Review Article

Acupuncture for Spinal Cord Injury and Its Complications: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 3

Summary of treatment acupuncture points and other information related to acupuncture.

First author (ref) (year) Acupuncture methodRegimeAcupuncture pointsDeqiRationales for acupuncture pointsNumber of CMSPAdverse events

Functional recovery
Chen [3] (1995)Individualized by injured spinal levelEA (1-2 Hz, 1 session = once a day, 30 min, 6 times a week, total 48 treatments)Injured spinal level, upper 1 point and lower 1 point of Governer vessel of injured level (inter spinous process)
n.r.TCM theory1n.r.
Wong [4] (2003)FixedEA + AA (75 Hz, 10 mV, 1 session = 30 min, 5 times a week, till discharge)EA: bilateral SI3, BL62
AA: 4 acupoints related to the spinal cord at the antihelix, helix, and lower portion of the ear-back areas
Consideredn.r.1n.r.
Cui [5] (2004)FixedEA (1 session = once a day, 30 min for 1 month, total 90 or 180 treatments)Arm: HT1, LU5, PC3, HT3
Leg: SP12, BL37 or GB30, BL40
Other peroneal nerve stimulation point (no reports about where EA was applied)
ConsideredTCM theory1n.r.
Xu [6] (2004)Fixed + individualized by symptomsEA (1 Hz, 1 session = once a day, 30 min for 1 month, 7 days’ rest, total 150 treatments)EX-B2 + LI4, LI11, LI15, TE5, GB30, GB31, GB34, GB39, ST36, ST41, BL60, LR3 (limb dyskinesia) or SP6, SP9, BL25, eight-liao (evacuation disorder)n.r.TCM theory2n.r.
Chen [7] (2005)FixedEA + AA (EA; 1–5 Hz, 1 session = once a day, 30 min, 6 days a week for 3 months, session interval 1-2 weeks, till discharge, AA; 1 session = once a day, 10 times, total 2-3 session, each ear alternately)EA: bilateral SI3, BL62
AA: brain, subcortex, sympathetic, Shenmen
Impossible in SCI patients because of sensory impairment (+)TCM theory1No adverse events (+)
Gu [8] (2005)aFixed + individualized by symptomsEA (1 Hz, 3–5 V, 1 session = once a day, 30 min for 1 month, 1 week rest, total 150 treatments)EX-B2, LI15, LI11, TE5, LI4, GB30, GB31, GB34, ST36, GB39, BL60, ST41, LR3 (EA applied to major extremity points) + eight-liao, BL25, SP6, GB34 (evacuation disorders)
n.r.TCM theory2n.r.
Ma [9] (2005)FixedEA + AT (scalp EA; 5 min, body AT; 25 min, once a day, total 168 sessions)Scalp EA: MS6 (motor area), MS14 (equilibrium area)
Body AT: LI10, LI11, TE8, SI5 (arm), LR12, GB34, GB39, BL54, BL60, LR3 (leg)
Considered (authors did not describe, but might be considered)
TCM theory1n.r.
Sheng [10] (2009)
FixedEA (1 session = once a day, 30 min for 10 days, 2 days’ rest, total 70 treatments)EX-B2, LI4, LI11, LI15, TE5, ST31, ST32, ST36, GB34n.rTCM theory1n.r.

Bladder dysfunction
Huang [11] (2002)FixedEA (continuous wave, 1 session = 30 min, for 5 days, 3 days’ rest, total 5–20 treatments)Bilateral BL54, ST28, BL32, BL34, T12-L2 Huatuojiaji (EX-B2), SP9, SP6Considered (authors did not describe, but might be considered)
TCM theory1n.r.
Zhang [12] (2008)FixedEA (2 Hz, 6 V, 1 session = once a day, 30 min for 2 weeks, total 12 treatments)
Bilateral BL23, BL35n.r.TCM theory1n.r.
Zhou [13] (2007)FixedEA (continuous wave, 80 Hz, 20 mA, 1 session = once a day for 15 days, 5 days’ rest, total 30 treatments)Bilateral BL31, BL32, BL33, BL34, BL35ConsideredTCM theory1n.r.
Cheng [14] (1998)
FixedEA (20–30 Hz, 30–50 mA, 1 session = 15 min, 4~5 sessions each week, till their bladders were balanced)
CV3, CV4, BL32 (bilateral)ConsideredTCM theory2n.r.
Gu [15] (2005)bFixed + individualized by symptoms
EA (continuous wave, 1 session = once a day, 30 min for 2 weeks, total 14–56 treatments)eight-liao (EA) + BL23, CV6, BL20, BL22 (deficiency syndrome) or SP6, BL28, SP9, CV3 (excess syndrome)ConsideredTCM theory1n.r.
Liu [16] (2009)
FixedEA (1 session = once a day, 30 min for 15 days, total 60 treatments)EX-B2n.r.TCM theory1n.r.

Pain condition
Dyson-Hudson [17] (2007)Fixed + individualized by symptomsAT (1 session = 20 min, twice a week, total 10 treatments)Local points (chosen 6 points according to shoulder pain symptoms): LI14, LI15, LI16, TE13, TE14, TE15, GB21, SI9, SI10, SI11, SI12, SI13, SI14, SI15, LU1, LU2, PC2
Distal points (chosen 2 points according to local points used): LI2, LI4, LI10, LI11, LI18, SJ3, SI6, LU3, GV14, GB20, BL 10, BL11
Ashi points (1~4 points per treatment)
ConsideredTCM theory1Minimal adverse effect
Dyson-Hudson [18] (2001)Fixed + individualized by symptomsAT (1 session = 20~30 min, twice a week, total 10 treatments)Local points (chosen 6 points according to shoulder pain symptoms):
LI14, LI15, LI16, TE13, TE14, TE15, GB21, SI9, SI10, SI11, SI12, SI13, SI14, SI15, LU1, LU2, PC2
Distal points (chosen 2 points according to local points used):
LI2, LI4, LI10, LI11, LI18, SJ3, SI6, LU3, GV14, GB20, BL 10, BL11
Ashi points (1~4 points per treatment)
ConsideredTCM theory1No adverse events (+)

AA: auricular acupuncture; AT: acupuncture; CMSP: Chinese medicine syndrome pattern; EA: electrical AT; n.r.: not reported; TCM: traditional Chinese medicine; (+): mentioned in text.