Cognitive-motor impairment after cerebral infarction is a frequent barrier to rehabilitation and often slows functional recovery. In clinical practice, treatment usually needs to address both central regulation and peripheral motor rebuilding. Acupuncture with a tiaoshen approach has been reported to modulate prefrontal-related function, improve attention, and ease adverse emotional states, which may help patients engage more effectively in rehabilitation training. Orthopedic rehabilitation places greater emphasis on joint mobility, proprioceptive input, gait practice, and reconstruction of functional movement patterns, and is considered important for motor relearning after stroke. Current studies suggest that combining these two approaches may be more helpful than using either strategy alone, particularly in patient participation, gait rhythm, and movement coordination. At the same time, techniques such as functional magnetic resonance imaging (fMRI), functional near-infrared spectroscopy (fNIRS), electroencephalography, electromyography, and gait analysis have made it possible to observe treatment-related changes in a more objective way and have offered clues to the underlying mechanisms. Even so, the available evidence is still not strong enough. The available studies are still constrained by small sample sizes, differences in intervention design, limited quantitative assessment, and short follow-up duration. More carefully designed clinical research is needed before the effects of this combined approach and its practical role can be more clearly understood.