/*English:Post-Stroke Fatigue*/
====== Post-Stroke Fatigue ======

====== Fatigue post-AVC ======

===== Systematic Reviews and Meta-Analysis=====
| ☆☆☆ | Evidence for effectiveness and a specific effect of acupuncture |
| ☆☆ | Evidence for effectiveness of acupuncture |
| ☆ |Limited evidence for effectiveness of acupuncture |
| Ø |No evidence or insufficient evidence |


==== Generic Acupuncture ====
=== Jianyu 2023 ===


Jianyu Y, Haiyan LI, Dingyi X, Mingren C, Rixin C. Efficacy of acupuncture therapy for post-stroke fatigue: a systematic review and Meta-analysis. J Tradit Chin Med. 2023 Feb;43(1):27-33.  https://doi.org/10.19852/j.cnki.jtcm.20221006.003. https://pubmed.ncbi.nlm.nih.gov/36639992.
^Objective| To assess the effectiveness and safety of acupuncture for post-stroke fatigue (PSF).|
^Methods|Eight online databases were searched to collect relevant trials of acupuncture for PSF published before April 2021. Meta-analysis was performed by using RevMan 5.4 software. The Grading of Recommendations, Assessment, Development and Evaluation system was used to assess the certainty of evidence.|
^Results|**Four randomized controlled trials involving 289 PSF patients** were identified and included in the systematic review. The results of the Meta-analysis revealed that acupuncture group was significantly better than routine treatment group in improving the effective rate [risk ratio () = 1.15, 95%(1.01, 1.33), = 0.04], reducing the FSS score [mean difference () =?－4.71, 95% ?(－6.22, －3.20), < 0.000 01] and FMA score [=?15.60, 95%?(11.96, 19.23), < 0.000 01]. Side effects of acupuncture were mild and rarely reported. The certainty of evidence of the outcomes based on the four trials was assessed as low.|
^Conclusions|The existing evidence suggests acupuncture as an adjunct to routine treatment may benefit in managing fatigue in stroke patients. However, high-quality RCTs are needed to further confirm these findings.|