Evidence map›Paper›PMID 41431232›Full record

Trial reportBrain and behavior2025

Clinical Study on the Combined Therapy of Sinew Acupuncture and Low-Frequency Repetitive Transcranial Magnetic Stimulation for Hemiplegic Shoulder Pain.

Lintong Zhu, Hongwei Zhai, Caixia Su, Lei Qin, Zhaoxue Li, Zunke Gong, Mi Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 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. 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

7 authors.

Lintong ZhuDepartment of Physiotherapy, Xuzhou Central Hospital, Xuzhou, China.
Hongwei ZhaiDepartment of Spinal Cord Injury Rehabilitation, Xuzhou Rehabilitation Hospital, Xuzhou, China.
Caixia SuDepartment of Rehabilitation, Xuzhou Central Hospital, Xuzhou, China.
Lei QinDepartment of Rehabilitation, Xuzhou Central Hospital, Xuzhou, China.
Zhaoxue LiDepartment of Rehabilitation, Xuzhou Central Hospital, Xuzhou, China.
Zunke GongDepartment of Rehabilitation, Xuzhou Central Hospital, Xuzhou, China.
Mi WangDepartment of Rehabilitation, Xuzhou Central Hospital, Xuzhou, China.

Funding

Xuzhou Science and Technology Program Project KC23192
6 · The paper itself

Abstract

objectiveTo observe the clinical efficacy of combining sinew acupuncture with low-frequency repetitive transcranial magnetic stimulation (rTMS) for treating hemiplegic shoulder pain.

methodsA total of 90 patients with hemiplegic shoulder pain were randomly divided into three groups: the sinew acupuncture group, the rTMS group, and the combined group (30 patients each). All received conventional symptomatic medication and routine interventions. The sinew acupuncture group received subcutaneous shallow needling on the affected side; the rTMS group received 1 Hz rTMS stimulation on the contralateral M1 area of the cerebral cortex; and the combined group underwent both treatments. Pain severity, upper limb mobility, and activities of daily living were assessed using the Visual Analogue Scale (VAS), the Fugl-Meyer Assessment (FMA) of Upper Extremity, and the Modified Barthel Index (MBI) before and after 4 weeks of treatment.

resultsAfter treatment, all groups demonstrated substantial improvements in VAS, FMA, and MBI scores compared with baseline (p < 0.05). The combined therapy group exhibited superior improvements in pain reduction, upper limb function, and activities of daily living compared with the other two groups (p < 0.05).

conclusionBoth sinew acupuncture and 1 Hz rTMS are effective in treating hemiplegic shoulder pain when used independently. Their combined application substantially reduces pain and enhances shoulder function and activities of daily living in patients, representing a valuable clinical approach.

Indexed as

Acupuncture TherapyHemiplegiaShoulder PainTranscranial Magnetic StimulationActivities of Daily LivingAdultAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedPain MeasurementStrokeTreatment OutcomeUpper Extremityacupuncturecombined therapyhemiplegiashoulder painstroketranscranial magnetic stimulation

Identifiers

PMID41431232
PMCPMC12723063

What OpenQuestion holds

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LicenceCC BY
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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.