Stroke
Conditions
Interventions
Research Group:electroacupuncture synchronised with motor imagery training
Sponsors
Shanghai Second Rehabilitation Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Diagnosis of first-ever ischaemic stroke confirmed by CT or MRI, consistent with ICD-11 code 8B25[34]. 2.Stroke onset between one and six months prior to enrolment [34]. 3.Age between 40 and 80 years, regardless of sex [35, 36]. 4.Right-handedness as determined by the Edinburgh Handedness Inventory (EHI). 5.Unilateral upper limb or hand motor impairment at Brunnstrom stage IV or below \[22]. 6.Adequate motor imagery ability, defined as a Kinaesthetic and Visual Imagery Questionnaire-10 (KVIQ-10) score = 25 \[37, 38]. 7. Ability to understand the study and provide written informed consent, either personally or via a legal representative.
Exclusion criteria
Exclusion criteria: 1. Aphasia or cognitive impairment affecting comprehension, defined as a Mini-Mental State Examination score = 26 \[39]. 2. Severe spasticity in the affected upper extremity (Modified Ashworth Scale > 2) \[22]. 3. Major primary or secondary comorbidities, such as severe hepatic, renal or haematological disorders; significant cardiovascular disease; or severe pulmonary dysfunction \[40]. 4. Conditions interfering with EEG or fNIRS recording, including scalp wounds, metallic implants or a history of epilepsy \[41]. 5. History of neurological or psychiatric disorders unrelated to stroke. 6. Contraindications to electroacupuncture, including needle phobia or the presence of an implanted pacemaker, prosthetic heart valve or neurostimulator. 7. Musculoskeletal disorders or severe pain in the affected upper limb that could compromise the intervention \[41]. 8. Pregnancy or breastfeeding. 9. Concurrent participation in another clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer assessment of upper extremity; | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Barthel Index;Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scale;Kinesthetic and visual imagery questionnaire-10;Brunnstrom scale;Modified Ashworth Scale;Hamilton Depression Scale-17;Electroencephalography;Functional near-infrared spectroscopy; | — |
Countries
China
Contacts
Public ContactXiang Chen
Shanghai University of Traditional Chinese Medicine
Outcome results
None listed