Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Electroacupuncture Treatment for Post-Stroke Foot Drop: A Systemic Review of Randomized Controlled Trials

  • Hye Jeong Jo (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Go Eun Chae (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Hyun Woo Kim (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Young Jin Lee (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Ahra Koh (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Ji Eun Choi (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • So Jung Kim (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Korean Medicine Hospital) ;
  • Woo Young Kim (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Korean Medicine Hospital)
  • Received : 2024.04.07
  • Accepted : 2024.04.25
  • Published : 2024.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

A review of randomized controlled trials (RCTs) using electroacupuncture (EA) to treat patients with foot drop was performed to analyze the effectiveness of EA for this condition. Relevant studies (n = 183) from 7 databases (Cochrane Library, Excerpta Medica Database, PubMed, China National Knowledge Infrastructure, Korean Studies Information Service System, Research Information Sharing Service, and Oriental Medicine Advanced Searching Integrated System) were selected based on the inclusion and exclusion criteria, and 12 RCTs met the selection criteria. In all 12 studies, EA showed significantly positive changes. In most indicators, positive changes were observed in the EA group compared with that in the control group. Significant increases were confirmed in muscle strength-related indicators such as the Fugl-Meyer motor scale, surface electromyography, active range of motion, and gait-related indicators such as the Tinetti score, maximum walking speed, and Berg balance scale. No notable adverse events were reported. EA is suggested as an effective treatment for post-stroke foot drop; however, more RCTs are required.

