Systematic evaluation of the efficacy of hemiplegia gait in the treatment of stroke patients with acupuncture

Objective: To obtain objective evidence of acupuncture treatment of hemiplegia gait in stroke patients, collect published literature, conduct research quality assessment and systematic evaluation with a view to clarifying their efficacy and providing reliable evidence-based evidence for clinical applications. Method: Retrieve Pubmed, Embase, Cochrane library, Web of science, Chinese Technology Journal Database, Wanfang, China.com, China Biomedical Database and China Chinese Medicine Database, as of October 30, 2014; Collecting clinical evidence of randomized and semi-randomized controlled trials by inclusion and exclusion criteria; Evaluating quality of inclusion in literature using biased risk assessment tools provided by Cochrane Collaborative Network; using Rev Man 5.2 software for the resulting data Outcome: A total of 22 studies (n=1 519), of which 8 were randomized and 14 were semi-randomized controlled trials. Lower limb Fugl-Meyer score showed: acute phase WMD = 6.71,95% CI (5.51,5.72), P≈ 0.000 01; recovery period WMD = 2.50,95% CI ( 1.49,3.50), P≈ 0.000 01; Only 1 study trial, P=0.003; 3 trials for post-stroke spasms treatment (unlimited course), WMD=1.60,95% CI (0.92,2.28), P≈ 0.000 01; Acupuncture can improve stroke patients with qualitative and quantitative gait analysis inter—distance parameters, but Inconsistent reported results; Improve hip, knee, ankle kinematic parameters and ankle backstretch EMG, slow spasms, enhance balance and walking function, improve daily living.Conclusion: Available evidence suggests that acupuncture improves lower limb time after stroke - distance and kinematic parameters, reduce body cramps, improve Balancing capacity. Because of the lower quality of the literature incorporated, more high-quality randomized controlled trials are still required further determination of its efficacy.