Research Article | | Peer-Reviewed

Study on the Impact of Targeted Functional Acupuncture on Quality of Life in Patients with Upper Limb Spasticity After Stroke

Received: 27 November 2025     Accepted: 16 December 2025     Published: 31 December 2025
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Abstract

This study aimed to explore the effect of targeted functional acupuncture on improving muscle tone and activities of daily living in patients with upper limb spasticity after stroke. A total of 60 eligible patients admitted between March 2023 and June 2024 were randomly assigned to an experimental group (targeted functional acupuncture combined with basic rehabilitation, n=30) or a control group (conventional electroacupuncture combined with basic rehabilitation, n=30), both undergoing a 28-day intervention period. The Modified Ashworth Scale grade, resting angles of upper limb joints, and Modified Barthel Index score were assessed before and after the intervention. After the intervention, the improvement in ADL score was significantly greater in the experimental group (24.6 ± 18.3) compared to the control group (10.4 ± 15.2), with a statistically significant within-group difference (P < 0.001). The proportion of patients achieving significant muscle tone improvement (decrease ≥ 1 grade) was 60.0% in the experimental group, significantly higher than the 26.7% in the control group (P = 0.019). Furthermore, the number of "not testable" joints decreased from 38 to 22 in the experimental group, corresponding to an improvement rate of 42.1%, which was also significantly better than the 14.3% observed in the control group (P = 0.042). These results indicate that targeted functional acupuncture can effectively alleviate upper limb spasticity, improve muscle tone distribution, and significantly enhance the activities of daily living in post-stroke patients, supporting its use as an effective intervention in the rehabilitation of this population.

Published in International Journal of Chinese Medicine (Volume 8, Issue 2)
DOI 10.11648/j.ijcm.20250802.12
Page(s) 21-29
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Targeted Functional Acupuncture, Stroke, Patients with Upper Limb Spasticity, Quality of Life

References
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[2] Chen Q M, Deng J Y, Yang X L, et al. Effects of proper limb positioning management combined with task-oriented training on upper limb functional recovery after stroke [J]. Chinese Journal of Physical Medicine and Rehabilitation, 2024, 46(2): 123-128.
[3] Zhao L, Sun X, Li J. Scalp acupuncture combined with robot-assisted training for lower limb motor dysfunction in chronic stroke hemiplegia. J Rehabil Med. 2023; 55(7): 689-696.
[4] Chen L, Yang Y, Zhao J. Acupuncture at Baliao points improves pelvic floor and lower limb coordination in post-stroke hemiplegic patients. Int Urogynecol J. 2024; 35(4): 891-899.
[5] Wang L, Chen J, Huang Z. Acupuncture combined with physical therapy for spastic hemiplegia after stroke: A randomized controlled study. J Phys Ther Sci. 2023; 35(8): 678-684.
[6] Li Y, Zhang H, Wang S. Effect of auricular acupuncture combined with limb training on daily living ability of post-stroke hemiplegic patients. J Altern Complement Med. 2024; 30(5): 345-352.
[7] Li J, Chen W, Zhang Q. Meta-analysis of acupuncture for improving balance function in stroke hemiplegic patients. Front Rehabil Sci. 2023; 4: 1023456.
[8] Yang S, Wang H, Li M, et al. Dynamic electroacupuncture improves lower limb motor function in stroke hemiplegia via modulating gait rhythm. J Acupunct Tuina Sci. 2020; 18(3): 189-195.
[9] Pang Z, Chen L, Zhao J, et al. Scalp acupuncture with repetitive facilitation exercise enhances lower limb balance and gait in post-stroke hemiplegia. Am J Phys Med Rehabil. 2022; 101(6): 521-528.
[10] Zhang Q, Li J, Wang Y, et al. Acupuncture combined with robot-assisted training improves upper limb motor function in chronic stroke hemiplegia: A randomized controlled trial. J Neuroeng Rehabil. 2023; 20(1): 145.
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[17] Chen C, Fan M, Gao W. Acupuncture intervention for stroke hemiplegia: An overview of systematic reviews. Front Neurol. 2024; 15: 1375880.
[18] Li X, Zhang L, Wang Q, et al. Electroacupuncture at Hegu (LI4) and Quchi (LI11) promotes upper limb motor recovery via BDNF/TrkB pathway. J Ethnopharmacol. 2019; 245: 112189.
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Cite This Article
  • APA Style

    Guanchao, Z., Zeliang, S., Fangfang, C., Xinru, W., Wenqian, Z., et al. (2025). Study on the Impact of Targeted Functional Acupuncture on Quality of Life in Patients with Upper Limb Spasticity After Stroke. International Journal of Chinese Medicine, 8(2), 21-29. https://doi.org/10.11648/j.ijcm.20250802.12

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    ACS Style

    Guanchao, Z.; Zeliang, S.; Fangfang, C.; Xinru, W.; Wenqian, Z., et al. Study on the Impact of Targeted Functional Acupuncture on Quality of Life in Patients with Upper Limb Spasticity After Stroke. Int. J. Chin. Med. 2025, 8(2), 21-29. doi: 10.11648/j.ijcm.20250802.12

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    AMA Style

    Guanchao Z, Zeliang S, Fangfang C, Xinru W, Wenqian Z, et al. Study on the Impact of Targeted Functional Acupuncture on Quality of Life in Patients with Upper Limb Spasticity After Stroke. Int J Chin Med. 2025;8(2):21-29. doi: 10.11648/j.ijcm.20250802.12

