Efficacy and safety of acupuncture for post-stroke spasticity: a study protocol for a randomized controlled trial - Report - MDSpire

Efficacy and safety of acupuncture for post-stroke spasticity: a study protocol for a randomized controlled trial

  • By

  • Zhihao Xiong

  • Juwei Dong

  • Yingying Zhu

  • Jiaxu Liu

  • Yini Hua

  • Yue Song

  • Jinxia Ni

  • Liangxiao Ma

  • Jing Bai

  • June 4, 2026

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Clinical Report: Assessment of Acupuncture's Effectiveness and Safety in Treating Post-Stroke Spasticity

Overview

This report outlines a randomized controlled trial aimed at evaluating the efficacy, feasibility, and safety of acupuncture for post-stroke spasticity (PSS). The study will assess various clinical outcomes to determine the potential benefits of acupuncture in managing this common post-stroke complication.

Background

Post-stroke spasticity is a prevalent motor complication that significantly impacts recovery and quality of life for stroke survivors. Current treatment options are limited, and there is a need for effective interventions that can alleviate spasticity and improve motor function. Acupuncture has emerged as a potential therapeutic option, but its efficacy and safety require further investigation.

Data Highlights

This study will enroll 180 patients diagnosed with PSS, randomly assigning them to acupuncture, sham acupuncture, or basic treatment groups. Primary and secondary outcomes will be measured using validated scales at multiple time points throughout the trial.

Key Findings

  • The trial will assess spasticity severity using the Modified Ashworth Scale (MAS).
  • Secondary outcomes include motor function (Fugl-Meyer Assessment), clinical spasticity (Clinical Spasticity Index), and activities of daily living (Modified Barthel Index).
  • Participants will undergo a 4-week intervention followed by a 4-week follow-up period.
  • The study aims to explore the underlying anti-spasticity mechanisms of acupuncture.
  • Current evidence suggests acupuncture may alleviate PSS, but existing studies have methodological limitations.

Clinical Implications

The findings from this trial could provide valuable insights into the role of acupuncture in managing post-stroke spasticity, potentially offering a new avenue for treatment. Clinicians may consider integrating acupuncture into multimodal management strategies for PSS if proven effective.

Conclusion

This trial aims to clarify the efficacy and safety of acupuncture for post-stroke spasticity, addressing a critical gap in current treatment options. The results may inform clinical practice and future research directions in stroke rehabilitation.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Acupuncture therapy for post-stroke spasticity: a systematic review and exploratory network meta-analysis of clinical efficacy and dose–response relationship
  2. Frontiers in Neurology, 2026 -- Effectiveness and safety of skull base-peripheral acupuncture for post-stroke cognitive impairment: a systematic review and meta-analysis of randomized controlled trials
  3. Frontiers in Neurology, 2026 -- Acupuncture for post-stroke recovery: a retrospective cohort study on motor function and quality of life
  4. American Heart Association, 2026 -- Early Recognition & Intervention for Poststroke Spasticity
  5. Effectiveness of Electroacupuncture in Treating Functional Anorectal Pain: A Multicenter Randomized Controlled Trial Protocol
  6. Early Recognition & Intervention for Poststroke Spasticity - Professional Heart Daily | American Heart Association
  7. Botulinum Toxin for the Upper Limb after Stroke (BoTULS) Trial: effect on impairment, activity limitation, and pain - PubMed
  8. Acupuncture therapy for post-stroke spasticity: a systematic review and exploratory network meta-analysis of clinical efficacy and dose–response relationship

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