{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:22:58Z","timestamp":1787772178705,"version":"build-2784847793"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>This study systematically evaluates acupuncture for post-stroke spastic hemiplegia using a dual-dimensional approach: bibliometric analysis and meta-analysis. Databases (PubMed, Web of Science, Embase, CNKI, Wanfang, VIP) were searched from inception to December 31, 2024. Bibliometric tools (VOSviewer, CiteSpace) were used to analyze research trends, collaborations, and keyword clusters. Meta-analysis was performed using R, RevMan, and Stata. Forty-five RCTs were included. Bibliometric findings show a shift from early research on \u201cacupoint specificity\u201d to recent hotspots including \u201cneural mechanisms\u201d and \u201cmultimodal efficacy evaluation.\u201d Meta-analysis shows that acupuncture significantly improves muscle tone (Ashworth: MD = \u20130.64), upper-limb motor function (FMA: MD = 6.75), lower-limb motor function (FMA: MD = 3.46), and activities of daily living (Barthel index: MD = 10.87). Electroacupuncture shows superior effects, and treatment duration \u22654 weeks is more effective. China leads in research output. Acupuncture, especially electroacupuncture combined with conventional rehabilitation, is effective for post-stroke spastic hemiplegia.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1889_25","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:00:13Z","timestamp":1781791213000},"page":"1873-1879","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Acupuncture for post-stroke spastic hemiplegia: A dual-dimensional evidence synthesis combining bibliometric and meta-analysis"],"prefix":"10.4103","volume":"15","author":[{"given":"Junbing","family":"Liu","sequence":"first","affiliation":[{"name":"The Affiliated Rehabilitation of CQMU, Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Chen","sequence":"additional","affiliation":[{"name":"Jiulongpo Hospital Affiliated to Chongqing University of Traditional Chinese Medicine, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qimi","family":"Huang","sequence":"additional","affiliation":[{"name":"The Affiliated Rehabilitation of CQMU, Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Cheng","sequence":"additional","affiliation":[{"name":"The Affiliated Rehabilitation of CQMU, Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Cai","sequence":"additional","affiliation":[{"name":"The Affiliated Rehabilitation of CQMU, Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Liu","sequence":"additional","affiliation":[{"name":"The Affiliated Rehabilitation of CQMU, Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"issue":"(09)","key":"R1-20260619","first-page":"1620","article-title":"Clinical Efficacy Observation of Combined Scalpel-Needle and Imagery Exercise Therapy for Spastic Hemiplegia After Stroke [J]","volume":"44","author":"Lan","year":"2024","journal-title":"Journal of Hunan University of Chinese Medicine"},{"issue":"(07)","key":"R2-20260619","first-page":"34","article-title":"Therapeutic Effects of Combined Needle-Knife and Rhythmic Exercise Training on Spastic Hemiplegia of the Lower Extremities Following Stroke [J]","volume":"33","author":"Liu","year":"2024","journal-title":"Chinese Journal of Sanatorium Medicine"},{"issue":"(02)","key":"R3-20260619","first-page":"95","article-title":"Effect of Yin-Yang Balance Acupuncture Combined with Modified Blood Residence Stasis-Resolving Decoction on Patients with Spastic Hemiplegia After Stroke [J]","volume":"37","author":"Chen","year":"2025","journal-title":"Chinese Journal of Folk Medicine"},{"issue":"(05)","key":"R4-20260619","first-page":"467","article-title":"Practical Effects of Appropriate Traditional Chinese Medicine Techniques in the Rehabilitation of Spastic Hemiplegia Patients with Cerebral Stroke [J]","volume":"59","author":"Liang","year":"2024","journal-title":"Jiangxi Medicine"},{"issue":"(15)","key":"R5-20260619","first-page":"120","article-title":"Motomed Combined with Electroacupuncture for Stroke Hemiplegia [J]","volume":"12","author":"He","year":"2021","journal-title":"Chinese Journal of Health Standards Management"},{"issue":"(03)","key":"R6-20260619","first-page":"119","article-title":"Efficacy of Motomed Training and Electroacupuncture in Post-Stroke Spastic Hemiplegia [J]","volume":"14","author":"Xu","year":"2023","journal-title":"Chinese Journal of Health Standards Management"},{"issue":"(03)","key":"R7-20260619","first-page":"13","article-title":"Electroacupuncture at Scalp Motor Areas and Foot Sensory Areas Combined with Manual Therapy for Spastic Hemiplegia of Upper Limb After Stroke [J]","volume":"17","author":"Huang","year":"2016","journal-title":"Practical Clinical Medicine"},{"key":"R8-20260619","article-title":"Clinical Evaluation of Electroacupuncture Combined with Rehabilitation Therapy for Spastic Hemiplegia After Stroke [D","author":"Ding","year":"2023","journal-title":"Henan University of Chinese Medicine"},{"issue":"(5)","key":"R9-20260619","first-page":"567","article-title":"Research Progress on Acupuncture Treatment of Post-Stroke Spastic Hemiplegia [J]","volume":"43","author":"Zhou","year":"2023","journal-title":"Chinese Acupuncture and Moxibustion"},{"issue":"(23)","key":"R10-20260619","first-page":"141","article-title":"Research Progress on Acupuncture and Rehabilitation Therapy for Post-Stroke Spastic Hemiplegia [J]","volume":"8","author":"Du","year":"2016","journal-title":"Clinical Journal of Chinese Medicine"},{"issue":"(1)","key":"R11-20260619","first-page":"160","article-title":"Analysis of Clinical Efficacy of Acupuncture in Treating Post-Stroke Spastic Hemiplegia [J]","volume":"15","author":"Gao","year":"2017","journal-title":"Guide of China Medicine"},{"issue":"(1)","key":"R12-20260619","first-page":"1","article-title":"Clinical Study on Fire Needle Therapy for Post-Stroke Spastic Hemiplegia Guided by Meridian Sinew Theory [J]","volume":"24","author":"Sun","year":"2025","journal-title":"Journal of Liaoning University of Traditional Chinese Medicine"},{"issue":"(24)","key":"R13-20260619","first-page":"1","article-title":"Discussion on Post-Stroke Spastic Hemiplegia and Limb Position Placement Based on Meridian Sinew Theory [J]","volume":"15","author":"Wang","year":"2025","journal-title":"Clinical Journal of Chinese Medicine"},{"issue":"(5)","key":"R14-20260619","first-page":"22","article-title":"Clinical Study on Gegen Decoction Combined with Tianma Gouteng Decoction in Treating Post-Stroke Spastic Hemiplegia [J]","volume":"26","year":"2024","journal-title":"Journal of Hubei University of Chinese Medicine"},{"key":"R15-20260619","first-page":"1","article-title":"Systematic Review and Meta-Analysis of Acupuncture for Spastic Paralysis after Stroke [J]","volume":"12","year":"2024","journal-title":"Renren Library"},{"key":"R16-20260619","article-title":"Evaluation of Clinical Efficacy of Warm Acupuncture for Knee Osteoarthritis Based on Cumulative Meta-analysis and TSA [D]","year":"2024","journal-title":"Wanfang Data"},{"issue":"(01)","key":"R17-20260619","first-page":"107","article-title":"Systematic Review and Meta-Analysis on the Efficacy and Safety of Warm Acupuncture for Post-Stroke Spasticity [J]","volume":"40","author":"Zhang","year":"2025","journal-title":"Chinese Journal of Rehabilitation Medicine"},{"issue":"(03)","key":"R18-20260619","first-page":"1","article-title":"Bayesian network meta-analysis of the total effective rate of different acupuncture methods for treating limb spasticity in post-stroke patients [J]","volume":"29","author":"Li","year":"2022","journal-title":"Journal of Nursing Science"},{"issue":"(12)","key":"R19-20260619","first-page":"23","article-title":"Therapeutic Effects of \u201cForm and Spirit Dual Regulation\u201dAcupuncture Combined with Rehabilitation Training on Spastic Hemiplegia Following Ischemic Stroke [J]","volume":"44","author":"Wang","year":"2023","journal-title":"Journal of Traditional Chinese Medicine and Pharmacy of Yunnan"},{"issue":"(01)","key":"R20-20260619","first-page":"54","article-title":"Clinical Observation of Spasm-Relieving and Deformity-Correcting