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Author Bai, Y. L.; Li, L.; Hu, Y. S.; Wu, Y.; Xie, P. J.; Wang, S. W.; Yang, M.; Xu, Y. M.; Zhu, B. url  doi
  Title Prospective, Randomized Controlled Trial of Physiotherapy and Acupuncture on Motor Function and Daily Activities in Patients with Ischemic Stroke Type of Study RCT
  Year 2013 Publication Journal of alternative and complementary medicine (New York, N.Y.) Abbreviated Journal J Altern Complement Med  
  Volume 19 Issue 8 Pages 684-689  
  Keywords AcuTrials; RCT; Stroke; Acu + Usual Care Versus > 1 Control; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; CAM Control; Usual Care Control, Physical; Motor Function  
  Abstract Abstract Objective: To assess the value of acupuncture for promoting the recovery of patients with ischemic stroke and to determine whether the outcomes of combined physiotherapy and acupuncture are superior to those with physiotherapy alone. Design: Prospective randomized controlled trial. Setting: Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, P. R. China. Participants: 120 inpatients and outpatients (84 men and 36 women). Interventions: Acupuncture, physiotherapy, and physiotherapy combined with acupuncture. Main outcome measures: Motor function in the limbs was measured with the Fugl-Meyer assessment (FMA). The modified Barthel index (MBI) was used to rate activities of daily living. All evaluations were performed by assessors blinded to treatment group. Results: On the first day of therapy (day 0, baseline), FMA and MBI scores did not significantly differ among the treatment groups. Compared with baseline, on the 28th day of therapy the mean FMA scores of the physiotherapy, acupuncture, and combined treatment groups had increased by 65.6%, 57.7%, and 67.2%, respectively; on the 56th day, FMA scores had increased by 88.1%, 64.5%, and 88.6%, respectively (p<0.05). The respective MBI scores in the three groups increased by 85.2%, 60.4%, and 63.4% at day 28 and by 108.0%, 71.2%, and 86.2% at day 56, respectively (p<0.05). However, FMA scores did not significantly differ among the three treatment groups on the 28th day. By the 56th day, the FMA and MBI scores of the physiotherapy group were 46.1% and 33.2% greater, respectively, than those in the acupuncture group p<0.05). No significant differences were seen between the combined treatment group and the other groups. In addition, the FMA subscores for the upper extremities did not reflect any significant improvement in any group on the 56th day. Although the FMA subscores for the upper and lower extremities and the MBI score in the combined treatment group were higher than those in the acupuncture group, the differences were not statistically significant. Conclusions: Acupuncture is less effective for the outcome measures studied than is physiotherapy. Moreover, the therapeutic effect of combining acupuncture with physiotherapy was not superior to that of physiotherapy alone. A larger-scale clinical trial is necessary to confirm these findings.  
  Address Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China  
  Language Number of Treatments 24  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 120  
  Time in Treatment 4 Weeks Condition Stroke
  Disease Category Stroke OCSI Score  
  Notes Approved no  
  Call Number Serial 52  
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