Ischemic Stroke Clinical Trial
Official title:
Scalp Acupuncture for Motor Dysfunction in Ischemic Stroke: a Randomized, Controlled Trial
The investigators design a randomized, control study to evaluate the therapeutic effect of scalp acupuncture using Jiao's motor area for motor dysfunction in ischemic stroke patients using the following outcomes: motor function, activity of daily living,quality of life.
Functional disorder is a common and serious consequence of stroke. A large proportion of
stroke patients develop motor dysfunction in the early stage after stroke. Acupuncture is
often used as an adjunct to mainstream rehabilitation after stroke. Jiao's scalp acupuncture
is a contemporary acupuncture technique integrating traditional Chinese needling methods with
western medical knowledge of representative areas of the cerebral cortex. It has been widely
applied to be a kind of effective treatment for stroke in China. But, there is meta-analysis
suggests that with stroke rehabilitation, acupuncture has no additional effect on motor
recovery but has a small positive effect on disability, which may be due to a true placebo
effect and varied study quality. The efficacy of acupuncture without stroke rehabilitation
remains uncertain, mainly because of the poor quality of such studies.
The objective of this proposed study is to determine whether scalp acupuncture treatment
could improve significantly motor function in ischemic stroke patients.
In this 8-week, assessor-blind, randomized, controlled study of scalp acupuncture as
additional treatment with the rehabilitation treatment, a total of 116 patients with ischemic
stroke patients will be recruited. The patients will be randomly assigned to scalp
acupuncture combined with rehabilitation treatment (n =58) or rehabilitation treatment (n
=58). (40 sessions, 5 sessions a week). Changes in the motor function over time are measured
using Fugl-Meyer Scale, Modified Barthel Index and SS-QOL scale. The study will be conducted
at Shanghai University of Traditional Chinese Medicine, Long Hua Hospital, Fudan University,
Hua Shan Hospital.
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