Acupuncture Combined with Rehabilitation Training for Spastic Hemiplegia After Ischemic Stroke [J]","volume":"33","author":"Liang","year":"2025","journal-title":"Chinese Folk Therapy"},{"issue":"(20)","key":"R21-20260619","first-page":"68","article-title":"Effect of Jin San Needle Combined with Rehabilitation Training on Elderly Patients with Spastic Hemiplegia After Stroke [J]","volume":"36","author":"Hao","year":"2024","journal-title":"Chinese Journal of Folk Health Medicine"},{"issue":"(02)","key":"R22-20260619","first-page":"354","article-title":"Therapeutic Effect of Blade Needle Combined with Rehabilitation Training on Spastic Hemiplegia of Upper Limb After Stroke [J]","volume":"31","author":"Zhong","year":"2024","journal-title":"Chinese Journal of Traditional Chinese Medicine Science and Technology"},{"issue":"(02)","key":"R23-20260619","first-page":"329","article-title":"Improvement of Motor Function and Balance in Spastic Hemiplegic Patients After Stroke by Shaogui Wending Tongluo Decoction Combined with Spasm-Relieving Acupuncture [J]","volume":"17","author":"Chen","year":"2024","journal-title":"Global Traditional Chinese Medicine"},{"issue":"(04)","key":"R24-20260619","first-page":"83","article-title":"Effects of Combined Head Peripheral Acupuncture and Body Acupuncture Therapy on Cognition, Muscle Spasticity, and Fine Motor Skills of Upper Limb Spastic Hemiplegia Patients After Stroke [J]","volume":"57","author":"Lu","year":"2025","journal-title":"New Chinese Medicine"},{"issue":"(06)","key":"R25-20260619","first-page":"1146","article-title":"Effects of Combined Head-Body Acupuncture and Individualized Occupational Therapy on Motor Function Remodeling in Patients with Spastic Hemiplegia of Upper Limb Following Stroke [J]","volume":"30","author":"Yu","year":"2023","journal-title":"Chinese Journal of Traditional Chinese Medicine Science and Technology"},{"issue":"(31)","key":"R26-20260619","first-page":"155","article-title":"Effects of Warm Acupuncture Combined with Rehabilitation Training on Muscle Spasticity and Balance Function in Patients with Spastic Hemiplegia After Stroke [J]","volume":"21","author":"Li","year":"2024","journal-title":"Chinese Medical Innovation"},{"issue":"(15)","key":"R27-20260619","first-page":"119","article-title":"Clinical Observation of Warm Acupuncture Combined with Tuina and Rehabilitation Therapy for Spastic Hemiplegia After Stroke [J]","volume":"22","author":"Zhang","year":"2024","journal-title":"Modern Distance Education of Traditional Chinese Medicine in China"},{"issue":"(14)","key":"R28-20260619","first-page":"24","article-title":"Effect Analysis of Awakening Brain and Unblocking Governor Vessel Acupuncture Combined with Task-Oriented Training for Post-Stroke Spastic Hemiplegia Patients [J]","volume":"5","author":"Zhang","year":"2024","journal-title":"Reflex Therapy and Rehabilitation Medicine"},{"key":"R29-20260619","article-title":"Clinical Study on Warm Acupuncture Combined with Staged Acupuncture for Ischemic Stroke Spastic Hemiplegia [D]","year":"2023","journal-title":"Liaoning University of Traditional Chinese Medicine"},{"issue":"(19)","key":"R30-20260619","first-page":"13","article-title":"Evaluation of Methodological Quality of RCTs on Acupuncture for Allergic Rhinitis Abroad Based on RoB2.0 [J]","volume":"22","year":"2022","journal-title":"Chinese Journal of Evidence-Based Medicine"},{"key":"R31-20260619","first-page":"1234","article-title":"Efficacy and safety of electroacupuncture versus manual acupuncture for post-stroke spastic hemiplegia: A systematic review and meta-analysis","volume":"17","author":"Wang","year":"2024","journal-title":"Journal of Pain Research"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1889_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:31:47Z","timestamp":1787769107000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1889_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1889_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-10-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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