Evidence map›Paper›PMID 29371267›Full record

SynthesisBMJ open2018

Electroacupuncture as an adjunctive therapy for motor dysfunction in acute stroke survivors: a systematic review and meta-analyses.

Jie Zhan, Ruihuan Pan, Mingchao Zhou, Feng Tan, Zhen Huang, Jing Dong, Zehuai Wen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
5.4field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effectiveness on post-stroke hemiplegia in patients: electroacupuncture plus cycling electroacupuncture alone.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2023
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  15. Observational
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  19. Electroacupuncture Alters BCI-Based Brain Network in Stroke Patients.Computational intelligence and neuroscience · 2022
    Article
  20. Publication Trends in Rehabilitative Effects of Acupuncture: A Visual Analysis of the Literature.Evidence-based complementary and alternative medicine : eCAM · 2022
    Review
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

7 authors at 3 institutions in 1 country.

Jie ZhanGraduate School, Guangzhou University of Chinese Medicine, Guangzhou, China.
Ruihuan PanDepartment of Rehabilitation, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Mingchao ZhouGraduate School, Guangzhou University of Chinese Medicine, Guangzhou, China.
Feng TanGraduate School, Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhen HuangDepartment of Neurology, Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Foshan, China.
Jing DongGraduate School, Guangzhou University of Chinese Medicine, Guangzhou, China.
Zehuai WenKey Unit of Methodology in Clinical Research, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Guangzhou University of Chinese Medicine · CNFoshan Hospital of TCM · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effectiveness and safety of electroacupuncture (EA) combined with rehabilitation therapy (RT) and/or conventional drugs (CD) for improving poststroke motor dysfunction (PSMD).

designSystematic review and meta-analysis.

methodsThe China National Knowledge Infrastructure, Chinese Biological Medicine Database, Chinese Scientific Journal Database, Cochrane Library, Medline and Embase were electronically searched from inception to December 2016. The methodological quality of the included trials was assessed using the Cochrane risk of bias assessment tool. Statistical analyses were performed by RevMan V.5.3 and Stata SE V.11.0.

resultsNineteen trials with 1434 participants were included for qualitative synthesis and meta-analysis. The methodological quality of the included trials was generally poor. The meta-analysis indicated that the EA group might be benefiting more than the non-EA group in terms of the changes in the Fugl-Meyer Assessment Scale (FMA) (weighted mean difference (WMD): 10.79, 95% CI 6.39 to 15.20, P<0.001), FMA for lower extremity (WMD: 5.16, 95% CI 3.78 to 6.54, P<0.001) and activities of daily living (standardised mean difference: 1.37, 95% CI 0.79 to 1.96, P<0.001). However, there was no difference between EA and non-EA groups in terms of the effective rate (relative risk: 1.13, 95% CI 1.00 to 1.27, P=0.050). Moreover, there were not any reports of side effects due to EA combined with RT and/or CD in the included trials.

conclusionsThis review provides new evidence for the effectiveness and safety of EA combined with RT and/or CD for PSMD. However, the results should be interpreted cautiously because of methodological weakness and publication bias. Further clinical trials with a rigorous design and large sample sizes are warranted. PROSPERO REGISTRATION NUMBER: CRD42016037597.

Indexed as

Activities of Daily LivingChinaCombined Modality TherapyElectroacupunctureHumansMotor Skills DisordersPublication BiasRandomized Controlled Trials as TopicStrokeStroke RehabilitationSurvivorselectroacupuncturemotor functionpost-strokeRCTsystematic review

Identifiers

PMID29371267
PMCPMC5786119
OpenAlexW2792409642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.