Review Article

Acupuncture for Poststroke Shoulder Pain: A Systematic Review and Meta-Analysis

Table 1

Summary of randomized controlled trials of acupuncture for poststroke shoulder pain.

Author
(year)
Condition
sample size
Intervention groupControl groupMain outcomes

Gao et al. [15]
(2014)
Poststroke shoulder pain
(25/25/25)
(A) AT + rehabilitation treatment
(LI15, SI9, TE14, SI11, HT1, LI11, LI10, PC6, TE5, and LI4; 6 times weekly for 4 weeks, 30 min)
(B) AT
(C) Rehabilitation treatment
() VAS
() FMA

Liu and Shi [16]
(2013)
Poststroke shoulder pain
(33/27)
(A) AT + rehabilitation treatment
(BL20, BL21, ST36, ST40, SP10, GV20, and EX-HN1; once every day for 4 weeks, 30 min)
(B) Rehabilitation treatment() Effective rate

Wan et al. [17]
(2013)
Poststroke shoulder-hand
syndrome
(60/60)
(A) AT + rehabilitation treatment
(LU9, ST36, GB39, TE5, LI10, LI11, and LI15; once every day for 4 weeks, 30~40 min)
(B) Rehabilitation treatment() FMA
() Effective rate

Ni et al. [18]
(2013)
Poststroke shoulder pain
(32/32)
(A) AT + rehabilitation treatment
(Ashi points; once every day for 60 days, 5 min)
(B) Rehabilitation treatment() VAS
( FMA

Zhang et al. [19]
(2012)
Poststroke shoulder pain
(40/40)
(A) AT + rehabilitation treatment
(BP-LE6; once every day for 3 weeks, 10~20 min)
(B) Rehabilitation treatment() VAS
() FMA

Bao et al. [20]
(2012)
Poststroke shoulder pain
(46/41/42)
(A) EA + rehabilitation treatment
(LI15, TE14, SI9, LI14, LI11, LI10, and TE5; once every day for 30 days, 30 min, 100 A, 2 Hz)
(B) EA
(C) Rehabilitation treatment
() FMA

Chen et al. [21]
(2011)
Poststroke shoulder pain
(30/30)
(A) AT + rehabilitation treatment
(CV12, KI17, ST26, Shangfengshidian, and Shangfeng shiwaidian; once every day for 2 weeks, 30 min)
(B) Rehabilitation treatment() VAS
() FMA

Liu [22]
(2009)
Poststroke shoulder-hand
syndrome
(40/40)
(A) AT + rehabilitation treatment
(BP-LE6; once every day for 40 days, 30 min)
(B) Rehabilitation treatment() VAS
() FMA

Shang et al. [23]
(2008)
Poststroke shoulder-hand
syndrome
(40/40/40)
(A) AT + rehabilitation treatment
(LI15, Jianquan, TE14, HT1, LI14, LI11, PC6, and LI14; 3 times weekly for 4 weeks, 40 min)
(B) AT
(C) Rehabilitation treatment
() Effective rate

Zhu et al. [24]
(2007)
Poststroke shoulder
subluxation
(30/30)
(A) AT + rehabilitation treatment
(LI15, SI9, TE14, TE13; once every day for 4 weeks, 30 min)
(B) Rehabilitation treatment() VAS
() Effective rate

Zhao and Song [25]
(2004)
Poststroke shoulder-hand
syndrome
(30/24)
(A) AT + rehabilitation treatment
(SI11, LI15, LI11, TE7, TE4, Jingbi, and EXUE9; once every day for 10 days, 20 min)
(B) Rehabilitation treatment() FMA

Zhou [26]
(2002)
Poststroke shoulder pain
(50/50)
(A) AT + rehabilitation treatment
(LI15, TE14, SI9, LI11, LI10, TE5, and LI4; once every day for 4 weeks, 20 min)
(B) Rehabilitation treatment() VAS

AT: acupuncture treatment, EA: electroacupuncture, VAS: the Visual Analogue Scale, and FMA: the Fugl-Meyer Assessment; adverse effects were not reported for any study.