Table 1 Recommendations on traditional and complementary medicine rehabilitation for stroke patients
Recommendation item | CACMS | NCCACM | SCMHKBU | VA&DoD | NHMRC2015 | NHMRC2022 | WSO | AHA&ASA | BAN2022 |
|---|---|---|---|---|---|---|---|---|---|
Acupuncture | Post-stroke dysphagia Acupuncture Grading of recommendation: selective recommendation, level of evidence: IIa | Post-stroke dysphagia Combination of acupuncture based on swallowing training for four weeks Acupoints:　GV26, GB20, EX-HN12, EX-HN13, and CV23 Grading of recommendation: Weak recommendation, level of evidence: C | Post-stroke dysphagia Acupuncture Grading of recommendation: B, level of evidence: IIb Post-stroke shoulder-hand syndrome Acupuncture Acupoints:　LI15, TE14, SI9, Jianqian, Ashi-point, TE2, TE4, SI4 Grading of recommendation: C, level of evidence: IV | - | Acupuncture Level of evidence: I | Activities of daily living Acupuncture Grading of recommendation: weak recommendation | Upper extremity motor function Acupuncture Level of evidence: B | Activities of daily living and upper extremity activity Acupuncture Grading of recommendation: III, level of evidence: A | Spasticity Acupuncture and electroacupuncture Grading of recommendation: IIa, level of evidence: A |
Mind–body exercise | — | — | — | Post-stroke depression or anxiety Mind–body exercise (tai chi, yoga, and qigong) Grading of recommendation: weak recommendation | — | — | Balance Tai Chi (late) Level of evidence: B | Fall Tai Chi Grading of recommendation: IIb, level of evidence: B | — |
Recommendation item | CACMS | NCCACM | SCMHKBU | VA&DoD | NHMRC | NHMRC | WSO | AHA&ASA | BAN |
Tuina and Meridian massage | Post-stroke spasticity Tuina Grading of recommendation: selective recommendation, level of evidence: IIa | — | Post-stroke spasticity Meridian massage Grading of recommendation: C, level of evidence: IV | — | — | — | — | — | — |
External treatment of traditional Chinese medicine | Post-stroke shoulder-hand syndrome Fuming‑washing Grading of recommendation: selective recommendation, level of evidence: IIa | Post-stroke dysphagia Stimulation with herbal ice sticks or sprays Grading of recommendation: Weak recommendation, level of evidence: C | Post-stroke shoulder-hand syndrome Fuming-washing Grading of recommendation: C, level of evidence: IV | — | — | — | — | — | — |
Traditional Chinese medicine injection | Neurological deficits in patients with the acute phase of cerebral infarction Xing Nao Jing Injection Grading of recommendation: recommended, level of evidence: Ia | Neurological deficits in patients with ischemic stroke in the acute stage Dengzhanxixin injection, Shenxiong glucose injection, injections made from Salviae Miltiorrhizae Radix Et Rhizoma, and injections made from Ginkgo Folium on the basis of conventional treatments Grading of recommendation: Weak recommendation, level of evidence: C Coma in patients with acute cerebral hemorrhage combined with impaired consciousness Xing Nao Jing injection Grading of recommendation: Weak recommendation, level of evidence: C Post-stroke depression Chaihushugan powder, Xiaoyao powder, Shuganjieyu decoction, and Shuganjieyu capsules on the basis of antidepressant Grading of recommendation: Weak recommendation, level of evidence: C | — | — | — | — | — | — | — |