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Effectiveness of bee venom acupuncture in alleviating post-stroke shoulder pain: a systematic review and meta-analysis.
J Integr Med 2015; 13(4):241-7JI

Abstract

BACKGROUND

Shoulder pain is a common complication of stroke. Bee venom acupuncture (BVA) is increasingly used in the treatment of post-stroke shoulder pain.

OBJECTIVE

To summarize and evaluate evidence on the effectiveness of BVA in relieving shoulder pain after stroke.

SEARCH STRATEGY

Nine databases, namely MEDLINE, EMBASE, the Cochrane Library, the China National Knowledge Infrastructure (CNKI), the Japan Science and Technology Information Aggregator, Electronic (J-STAGE), and four Korean medical databases, namely, the National Assembly Library, the Research Information Service System, the National Discovery for Science Leaders, and OASIS, were searched from their inception through August 2014 without language restrictions.

INCLUSION CRITERIA

Randomized controlled trials (RCTs) were included if BVA was used at acupoints as the sole treatment, or as an adjunct to other treatments, for shoulder pain after stroke.

DATA EXTRACTION AND ANALYSIS

Two review authors independently selected trials for inclusion, assessed methodological quality and extracted data.

RESULTS

A total of 138 potentially relevant articles were identified, 4 of which were RCTs that met our inclusion criteria. The quality of studies included was generally low, and a preponderance of positive results was demonstrated. All four trials reported favorable effects of BVA on shoulder pain after stroke. Two RCTs assessing the effects of BVA on post-stroke shoulder pain, as opposed to saline injections, were included in the meta-analysis. Pain was significantly lower for BVA than for saline injections (standardized mean difference on 10-cm visual analog scale: 1.46 cm, 95% CI=0.30-2.62, P=0.02, n=86) CONCLUSION: This review provided evidence suggesting that BVA is effective in relieving shoulder pain after stroke. However, further studies are needed to confirm the role of BVA in alleviating post-stroke shoulder pain. Future studies should be conducted with large samples and rigorous study designs.

Authors+Show Affiliations

Department of Clinical Research on Rehabilitation, Korea National Rehabilitation Research Institute, Seoul 142-070, Korea.Department of Clinical Research on Rehabilitation, Korea National Rehabilitation Research Institute, Seoul 142-070, Korea.

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

26165368

Citation

Lim, Sung Min, and Sook-Hyun Lee. "Effectiveness of Bee Venom Acupuncture in Alleviating Post-stroke Shoulder Pain: a Systematic Review and Meta-analysis." Journal of Integrative Medicine, vol. 13, no. 4, 2015, pp. 241-7.
Lim SM, Lee SH. Effectiveness of bee venom acupuncture in alleviating post-stroke shoulder pain: a systematic review and meta-analysis. J Integr Med. 2015;13(4):241-7.
Lim, S. M., & Lee, S. H. (2015). Effectiveness of bee venom acupuncture in alleviating post-stroke shoulder pain: a systematic review and meta-analysis. Journal of Integrative Medicine, 13(4), pp. 241-7. doi:10.1016/S2095-4964(15)60178-9.
Lim SM, Lee SH. Effectiveness of Bee Venom Acupuncture in Alleviating Post-stroke Shoulder Pain: a Systematic Review and Meta-analysis. J Integr Med. 2015;13(4):241-7. PubMed PMID: 26165368.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of bee venom acupuncture in alleviating post-stroke shoulder pain: a systematic review and meta-analysis. AU - Lim,Sung Min, AU - Lee,Sook-Hyun, PY - 2015/7/14/entrez PY - 2015/7/15/pubmed PY - 2015/9/30/medline SP - 241 EP - 7 JF - Journal of integrative medicine JO - J Integr Med VL - 13 IS - 4 N2 - BACKGROUND: Shoulder pain is a common complication of stroke. Bee venom acupuncture (BVA) is increasingly used in the treatment of post-stroke shoulder pain. OBJECTIVE: To summarize and evaluate evidence on the effectiveness of BVA in relieving shoulder pain after stroke. SEARCH STRATEGY: Nine databases, namely MEDLINE, EMBASE, the Cochrane Library, the China National Knowledge Infrastructure (CNKI), the Japan Science and Technology Information Aggregator, Electronic (J-STAGE), and four Korean medical databases, namely, the National Assembly Library, the Research Information Service System, the National Discovery for Science Leaders, and OASIS, were searched from their inception through August 2014 without language restrictions. INCLUSION CRITERIA: Randomized controlled trials (RCTs) were included if BVA was used at acupoints as the sole treatment, or as an adjunct to other treatments, for shoulder pain after stroke. DATA EXTRACTION AND ANALYSIS: Two review authors independently selected trials for inclusion, assessed methodological quality and extracted data. RESULTS: A total of 138 potentially relevant articles were identified, 4 of which were RCTs that met our inclusion criteria. The quality of studies included was generally low, and a preponderance of positive results was demonstrated. All four trials reported favorable effects of BVA on shoulder pain after stroke. Two RCTs assessing the effects of BVA on post-stroke shoulder pain, as opposed to saline injections, were included in the meta-analysis. Pain was significantly lower for BVA than for saline injections (standardized mean difference on 10-cm visual analog scale: 1.46 cm, 95% CI=0.30-2.62, P=0.02, n=86) CONCLUSION: This review provided evidence suggesting that BVA is effective in relieving shoulder pain after stroke. However, further studies are needed to confirm the role of BVA in alleviating post-stroke shoulder pain. Future studies should be conducted with large samples and rigorous study designs. SN - 2095-4964 UR - https://www.unboundmedicine.com/medline/citation/26165368/Effectiveness_of_bee_venom_acupuncture_in_alleviating_post_stroke_shoulder_pain:_a_systematic_review_and_meta_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2095-4964(15)60178-9 DB - PRIME DP - Unbound Medicine ER -