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

Zhu 2007.

Methods RCT
 Method of randomisation: not stated
 Blinding: not stated
 ITT analysis: not stated
 Losses to FU: not stated
Participants Country: China
 Number of participants included: 60 (30/30)
 Demographics: aged 45‐69 years, 53% male
 Type of stroke: both ischaemic and haemorrhagic strokes
 Diagnosis: WHO definition
 Severity on entry: not stated
 Time from stroke onset: 1‐6 months
 Setting: inpatient
 Comparability: no significant difference in age, comorbidity, or time post onset
Interventions Comparison: acupuncture + PT versus PT
Acupuncture treatment
  • Acupuncture rationale: not stated

  • Needling details

    • Points used: both body and scalp acupoints

    • Numbers of points used: 2 scalp acupoints and 4 body acupoints

    • Depths of insertion: 1.57 inches

    • Deqi elicited: yes

    • Needle stimulation: manual and electrical stimulation

    • Needle retention time: 30 minutes

    • Needle type: length 1.57 inches

  • Treatment regimen

    • Number of treatment sessions: 24 sessions

    • Frequency of treatment: 6 sessions/week

    • Total course: 4 weeks

  • Practitioner background: not stated

  • Co‐intervention: PT


Control interventions: PT
Outcomes
  • Improvement of neurological function (Modified Edinburgh Stroke Scale and Scandinavian Stroke Scale)

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

BMIT: Boston Motor Inventory Test
 CSRS 1: Chinese Stroke Recovery Scale based on the revised diagnostic criteria of acute cerebral infarction formulated by the second National Academic Symposium on Cerebrovascular Diseases of the Chinese Medical Association in 1986, which is similar to the Revised Scandinavian Stroke Scale (RSSS)
 CSRS 2: Chinese Stroke Recovery Scale based on principles of traditional Chinese medicine
 CT: computerised tomography
 FU: follow‐up
 HAMD: Hamilton Depression Scale
 ITT: intention‐to‐treat
 LOTCA: Loewenstein Occupational Therapy Cognitive Assessment
 MESS: modified Edinburgh Stroke Scale
 MMSE: Mini Mental State Examination
 MoCA: Montreal Cognitive Assessment Scale
 MRI: magnetic resonance imaging
 OT: occupational therapy
 PT: physical therapy
 qd: once per day
 RCT: randomised controlled trial
 SF‐36: 36‐Item Short Form Health Survey
 SS‐QOL: Stroke Specific Quality of Life Scale
 SSS: Scandinavian Stroke Scale
 TCM: Traditional Chinese Medicine
 WHO: World Health Organization
 WM: Western medicine