Motor entry point acupuncture for shoulder abduction dysfunction after stroke: a randomized controlled feasibility trial

Journal article


Lin, Z., Zhang, Y., Gao, X., Xing, Y., Hu, X-Y. and Robinson, N. (2020). Motor entry point acupuncture for shoulder abduction dysfunction after stroke: a randomized controlled feasibility trial. European Journal of Integrative Medicine. 35, p. 101073. https://doi.org/10.1016/j.eujim.2020.101073
AuthorsLin, Z., Zhang, Y., Gao, X., Xing, Y., Hu, X-Y. and Robinson, N.
Abstract

Introduction: Evidence has suggested that shoulder abduction dysfunction after stroke can be treated with acupuncture, but it remains unclear which acupuncture approach may be more effective. This trial compared two different acupuncture interventions (Motor Entry Point acupuncture (MEPA) and Standard acupuncture (SA) for patients experiencing post-stroke shoulder abduction dysfunction.
Methods: Hospital in-patients with post-stroke shoulder abduction dysfunction of two weeks duration and who agreed to participate in the trial were randomized into two groups. The SA group received acupuncture treatment at LI15, LI14, LI11, LI10 and LI4 (n=20); the MEPA group received acupuncture at the mid-third of deltoid (n=20). Each group received acupuncture for 40 minutes, 6 times a week for 4 weeks. Outcomes were the range of motion (ROM) and the manual muscle test (MMT).
Results: Forty in-patients (19 women, 21 men; age range: 35-75 years) were enrolled in this trial. There was significant improvement in shoulder abduction dysfunction in both groups after 4 weeks of treatment (P<0.05). The MEPA group reported larger ROM and improved MMT compared to the SA group (P<0.05) and the recovery of muscle strength in MEPA group was superior to the SA group (P<0.05).
Conclusion: Compared to SA therapy, MEPA therapy may be more effective for treating physical functional disability in post-stroke patients.

Year2020
JournalEuropean Journal of Integrative Medicine
Journal citation35, p. 101073
PublisherElsevier
Digital Object Identifier (DOI)https://doi.org/10.1016/j.eujim.2020.101073
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Print24 Feb 2020
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Accepted20 Feb 2020
Deposited20 Feb 2020
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A systematic review of experimental and clinical acupuncture in chemotherapy-induced peripheral neuropathy.
Franconi, G, Manni, L, Schröder, S, Marchetti, P and Robinson, N. (2013). A systematic review of experimental and clinical acupuncture in chemotherapy-induced peripheral neuropathy. Evidence-Based Complementary and Alternative Medicine (eCAM). 2013, p. 516916. https://doi.org/10.1155/2013/516916
The evidence for Shiatsu: A systematic review of Shiatsu and acupressure
Robinson, N, Lorenc, A and Liao, X (2011). The evidence for Shiatsu: A systematic review of Shiatsu and acupressure. BMC Complementary and Alternative Medicine. 11 (1), pp. 88-. https://doi.org/10.1186/1472-6882-11-88
The RCCM 2009 survey: Mapping doctoral and postdoctoral CAM research in the United Kingdom
Robinson, N and Lewith, G (2011). The RCCM 2009 survey: Mapping doctoral and postdoctoral CAM research in the United Kingdom. Evidence-based Complementary and Alternative Medicine. 2011, pp. 1-4. https://doi.org/10.1093/ecam/nep184
How parents choose to use CAM: A systematic review of theoretical models
Lorenc, A, Ilan-Clarke, Y, Robinson, N and Blair, M (2009). How parents choose to use CAM: A systematic review of theoretical models. BMC Complementary and Alternative Medicine. 9 (1), pp. 9-. https://doi.org/10.1186/1472-6882-9-9