stroke
Conditions
Interventions
Control 1 group:Rehabilitation of hemiplegic lateral upper limb
Control 2 group:Intradermal acupuncture treatment of hemiplegic upper extremity synchronized with rehabilitation training of the hemiplegic lateral upper limb
Control 3 group:Simultaneous head-acupuncture treatment on the same side of the lesion with rehabilitation of the hemiplegic lateral upper limb
Experimental group:Simultaneous head-acupuncture treatment of the lesion and intradermal acupuncture treatment of the affected upper limb in conjunction with rehabilitation training of the hemiplegic
Sponsors
Affiliated Hospital of Shandong University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
25 Years to 75 Years
Inclusion criteria
Inclusion criteria: ?meeting the diagnostic criteria of the Chinese Stroke Prevention and Control Guideline (2021 edition). ?The type of stroke is cerebral hemorrhage or cerebral infarction, both in patients with unilateral limb hemiparesis with first onset within 12 months. ?The duration of the disease is 2 weeks-6 months after onset, with Brunnstrom stage II-IV of the upper limb. ?Stable vital signs and clear consciousness. ?Patients aged 25-75 years, with no restriction on gender and without serious cardiac, cerebral or renal complications. ?Fully informed voluntary participation in the study, cooperation with assessment and treatment and signed informed consent form.
Exclusion criteria
Exclusion criteria: ?Hemispatial neglect and severe visual, auditory, intellectual, attentional and cognitive impairment. ?severe upper limb spasticity with modified Ashworth scale grading =3. ?Patients with previous history of psychiatric disorders or other severe neurological disorders, or with malignancy. ?Other musculoskeletal disorders (e.g., fracture, arthritis, etc.) and neurological disorders (e.g., tremor, involuntary movements, Parkinson's disease, etc.) that affect the motor function of the affected upper limb. ?Other reasons for inability to cooperate with training or poor compliance. ?Those who are dizzy and cannot tolerate head and intradermal needle treatment. ?Patients who have received relevant treatment and may affect the efficacy observation index.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment-Upper Extremities;Somatosensory evoked potential N20 amplitude and latency; | — |
Secondary
| Measure | Time frame |
|---|---|
| upper extremity function test;Wolf motor function test;revised Nottingham sensory assessment scale;diffusion tensor imaging;Modified Barthel Index; | — |
Countries
china
Contacts
Public ContactLiu Xihua
College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine
Outcome results
None listed