Sommaire

strabismus

Strabisme : évaluation de l'acupuncture

1. Systematic Reviews and Meta-Analysis

☆☆☆ Evidence for effectiveness and a specific effect of acupuncture
☆☆ Evidence for effectiveness of acupuncture
☆ Limited evidence for effectiveness of acupuncture
Ø No evidence or insufficient evidence

1.1. Generic Acupuncture

1.1.1. Zhang 2022 (oculomotor nerve palsy) ☆

Zhang X, Cui H, Liu Y, Zhang L, Du R, Yuan H, Achakzai R, Zheng S. Acupuncture for oculomotor nerve palsy:A systematic review and meta-analysis. Complement Ther Med. 2022 Dec;71:102888. https://doi.org/10.1016/j.ctim.2022.102888

Background To evaluate the safety and efficacy of acupuncture in the treatment of oculomotor nerve palsy (ONP).
Methods The following database will be required from PubMed, Cochrane Library, Medline, Chinese Biomedical Literature Database, China National Knowledge Infrastructure (CNKI), Wanfang data. Randomized controlled trials (RCTs) comparing acupuncture alone versus no treatment/another active therapy/sham acupuncture or comparing acupuncture with another active therapy versus the same active therapy were included. Meta-analysis was conducted according to the 2020 PRISMA guidelines. Data was analyzed using RevMan 5.4 software. Results were reported as risk ratios (RR) for dichotomous outcomes or mean differences (MD) for continuous outcomes, with 95 % confidence intervals (CI). The Cochrane risk of bias tool was used to access the methodological quality of the trails.
ResultsEighteen RCTs with 1150 participants comparing acupuncture versus other therapies were included. The results showed a significant differences in the clinical efficiency rate (RR = 1.30, 95 %CI = 1.23-1.37, P < 0.001), scores of diplopia (MD = - 0.78, 95 %CI = - 1.39 to - 0.77, P < 0.001), palpebral fissure size (MD = 1.04, 95 %CI = 0.41-1.68, P = 0.001), the pupil diameter (MD = - 0.56, 95 %CI = - 0.70 to - 0.42, P < 0.001), quality of life (MD = 8.96, 95 %CI = 6.79-11.13, P < 0.001) between the experiment and control groups. However, there were no significant differences in the adverse effects (RR = 0.52, 95 %CI = 0.22-1.22, P = 0.13). The quality of the evidence test by GRADE was low or very low.
Conclusion Most included studies suggested that acupuncture was more effective than the control group in the treatment of ONP. However, the quality evidence of most of the studies was low and most of them were performed in China.

1.1.2. Ku 2019

Ku Yong, Kang Jae, Kong Hae, Ryu Hwa, Lee Hyun. A Systematic Review of Acupuncture for Oculomotor Nerve Palsy. Journal of Acupuncture Research. 2019;36:59-71. [174834].

Objective and MethodsAcupuncture treatment for oculomotor nerve palsy has been increasing recently. This study analyzed randomized controlled trials (RCTs) and case reports, using the Cochrane risk of bias tool to investigate the efficacy of acupuncture therapy for oculomotor nerve palsy. This analysis was performed on March 7, 2019, using online databases (PubMed, Cochrane, NDSL, OASIS, CNKI) where 208 articles were retrieved.
ResultsOf these, there were 18 case reports and 18 RCTs that matched the inclusion criteria, of which 32 studies used acupuncture as the primary intervention, 1 used pharmacopuncture, 1 used fire-needling, and 1 used electroacupuncture. The most commonly used acupoints were BL1, BL2, ST2, TE23, Ex-HN5, LI4, GB14, ST36, GB20 and GB1. Significant findings were reported in all RCTs. Six adverse events were reported in 3 RCTs, with no effect on the outcome. No side effects were reported in the case reports. The risk-of-bias analysis showed that the articles did not report the experimental protocol used and it was not clear whether the study was blinded. Hence, it was difficult to assess the risk of bias.
ConclusionsAnalysis of 36 studies showed that acupuncture therapy for oculomotor nerve palsy was effective in many cases. It was difficult to evaluate the potential bias.

