Efektifitas Kombinasi Akupuntur Dan Latihan Kognitif Dalam Meningkatkan Fungsi Kognitif Pada Pasien Stroke: A Systematic Review
Abstract
Latar belakang: Stroke saat ini merupakan penyebab kedua kematian dan penyebab ketiga kecacatan secara global. Salah satu komplikasi penyakit stroke adalah gangguan kognitif. Terapi akupuntur dikombinasikan dengan latihan kognitif sebagai upaya yang dilakukan untuk mengatasi gangguan kognitif. Tujuan: Untuk mendeskripsikan efektivitas kombinasi akupuntur dan latihan kognitif dalam meningkatkan fungsi kognitif pada pasien stroke. Metode: Pencarian artikel dilakukan secara sistematis pada enam database: PubMed, Proquest, Cochrane Library, Embase, GARUDA dan EBSCO untuk mengidentifikasi studi yang dilaporkan dalam bahasa Inggris dan bahasa indoneisa yang diterbitkan tahun 2012- 2022. Penelusuran literatur dilakukan mulai 12 April hingga 27 Juni 2022. Tinjauan ini sesuai dengan pedoman PRISMA. Hasil: Berdasarkan lima artikel yang telah direview, kombinasi akupuntur dan latihan kognitif efektif dalam meningkatkan fungsi kognitif pada pasien stroke. Beberapa artikel menjelaskan hal yang berbeda terkait durasi, instrumen, metode maupun manfaat intervensi kombinasi akupuntur dan latihan kognitif , tetapi intervensi yang cukup efektif yaitu dengan durasi minimal 12 minggu dengan titik akupuntur pada baihui (GV20) dan shenting (GV24) dan sebagai alat ukur keberhasilan intervensi menggunakan MoCA, MMSE dan LOTCA. Kesimpulan: Intervensi kombinasi akupuntur dan latihan kognitif efektif dalam meningkatkan fungsi kognitif pada pasien stroke.
Kata kunci- Stroke; akupuntur; latihan kognitif; fungsi kognitifReferences
WHO.(2019). Global health estimates: life expectancy and leading causes of death and disability.https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates
Sexton E, McLoughlin A, Williams DJ, Merriman NA, Donnelly N, Rohde D, et al. Systematic review and meta-analysis of the prevalence of cognitive impairment no dementia in the first year post-stroke. Eur Stroke J. 2019;4(2):160–71.
Yu, H., Ding, S., Wei, W., Guo, F., Li, Z., Yuan, Q., & Zhao, X. (2022). Impact of Pre-Stroke Dementia or Mild Cognitive Impairment on Stroke Outcome: A Systematic Review and Meta-Analysis. Dementia and geriatric cognitive disorders, 1–9. Advance online publication. https://doi.org/10.1159/000522302
Akpalu, A., Calys Tagoe, B. N., & Kwei Nsoro, R. N. (2018). The Effect of Cognitive Impairment on the Health-Related Quality of Life Among Stroke Survivors at a Major Referral Hospital in Ghana. West African journal of medicine, 35(3), 199–203. https://doi.org/10.1161/STROKEAHA.118.022786
Lee, P. H., Yeh, T. T., Yen, H. Y., Hsu, W. L., Chiu, V. J. Y., & Lee, S. C. (2021). Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging. Scientific Reports, 11(1), 1–9. https://doi.org/10.1038/s41598-021-91838-4
Viktorisson, A., Andersson, E. M., Lundström, E., & Sunnerhagen, K. S. (2021). Levels of physical activity before and after stroke in relation to early cognitive function. Scientific Reports, 11(1), 1–7. https://doi.org/10.1038/s41598-021-88606-9
Xuefang L, Guihua W, Fengru M. The effect of early cognitive training and rehabilitation for patients with cognitive dysfunction in stroke. Int J Methods Psychiatr Res. 2021;30(3):1–11.
Zhou, Y., Feng, H., Li, G., Xu, C., Wu, Y., & Li, H. (2021). Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta-analysis of randomized controlled trials. International journal of nursing practice, e12966. Advance online publication. https://doi.org/10.1111/ijn.12966
Chatterjee, K., Buchanan, A., Cottrell, K., Hughes, S., Day, T. W., & John, N. W. (2022). Immersive Virtual Reality for the Cognitive Rehabilitation of Stroke Survivors. IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society, 30, 719–728. https://doi.org/10.1109/TNSRE.2022.3158731
Cho, D. R., & Lee, S. H. (2019). Effects of virtual reality immersive training with computerized cognitive training on cognitive function and activities of daily living performance in patients with acute stage stroke: A preliminary randomized controlled trial. Medicine, 98(11), e14752. https://doi.org/10.1097/MD.0000000000014752 (Retraction published Medicine (Baltimore). 2020 May;99(20):e20598)
Tian, J., Hu, L.-B., Wu, M., Mo, W.-L., Wu, P., Pu, Y.-H., Yang, H.-C., & Fan, Y. (2022). Acupuncture-related therapies for the poststroke cognitive impairment patients. Medicine, 101(5), e28735. https://doi.org/10.1097/md.0000000000028735
Kuang, X., Fan, W., Hu, J., Wu, L., Yi, W., Lu, L., & Xu, N. (2021). Acupuncture for post-stroke cognitive impairment: a systematic review and meta-analysis. Acupuncture in Medicine, 39(6), 577–588. https://doi.org/10.1177/09645284211009542
Chuang, C. M., Hsieh, C. L., Li, T. C., & Lin, J. G. (2007). Acupuncture stimulation at Baihui acupoint reduced cerebral infarct and increased dopamine levels in chronic cerebral hypoperfusion and ischemia-reperfusion injured sprague-dawley rats. The American journal of Chinese medicine, 35(5), 779–791. https://doi.org/10.1142/S0192415X07005260
Zheng, C. J., Xia, W. G., Duan, C., Li, Z. L., & Li, Q. L. (2021). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 41(3), 247–251. https://doi.org/10.13703/j.0255-2930.20200311-k0001
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ (Clinical Research Ed.), 339. https://doi.org/10.1136/bmj.b2700
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (prisma-p) 2015 statement. Biomed Cent. 2015;4(1):2–9.
