Post-stroke Upper Limb Motor Dysfunction
Conditions
Interventions
control group:Sham Acupuncture Combined with Motor Imagery
Experimental Subgroup A:Acupuncture Intervention Performed Concurrently with Motor Imagery
Experimental Subgroup B:Acupuncture Intervention Administered After Motor Imagery
Sponsors
Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1) Meet the diagnostic criteria for ischemic or hemorrhagic stroke according to the Key Diagnostic Points for Major Cerebrovascular Diseases in China (2019), and the traditional Chinese medicine diagnostic criteria specified in the Clinical Practice Guideline for TCM Rehabilitation: Stroke. 2) Age between 40 and 75 years old. 3) Disease duration between 2 weeks and 6 months post-stroke; able to tolerate conventional rehabilitation therapy; receiving conservative treatment without undergoing craniotomy or other surgical interventions. 4) First-ever stroke, with MRI or CT confirming a unilateral cerebral hemisphere lesion. 5) Related to limb motor dysfunction (cortical or subcortical region). 6) Present with unilateral limb weakness, Brunnstrom stage II-IV. 7) Right-handed. 8) Able to understand and cooperate, voluntarily participate, and provide signed informed consent. 9)Patients meeting all the above criteria may be included in the study.
Exclusion criteria
Exclusion criteria: 1.History of epilepsy or family history of epilepsy. 2.Motor dysfunction caused by non-cerebrovascular diseases such as traumatic brain injury or tumor, or other degenerative diseases. 3.Severe speech dysfunction or moderate-to-severe cognitive impairment that impedes communication and cooperation. 4.Presence of severe stroke complications, such as major organ failure or deep vein thrombosis. 5.HAMA score > 7 or HAMD score > 8, indicating comorbid anxiety or depression. 6.Modified Ashworth Scale score = 2 for any joint of the upper limb. 7.Patients with fear or intolerance of electroacupuncture therapy 8.History of taking antidepressant or benzodiazepine medications. 9..Pregnancy, lactation, or concurrent participation in other clinical trials that may interfere with the results of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment for Upper Extremity; | — |
Secondary
| Measure | Time frame |
|---|---|
| Stroke-Specific Quality of Life Scale;functional near-infrared spectroscopy;Electrophysiological Examination;Action Research Arm Test;Modified Barthel Index;Functional Magnetic Resonance Imaging (fMRI); | — |
Countries
China
Contacts
Public ContactYinghao Zhi
Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University
Outcome results
None listed