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

Li 1997a.

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: 112 (42/20/50)
 Demographics: aged 24‐76 years
 Type of stroke: both ischaemic and haemorrhagic strokes
 Diagnosis: WHO definition and all confirmed by CT or MRI
 Severity on entry: not stated
 Time from stroke onset: 1 month to 8.5 years
 Setting: inpatients
 Comparability: comorbidity and past history similar
Interventions 3 arms:
  • acupuncture + PT and OT

  • acupuncture only

  • PT and OT


Comparison eligible: acupuncture + PT and OT versus PT and OT
Acupuncture treatment
  • Acupuncture rationale: not stated

  • Needling details

    • Points used: both body and scalp acupoints

    • Numbers of points used: 10‐12 points

    • Depths of insertion: not stated

    • Deqi elicited: unclear

    • Needle stimulation: manual

    • Needle retention time: 30 minutes

    • Needle type: not stated

  • Treatment regimen

    • Number of treatment sessions: 72 sessions

    • Frequency of treatment: 6 sessions/week

    • Total course: 3 months

  • Practitioner background: not stated

  • Co‐intervention: baseline medication, PT and OT


Control interventions: baseline medication plus PT and OT
Outcomes Number of participants with improvement in global neurological deficit (CSRS 1 score) at the end of treatment
 FU: 3 months
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