http://acupmed.bmjjournals.com/content/early/2015/03/31/acupmed-2014-010705.abstract
+ Author Affiliations
- Correspondence to Larissa Vados, Tianjin University of Traditional Chinese Medicine, 88 YuQuan Lu, TianZhong BinGuan Room 1124, Tianjin 300193, China; lvados@icloud.com
- Accepted 13 March 2015
- Published Online First 31 March 2015
Abstract
Objectives To determine whether the combination of acupuncture and rehabilitation produces better results in the treatment of acute
or subacute stroke sequelae than rehabilitation alone.
Methods A
systematic review was carried out. A search was conducted in March 2014
using PubMed, Medline, the Cochrane Library, Chinese
National Knowledge Infrastructure
database (CNKI) and Wanfang databases. English and Chinese language
articles published within
10 years of the search were reviewed
for inclusion. Randomised control trials comparing combined treatment
with acupuncture
and rehabilitation and
rehabilitation alone in patients with acute or subacute stroke (onset
until 3 months after stroke)
were included in this review. Three
review authors independently checked the titles and abstracts of trials
for inclusion
based on selection criteria. Studies
measuring changes of motor function, activities of daily living,
neurological deficit
or spasticity/range of motion during
the treatment period and at the end of follow-up were included.
Results 17 trials met the inclusion criteria, of which five were of good quality. 14 trials had results favourable to acupuncture
combined with rehabilitation, compared with conventional rehabilitation treatment alone.
Conclusions
Acupuncture in combination with rehabilitation may have benefits for
the treatment of acute and subacute stroke sequelae
in comparison with rehabilitation
alone. However, many of the studies were at risk of bias. Future studies
should focus on
reaching a consensus about the most
appropriate modality of acupuncture intervention, and the appropriate
length of treatment
for both interventions, to maximise
the potential synergistic outcomes.
Dean, I don't see how acupuncture works with stroke either. Dry needling isn't acupuncture. I just know that dry needling works for my spasticity post-stroke. Acupuncture as a whole, in my opinion, works for various maladies, but not stroke. No matter what the studies say.
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