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American Journal of Physical Medicine & Rehabilitation· 2026Q1

Effect of Sequential Electroacupuncture Combined With Augmented Reality Gait Training on Walking Function and Neuromuscular Control in Subacute Stroke

Linjie Fang, Manting Cao, Xiaoqin Le, Manxue Zhou et al.

Short summary

Combining electroacupuncture (EA) with augmented reality (AR) gait training significantly improved walking speed by 0.14 m/s (P=0.011) in subacute stroke patients compared to AR training alone.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Sequential EA + AR training improved gait speed by 0.14 m/s (P=0.011) in subacute stroke patients.
  • The experimental group showed significant gains in stride length, gait symmetry, FMA-LE, BBS, and CCI.
  • Step width, cadence, and joint kinematics did not differ significantly between groups.
  • No adverse events were reported during the 4-week intervention.

AI-generated from the title and abstract; the full text is not read.

Abstract

OBJECTIVE: To investigate the effects of sequential electroacupuncture (EA) combined with augmented reality (AR) gait training on walking function and neuromuscular control in patients with subacute stroke (onset 1-6 mo). DESIGN: A single-blind, randomized controlled trial allocating 40 patients with subacute stroke to an experimental (EA+AR, n=20) or control group (AR alone, n=20) for 4 weeks. The primary outcome was gait speed. RESULTS: Generalized estimating equations (GEE) analyses revealed that the experimental group demonstrated significantly greater improvement in gait speed (Wald χ²=6.509, P=0.011) compared with controls. Significant improvements were also observed in stride length, gait symmetry, FMA-LE, BBS, and CCI (all P <0.05). No significant between-group differences were found for step width, cadence, or joint kinematics (all P >0.05). No adverse events occurred. CONCLUSION: The sequential EA-AR protocol significantly improved gait speed-the primary outcome-as well as stride length, gait symmetry, motor function, balance, and neuromuscular control. These findings suggest that temporally structured EA prior to AR training may facilitate motor relearning, potentially through transient neuromodulatory states induced by EA, though this mechanistic interpretation requires further confirmation.

The authors' abstract, as published at the source. American Journal of Physical Medicine & Rehabilitation, 2026 · DOI ↗

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Field: Complementary and alternative medicine

Complementary and alternative medicineMedicine