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Observation on the clinical curative effect of acupuncture for stroke hemiplegia according to muscle tension evolution rule
Zhang Y, Li M, Ouyang G
Acupuncture & Electro-Therapeutics Research 2021;46(3):225-237
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: Patients with hemiplegia after stroke were treated with acupuncture according to the evolution of muscle tension combined with rehabilitation exercises, conventional acupuncture combined with rehabilitation exercises, and rehabilitation exercises alone, then the clinical effects were compared. METHOD(S): According to the random number table method, 125 stroke hemiplegia patients were randomly divided into three groups: control group A (n = 42), control group B (n = 40), and observation group (n = 43). Patients in control group A were treated with rehabilitation exercise therapy, patients in control group B were treated with conventional acupuncture combined with rehabilitation exercises, and patients in the observation group were treated with staging acupuncture according to the evolution of muscle tension combined with rehabilitation exercises once a day for four weeks. Before and after treatment, patients were evaluated using the simplified Fugl-Meyer assessment (FMA) scale, modified Barthel Index (MBI), and nerve function imperfection (NFI). The differences within and between groups were evaluated, and clinical efficacies after treatment were compared. RESULT(S): Before treatment, the differences in FMA, MBI, and NFI scores among the three groups were not statistically significant (p > 0.05). After treatment, the FMA score and MBI of the three groups were significantly improved, and the NFI scores were significantly reduced. After treatment, FMA and MBI scores were in the following order: observation group > control group B, control group B > control group A (p < 0.05). NFI scores were in the following order: observation group < control group B, control group B < control group A (p < 0.05). CONCLUSION(S): The curative effects were in the following order: acupuncture according to the evolution of muscle tension combined with rehabilitation exercises > conventional acupuncture combined with rehabilitation exercises > rehabilitation exercises alone.
With permission from Cognizant Communication Corporation, 3 Hartsdale Rd, Elmsford NY 10523-3701, USA.

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