Evidence map›Paper›PMID 39798944›Full record

Trial reportBMJ supportive & palliative care2025

Transcutaneous electrical acupoint stimulation for upper limb spasticity after stroke: effect and feasibility-a randomised pilot study.

Yuting Wang, Lili Zhang, Rui Yin, Yuqing Zhang, Zifeng Dai, Min Wang, Jiali Song, Xiaonong Fan, Yanan Zhang, Sha Yang and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ supportive & palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

15 authors.

Yuting Wang *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.ORCID http://orcid.org/0009-0006-9388-4045
Lili Zhang *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Rui Yin *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Yuqing ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Zifeng DaiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Min WangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Jiali SongFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Xiaonong FanFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Yanan ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Sha YangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Yan ShenFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Chen YangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Qian SongFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Sihan SunFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China.
Jian LiuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, Tianjin, China yooken@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceLimb spasticity is a common issue among stroke patients. Transcutaneous electrical acupoint stimulation (TEAS) is recommended as an alternative therapy for managing upper limb spasticity after stroke; however, its potential effects and feasibility remain uncertain.

objectiveTo investigate the potential effects and feasibility of TEAS on motor function in patients with upper limb spasticity after stroke.

methodsThis randomised controlled, double-blined pilot study was conducted in two phases. All the patients were randomly divided into two groups: the TEAS group and the sham TEAS group. The intervention period for both TEAS and sham TEAS was 6 weeks, with each session lasting 30 min and conducted thrice weekly. The outcomes measured were the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) score, the effective improvement rate, the modified Ashworth Scale (MAS), the Wolf Motor Function Test (WMFT), the visual analogue scale (VAS), the Barthel index (BI) and the surface electromyography (sEMG).

resultsAll participants completed the course of therapy. Baseline characteristics were comparable across the two groups. Compared with the sham TEAS group, the TEAS group showed significant increases in FMA-UE score (P value=0.013), WMFT score (P value=0.001) and BI score (P value=0.008) at week 6. For integrated electromyogram (p=0.048) and root mean square of the biceps (p=0.033), lower scores were identified in the TEAS group compared with the sham TEAS group with a significant difference at week 6.

conclusionTEAS was acceptable and feasible in participants with upper limb spasticity after stroke. A pivotal study of this therapy is justified.

Indexed as

Acupuncture PointsMuscle SpasticityStrokeTranscutaneous Electric Nerve StimulationUpper ExtremityAdultAgedDouble-Blind MethodFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsStroke RehabilitationTreatment OutcomeStroke

Identifiers

PMID39798944
PMCPMC11874307

What OpenQuestion holds

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Registered trials

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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.