{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:53:54Z","timestamp":1765828434626,"version":"3.45.0"},"reference-count":80,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100012175","name":"Zhejiang Traditional Chinese Medicine Administration","doi-asserted-by":"publisher","award":["2024ZL050"],"award-info":[{"award-number":["2024ZL050"]}],"id":[{"id":"10.13039\/501100012175","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81774230"],"award-info":[{"award-number":["81774230"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012245","name":"Science and Technology Planning Project of Guangdong Province","doi-asserted-by":"publisher","award":["2020B1212030008"],"award-info":[{"award-number":["2020B1212030008"]}],"id":[{"id":"10.13039\/501100012245","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Older People Nursing"],"published-print":{"date-parts":[[2025,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n A high number of stroke patients cannot recover fully from motor impairment despite early rehabilitation. Auricular therapies, usually given by acupuncture doctors or nurses, have been widely used among these post\u2010stroke patients. Potential benefits of auricular therapies were shown in recent clinical trials.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n The purpose of this review was to systematically evaluate the clinical effects of auricular therapy in the treatment of post\u2010stroke motor impairment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Chinese Biological Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI) and Wanfang databases were searched from their inception to May 2023. Randomised controlled trials of auricular therapy for the treatment of post\u2010stroke motor impairment met the screening criteria. The primary outcome was the Fugl\u2010Meyer Assessment Scale (FMA). The secondary outcomes included the Fugl\u2010Meyer Assessment Upper Extremity Scale (FMA\u2010UE), Chinese Stroke Scale (CSS), clinical efficacy and the Barthel Index Scale (BI). Meta\u2010analysis was carried out using RevMan software 5.3.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Twenty\u2010eight RCTs with 1993 patients were included. The meta\u2010analysis results suggested that compared with conventional treatment, auricular therapy combined with conventional treatment significantly improved the FMA score (MD: 15.07, 95% CI, 12.56 to 17.59), the FMA\u2010UE score (MD: 6.49, 95% CI, 5.54 to 7.45), the clinical efficacy (RR: 1.20, 95% CI, 1.12 to 1.29) and the BI score (MD: 10.26, 95% CI, 9.11 to 11.40), while the combination treatment significantly decreased the CSS score (MD: \u22122.98, 95% CI, \u22124.38 to \u22121.59).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Auricular therapy, as an adjunctive treatment to the conventional treatment, improved post\u2010stroke motor impairment and self\u2010care ability. Early auricular therapy of the patients in the early disease stage may lead to better improvement. Further well\u2010designed, large\u2010size clinical studies are needed.<\/jats:p>\n <\/jats:sec>\n \n Implications for Practice<\/jats:title>\n This study suggested that auricular therapy could be used as a complementary therapy with conventional treatment for improving motor impairment and self\u2010care ability among post\u2010stroke patients with motor impairment in hospitals, long\u2010term care facilities and homes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/opn.70006","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T12:59:08Z","timestamp":1736341148000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of Auricular Therapy for Motor Impairment After Stroke: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9748-3031","authenticated-orcid":false,"given":"Yingqi","family":"Mao","sequence":"first","affiliation":[{"name":"Department of Rehabilitation The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine) Hangzhou China"},{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donghan","family":"Xu","sequence":"additional","affiliation":[{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peiyu","family":"Yan","sequence":"additional","affiliation":[{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Li","sequence":"additional","affiliation":[{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaan","family":"Du","sequence":"additional","affiliation":[{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Nutriology The Second Affiliated Hospital of Zhejiang Chinese Medical University Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qibiao","family":"Wu","sequence":"additional","affiliation":[{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"},{"name":"Guangdong\u2010Hong Kong\u2010Macao Joint Laboratory for Contaminants Exposure and Health, School of Environmental Science and Engineering, Institute of Environmental Health and Pollution Control Guangdong University of Technology Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili","family":"Yu","sequence":"additional","affiliation":[{"name":"Faculty of Chinese Medicine Macau University of Science and Technology Macau China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine) Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/00315125241235420"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072\u2010024\u201007628\u2010z"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968317732668"},{"key":"e_1_2_10_5_1","unstructured":"Cao L. 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