Evidence map›Paper›PMID 24453485›Full record

Trial reportClinical interventions in aging2014

Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients.

Bi-Huei Wang, Chien-Lin Lin, Te-Mao Li, Shih-Din Lin, Jaung-Geng Lin, Li-Wei Chou

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Invasive Physiotherapy as a Treatment of Spasticity: A Systematic Review.Degenerative neurological and neuromuscular disease · 2022
    Review
  8. Article
  9. The Therapeutic Effect of Electroacupuncture Therapy for Ischemic Stroke.Evidence-based complementary and alternative medicine : eCAM · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Bi-Huei WangDepartment of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan.
Chien-Lin LinDepartment of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan ; School of Chinese Medicine, College of Chinese Medicine, Taichung, Taiwan.
Te-Mao LiSchool of Chinese Medicine, College of Chinese Medicine, Taichung, Taiwan ; Graduate Institute of Acupuncture Science, Taichung, Taiwan.
Shih-Din LinGraduate Institute of Acupuncture Science, Taichung, Taiwan.
Jaung-Geng LinSchool of Chinese Medicine, College of Chinese Medicine, Taichung, Taiwan.
Li-Wei ChouDepartment of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan ; School of Chinese Medicine, College of Chinese Medicine, Taichung, Taiwan ; Acupuncture Research Center, China Medical University, Taichung, Taiwan.
China Medical University · CNChina Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated the clinical efficacy of electroacupuncture (EA) in inhibiting upper-extremity spasticity in chronic stroke patients, and also in mapping a unique preliminary acupoint-selection protocol.

methodsFifteen patients were divided into two groups: patients in the control group (n=6) received minimal acupuncture (MA), and those in the experimental group (n=9) received EA. Four acupoints, which include Neiguan (PC6), Shaohai (HT3), Zeqian (Ex-UE, A32), and Shounizhu (EX-UE), were treated near the motor points of the muscles for elbow flexion, forearm pronation, and finger flexion. Both groups were treated for twelve sessions, 20 minutes per session, for 6 weeks (two sessions per week). The outcome measures in this study included angle of muscle reaction (R1), passive range of motion (R2), and dynamic component (R2-R1).

resultsIn the experimental group, the R2-R1 of the elbow joint was significantly decreased at 1 (P=0.0079), 3 (P=0.0013), and 6 weeks (P=0.0149) after treatment compared with pretreatment levels (P<0.05). The between-group difference in the R2-R1 of the elbow joint after the 6-week treatment was statistically significant.

conclusionCombining the 6-week EA and standard rehabilitation treatment reduced the spasticity of the elbow for chronic stroke survivors. However, no significant effect was observed in the spasticity of the wrist joints. The choice of acupoints and the frequency of EA have to be taken into account to achieve a positive treatment effect. The correlation between acupoints and motor points provides a model of acupoint selection to improve spasticity.

Indexed as

Acupuncture PointsElectroacupunctureFemaleHumansMaleMiddle AgedMuscle SpasticityRange of Motion, ArticularSingle-Blind MethodStrokeTreatment OutcomeUpper Extremityacupointsacupunctureelectroacupuncturemotor pointspasticitystroke

Identifiers

PMID24453485
PMCPMC3894143
OpenAlexW2004847867

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.