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Stroke is currently the most common disabling disease, which often leads to impairment of sensory, motor, speech and psychological functions, resulting in a reduced quality of life for patients. Therefore, post-stroke functional rehabilitation, especially the rehabilitation of physical function and psychological condition, is particularly important for patients to rejoin society. Acupuncture can promote the functional recovery of patients and facilitate the rehabilitation of limb function, thus improving the quality of survival of post-stroke patients.
Neurotrophic factors are diverse, most of which are mainly derived from neuronal cells in the central nervous system and are involved in a variety of neurological functions such as cell growth, differentiation and plasticity, thus promoting recovery of multiple functions after stroke. Many studies have found that different interventions affect the prognosis of stroke patients differently, e.g., long-term acupuncture increases serum levels of brain-derived neurotrophic factor in stroke patients and also has better outcomes than controls in post-stroke neurological recovery and the development of post-stroke psychiatric disorders.
This study investigated the effects of different therapeutic measures on patients' functional recovery and neurotrophic factors by setting up a controlled and blinded trial design, which could not only provide clinical evidence for the effectiveness of relevant therapeutic measures, but also verify the clinical value of certain neurotrophic factors (e.g., predicting outcome, assessing condition, and preventing adverse events).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| acupuncture stroke group | Experimental |
| |
| sham acupuncture stroke group | Sham Comparator |
| |
| no acupuncture stroke group | Placebo Comparator |
| |
| acupuncture healthy group | Placebo Comparator |
| |
| computerized cognitive training group | Experimental |
| |
| tranditional cognitive training group | Placebo Comparator |
| |
| aerobics group | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| acupuncture | Procedure | Manual acupuncture or electro-acupuncture by experienced acupuncturists for patients |
|
| Measure | Description | Time Frame |
|---|---|---|
| modified rankin scale | The mrs (modified rankin scale) is a scale used to assess the patient's ability to care for himself/herself, which is composed of independent walking ability, self-perceived symptoms, and ability to control bowel and urine.Assessment results range from 0-6 points,a higher score means a worse ending | Change of the score of modified rankin scale from Baseline at 1 week after onset of disease |
| modified rankin scale | The mrs (modified rankin scale) is a scale used to assess the patient's ability to care for himself/herself, which is composed of independent walking ability, self-perceived symptoms, and ability to control bowel and urine.Assessment results range from 0-6 points,a higher score means a worse ending | Change of the score of modified rankin scale from Baseline at 2 weeks after onset of disease |
| modified rankin scale | The mrs (modified rankin scale) is a scale used to assess the patient's ability to care for himself/herself, which is composed of independent walking ability, self-perceived symptoms, and ability to control bowel and urine.Assessment results range from 0-6 points,a higher score means a worse ending | Change of the score of modified rankin scale from Baseline at 1 month after onset of disease |
| modified rankin scale | The mrs (modified rankin scale) is a scale used to assess the patient's ability to care for himself/herself, which is composed of independent walking ability, self-perceived symptoms, and ability to control bowel and urine.Assessment results range from 0-6 points,a higher score means a worse ending | Change of the score of modified rankin scale from Baseline at 2 months after onset of disease |
| modified rankin scale | The mrs (modified rankin scale) is a scale used to assess the patient's ability to care for himself/herself, which is composed of independent walking ability, self-perceived symptoms, and ability to control bowel and urine.Assessment results range from 0-6 points,a higher score means a worse ending |
| Measure | Description | Time Frame |
|---|---|---|
| Mini-mental State Examination | The MMSE (Mini-mental State Examination) is a scale that assesses patients' cognition in terms of calculation, orientation, memory, and recall on a scale of 0-30, which is combined with the patient's level of education to yield results for different levels of cognitive impairment. | Change of the score of modified rankin scale from Baseline at 1 week, 2 weeks, 1 month, 2 months, 3 months after onset of disease |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lingcong Li, M.S. in Medicine | Contact | +8602385381636 | molly2816@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yongchuan Hospital of Chongqing Medical University | Recruiting | Chongqing | China |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D015670 | Acupuncture Therapy |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D009043 | Motor Activity |
| D009068 | Movement |
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| computerized cognitive training system | Behavioral | One-on-one cognitive training by an experienced cognitive therapist, combined with an existing computerized cognitive training system |
|
| aerobic exercise | Behavioral | Patients are trained by experienced physical therapists with the help of elastic bands and physical therapy devices |
|
| tranditional cognitive training | Behavioral | One-on-one cognitive training with an experienced cognitive therapist, combined with traditional cognitive training methods (e.g., balls, cards, counting, daily conversation, etc.) |
|
| Conventional treatment | Other | Treatment of underlying disease and stroke according to guidelines, as well as necessary care and rehabilitation |
|
| Change of the score of modified rankin scale from Baseline at 3 months after onset of disease |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009142 |
| Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |