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“手足针十二针法”对缺血性脑卒中恢复期气虚血瘀证偏瘫患者的影响:一项随机对照试验研究方案。

Effect of 'hand and foot acupuncture with twelve needles' on hemiplegia patients with 'qi deficiency and blood stasis' syndrome in the convalescent stage of Ischaemic stroke: study protocol for a randomised controlled trial.

机构信息

Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital, Beijing, 101300, China.

Beijing Hospital of Traditional Chinese Medicine, Beijing, 100010, China.

出版信息

Trials. 2021 Mar 18;22(1):215. doi: 10.1186/s13063-021-05128-5.

DOI:10.1186/s13063-021-05128-5
PMID:33736678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7977321/
Abstract

BACKGROUND

Hemiplegia is a common sequela after stroke, and acupuncture is one of the most common physical therapies used to treat hemiplegia during the recovery stage after ischaemic stroke. 'Hand and foot acupuncture with twelve needles' is an acupuncture treatment performed after stroke. The principal objective of this study is to assess the efficacy and safety of 'hand and foot acupuncture with twelve needles' for hemiplegia in the convalescent stage of ischaemic stroke.

METHODS

This is the protocol for a randomised, controlled clinical trial with two groups: a 'hand and foot acupuncture with twelve needles' group and a routine acupuncture group. A total of 208 participants will be randomly assigned to two different groups in a 1:1 ratio and will undergo conventional rehabilitation. Limb function will be evaluated by the simplified Fugl-Meyer assessment scale, Barthel Index, modified Ashworth scale and National Institute of Health stroke scale. The participants will be evaluated at baseline (on the day of enrolment) and followed up at 2 weeks, 1 month, 2 months and 3 months after enrolment.

DISCUSSION

The results of this study will provide evidence on the effectiveness of 'hand and foot acupuncture with twelve needles' in the treatment of limb dysfunction that can be used for future evaluations.

TRIAL REGISTRATION

Chictr.org.cn ChiCTR1900021774 . Registered on 8 March 2019.

摘要

背景

偏瘫是中风后的常见后遗症,针灸是治疗缺血性中风后恢复期偏瘫最常用的物理疗法之一。“手足十二针”是中风后进行的一种针灸治疗。本研究的主要目的是评估“手足十二针”治疗缺血性中风恢复期偏瘫的疗效和安全性。

方法

这是一项随机对照临床试验的方案,分为两组:“手足十二针”组和常规针刺组。将 208 名参与者以 1:1 的比例随机分配到两个不同的组,并接受常规康复治疗。肢体功能将通过简化 Fugl-Meyer 评估量表、Barthel 指数、改良 Ashworth 量表和国立卫生研究院中风量表进行评估。参与者将在基线(入组当天)进行评估,并在入组后 2 周、1 个月、2 个月和 3 个月进行随访。

讨论

本研究的结果将为“手足十二针”治疗肢体功能障碍的有效性提供证据,可用于未来的评估。

试验注册

Chictr.org.cn ChiCTR1900021774。于 2019 年 3 月 8 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fab/7977321/8443a1335749/13063_2021_5128_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fab/7977321/5296e22aee31/13063_2021_5128_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fab/7977321/8443a1335749/13063_2021_5128_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fab/7977321/5296e22aee31/13063_2021_5128_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fab/7977321/8443a1335749/13063_2021_5128_Fig2_HTML.jpg

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Effect of 'hand and foot acupuncture with twelve needles' on hemiplegia patients with 'qi deficiency and blood stasis' syndrome in the convalescent stage of Ischaemic stroke: study protocol for a randomised controlled trial.“手足针十二针法”对缺血性脑卒中恢复期气虚血瘀证偏瘫患者的影响:一项随机对照试验研究方案。
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本文引用的文献

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Altered Brain Regional Homogeneity Following Contralateral Acupuncture at Quchi (LI 11) and Zusanli (ST 36) in Ischemic Stroke Patients with Left Hemiplegia: An fMRI Study.针刺对侧曲池(LI 11)和足三里(ST 36)对左侧偏瘫缺血性脑卒中患者脑区局部一致性的影响:一项功能磁共振成像研究
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Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke.Fugl-Meyer 评估评分与脑卒中后慢性偏瘫患者的运动学测量有关。
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Body weight support-Tai Chi footwork for balance of stroke survivors with fear of falling: A pilot randomized controlled trial.
体重大脑重量支撑-太极步训练对脑卒中后平衡恐惧患者的作用:一项随机对照试验。
Complement Ther Clin Pract. 2019 Nov;37:140-147. doi: 10.1016/j.ctcp.2019.101061. Epub 2019 Sep 23.
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Responsiveness and minimal clinically important difference of Modified Ashworth Scale in patients with stroke.改良 Ashworth 量表在脑卒中患者中的反应性和最小临床重要差异。
Eur J Phys Rehabil Med. 2019 Dec;55(6):754-760. doi: 10.23736/S1973-9087.19.05545-X. Epub 2019 Mar 11.
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[Clinical observation of the phased acupuncture for ischemic stroke hemiplegia].分期针刺治疗缺血性脑卒中偏瘫的临床观察
Zhongguo Zhen Jiu. 2018 Oct 12;38(10):1027-34. doi: 10.13703/j.0255-2930.2018.10.001.
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Effects of Tai Chi Yunshou exercise on community-based stroke patients: a cluster randomized controlled trial.太极云手运动对社区中风患者的影响:一项整群随机对照试验
Eur Rev Aging Phys Act. 2018 Dec 12;15:17. doi: 10.1186/s11556-018-0206-x. eCollection 2018.
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Time-effect relationship of acupuncture on histopathology, ultrastructure, and neuroethology in the acute phase of cerebral hemorrhage.针刺对脑出血急性期组织病理学、超微结构及神经行为学的时效关系
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