Efficacy of acupuncture combined with upper limb rehabilitation robot-assisted training for neuroplasticity and functional recovery of patients with stroke: a prospective cohort study based on functional near-infrared spectroscopy technology.

Objective: To investigate the effects of acupuncture combined with upper limb rehabilitation robot on neural remodeling and functional recovery in post-stroke patients.

Methods: There were 50 stroke patients were randomly divided into an experimental group (acupuncture combined with upper limb rehabilitation robot assisted training) and a control group (upper limb rehabilitation robot assisted training). Various assessments were conducted to compare the effects of the two treatments on neural remodeling and functional recovery. Functional near-infrared spectroscopy technology was used to assess the effects of different treatments on neural plasticity and their impact on upper limb function and activities of daily living.

Results: The experimental group showed significantly higher concentrations of oxygenated hemoglobin and total hemoglobin in specific brain regions compared to the control group (P < 0.05). Additionally, the experimental group had significantly lower concentrations of deoxygenated hemoglobin (P < 0.05). After treatment, both groups showed improvements in various measures, but the experimental group had significantly greater improvements (P < 0.05).

Conclusion: Acupuncture combined with upper limb rehabilitation robot can effectively improve upper limb function and neural remodeling in stroke patients. This study supports the integration of Traditional Chinese and Western Medicine in improving limb dysfunction post-stroke.