Acupuncture for upper-extremity rehabilitation in chronic stroke: a randomized sham-controlled study.
Arch Phys Med Rehabil
; 86(12): 2248-55, 2005 Dec.
Article
em En
| MEDLINE
| ID: mdl-16344019
ABSTRACT
OBJECTIVE:
To compare the effects of traditional Chinese acupuncture with sham acupuncture on upper-extremity (UE) function and quality of life (QOL) in patients with chronic hemiparesis from stroke.DESIGN:
A prospective, sham-controlled, randomized controlled trial (RCT).SETTING:
Patients recruited through a hospital stroke rehabilitation program.PARTICIPANTS:
Thirty-three subjects who incurred a stroke 0.8 to 24 years previously and had moderate to severe UE functional impairment.INTERVENTIONS:
Active acupuncture tailored to traditional Chinese medicine diagnoses, including electroacupuncture, or sham acupuncture. Up to 20 treatment sessions (mean, 16.9) over a mean of 10.5 weeks. MAIN OUTCOMEMEASURES:
UE motor function, spasticity, grip strength, range of motion (ROM), activities of daily living, QOL, and mood. All outcomes were measured at baseline and after treatment.RESULTS:
Intention-to-treat (ITT) analyses found no statistically significant differences in outcomes between active and sham acupuncture groups. Analyses of protocol-compliant subjects revealed significant improvement in wrist spasticity (P<.01) and both wrist (P<.01) and shoulder (P<.01) ROM in the active acupuncture group, and improvement trends in UE motor function (P=.09) and digit ROM (P=.06).CONCLUSIONS:
Based on ITT analyses, we conclude that acupuncture does not improve UE function or QOL in patients with chronic stroke symptoms. However, gains in UE function observed in protocol-compliant subjects suggest traditional Chinese acupuncture may help patients with chronic stroke symptoms. These results must be interpreted cautiously because of small sample sizes and multiple, unadjusted, post hoc comparisons. A larger, more definitive RCT using a similar design is feasible and warranted.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Paresia
/
Acupuntura
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Extremidade Superior
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Reabilitação do Acidente Vascular Cerebral
Tipo de estudo:
Clinical_trials
/
Guideline
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Observational_studies
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Prognostic_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article