Journal of Sasang Constitutional Medicine
  • pISSN: 1226-4075
  • eISSN: 2287-786X
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CURRENT ISSUE
Title
Clinical Practice Guideline for acupuncture in Post-stroke urinary incontinence
Authors
Ji-Won Lee1, Byung-Cheul Shin 2, Myeong-Soo Lee 3, Sung-Min Lim 4, Jung-Hee Yoo 5, Chung-Sik Cho 6, Sang-Kwan Moon 7, Tae-Han Yook 8, Jong-Cheon Joo 9, Eui-Ju Lee 10
Affiliations
1 Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University
2 Dept. of Korean Physical Medicine Rehabilitation, School of Korean Medicine, Pusan National University
3 Korean Institute of Oriental Medicine
4 Department of Clinical Research on Rehabilitation, Korean National Rehabilitation Research Institute
5 College of Nursing Science, Kyung Hee University
6 Dept. of Internal Medicine, College of Oriental Medicine, Dae-jeon University
7 Dept. of Korean Internal Medicine, Kyung Hee Uiversity Korean Medicine Hospital
8 Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, WooSuk University,
9 Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Wonkwang University
10 Dept. of Sasang Constitutional Medicine, Kyung Hee University Korean Medicine Hospital
Source
JSCM
Year
2017
Volume
29
Issue
4
Page
317-325
Information
Received
December 14, 2017
Revised
December 14, 2017
Accepted
December 26, 2017
DOI
C.author
Eui-Ju Lee (sasangin@daum.net) 
Published
December 31, 2017
Abstract
Objectives
This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the stroke patients with
Post-stroke Urinary Incontinence(PSUI).
Methods
Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China
National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the
randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on PSUI, compared with
placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on
Recommendations for Development of Clinical Practice Guideline in Korean Medicine.
Results & Conclusions
8 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment
for PSUI. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over
4 weeks on the acupoints, such as BL23, CV3, SP6, CV4, CV6, ST28, BL28, BL32, GV20, BL22, GV4 or ST36, for 15-30
minutes. 1-150 Hz frequency is suggested if electro-acupuncture treatments is performed with. It was also suggested that
the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. There was a moderate
evidence to support safety of acupuncture treatment for PSUI. We recommend acu-points of constitutional acupuncture
for Sasangin on the healthy side.
Keyword
Acupuncture, Stroke, Urinary dysfunction, Urinary incontinence, Clinical practice guideline, Sasang Constitutional
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