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• W3081261064 abstract "Objective To assess the effectiveness of electroacupuncture (EA) with rehabilitation training in reducing limb spasticity in post-stroke patients.Methods A systematic review was performed by electronically searching six databases (Medline/Pubmed, Embase, Cochrane Library, China National Knowledge Infrastructure, Database for Chinese Technical Periodicals, and Wanfang Data) for randomized controlled trials (RCTs) on EA with rehabilitation training for limb spasticity reduction in post-stroke patients from 1 January 2009 to 1 January 2019. A meta-analysis was performed using SAS 9.3 and RevMan 5.3 software after bibliography screening, data extraction, and risk of bias assessment using the Cochrane handbook. The primary outcome was spasticity.Results A total of 31 RCTs (including 2488 participants) were included. Except for Cai et al.’s study, the quality of other RCTs was not high. All studies performed a descriptive analysis, and 29 RCTs conducted a meta-analysis. The odds ratio (OR) for marked efficiency was 2.35 (95% confidence interval [CI] 1.68–3.27, Z = 5.03, P < .00001). The OR for Modified Ashworth Scale (MAS) classification was 2.42 (95% CI 1.89–3.10, Z = 7.03; P < .00001). The weighted mean difference (WMD) for MAS score was −0.68 (95% CI −0.79 – −0.56, Z = 11.24, P < .00001). The WMD for clinical spasticity index score was −1.50 (95% CI −2.28 – −0.72, Z = 3.79, P = .0002).Conclusion EA with rehabilitation training could be a good strategy for reducing limb spasticity after stroke and is better than EA alone or rehabilitation training alone. However, its effectiveness remains to be further verified by large-sample and high-quality RCTs." @default.
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• W3081261064 date "2020-08-26" @default.
• W3081261064 modified "2023-10-10" @default.
• W3081261064 title "Electroacupuncture with rehabilitation training for limb spasticity reduction in post-stroke patients: A systematic review and meta-analysis" @default.
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• W3081261064 doi "https://doi.org/10.1080/10749357.2020.1812938" @default.
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