Stroke
Conditions
Brief summary
The purpose of this study is to determine whether acupuncture and computer-based attention training can be combined for more effective post-stroke attentional deficits.
Interventions
DEVICERehaCom
The computer-based neurorehabilitation program is intended for patients with acquired cognitive deficits after brain damage, e.g. after stroke. The RehaCom software has five different therapeutic groups aimed at restoration of attention, memory, executive functions, and visual field, respectively. Each group has one to four different modules to choose from for each therapy session. Only attention will be trained in this study.
DEVICEAcupuncture
The affected meridian group is treated by needling on Baihui (GV20\|DU20) and Shenting (GV24\|DU24) - both acupoints of the Governor Vessel. Baihui is 5 cun (1cun=3.33 cm) superior to the anterior hairline on the anterior median line (midpoint of the connecting line between the auricular apices).
Sponsors
Reha Rheinfelden
m&i-Fachklinik Herzogenaurach
Fujian University of Traditional Chinese Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Admitted to inpatient stroke rehabilitation within six months after first-ever stroke * Mild cognitive impairments (attention performance TAP \> 1 standard deviation below mean age-matched norm in at least one subtest). * Conscious, stable physical condition and signed informed consent of patient.
Exclusion criteria
* Severe visual and/or hearing problems * Inability to follow instructions (MoCA) * Disorders of speech and instruction comprehension (tested with a modified token-test) * Severe visual and/or hearing problems * Pre-existing mental disorders - Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from Baseline in attention performance at 4 weeks (Test Battery for Attention Performance (TAP)) | Pretest (day 1), Posttest (4 weeks) |
Secondary
| Measure | Time frame |
|---|---|
| Change from Baseline in number of errors for the Test des Deux Barrage (T2B) at four weeks. | Pretest (day 1), Posttest (4 weeks) |
| Change from Baseline in number of omissions for the Test des Deux Barrage (T2B) at four weeks. | Pretest (day 1), Posttest (4 weeks) |
| Change from Baseline in time needed for Trail Making Test (TMT A/-B) at four weeks. | Pretest (day 1), Posttest (4 weeks) |
| Change from baseline in total score of Extended Barthel Index (EBI) at four weeks. | Pretest (day 1), Posttest (4 weeks) |
| Change from baseline score of EuroQol quality of life questionnaire (EQ-5D 3L) at four weeks. | Pretest (day 1), Posttest (4 weeks) |
| National Institute of Health Stroke Scale (NIH-SS) | Pretest (day 1) |
Countries
China, Germany, Switzerland
Outcome results
None listed