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Neurorehabilitation and Neural Repair
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Real Versus Sham Acupuncture in the Treatment of Paralysis in Acute Stroke Patients: A CT Scan Lesion Site Study

Margaret A. Naeser

Department of Neurology and Aphasia Research Center, Boston University School of Medicine and Boston V.A. Medical Center

Michael P. Alexander

Department of Neurology and Aphasia Research Center, Boston University School of Medicine and Boston V.A. Medical Center, Department of Behavioral Neurology, Braintree Hospital, Braintree, MA

Denise Stiassny-Eder

Department of Neurology and Aphasia Research Center, Boston University School of Medicine and Boston V.A. Medical Center

Vicki Galler

Rehabilitation Medicine Service, Boston V.A. Medical Center

Judith Hobbs

Rehabilitation Medicine Service, Boston V.A. Medical Center

David Bachman

Department of Neurology and Aphasia Research Center, Boston University School of Medicine and Boston V.A. Medical Center, Presently, Department of Neurology, Medical University of South Carolina, Charleston, SC

This study compared real versus sham acupuncture in the treatment of paralysis in acute stroke patients and examined the results in relationship to CT scan lesion sites. Sixteen patients with right-sided paralysis who had suffered left hemisphere ischemic infarction were randomly assigned to receive either twenty real acupuncture treatments or twenty sham acupuncture treatments over a one-month period beginning at 1-3 months post stroke onset. Results indicated that significantly more patients had good response following real acupuncture than sham acupuncture if CT scan lesion site was a variable (p < .013). When there was lesion in half or less than half of the motor pathway areas on CT scan, acupuncture was effective. No patients who received sham acupuncture had good response, whatever the lesion.

Key Words: Key Words: Acupuncture—Cerebrovascular disorders—Stroke—Paralysis—Tomography • x-ray computed.

Neurorehabilitation and Neural Repair, Vol. 6, No. 4, 163-174 (1992)
DOI: 10.1177/136140969200600401
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