1.1.3. Liu 2012 ☆

Liu Min, Liu Mai-Lan, Yu Mei-Ling, Lan Lei, Tang Yong. [Acupuncture treatment in paralytic strabismus: a systematic review]. Journal of Liaoning College of Traditional Chinese. 2012;6: 18-20. [187004].

ObjectiveTo evaluate the efficacy and safety of acupuncture for paralytic strabismus.
MethodsWe electronically searched Cochrane Library (Issue l, 2011), PubMed (1980 to Jul. 2011), MEDLINE (1966 to 2011), Ovid EBM Database (1991 to 2011), CBMdisc (1978 to Jul. 2011), VIP (1989 to Jul, 2011), CNKI (1979 to Jul, 2011) and Wangfang Database (1983 to Jul. 2011) as well as handsearching four traditional Chinese medicine journals to obtain randomized controlled trials (RCTs)about acupuncture for paralytic strabismus. Quality assessment was conducted by the Cochrane Handbook for Systematic Reviews of Interventions 5. 1. 0. Meta-analyses were performed for the results of homogeneous studies using RevMan 5. 0 software.
Results 5 RCTs involving 301 patients met the inclusion criteria. The meta-analysis of five trials showed that acupuncture was superior in paralytic strabismus with RR=1. 30, and 95%CI was 1. 09 to 1. 54.
ConclusionsAcupuncture is a probably effective treatment method for paralytic strabismus. However, it still needs high qualify studies to reevaluate the effectiveness of acupuncture treatment for paralytic strabismus because of the 5 included low quality trials in current reports.

1.2. Special Acupuncture Techniques

1.2.1. Qin 2016 (Ocular Acupuncture) ~

Qin Xinzhang, Baile Ning, Min Zhendeng, Nan Buwang, Li Huang, Yong Qifang. [Meta-analysis on random-control experment of eye-acupuncture on extrarectus muscles for the treatment of abducens paralysis]. Chinese Journal of Ethnomedicine and Ethnopharmacy. 2016;6:51-54. [186941].

Objective Studies that have been published in China on the curative effect of Eye -acupuncture on extrarectus muscles for the treatment of abducens pralysis were searched and analyzed by Meta -analysis, in order to provide some evidences in treating abducens pralysis.
Method All the studies that have been searched and strictly evaluated through Mate -analysis by the software Rev-Man5. 3, to evaluate the curative effect of Eye -acupuncture on extrarectus muscles for the treatment of abducens pralysis.
Result Totally 7 studies including 597 cases were analyzed. Compared with the control group, the effective rate of the treatment group was [RR=1. 40, 95%CI (1. 29, 1. 53)], the eye -diplopia degree of the treatment group was [RR =-1. 16, 95%CI (-1. 45, -0. 87)], the eye -movement degree of the treatment group was [RR =2. 89, 95%CI (2. 47, 3. 31)].
Conclusion Eye -acupuncture on extrarectus muscles has the effect to improve the treatment of abducens pralysis and improve symptoms of dipiopia and eye -movement disorder.

2. Randomized Controlled Trials

2.1. Sources

  1. Acudoc2: base de données du Centre de Documentation du GERA (ECR non inclus dans les revues systématiques sources).
  2. Ku 2019: Ku Yong, Kang Jae, Kong Hae, Ryu Hwa, Lee Hyun. A Systematic Review of Acupuncture for Oculomotor Nerve Palsy. Journal of Acupuncture Research. 2019;36:59-71. [174834].

