Clinical efficacy of electroacupuncture antagonistic muscles combined with rehabilitation training in the treatment of spastic hemiplegia after stroke: a systematic review and meta-analysis of randomized controlled trials

作者：Jingyue Liu, Xiang Meng, Yana He, Hailun Jiang, Jieying Zhang, Jinyuan Shi, Jinyuan Shi, Jingshu Zhang, Menglong Zhang, Fei Cai, Shizhe Deng, Jiangwei Shi, Jiangwei Shi, Zhihong Meng · 发表于：Frontiers in Neurology · 年份：2025 · DOI：10.3389/fneur.2025.1634845 · 被引用次数：3 · 研究领域：Botulinum Toxin and Related Neurological Disorders、Acupuncture Treatment Research Studies、Stroke Rehabilitation and Recovery

Objective Antagonistic muscles rehabilitation training has been extensively utilized in the rehabilitation of patients with spastic hemiplegia. With the increasing acceptance and application of acupuncture, numerous scholars have discovered that incorporating electroacupuncture combined with antagonistic muscles rehabilitation training can enhance the treatment for spastic hemiplegia after stroke. The objective of this study is quantify the clinical efficacy of electroacupuncture in treating spastic hemiplegia after stroke on the basis of antagonistic muscles rehabilitation training, provide insights for future clinical treatments and scientific investigations related to spastic hemiplegia. Methods We searched eight Chinese and English databases to identify clinical randomized controlled trials investigating the efficacy of electroacupuncture antagonistic muscles combined with rehabilitation training for the treatment of spastic hemiplegia after stroke. The search period extended from the inception of each database up to April 4, 2025. Two researchers independently reviewed the literatures, extracted relevant data, and assessed the risk of bias using the Cochrane Risk of Bias Tool. Results A total of 8 literatures were selected from an initial pool of 1,680 for the purpose of meta-analysis. The findings indicated that the combination of electroacupuncture antagonistic muscles with rehabilitation training significantly alleviates muscle spasms in hemiplegic limbs [MD = –0.52,9...