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  • @article{10.11648/j.ijcm.20250802.12,
      author = {Zuo Guanchao and Shan Zeliang and Chen Fangfang and Wen Xinru and Zhao Wenqian and Wang Yongxia and Yin Xiaowen and Jiqin and Mei Yingchun and Yan Zhi},
      title = {Study on the Impact of Targeted Functional Acupuncture on Quality of Life in Patients with Upper Limb Spasticity After Stroke},
      journal = {International Journal of Chinese Medicine},
      volume = {8},
      number = {2},
      pages = {21-29},
      doi = {10.11648/j.ijcm.20250802.12},
      url = {https://doi.org/10.11648/j.ijcm.20250802.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcm.20250802.12},
      abstract = {This study aimed to explore the effect of targeted functional acupuncture on improving muscle tone and activities of daily living in patients with upper limb spasticity after stroke. A total of 60 eligible patients admitted between March 2023 and June 2024 were randomly assigned to an experimental group (targeted functional acupuncture combined with basic rehabilitation, n=30) or a control group (conventional electroacupuncture combined with basic rehabilitation, n=30), both undergoing a 28-day intervention period. The Modified Ashworth Scale grade, resting angles of upper limb joints, and Modified Barthel Index score were assessed before and after the intervention. After the intervention, the improvement in ADL score was significantly greater in the experimental group (24.6 ± 18.3) compared to the control group (10.4 ± 15.2), with a statistically significant within-group difference (P < 0.001). The proportion of patients achieving significant muscle tone improvement (decrease ≥ 1 grade) was 60.0% in the experimental group, significantly higher than the 26.7% in the control group (P = 0.019). Furthermore, the number of "not testable" joints decreased from 38 to 22 in the experimental group, corresponding to an improvement rate of 42.1%, which was also significantly better than the 14.3% observed in the control group (P = 0.042). These results indicate that targeted functional acupuncture can effectively alleviate upper limb spasticity, improve muscle tone distribution, and significantly enhance the activities of daily living in post-stroke patients, supporting its use as an effective intervention in the rehabilitation of this population.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Study on the Impact of Targeted Functional Acupuncture on Quality of Life in Patients with Upper Limb Spasticity After Stroke
    AU  - Zuo Guanchao
    AU  - Shan Zeliang
    AU  - Chen Fangfang
    AU  - Wen Xinru
    AU  - Zhao Wenqian
    AU  - Wang Yongxia
    AU  - Yin Xiaowen
    AU  - Jiqin
    AU  - Mei Yingchun
    AU  - Yan Zhi
    Y1  - 2025/12/31
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ijcm.20250802.12
    DO  - 10.11648/j.ijcm.20250802.12
    T2  - International Journal of Chinese Medicine
    JF  - International Journal of Chinese Medicine
    JO  - International Journal of Chinese Medicine
    SP  - 21
    EP  - 29
    PB  - Science Publishing Group
    SN  - 2578-9473
    UR  - https://doi.org/10.11648/j.ijcm.20250802.12
    AB  - This study aimed to explore the effect of targeted functional acupuncture on improving muscle tone and activities of daily living in patients with upper limb spasticity after stroke. A total of 60 eligible patients admitted between March 2023 and June 2024 were randomly assigned to an experimental group (targeted functional acupuncture combined with basic rehabilitation, n=30) or a control group (conventional electroacupuncture combined with basic rehabilitation, n=30), both undergoing a 28-day intervention period. The Modified Ashworth Scale grade, resting angles of upper limb joints, and Modified Barthel Index score were assessed before and after the intervention. After the intervention, the improvement in ADL score was significantly greater in the experimental group (24.6 ± 18.3) compared to the control group (10.4 ± 15.2), with a statistically significant within-group difference (P < 0.001). The proportion of patients achieving significant muscle tone improvement (decrease ≥ 1 grade) was 60.0% in the experimental group, significantly higher than the 26.7% in the control group (P = 0.019). Furthermore, the number of "not testable" joints decreased from 38 to 22 in the experimental group, corresponding to an improvement rate of 42.1%, which was also significantly better than the 14.3% observed in the control group (P = 0.042). These results indicate that targeted functional acupuncture can effectively alleviate upper limb spasticity, improve muscle tone distribution, and significantly enhance the activities of daily living in post-stroke patients, supporting its use as an effective intervention in the rehabilitation of this population.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of Integrated Traditional Chinese and Western Medicine, Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM, Chengdu, China

  • Gingko College of Hospitality Management, Chengdu, China

  • Qinglong Community Health Service Center of Chenghua District, Chengdu, China

  • Department of Integrated Traditional Chinese and Western Medicine, Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM, Chengdu, China

  • Department of Integrated Traditional Chinese and Western Medicine, Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM, Chengdu, China

  • Department of Integrated Traditional Chinese and Western Medicine, Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM, Chengdu, China

  • Qinglong Community Health Service Center of Chenghua District, Chengdu, China

  • Qinglong Community Health Service Center of Chenghua District, Chengdu, China

  • Qinglong Community Health Service Center of Chenghua District, Chengdu, China

  • Department of Integrated Traditional Chinese and Western Medicine, Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM, Chengdu, China;Qinglong Community Health Service Center of Chenghua District, Chengdu, China

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