2.2. List

2018 Yao Peng, Yang Hui-Ting, Liu Jie. [Therapeutic Observation of Acupuncture plus Medication for Diabetic Abducens Nerve Palsy]. Shanghai Journal of Acupuncture and Moxibustion. 2018;37(1): 33-36. [100868]. Acudoc2
Zou D, Guan DX, Zhang YY, Wang L. Clinical observation of acupuncture and moxibustion for treatment of 50 patients with oculomotor nerve palsy. Clin J Chin Med 2018;10:128-129. [in Chinese]. Ku 2019 [26]
2017 Li Shouqing. [Effective safety analysis and prognosis evaluation of traditional Chinese medicine combined with acupuncture in treating oculomotor paralysis]. Journal of Binzhou Medical University. 2017;40(5):330-2. [201414]. Ku 2019 [27]
Yan AG. [Acupuncture and moxibustion for treatment of diabetic oculomotor nerve palsy and its therapeutic effect]. Diabetes New World. 2017;20:172-3. [145542]. Ku 2019 [25]
Yang Y. [Clinical study on treatment of oculomotor nerve palsy with multi-needle shallow thorn method]. [Dissertation]. Changchun (China): Changchun University of Traditional Chinese Medicine. 2017. [188234]. Ku 2019 [37]
Yang Y. [Clinical observation of acupuncture combined with Western medicine in the treatment of oculomotor nerve palsy]. Liaoning (China): Liaoning University of Traditional Chinese Medicine [Dissertation]. 2017. [200052] Ku 2019 [38]
2016 Bi JQ, Li W, Yang Q, Li BL, Meng QG, Liu YF. Acupuncture for the Treatment of Oculomotor Paralysis: A Pilot Randomised Controlled Trial. Evid Based Complement Alternat Med. 2016. [186272]. Acudoc2
Niu Xiang-Lai, Jing Fu-Quan, Li Ting-Ting, Zhou Yu. [Observations on the Efficacy of Warming-reinforcing Acupuncture plus Medication for Diabetic Oculomotor Paralysis]. Shanghai Journal of Acupuncture and Moxibustion. 2016;35(11):1293-129. [191482]. Acudoc2
2015 Pan Lin-sen, Wu Jun. [The Clinical Research into Stroke Oculomotor Nerve Palsy Treated with Acupuncture for Resuscitation in Combination with Decoction of Astragali seu Hedysari and Ramuli Cinnamomi with Five Ingredients]. Henan Traditional Chinese Medicine. 2015;35(8):1762-4. [201428]. Ku 2019 [30]
Sun Ling. [Clinical curative effect observation on the acupuncture therapy of Nourishing Jingjin on the patients with oculomotor nerve paralysis]. Tianjin Journal of TCM. 2015;2:725-7. [200441]. Ku 2019 [28]
Yang Rong, Chen Ming, Zeng Liu-Zhi, Mao Min. [Clinical Observations on Jin's Eye Three-needle Acupuncture as Main Therapy for Acquired Paralytic Strabismus]. Shanghai Journal of Acupuncture and Moxibustion. 2015;34(10):978. [187506]. Acudoc2
Yu XT, Zeng JH. [Clinical observation of oculomotor nerve palsy in post-stroke patients treated by resuscitating acupuncture]. Chinese Journal of Practical Nervous Diseases. 2015;18(8):14-16. [200490]. Ku 2019 [29]
2014 Chen Qiu-Xin, Zou Wei, Ju Dan. [Acupuncture treatment for oculomotor paresis: clinical observation of 20 cases]. Journal of Clinical Acupuncture and Moxibustion. 2014;30(10):31. [173268]. Ku 2019 [32]
Wang CW, Zhou DA. [Clinical efficacy of acupuncture and rehabilitation treatment on oculomotor nerve palsy patients]. International Journal of Ophthalmology. 2014;14(6):1165- 1167. [201412]. Ku 2019 [31]
2013 Chen J, Cao CH, Zhang W. [Clinical observation of “XNKQ” acupuncture on oculomotor nerve paralysis after stroke]. Tianjin Journal of TCM. 2013;30(3):534-6. [200258]. Ku 2019 [33]
