Clinical and neurophysiological effects of manual acupuncture for upper-limb motor dysfunction after ischemic stroke: a three-arm randomized controlled trial - Scorecard - MDSpire
Clinical Scorecard: Effects of Manual Acupuncture on Upper-Limb Motor Impairment Following Ischemic Stroke: Results from a Three-Group Randomized Controlled Study
At a Glance
Category
Detail
Condition
Upper-limb motor dysfunction following ischemic stroke
Key Mechanisms
Manual acupuncture enhances neuroplasticity and neuromuscular activation
Target Population
Patients with unilateral upper-limb impairment post-ischemic stroke
Care Setting
Single-center rehabilitation trial
Key Highlights
Manual acupuncture showed significant improvement in FMA-UE scores compared to conventional rehabilitation and sham acupuncture.
Greater MBI score improvements were observed with manual acupuncture.
Functional near-infrared spectroscopy indicated enhanced cortical activation with manual acupuncture.
Three mild adverse events were reported; no serious adverse events occurred.
Sham acupuncture did not significantly differ from conventional rehabilitation in most outcomes.
Guideline-Based Recommendations
Diagnosis
Assess upper-limb motor function using FMA-UE and MBI scores.
Management
Combine manual acupuncture with conventional rehabilitation for enhanced recovery.
Monitoring & Follow-up
Monitor for adverse events and functional improvements during treatment.
Risks
Mild subcutaneous bleeding may occur; serious adverse events are rare.
Patient & Prescribing Data
Individuals with unilateral upper-limb impairment within 3 months of ischemic stroke.
Manual acupuncture should be considered as an adjunct to conventional rehabilitation.
Clinical Best Practices
Initiate rehabilitation early and ensure it is coordinated and goal-oriented.
Utilize standardized acupuncture procedures in conjunction with rehabilitation.
