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. 2018 Mar 30;2018(3):CD003317. doi: 10.1002/14651858.CD003317.pub3

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
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
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