Guo Shu-Qin, Ren Hong, Co Yan-Xia, Jwang Lin. Multicenter randomly controlled trial on acupoint injection therapy with chinese herbal medicines for oculomotor paralysis. World Journal of Acupuncture-Moxibustion. 2013;23(1):9. [167129]. Acudoc2
Ji XJ, Zhou LY, Si CQ, Guo Q, Feng GZ, Gang BZ. [Efficacy observation on electroacupuncture in the treatment of oculomotor impairment caused by ophthalmic nerve injury]. Chinese Acupuncture and Moxibustion. 2013;33(11):975-9. [162380]. Acudoc2
Liu YD. [Clinical study on the time-effect relationship of ocular nerve palsy based on eye 3 acupuncture.] [Dissertation]: Heilongjiang (China): Heilongjiang University of Traditional Chinese Medicine. 2013. [168448]. Ku 2019 [36]
Song Xiao-Lin, Ma Xin-Ping, Li Zhu. [Therapeutic observation on acupuncture plus fire-needle therapy for oculomotor nerve palsy]. Shanghai Journal of Acupuncture and Moxibustion. 2013;32(11):931. [178901]. Acudoc2
2012 Dong M. [Clinical observation of acupuncture and eye treatment for oculomotor nerve palsy]. [Dissertation]. Heilongjiang (China): Heilongjiang University of Traditional Chinese Medicine. 2012. [200074]. Ku 2019 [39]
Yang Ju, Peng XL, Bai JM, Du XZ, Xue Y. [To study the clinical efficacy of acupuncture treatment on oculomotor palsy caused by diabetes]. Gansu Chinese Medicine. 2012;9:650-2. [201430]. Ku 2019 [34]
Zhou Ling-Yun, Zhao Ming, Ji Xiao-Jie. [Eye acupuncture with electro-acupuncture on ocular muscles as a main point for the treatment of abducens nerve paralysis]. Journal of Clinical Acupuncture and Moxibustion. 2012;28(6):6. [175142]. Acudoc2
2010 Chang Qing. Treatment of 30 cases of abducens nerve palsy with acupuncture. World Journal of Acupuncture-Moxibustion. 2010;20(1):60. [165156]. Acudoc2
2009 Zhang SJ, Li SR, Li JS, Liu J, Song RX. [Clinical observation on acupuncture for treatment of paralytic strabismus]. Chinese Acupuncture and Moxibustion. 2009;29(10):799-803. [154685]. Acudoc2
2008 Liu B, Chen HT, Liu JL. [Clinical observation of acupuncture treatment of diabetic oculomotor nerve palsy], Liaoning Journal of TCM. 2008;35(10):1579-80. [200677 Ku 2019 [35]
Guo HM, Dong JK, Wang HM, Zhang ZH, Li YX, Wang RX, Liu SQ. [Observation on therapeutic effect of acupuncture combined with western medicine on paralytic strabismus]. Chinese Acupuncture and Moxibustion. 2008;28(6):399. [150148]. Acudoc2
Ren H, Cheng FK, Qiu C. [Clinical observation on chinese drug acupoint-injection for treatment of acquired abducent paralysis]. Chinese Acupuncture and Moxibustion. 2008;28(1):41. [148109]. Acudoc2
Tian Feng-Sheng, Yang Wei-Guo, Song Hai-Li, et al. [Randomized controlled study on acupuncture for treatment of diabetic paralytic squint]. Chinese Acupuncture and Moxibustion. 2008;28(2):84. [148255]. Acudoc2
2005 Sun G, Zhao YF. [Clinical observations on the treatment of cerebral infarction-caused paralytic strabismus with scalp and body acupuncture]. Shanghai Journal of Acupuncture and Moxibustion. 2005;24(2):15. [139875] Acudoc2
2003 Yuan X. Clinical observation on treatment of acquired paralytic strabismus by acupuncture plus oral administration of chinese herbs. Journal of TCM. 2003;23(3):188-90. [117587]. Acudoc2