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

Shen 2012a.

Methods RCT, computer software used to allocate participants stratified according to hospital
 C: not stated
 Blinding: not stated
 ITT analysis: not stated
 Losses to FU: none
Participants Country: China
 100 participants (68 men, mean age 59.2 ± 10.6 years in treatment group, mean age 58.9 ± 8.1 years in control group) with acute ischemic or hemorrhagic stroke
Treatment: 50, control: 50
Within 14 days from stroke onset
 100% CT/MRI scan before entry
Health conditions before stroke: without severe hepatic or renal dysfunction, unconsciousness, mental disease, or dementia
 Comparability: age, sex, type of stroke, and hemiplegia side similar
Interventions Treatment group: 3 main acupoints (DU26, PC6, SP6) and 2 auxiliary acupoints (HT1, BL40), manual twirling stimulation, 30 minutes per session, once per day for 2 weeks
 Control group: no acupuncture
 Both group: routine drug therapy and rehabilitation therapy
Outcomes Change in FMA and BI after treatment
BI score ≤ 60 at 3 months
Notes FU: 3 months
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer software used to allocate participants stratified according to hospital
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement
Other bias Unclear risk Insufficient information to permit judgement