Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 May 24:15:1394348.
doi: 10.3389/fneur.2024.1394348. eCollection 2024.

Exploring the rules of related parameters in acupuncture for post-stroke dysphagia based on data mining

Minmin Wu  1 , Wenjing Song  1 , Xue Wang  2 , Qiang Tang  2 , Weibin Gao  2 , Luwen Zhu  2
Affiliations

Exploring the rules of related parameters in acupuncture for post-stroke dysphagia based on data mining

Minmin Wu et al. Front Neurol. .

Abstract

Background: Post-stroke dysphagia (PSD) affects the efficacy and safety of swallowing, causing serious complications. Acupuncture is a promising and cost-effective treatment for PSD; however, as the number of randomized controlled trials increases, scientific analysis of the parameters and acupoint prescription is required. Therefore, this study aimed to explore the effects of acupuncture on parameters related to post-stroke dysphagia (PSD).

Methods: We searched the Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Literature, and Chongqing VIP Database for randomized controlled trials of acupuncture for PSD in the last 15 years and relevant parameters were analyzed using data mining techniques.

Results: In total, 3,205 records were identified, of which 3,507 patients with PSD were included in 39 studies. The comprehensive analysis demonstrated that the closest parameter combinations of acupuncture on PSD were 0.25 mm × 40 mm needle size, 30 min retention time, five treatments per week, and a 4-week total course of treatment. Additionally, the gallbladder and nontraditional meridians, crossing points, and head and neck sites are the most commonly used acupoint parameters. The core acupoints identified were GB20, RN23, EX-HN14, Gongxue, MS6, SJ17, EX-HN12, EX-HN13, and the commonly used combination of EX-HN12, EX-HN13, GB20, and RN23.

Conclusion: This study analyzed the patterns of PSD-related needling and acupoint parameters to provide evidence-based guidelines for clinical acupuncturists in treating PSD, potentially benefitting affected patients.

Keywords: EX-HN14; Gongxue; MS6; acupuncture; data mining RN23; dysphagia; parameter; stroke.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the study identification and selection process.
Figure 2
Figure 2
Risk of bias assessment.
Figure 3
Figure 3
(A) Frequency of the top 15 acupoints used for PSD. (B) Grouping matrix of 72 association rules for acupuncture intervention PSD.
Figure 4
Figure 4
Complex network analysis. (A) Complex network analysis of acupuncture for PSD treatment. (B) MNC shows the top 10 acupuncture points. (C) MCC shows the top 10 acupuncture points. (D) MCODE shows 9 acupoints and 32 edges.
Figure 5
Figure 5
Correlation and cluster analysis of the top 20 frequently selected acupoints.
See this image and copyright information in PMC

References

    1. Chen WC, Lin CW, Wu MN, Fong YO, Chen CH, Hsieh SW, et al. . Consistencies among miscellaneous scales for evaluation of post-stroke dysphagia. Eur Arch Otorrinolaringol. (2023) 280:4561–7. doi: 10.1007/s00405-023-08101-x, PMID: - DOI - PubMed
    1. Labeit B, Michou E, Hamdy S, Trapl-Grundschober M, Suntrup-Krueger S, Muhle P, et al. . The assessment of dysphagia after stroke: state of the art and future directions. Lancet Neurol. (2023) 22:858–70. doi: 10.1016/S1474-4422(23)00153-9, PMID: - DOI - PubMed
    1. Marin S, Serra-Prat M, Ortega O, Audouard Fericgla M, Valls J, Palomera E, et al. . Healthcare costs of post-stroke oropharyngeal dysphagia and its complications: malnutrition and respiratory infections. Eur J Neurol. (2021) 28:3670–81. doi: 10.1111/ene.14998, PMID: - DOI - PubMed
    1. Ko N, Lee HH, Sohn MK, Kim DY, Shin Y-I, Oh G-J, et al. . Status of dysphagia after ischemic stroke: a Korean nationwide study. Arch Phys Med Rehabil. (2021) 102:2343–2352.e3. doi: 10.1016/j.apmr.2021.07.788, PMID: - DOI - PubMed
    1. Dziewas R, Michou E, Trapl-Grundschober M, Lal A, Arsava EM, Bath PM, et al. . European Stroke Organisation and European Society for Swallowing Disorders guideline for the diagnosis and treatment of post-stroke dysphagia. Eur Stroke J. (2021) 6:LXXXIX-CXV. doi: 10.1177/23969873211039721, PMID: - DOI - PMC - PubMed

Publication types

LinkOut - more resources