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

Sun 2015.

Methods RCT
 Method of randomisation: randomisation by using envelopes
 Blinding: not stated
Adverse effects: none
 ITT analysis: not stated
 Losses to FU: not stated
Participants Country: China
 Number of participants included: 93 (31/31/31)
 Demographics: aged 60‐95 years, 47% male
 Type of stroke: unclear
 Diagnosis: WHO definition
 Severity on entry: not stated
 Time from stroke onset: 9‐46 months
 Setting: inpatient and outpatient
 Comparability: no significant difference in age, comorbidity, or time post onset
Interventions 3 arms:
  • acupuncture only

  • WM only

  • acupuncture + WM


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

  • Needling details

    • Points used: both body and scalp acupoints

    • Numbers of points used: 6 body acupoints, 3 scalp acupoints

    • Depths of insertion: not stated

    • Deqi elicited: yes

    • Needle stimulation: manual

    • Needle retention time: 30 minutes

    • Needle type: hua tuo brand, length 1.57 inches

  • Treatment regimen

    • Number of treatment sessions: 120 sessions

    • Frequency of treatment: 5 sessions/week

    • Total course: 24 weeks

  • Practitioner background: not stated

  • Co‐intervention: WM


Control interventions: WM
Outcomes
  • Improvement of depression (HAMD)

  • Adverse event

Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation by using envelopes assorted in a random manner
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 Some patient‐related outcomes were not reported, such as information on quality of life or all‐cause mortality
Other bias Unclear risk No information provided