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

Naeser 1992.

Methods RCT
 Method of randomisation: not stated
 Blinding: participants blinded
Adverse effects: not stated
 ITT analysis: not stated
 Losses to FU: not stated
Participants Country: USA
 Number of participants included: 16 (10/6)
 Demographics: aged 44‐74 years
 Type of stroke: ischaemic only
 Diagnosis: all confirmed by CT
 Severity on entry: moderate
 Time from stroke onset: 1‐3 months
 Setting: inpatients
 Comparability: no significant difference in age or time post onset
Interventions Comparison: real acupuncture + daily PT versus sham acupuncture + daily PT
Acupuncture treatment
  • Acupuncture rationale: not stated

  • Needling details

    • Points used: both body and scalp acupoints

    • Numbers of points used: 11 body acupoints; numbers of scalp acupoints unclear

    • Depths of insertion: unclear

    • Deqi elicited: unclear

    • Needle stimulation: electrical stimulation with frequency 1‐2 Hz and amplitude unknown

    • Needle retention time: 20 minutes

    • Needle type: gauge 34#, length and material unknown

  • Treatment regimen

    • Number of treatment sessions: 20 sessions

    • Frequency of treatment: 5 sessions/week

    • Total course: 4 weeks

  • Practitioner background: not stated

  • Co‐intervention: PT


Control interventions
  • Sham

  • Acupuncture + PT

Outcomes Number of participants with improvement in motor function (BMIT) within 5 days after completing treatment
 FU: 35 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 Low risk Quote: "The sham acupuncture was done only on the non‐paralyzed upper extremity and lower extremity. The patients were told that in China acupuncture is used on the non‐paralysed side to treat the paralysed side. They were further told that the stimulation was low level, and they would not feel anything"
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