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||Cai, Y., Zhang, C. S., Liu, S., Wen, Z., Zhang, A. L., Guo, X., . . . Xue, C. C. (2017). Electroacupuncture for poststroke spasticity: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 98(12), 2578-2589, 2589.e1-2589.e4.
||Electrical stimulation, intervention, literature reviews, spasticity, stroke
||Study evaluated the effects and safety of electroacupuncture (EA) for stroke patients with spasticity. Five English databases and 4 Chinese databases were searched for randomized controlled trials that measured spasticity with the Modified Ashworth Scale (MAS) in stroke patients and investigated the add-on effects of electroacupuncture to routine pharmacotherapy and rehabilitation therapies. In total, 22 trials involving 1425 participants met the search criteria and were included. Information on patients, study design, treatment details and outcomes assessing spasticity severity, motor function, and activities of daily living was extracted. The estimated add-on effects of EA to reduce spasticity in the upper limbs as measured by the MAS, and to improve overall motor function as measured by the Fugl-Meyer Assessment of Sensorimotor Recovery, were significant. Significant add-on effects of EA were also shown for spasticity in the lower limbs, lower-limb motor function, and activities of daily living (ADLs), although with high heterogeneity. For upper-limb motor function, no significant add-on effects of EA were found. Results suggest EA combined with conventional routine care has the potential of reducing spasticity in the upper and lower limbs and improving overall and lower-extremity motor function and ADLs for patients with spasticity, within 180 days after stroke. Further studies of high methodological and reporting quality are needed to confirm the effects and safety of EA, and to explore the adequate and optimal protocol of EA for poststroke spasticity, incorporating a group of comprehensive outcome measures in different populations.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/28455191|