Buccheri RK, Sharifi C. Critical Appraisal Tools and Reporting Guidelines for Evidence-Based Practice. Worldviews Evidence-Based Nurs. 2017;14(6):463–72.
CASP-UK. (2018). CASP Randomised Controlled Trial Checklist. CASP Checklists Randomised Controlled Trial, 2018, 1–7. https://casp-uk.net/wp-content/uploads/2018/01/CASP-Randomised-Controlled-Trial-Checklist-2018.pdf
JBI. (2017). Checklist for Quasi-Experimental Studies. The Joanna Briggs Institute, 1–6. http://joannabriggs.org/assets/docs/critical-appraisal-tools/JBI_Quasi-Experimental_Appraisal_Tool2017.pdf
The Joanna Briggs Institute. Checklist for Cohort Studies. Joanna Briggs Inst Crit Apprais tools [Internet]. 2017;1–7. Available from: https://joannabriggs.org/ebp/critical_appraisal_tools
Du, J., Yin, J., Liu, L., Chen, J., & He, M. (2017). Clinical observation of 60 cases of treating cognitive disorder after cerebral injury in combination with scalp acupuncture and cognitive training. June.
Jiang, C., Yang, S., Tao, J., Huang, J., Li, Y., Ye, H., Chen, S., Hong, W., & Chen, L. (2016). Clinical Efficacy of Acupuncture Treatment in Combination With RehaCom Cognitive Training for Improving Cognitive Function in Stroke: A 2 × 2 Factorial Design Randomized Controlled Trial. Journal of the American Medical Directors Association, 17(12), 1114–1122. https://doi.org/10.1016/j.jamda.2016.07.021
Xiong, J., Zhang, Z., Ma, Y., Li, Z., Zhou, F., Qiao, N., Liu, Q., & Liao, W. (2020). The effect of combined scalp acupuncture and cognitive training in patients with stroke on cognitive and motor functions. NeuroRehabilitation, 46(1), 75–82. https://doi.org/10.3233/NRE-192942
Bao, X., Li, L., Liu, H., Shi, H. F., Xu, S., Wang, M. H., & Xie, J. Y. (2021). Effect of acupuncture combined with rehabilitation on cognitive and motor functions in poststroke patients. Anatomical record (Hoboken, N.J. : 2007), 304(11), 2531–2537. https://doi.org/10.1002/ar.24700
Zhang, D., Huang, L., Zhang, L., Gui, X., Tao, J., Zeng, P., & Ding, M. (2022). Acupuncture-Moxibustion Combined with Rehabilitation Training Is Conducive to Improving the Curative Effect, Cognitive Function, and Daily Activities of Patients with Cerebral Infarction. Computational and Mathematical Methods in Medicine, 2022, 1–7. https://doi.org/10.1155/2022/4430345
Kotila, M., Waltimo, O., Niemi, M. L., Laaksonen, R., & Lempinen, M. (1984). The profile of recovery from stroke and factors influencing outcome. Stroke, 15(6), 1039–1044. https://doi.org/10.1161/01.str.15.6.1039
Jacqueline B. Hochstenbach, Rob den Otter, Theo W. Mulder,Cognitive recovery after stroke: a 2-year follow-up 11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.,Archives of Physical Medicine and Rehabilitation,Volume 84, Issue 10,2003,Pages 1499-1504,ISSN 0003-9993,https://doi.org/10.1016/S0003-9993(03)00370-8.
Saar, K., Nyrkkö, H., Tolvanen, A., Kuikka, P., Poutiainen, E., & Aro, T. (2019). Validation of a new cognitive screening method for stroke patients. Behavioural Neurology, 2019. https://doi.org/10.1155/2019/2943603
Albert, M., & Cohen, C. (1992). The Test for Severe Impairment: an instrument for the assessment of patients with severe cognitive dysfunction. Journal of the American geriatrics society, 40(5), 449-453.
Wang, S. Y., Gong, Z. K., Sen, J., Han, L., Zhang, M., & Chen, W. (2014). The usefulness of the Loewenstein Occupational Therapy Cognition Assessment in evaluating cognitive function in patients with stroke. European review for medical and pharmacological sciences, 18(23), 3665–3672.
Zhan J, Pan R, Guo Y, et al. [Acupuncture at Baihui(GV 20) and Shenting(GV 24) combined with basic treatment and regular rehabilitation for post-stroke cognitive impairment:a randomized controlled trial]. Zhongguo Zhen jiu = Chinese Acupuncture & Moxibustion. 2016 Aug;36(8):803-806. DOI: 10.13703/j.0255-2930.2016.08.007. PMID: 29231563.
Fang J. Q. (2018). Zhen ci yan jiu Acupuncture research, 43(8), 459–466. https://doi.org/10.13702/j.1000-0607.180380
DOI: http://dx.doi.org/10.33846/sf.v14i0.3305
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