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Electroacupuncture for Poststroke Spasticity: A Systematic Review and Meta-Analysis.

Yiyi Cai1, Claire Shuiqing Zhang2, Shaonan Liu3

  • 1China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia; Guangdong Provincial Hospital of Chinese Medicine (The Second Affiliated Hospital of Guangzhou University of Chinese Medicine), Guangdong Provincial Academy of Chinese Medical Sciences, and The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.

Archives of Physical Medicine and Rehabilitation
|April 30, 2017
PubMed
Summary

Electroacupuncture (EA) shows potential in reducing spasticity and improving motor function for stroke patients. This therapy, when added to conventional care, benefits both upper and lower limbs within 180 days post-stroke.

Keywords:
AcupunctureMeta-AnalysisMuscle spasticityRehabilitationStroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Integrative Medicine

Background:

  • Stroke is a leading cause of long-term disability, often resulting in spasticity.
  • Spasticity significantly impairs motor function and activities of daily living in stroke survivors.
  • Current treatments for post-stroke spasticity include pharmacotherapy and rehabilitation, with varying efficacy.

Purpose of the Study:

  • To evaluate the efficacy and safety of electroacupuncture (EA) as an adjunctive therapy for stroke patients with spasticity.
  • To synthesize evidence from randomized controlled trials (RCTs) on the add-on effects of EA.

Main Methods:

  • A systematic search of multiple English and Chinese databases was conducted up to September 2016.
  • RCTs investigating EA as an add-on to routine pharmacotherapy and rehabilitation for stroke spasticity were included.
  • Data extraction focused on patient characteristics, study design, treatment details, and outcomes including spasticity severity (Modified Ashworth Scale), motor function (Fugl-Meyer Assessment), and activities of daily living.

Main Results:

  • Twenty-two trials with 1425 participants were included.
  • EA demonstrated significant add-on effects in reducing upper limb spasticity (SMD=-.57) and improving overall motor function (MD=10.60).
  • Significant benefits were also observed for lower limb spasticity (SMD=-.88), lower limb motor function (MD=4.42), and activities of daily living (MD=6.85), though with high heterogeneity. No significant effects were found for upper limb motor function.

Conclusions:

  • Electroacupuncture, when combined with conventional care, shows potential for reducing spasticity and improving motor function and daily living activities in stroke patients within 180 days post-stroke.
  • Further high-quality studies are necessary to confirm these effects, assess safety, and optimize EA protocols for post-stroke spasticity.