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Xu M, Lin R, Luo J, Tang C, Wang S, Wong J, Wu M, Huang J, Shi P, Gao A, Bai Y, Xie Y, Luo J, Yang Y, Cui S. Using brain functional magnetic resonance imaging to evaluate the effectiveness of acupuncture combined with mirror therapy on upper limb function in patients with cerebral ischemic stroke: a study protocol for a randomized, controlled trial. Trials 2021; 22:53. [PMID: 33436053 PMCID: PMC7805106 DOI: 10.1186/s13063-020-04955-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 12/08/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Upper limb and hand motor dysfunction is one of the challenges in rehabilitation after cerebral ischemic stroke (CIS), and the clinical efficacy of rehabilitation needs to be improved. This study aims to combine Jin's three-needle acupuncture (JTN) therapy with mirror therapy (MT) for hemiplegia after CIS, objectively evaluate the clinical effects and safety of JTN to treat upper limb dysfunction, and use functional magnetic resonance imaging (fMRI) of the brain to investigate the central mechanisms of the effects, which would provide a powerful evidence-based medical basis for further supporting the application of JTN combined with MT. METHODS/DESIGN This trial will be a single-blind, randomized controlled study. Patients who meet the study criteria will be recruited and randomly assigned to either the combined treatment group (JTN+MT) or the JTN group. Both interventions will be conducted for 6 days per week and last for 4 weeks. The primary outcome will be the effective rate based on the Fugl-Meyer Assessment for Upper Extremity (FMA-UE). Other outcome measures will include scores on the motor assessment scale (MAS), action research arm test (ARAT), activities of daily living (ADL) scale, and fMRI analyses. For safety evaluation, adverse events will be observed and recorded. DISCUSSION This study may help to identify the efficacy and safety of acupuncture combined with MT for upper limb dysfunction after CIS and explore the central mechanisms with brain fMRI. TRIAL REGISTRATION Chinese Clinical Trial Registry ChiCTR-IOR-17012174 . Registered on 5 April 2017.
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Affiliation(s)
- Mingzhu Xu
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China.,Shenzhen Hospital, Southern Medical University, Shenzhen, 518100, Guangdong, China.,Shenzhen Hospital, Peking University, Shenzhen, 518034, Guangdong, China
| | - Run Lin
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China
| | - Jing Luo
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China.
| | - Chunzhi Tang
- Guangzhou University of Chinese Medicine, Guangzhou, 510405, China
| | - Shuhui Wang
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China
| | - John Wong
- MGH Institute of Health Professions, Boston, MA, USA
| | - Meng Wu
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China
| | - Jianting Huang
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China
| | - Peng Shi
- Department of Biomedical Engineering, City University of Hong Kong, Kowloon Tong, Hong Kong
| | - Ang Gao
- Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Beijing, China
| | - Yuqian Bai
- Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, 518001, China
| | - Ying Xie
- Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, 518001, China
| | - Jun Luo
- Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, 518001, China
| | - Yunqiu Yang
- Macau University of Science and Technology, Macau, 519020, China
| | - Shaoyang Cui
- Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen, 518034, Guangdong, China.
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