post-stroke complex regional pain syndrome of the upper limb
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 40-75 years, male or female 2. Diagnosed with stroke based on National Institute for Health and Clinical Excellence (NICE) Guidelines 2019 Edition (within 2 weeks to 3 months after the onset of stroke) 3. Total?or?partial?anterior?circulation infarction confirmed by CT or MRI 4. Diagnosed with CRSP of the upper limb according to the Budapest criteria, and an average pain intensity>= 4 on an 11-point numerical rating scale (NRS) in the last week 5. Muscle strength of affected upper limb <= 3 6. Fugl-Meyer Assessment <= 54 7. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Having severe posterior circulation infarction, thalamic infarction, progressive stroke, cerebral embolism, brain tumor 2.Having hemorrhagic disease, liver and kidney disease, metabolic disease, hematopoietic system disease, infectious disease or other severe acute or chronic organic diseases that belong to the contraindication of fire needling therapy 3. Had two or more stroke 4. Shoulder and hand dysfunction existed before the stroke or caused by other reasons (upper limb fracture, periarthritis of shoulder, peripheral nerve injury, etc.) 5. Having sensory abnormalities, especially having abnormal pain threshold 6. Having undergone acupuncture therapy within 3 months 7. Having mental disorders or severe cognitive disorders 8. Pregnant or breastfeeding women 9. Having participated in other clinical trials within 3 months 10. Unable to cooperate or unwilling to comply with all study requirements 11. Cardiac pacemaker, metal allergy or fire needle phobia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effective response rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| visual analogue scale;Fugl-Meyer Assessment;Activity of Daily Living;Pressure Pain Threshold; | — |
Countries
China
Contacts
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University