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  • Title: [Systematic evaluation of acupuncture for treatment of post-stroke spastic paralysis].
    Author: Qi YZ, Fu LX, Xiong J, Wang ZL, Mou J, Lu YM.
    Journal: Zhongguo Zhen Jiu; 2009 Aug; 29(8):683-8. PubMed ID: 19947279.
    Abstract:
    OBJECTIVE: To evaluate the effects of acupuncture on post-stroke spastic paralysis. METHODS: A systematic evaluation including all the relavant randomized controlled trials (RCTs) or quasi-RCTs of acupuncture and moxibustion for treatment of post-stroke spastic paralysis were carried out according to the method recommended by the Cochrane Collaboration. RESULTS: Nine hundred and seventy-eight patients being included in fourteen papers met the enrolled criteria. However, their methodological quality was relatively poor. Meta-analysis of nine trials indicated that there was no significant difference between the treatment groups and the control groups in Ashworth scores, Carr-Shepherd scores, nerve defect scores and hip adductor tension scores. Whereas the Fugel-Meyer scores in one trial and the Barthel scores in three trials were better in the treatment groups than those of the control group. CONCLUSION: A reliable conclusion can not be drawn from the present data because of the defects in methodological quality and insufficient numbers of trials, especially lack the long-term terminal outcomes, although it appears a tedency that acupuncture can improve the conditions of post-stroke spastic paralysis. Therefore, it is necessary to perform more multi-central RCTs of high quality in future.
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