Frontiers in neurology · 2026
Network meta-analysis of different acupuncture methods for post-stroke upper-limb spasticity.
СтатьяСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Xing Fanyu, Zhang Rongwei, Guo Yang, Wang Yanfei, Guo Yuhong, Yang Linxuan, Wang Zhaoqing, Liu Zhitong, Jiang Ruixing, Wang Jingyi, Zhao Yiting, Shi Jiangwei, Yin Lili
Аннотация
INTRODUCTION: Currently, acupuncture therapy is widely used for post-stroke upper-limb spasticity. However, the available evidence remains insufficient to determine the relative effectiveness of different acupuncture protocols.
METHODS: This study retrieved relevant databases and systematically reviewed randomized controlled trials (RCTs) on acupuncture treatment for post-stroke upper-limb spasticity. A total of 28 trials involving 14 acupuncture treatment protocols were included. A network meta-analysis was performed using Stata 18 software.
RESULTS: The results indicated that the Balanced Yin-Yang Acupuncture + Rehabilitation yielded the best outcomes in improving Fugl-Meyer Assessment scores, while Luan's Three-Needle Technique combined with Meridian Sinew Cluster Needling + Rehabilitation was most effective in reducing modified Ashworth scale scores.
DISCUSSION: A comparison of efficacy indicators across 14 different acupuncture methods combined with rehabilitation showed that Balanced Yin-Yang Acupuncture + Rehabilitation and Luan's Three-Needle Technique combined with Meridian Sinew Cluster Needling + Rehabilitation were more effective in treating post-stroke upper-limb spasticity. Owing to limitations in the current body of research, these conclusions need to be further verified by more high-quality randomized controlled trials.
SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO, identifier CRD420251110982.
METHODS: This study retrieved relevant databases and systematically reviewed randomized controlled trials (RCTs) on acupuncture treatment for post-stroke upper-limb spasticity. A total of 28 trials involving 14 acupuncture treatment protocols were included. A network meta-analysis was performed using Stata 18 software.
RESULTS: The results indicated that the Balanced Yin-Yang Acupuncture + Rehabilitation yielded the best outcomes in improving Fugl-Meyer Assessment scores, while Luan's Three-Needle Technique combined with Meridian Sinew Cluster Needling + Rehabilitation was most effective in reducing modified Ashworth scale scores.
DISCUSSION: A comparison of efficacy indicators across 14 different acupuncture methods combined with rehabilitation showed that Balanced Yin-Yang Acupuncture + Rehabilitation and Luan's Three-Needle Technique combined with Meridian Sinew Cluster Needling + Rehabilitation were more effective in treating post-stroke upper-limb spasticity. Owing to limitations in the current body of research, these conclusions need to be further verified by more high-quality randomized controlled trials.
SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO, identifier CRD420251110982.