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Acupuncture for stroke rehabilitation.

Ai Yang1, Hong Mei Wu, Jin-Ling Tang

  • 1Center of Geriatrics and Gerontology, West China Hospital, Sichuan University, 37 Guo Xue street, Chengdu, China.

The Cochrane Database of Systematic Reviews
|August 27, 2016
PubMed
Summary

Acupuncture may improve daily living activities and neurological function in stroke survivors, but evidence quality is low. More high-quality trials are needed to confirm these benefits and assess safety for routine use.

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Area of Science:

  • Neurology
  • Integrative Medicine
  • Rehabilitation

Background:

  • Stroke is a leading cause of death and disability globally, with significant impact in China.
  • Acupuncture has a long history of use for stroke in China and is gaining international recognition.
  • This review updates previous findings on acupuncture's efficacy and safety in stroke patients.

Purpose of the Study:

  • To evaluate the effectiveness of acupuncture in improving outcomes for subacute and chronic stroke patients.
  • To assess acupuncture's impact on mortality, dependency, neurological deficits, and quality of life.
  • To determine the safety profile of acupuncture therapy in stroke rehabilitation.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).

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  • Searched multiple databases including Cochrane, MEDLINE, EMBASE, and Chinese medical databases up to July 2015.
  • Included trials compared acupuncture with sham acupuncture, placebo, or no acupuncture in ischemic or hemorrhagic stroke patients.

    • Main Results:

    • 31 trials with 2257 participants were included; most had low methodological quality and low to very low GRADE evidence.
    • Acupuncture plus standard treatment showed potential benefits in improving activities of daily living (Barthel Index), global neurological deficit, motor function, cognition, and reducing depression.
    • No significant differences were found when comparing real acupuncture to sham acupuncture for motor function and quality of life. Few adverse events were reported.

    Conclusions:

    • Acupuncture may offer benefits for stroke recovery, particularly in dependency and neurological function, with a good safety profile.
    • The current evidence is limited by the low quality and small sample sizes of most included trials.
    • Further large-scale, rigorously designed, multi-center randomized controlled trials are essential to validate acupuncture's role in stroke management.