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................................
Does Acupuncture Have Additional Value to Standard Poststroke Motor
Rehabilitation? Stroke 2002. 33: 186 - 194.

Frank Kai-Hoi Sze, FRCP; Eric Wong, MA; Xiang Yi, MD; Jean Woo,
FRCP

From the Department of Medicine and Geriatrics (F.K.-H.S.), Shatin
Hospital, Hong Kong; Centre for Clinical Trials and Epidemiological
Research (E.W.) and Department of Medicine and Therapeutics, Prince
of Wales Hospital (J.W.), Chinese University of Hong Kong, Hong
Kong; and Department of Acupuncture and Moxibustion (X.Y.), Nanjing
Municipal Traditional Chinese Medicine Hospital, Nanjing, China.

Correspondence to Dr Frank Kai-hoi Sze, Department of Medicine and
Geriatrics, Shatin Hospital, 33 A Kung Kok St, Ma On Shan, N.T.
Hong Kong, China. E-mail fkhsze@hotmail.com

Abstract
Background and Purpose; A significant number of patients remain
severely disabled after stroke despite rehabilitation with standard
treatment modalities. Acupuncture has been reported as an alternative
modality. This study aims to examine whether acupuncture has
additional value to standard poststroke motor rehabilitation.

Methods; A prospective randomized controlled trial (RCT) was carried
out in a stroke rehabilitation unit in Hong Kong. One hundred six
Chinese patients with moderate or severe functional impairment were
included at days 3 to 15 after acute stroke. They were stratified into
the moderate and the severe groups before randomization into the
control arm receiving standard modalities of treatment, which included
physiotherapy, occupational and speech therapy, and skilled medical and
nursing care, and the intervention arm receiving in addition traditional
Chinese manual acupuncture. A mean of 35 acupuncture sessions on 10
main acupoints were performed over a 10-week period. Outcome
measures included Fugl-Meyer assessment, Barthel Index, and
Functional Independence Measure, respectively, at weeks 0, 5, and 10,
performed by blinded assessors.

Results; At baseline, patients in each arm were comparable in all
important prognostic characteristics. No statistically significant
differences were observed between the 2 arms for any of the outcome
measures at week 10 or outcome changes over time.
....................................