Systematic review and Meta analysis of needle pricks for post-stroke muscle spasms

Objective: Evaluate the efficacy and safety of needling for post-stroke muscle spasms. Method computer retrieves 6 major databases at home and abroad. A randomized controlled trial that incorporates needling versus non-needling comparisons. The two researchers independently conduct literature screening, extraction and incorporation into research quality evaluations using the Cochrane Collaborative Network's biased risk assessment tool. Using RevMan5.3 for data analysis, the measurement data calculates the mean difference (MD) and its 95% trusted interval (CI). The results were incorporated into 29 literature. Seven studies present a high risk of bias, and the rest have entries where bias risks are unclear. Needling is better than rehabilitation training (-0. 40 [-0. 68, -0. 12]) in relief of the degree of limb spasms. Combined acupuncture training is superior to single-use rehabilitation training (-0. 31 [-0. 50, -0. 11], -0. 41 [-0. 54, —0. 28]); after 4 weeks of treatment, needling combined with routine treatment Better than rehabilitation training combined with routine treatment (-0. 96 [-1. 73, -0, -19]), and needling combined rehabilitation training and routine treatment (-0. 57 [-0. 80, -0. 34]); after six months of treatment, needling combined neuroblock therapy and rehabilitation training are better than nerve block treatment (-0. 57 [-0. 80, -0. 80, -34]) Treatment and rehabilitation training (-0. 63 [-1. 12, -0. 14]) ; acupuncture combined with neuroblock treatment is superior to neuroblock treatment (-0. 70 [-1. 08, -0. 32]). When it comes to improving the level of limb activity, acupuncture alone, acupuncture combined rehabilitation training, acupuncture combined routine therapy and rehabilitation training 1 week and 4 weeks after rehabilitation training, acupuncture combined with neuroblock treatment was better than the control group. Conclusion Needling therapy helps to improve the level of limb spasms, limb mobility and daily life in patients with post-stroke muscle spasms, but the conclusions are inconsistent across the subgroups. It is expected that more high-quality randomized controlled trials of clear spasms sites and multiple measurement points will be carried out in the future to further validate their efficacy.