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. 2016 Aug 26;2016(8):CD004131. doi: 10.1002/14651858.CD004131.pub3

Dai 1997.

Methods RCT
 Method of randomisation: not stated
 Blinding: not stated
Adverse effects: not stated
 ITT analysis: not stated
 Losses to FU: not stated
Participants Country: China
 Number of participants included: 136 (46/45/45)
 Demographics: aged 48‐86 years, 75% male
 Type of stroke: ischaemic only
 Diagnosis: WHO definition and all confirmed by CT
 Severity on entry: mild to severe
 Time from stroke onset: 3‐14 months
 Setting: unclear
 Comparability: unclear
Interventions 3 arms:
  • acupuncture + WM

  • acupuncture only

  • WM only


Comparison eligible: acupuncture + WM versus WM only
Acupuncture treatment
  • Acupuncture rationale: not stated

  • Needling details:

    • points used: both body and scalp (three temporal points) acupoints

    • Numbers of points used: 5‐11 points

    • Depths of insertion: 1.5‐2.0 inches

    • Deqi elicited: yes

    • Needle stimulation: manual

    • Needle retention time: 30 minutes

    • Needle type: stainless steel, gauge 26‐30#, length 2.0‐2.6 inches

  • Treatment regimen:

    • Number of treatment sessions: 30 sessions

    • Frequency of treatment: 1 session/day

    • Total course: 30 days

  • Practitioner background: not stated

  • Co‐intervention:

    • aspirin 25 mg qd orally


Control interventions: WM: aspirin 25 mg qd orally
Outcomes Number of participants with improvement in global neurological deficit (CSRS 1 score decrease > 18%) at the end of treatment
 FU: 30 days
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The method of random sequence generation was not reported
Allocation concealment (selection bias) Unclear risk Information on allocation concealment was not reported
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Information on blinding was not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Information on blinding was not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Information on blinding was not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Information on attrition was not reported
Selective reporting (reporting bias) Unclear risk Free of selective reporting bias was assessed as 'unclear' due to some clinically important outcomes unstated, such as quality of life, mortality and adverse events
Other bias Unclear risk No information provided