach to Treatment of Language Disorders" 5 (5): 1-16, 1995

13 Lee SJ, "Striatocapsular Infarct and Aphasia" 19 (19): 10-18, 2001

14 Sarno M, "Speech Therapy and Language Recovery in Severe Aphasia" 13 (13): 607-623, 1970

15 Zhang WT, "Relations between Brain Network Activation and Analgesic Effect Induced by Low vs High Frequency Electrical Acupoint Stimulation in Different Subjects:A Functional Magnetic Resonance Imaging Study" 982 (982): 168-178, 2003

16 서동민, "Pub Med 檢索을 통한 電鍼의 最新 硏究에 관한 考察 - 臨床 論文 中心으로 -" 대한침구의학회 19 (19): 168-179, 2002

17 Andersson SA, "Pain Threshold Effects of Peripheral Conditioning Stimulation" 1 : 761-768, 1976

18 Shin WJ, "One Case Treated Cerebral Infarction with Aphasia by Jihwangumja" 24 (24): 1014-1022, 2003

19 Zhao LT, "Observation on the Therapeutic Effect of Scalp Acupuncture Combined with Speech Training on Community Rehabilitation Program of Post-Stroke Sports Aphasia" 36 (36): 92-93, 2020

20 Sarno MT, "Natural Course of Recovery in Severe Aphasia" 52 (52): 175-178, 1971

21 Kim SY, "NECA's Guidance for Undertaking Systematic Reviews and Meta-Analyses for Intervention"

22 Bhogal SK, "Intensity of Aphasia Therapy Impact on Recovery" 34 (34): 987-993, 2003

23 Hong DK, "Increase of Spoken Number of Syllables Using MIT(Melody Intonation Therapy):Case Studies on Older Adult with Stroke and Aphasia" 2 (2): 57-67, 2005

24 Dickey L, "Incidence and Profile of Inpatient Stroke-Induced Aphasia in Ontario, Canada" 91 (91): 196-202, 2010

25 Benjamin EJ, "Heart Disease and Stroke Statistics-2018 Update:A Report from the American Heart Association" 137 : 67-492, 2018

26 Hanlon RE, "Global Aphasia without Hemiparesis:Language Profiles and Lesion Distribution" 66 (66): 365-369, 1999

27 Yoo SD, "Evidence Based Therapies for Aphasia Following Stroke" 3 (3): 27-33, 2010

28 Li T, "Evaluation of Scalp Electro-acupuncture Combined with Speech Training on Broca Language Dysfunction after Stroke" 33 (33): 13-16, 2017

29 Lin M, "Effect of Scalp Electroacupuncture Combined with Speech Training in the Treatment of Aphasia after Stroke" 26 (26): 62-65, 2019

30 Jamie BL, "Conversational Script Performance in Adults with Non-Fluent Aphasia:Treatment Intensity and Aphasia Severity" 23 : 885-897, 2009

31 Wang Y, "Clinical Study on Electroacupuncture Combined with Schuell Stimulation in the Treatment of Aphasia after Stroke" 40 (40): 465-468, 2020

32 Yang L, "Clinical Study of Scalp Electroacupuncture Combined with Language Training on Post-Stroke Aphasia Patients" 32 (32): 305-308, 2017

33 Zhang XL, "Clinical Study of Electroacupuncture Stimulation Combined with Language Training in the Treatment of Stroke Aphasia" 8 (8): 16-17, 2005

34 Pyo SM, "Clinical Study of Communication Disorders with Post-Stroke" 19 (19): 23-30, 2003

35 Liu LA, "Clinical Observation on Treatment of Aphasia due to Apoplexy with Electric Acupuncture on Scalp Points and Language Training" 3 : 145-148, 2000

36 Kim JH, "Characteristics of Old Aged Stroke : Rehabilitation Perspectives" 10 (10): 290-295, 2006

37 Pedersen PM, "Aphasia in Acute Stroke:Incidence, Determinants, and Recovery" 38 (38): 659-666, 1995

38 National Institute of Deafness and Other Communication Disorders, "Aphasia"

39 Damasio AR, "Aphasia" 326 (326): 531-539, 1992

40 Kim JS, "An Investigation into Acupuncture Treatment of Verbal Disturbance after Stroke" 15 (15): 537-550, 1998

41 Nie T, "An Analysis of Treating Aphasia after Stroke by Language Rehabilitation Training plus Scalp Electroacupuncture" 12 (12): 80-82, 2020

42 Kang HH, "A Literature Review on the Causes and Treatments of Post-Stroke Language Disorder" 7 (7): 719-728, 1998

43 Zheng YB, "A Clinical Study of Electro- acupuncture at Lianquan(CV23) and Shuaigu (GB8) in the Treatment of Motor Aphasia Patients after Stroke" 16 (16): 122-124, 2018