Objective:To evaluate the clinical effect of acupuncture combined with rehabilitation on patients with spastic hemiplegia of lower limb after stroke.Methods:A comprehensive search was conducted on major databases in China and abroad,including Pubmed,CNKI,CBM,VIP,Wanfang and other databases from 2013 to 2023.All randomized controlled trials(RCTs)comparing acupuncture combined with rehabilitation in the treatment of spastic hemiplegia of lower limbs after stroke were included.After data extraction and quality evaluation of all literatures,meta-analysis of the included studies was performed using Revman 5.3 software.Results:A total of 14 RCTs with 1 329 patients were included.Acupuncture combined with rehabilitation therapy could significantly improve the total effective rate of patients with lower limb hemiplegia after stroke(OR=5.23,95％CI:3.28,8.34,P＜0.001),Fugl-meyer Motor Function Scale(FMA)(MD=5.01,95％CI:4.05,5.97,P＜0.001)and Barthel Index(ADL)(MD=11.58,95％CI:4.68,18.49,P=0.001),decreased the modified Ashworth spasm score(MAS)(MD=-0.33,95％CI:-0.47,-0.19,P＜0.001).Conclusion:Acupuncture combined with rehabilitation therapy can effectively improve the lower limb motor function,relieve muscle spasm,and improve daily living ability of stroke patients with spastic hemiplegia.
acupuncture therapyrehabilitationstokespastic hemiplegia of lower limbmeta-analysis
维普
万方数据
