Liu 2016.
Methods | RCT, randomized via an online random number generator
C: generated code sealed in an envelope
Blinding: blinding of evaluator
ITT analysis: not stated Numbers with incomplete outcome data: 2 in the acupuncture group, 5 in the control group |
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Participants | Country: Taiwan, Republic of China
38 participants (24 men, aged 40 to 85 years) with acute ischemic stroke
Treatment: 18, control: 20
Within 3 days from stroke onset
All had CT scan before entry. Health conditions before stroke: without a history of stroke or hemorrhage after ischemic stroke, cerebellar infarction, seizures, serious medical disease, cancer, or bleeding tendency; for women, this study excluded those who were pregnant or breastfeeding Comparability: age, sex, medical history, body mass index, drinking or smoking habits similar |
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Interventions | Treatment group: 3 arm points, 3 leg points, 7 scalp points (LI11, TE5, LI4, ST36, SP6, LR3, etc.), manual twirling stimulation, 15 to 20 minutes/session, once a day for 2 weeks Control group: no acupuncture Both groups: routine standard treatment for ischemic stroke including thrombolytic therapy, antiplatelet treatment, anticoagulant therapy, and symptomatic treatment allowed at discretion | |
Outcomes | Changes in FMA and FIM at 4 weeks, as well as changes in NIHSS score, daily quality of life, and independence at 12 weeks | |
Notes | FU: 12 weeks | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Participants randomized via an online random number generator |
Allocation concealment (selection bias) | Low risk | Generated code sealed in an envelope |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Insufficient information to permit judgement |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Blinding of assessors |
Incomplete outcome data (attrition bias) All outcomes | High risk | 7 of 38 participants did not complete the study. |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to permit judgement |
Other bias | Unclear risk | Insufficient information to permit judgement |