Evidence map›Paper›PMID 40520609›Full record

SynthesisFrontiers in neurology2025

Efficacy of elongated needles for motor and balance function after a stroke: a systematic review and meta-analysis.

Shuyan Zhang, Haichun Zhou

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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

2 authors.

Shuyan ZhangHeilongjiang University of Chinese Medicine, Harbin, China.
Haichun ZhouThe Fourth Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This systematic review aimed to evaluate the efficacy and safety of elongated needle therapy in improving motor and balance functions after stroke, to inform its clinical adoption in rehabilitation. Methods and Analysis: We searched PubMed, Web of Science, EMBASE, Medicine, CNKI, CBM, Wanfang, and VIP from inception to May 1, 2024, for randomized controlled trials (RCTs) assessing elongated needles for post-stroke limb movement and balance dysfunction. Primary outcomes were balance and motor ability; secondary outcomes included Activities of Daily Living (ADL) and adverse events. Meta-analysis used RevMan 5.4 and Stata 16.0. Heterogeneity was explored via subgroup/meta-regression/sensitivity analyses (if significant). Two reviewers independently assessed bias risk using Cochrane tools. Outcome quality was evaluated with GRADE. Results: This meta-analysis included 18 randomized controlled trials (RCTs), encompassing a total of 1,230 subjects. The results indicated that elongated needles, utilized either as a solo intervention or in conjunction with other modalities, markedly enhanced balance capabilities in stroke patients when compared to conventional acupuncture, rehabilitation training, oral Chinese medicine, and alternative therapies including electroacupuncture and acupoint sticking (MD = 6.34, Conclusion: Evidence from current studies indicates that elongated needle may improve post-stroke patients' balance and motor function, and enhance their daily living skills. However, the number of rigorous scientific studies is limited, and there is considerable variability across studies, limiting the confidence in these findings. Therefore, the clinical effectiveness of this treatment still requires additional validation. It is imperative to conduct more high-quality, large-scale, multi-center RCTs that conform to international guidelines to establish the efficacy of this therapy's clinical applications. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42024542151.

Indexed as

acupunctureelongated needlesmeta-analysismotor and balance functionstrokesystematic review

Identifiers

PMID40520609
PMCPMC12164167

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.