Keywords

References

  1. Yang J, Chen X, Bai Z, Tao S, Pan X, Hu Z, et al. Social network status and influencing factors in community-dwelling elderly stroke patients. J Chin Gen Pract 2019;22:1243-1246. doi: 10.12114/j.issn.1007-9572.2019.00.092
  2. Dunning K, O'Dell MW, Kluding P, McBride K. Peroneal stimulation for foot drop after stroke: a systematic review. Am J Phys Med Rehabil 2015;94:649-664. doi: 10.1097/PHM.0000000000000308
  3. Li X, Zhao S, Wang J, Li W, Zhang J. Clinical study of the electro-acupuncture therapy on the anterior tibial muscle and the peroneus longus and brevis muscles of flaccid paralysis patient to prevent the foot-drop and strephenopodia after cerebral apoplexy. Chin Med Pharm 2016;6:43-45. doi: CNKI.SUN:GYKX.0.2016-16-014
  4. Burridge JH, Taylor PN, Hagan SA, Wood DE, Swain ID. The effects of common peroneal stimulation on the effort and speed of walking: a randomized controlled trial with chronic hemiplegic patients. Clin Rehabil 1997;11:201-210. doi: 10.1177/026921559701100303
  5. Taylor PN, Burridge JH, Dunkerley AL, Lamb A, Wood DE, Norton JA, et al. Patients' perceptions of the Odstock Dropped Foot Stimulator (ODFS). Clin Rehabil 1999;13:439-446. doi: 10.1191/026921599677086409
  6. Liu Z, Jia J, Xie Z, Tian J, He Z, Lu W, et al. The effects of foot drop stimulation on lower limb motor function after stroke. Chin J Phys Med Rehabil 2015;37:416-420. doi: 10.3760/cma.j.issn.0254-1424.2015.06.004
  7. Wang Z, Chen G. Comparison on clinical efficacy difference between acupuncture combined with rehabilitation and simple rehabilitation for foot drop after stroke. Liaoning J Tradit Chin Med 2018;90:610-613. doi: 10.13192/j.issn.1000-1719.2018.03.049
  8. Chen Y, Wang C. Effect of electroacupuncture on hemiplegia after stroke. Chin J Prim Med Pharm 2021;28:357-361. doi: 10.3760/cma.j.issn.1008-6706.2021.03.009
  9. Kluding PM, Dunning K, O'Dell MW, Wu SS, Ginosian J, Feld J, et al. Foot drop stimulation versus ankle foot orthosis after stroke: 30-week outcomes. Stroke 2013;44:1660-1669. doi: 10.1161/STROKEAHA.111.000334
  10. Qi Y, Shen J. Acupuncture combined with rehabilitation training for foot drop after stroke. Zhongguo Zhen Jiu 2016;36:679-682. doi: 10.13703/j.0255-2930.2016.07.002
  11. Zhang S, Wu J. Application status of F wave on the treatment of the limb spasm after upper motoneuron injury. Chin J Clin 2016;10:2492-2497. doi: CNKI.SUN:ZLYD.0.2016-16-028
  12. Sun Y, Liu M, Shang L. Efficacy of electro-acupuncture combined with rehabilitative technology on foot drop after stroke. J Acupunct Moxibustion 2014;30:24-25. doi: CNKI.SUN:ZJLC.0.2014-05-010
  13. Luo X. Effect of electro-acupuncture combined with rehabilitation training on lower limb motor function in strok patients with hemiplegia. J Sichuan Tradit Chin Med 2014;32:159-161. doi: CNKI.SUN:SCZY.0.2014-04-080
  14. Wang X, Yang X, Dai J. Clinical effect of electro-acupuncture for foot-drop in ischemic stroke patients. J Clin Acupunct Moxibustion 2017;33:41-43. doi: CNKI.SUN:ZJLC.0.2017-09-012
  15. Li B, Wang Q, Jiang Y, Chen Y, Liu H, Zhang A. [Observation on the clinical efficacy of electroacupuncture at the tibialis anterior muscle motor point in the treatment of post-stroke foot drop]. J Mil Surg Southwest China 2017;19:20-21. Chinese. doi: 10.3969/j.issn.1672-7193.2017.01.008
  16. Zeng R, Zhang B, Li X, Feng S. Effect of electroacupuncture combined with physical therapy on balance function in patients with foot drooping after convalescent stroke. J Trop Med 2018;18:151-155. doi: CNKI.SUN:RDYZ.0.2018-02-004
  17. Wang D. [Clinical effects of electroacupuncture combined with rehabilitation in the treatment of post-stroke foot drop]. Biped Health 2019;28:43-44. Chinese. doi: 10.19589/j.cnki.issn1004-6569.2019.17.043
  18. Wang Y, Wang X, Wang P, Yang Q, Wang Y. Observations on the efficacy of electroacupuncture at points Zusanli (ST36) and Xuanzhong (GB39) for flaccid foot drop in hemiplegic stroke. Shanghai J Acupunct Moxibustion 2019;38:409-412. doi: 10.13460/j. issn.1005-0957.2019.04.0409
  19. Gu T, Hou D, Li C, Jia J. [Effects of rehabilitation therapy centered on electroacupuncture at antagonist muscle motor points on lower limb function and gait stability in patients with poststroke foot drop]. J Chin Integr Med Cerebrovasc dis 2020;18:2701-2704. Chinese. doi: 10.12102/j.issn.1672-1349.2020.16.037
  20. Wu L. Effects of antagonistic muscle motor point electroacupuncture combined with comprehensive rehabilitation on motor function and gait stability of post-stroke patients with foot drop. Med J Chin Peoples Health 2021;33:73-75. doi: 10.3969/j.issn.1672-0369.2021.22.027
  21. Wang Y, Hu H, Sui R, Xiao M, Wu L. Electric needles combined with ankle trainers to observe the clinical efficacy of foot sagging after stroke. J Chin Geriatr Care 2021;19:12-14. doi: 10.3969/j.issn.1672-2671.2021.01.004
  22. Xie J. Analysis of curative effect of electroacupuncture on antagonistic muscle movement points combined with rehabilitation training for foot drop after stroke. J Clin Chin Med 2022;14:39-42. doi: 10.3969/j.issn.1674-7860.2022.12.012
  23. Ke X, Zhang J, Pan W, Ge J. Effects of electro-acupuncture combined with physiotherapy on scores of ROM,MAS,MWS and BBS in patients with posterior foot drop after stroke in convalescent stage. Clin J Chin Med 2023;15:112-115. doi: 10.3969/j.issn.1674-7860.2023.07.023
  24. Wu Q, Wang T, Mai H, Zhang L. A retrospective analysis of functional outcome in hemiplegic stroke patients after inpatient rehabilitation. J Chin Phys Med Rehabil 2013;35:855-858. doi: 10.3760/cma.j.issn.0254-1424.2013.11.006
  25. Liu Y, Luo J, Yang J, Ma Q, Fu W. Effects of lokomat robotic-assisted gait training combined with drop foot stimulator on gait function in patients with stroke. J Chin Rehabil Theor Pract 2016;22:921-926. doi: 10.3969/j.issn.1006-9771.2016.08.009
  26. Zhang X. [Observation on the effects of functional electrical stimulation treatment and rehabilitation training on patients with foot drop caused by stroke]. Contemp Med Ser 2016;14:47-48. Chinese. doi: CNKI.SUN:QYWA.0.2016-22-030
  27. Cui GL. Effects of ankle foot orthosis on the barycenter transfer ability of patients with stroke. J Chin Rehabil 2017;32:257-259. doi: CNKI.SUN:ZLKF.0.2017-03-028
  28. Bei N, Bei Z, Chen Y, Li L; Department of Neurology of Geriatric hospital. The effects of rehabilitation robot on lower limb function in elderly stroke patients. China Trop Med 2015;15:1246-1248. doi: 10.13604/j.cnki.46-1064/r.2015.10.26
  29. Xu J, Hu S, Zhou Y, Chen Q, Ling Q. Clinical observation of kinesio tapping with physical therapy on the lower limb function and walking ability in hemiplegic stroke patients. J Chin Rehabil 2016;31:446-449. doi: CNKI:SUN:ZLKF.0.2016-06-017
  30. Rong J, Wu Y, Gu L, Qiao Y, Wang W. [Advances in research on foot drop and foot varus rehabilitation in stroke patients]. J Chin Rehabil 2015;30:45-48. Chinese. doi: CNKI.SUN:ZLKF.0.2015-01-021
  31. Chen ZB, Duan YJ, Yuan F, Wang H. Effect of acupuncture preconditioning on ACTH-protein expression of hypothalamus paraventricular nucleus in rats with cerebral ischemic reperfusion injury. Tradit Chin Med Sci Technol 2005;12:329-331. doi: CNKI.SUN:TJYY.0.2005-06-000
  32. Liang L, Zhang Y, Liu Y. [Observation on the efficacy of acupuncture at the three yin meridians of the foot combined with low-frequency pulse electrotherapy on foot drop and inversion in the early stage of stroke]. Shaanxi J Tradit Chin Med 2016;37:1072-1073. Chinese. doi: CNKI.SUN:SXZY.0.2016-08-063