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Fatigue is a common symptom experienced by patients with traumatic brain injury (TBI). Prior works have demonstrated that it may profoundly impact the ability to return to productive activity and cognitive functions. However, few interventions have been applied in this population.The purpose of the current will be to test the effect of acupressure on fatigue reduction after traumatic brain injury.
Fatigue is a pervasive and critical long-lasting symptom experienced by patients with traumatic brain injury (TBI) and can persist up to months or years after head injury. However, thus far, only few non-pharmacological interventions, such as mindfulness, are implemented in reducing fatigue in TBI survivors. Prior works have suggested that acupressure can significantly improve fatigue in different populations, such as cancers survivors and patients with hemodialysis. Therefore, we would like to test whether acupressure effectively improve fatigue after TBI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 4-point acupressure group | Experimental | The 5-point acupressure group will be instructed on the following acupressure points: sanyinjiao (SP6), Zu San Li (ST36), shenmen (TF4), Yongquan (KI-1), and He Gu (LI4). Bilateral 1.5 min for each point, three times daily for 4 weeks. |
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| 4 -point acupressure group | Active Comparator | The 2-point acupressure group will be instructed on the following acupressure points: He Gu (LI4) and Tai Chong (LV3). Bilateral 1.5 min for each point, three times daily for 4 weeks. |
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| Usual care | No Intervention | The usual care group will be required to maintain their daily activities. Weekly telephone follow-up will be conducted by principle investigator. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupressure | Behavioral | Two types acupressure interventions, 5-point and 2-point acupressure groups, will be conducted in the current study. |
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| Measure | Description | Time Frame |
|---|---|---|
| Fatigue | Self-reported feeling of tiredness, is measured by the Chinese version of The Mental fatigue Scale (MFS, higher scores indicate greater mental fatigue) and Multidimensional Fatigue Inventory (MFI, higher score indicates more fatigue) | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Memory function | The function will be measured by using the Rey Auditory Verbal Learning Test | 4 weeks |
| Attention function | The function will be measured by using the Trail Making Test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hsiao-Yean Chiu, PhD | School of Nursing, Taipei Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hsiao-Yean Chiu | Taipei | 110 | Taiwan |
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| ID | Term |
|---|---|
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D019050 | Acupressure |
| ID | Term |
|---|---|
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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| 4 weeks |
| Heart rate variability | We will measure HRV parameter using the device of My ECG E3-8010 | My ECG E3-8010 |
| Brain waves | measured by the NeuroSky MindWave Mobile 2 | 4 weeks |
| Sleep quality | Sleep quality will be assessed by using the Pittsburgh Sleep Quality Index | 4 weeks |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |