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针刺对步态障碍及前额叶皮质血流动力学变化的影响:一项随机对照试验的研究方案

Effect of acupuncture on the gait disturbance and hemodynamic changes in the prefrontal cortex: a study protocol for a randomized controlled trial.

作者信息

Hong Zhenmei, Zhang Shuijing, Zhang Shuqing, Zhao Yuqi, Ye Xiancong, Shu Xinxin, Chen Yufan, Yan Shuding, Ma Ruijie

机构信息

Department of Neurology, The Third Affiliated Hospital of Zhejiang Chinese Medical University (Zhongshan Hospital of Zhejiang Province), Hangzhou, China.

Department of Rehabilitation, Zhejiang Rehabilitation Medical Center, Hangzhou, China.

出版信息

Front Neurol. 2025 Jan 15;15:1444873. doi: 10.3389/fneur.2024.1444873. eCollection 2024.

DOI:10.3389/fneur.2024.1444873
PMID:39882359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11777019/
Abstract

BACKGROUND

Alzheimer's disease (AD) is characterized by cognitive impairment and behavioral impairment. The gait of AD patients is attracting the increasing attention. The aim of this randomized controlled trial (RCT) is to explore the effect of acupuncture on the cognitive function, gait performance, and hemodynamic changes in the prefrontal cortices.

METHODS

In this RCT, a total of 108 AD patients will be randomly assigned into acupuncture group or control group for 8 weeks. The primary outcome will be three-dimensional gait analysis and cerebral hemodynamics using functional near-infrared spectroscopy (fNIRS). Secondary outcomes will include Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Barthel Index (BI).

DISCUSSION

This trial is expected to explore the effect of acupuncture on cognitive function, gait performance, and hemodynamic changes in the prefrontal cortices for AD patients.

摘要

背景

阿尔茨海默病(AD)的特征是认知障碍和行为障碍。AD患者的步态越来越受到关注。这项随机对照试验(RCT)的目的是探讨针刺对AD患者认知功能、步态表现和前额叶皮质血流动力学变化的影响。

方法

在这项RCT中,总共108名AD患者将被随机分为针刺组或对照组,为期8周。主要结局将是使用功能近红外光谱(fNIRS)进行三维步态分析和脑血流动力学。次要结局将包括简易精神状态检查表(MMSE)、蒙特利尔认知评估量表(MoCA)和巴氏指数(BI)。

讨论

本试验有望探讨针刺对AD患者认知功能、步态表现和前额叶皮质血流动力学变化的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c4/11777019/ea411763acc6/fneur-15-1444873-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c4/11777019/ea411763acc6/fneur-15-1444873-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c4/11777019/ea411763acc6/fneur-15-1444873-g001.jpg

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本文引用的文献

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Unveiling the Complex Role of Exosomes in Alzheimer's Disease.揭示外泌体在阿尔茨海默病中的复杂作用。
J Inflamm Res. 2024 Jun 18;17:3921-3948. doi: 10.2147/JIR.S466821. eCollection 2024.
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2023 Alzheimer's disease facts and figures.2023 年阿尔茨海默病事实和数据。
Alzheimers Dement. 2023 Apr;19(4):1598-1695. doi: 10.1002/alz.13016. Epub 2023 Mar 14.
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Acupuncture and Related Therapies for the Cognitive Function of Alzheimer's Disease: A Network Meta-Analysis.针灸及相关疗法对阿尔茨海默病认知功能的影响:一项网状Meta分析
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Barthel Index is a valid and reliable tool to measure the functional independence of cancer patients in palliative care.巴氏指数是一种用于测量姑息治疗中癌症患者功能独立性的有效且可靠的工具。
BMC Palliat Care. 2022 Jul 12;21(1):124. doi: 10.1186/s12904-022-01017-z.
5
Acupuncture-related treatments improve cognitive and physical functions in Alzheimer's disease: A systematic review and meta-analysis of randomized controlled trials.针灸相关治疗改善阿尔茨海默病的认知和身体功能:一项随机对照试验的系统评价和荟萃分析
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A comparison of the Mini-Mental State Examination (MMSE) with the Montreal Cognitive Assessment (MoCA) for mild cognitive impairment screening in Chinese middle-aged and older population: a cross-sectional study.中文版简易智力状态检查量表(MMSE)与蒙特利尔认知评估量表(MoCA)在中老年人群轻度认知障碍筛查中的比较:一项横断面研究。
BMC Psychiatry. 2021 Oct 4;21(1):485. doi: 10.1186/s12888-021-03495-6.
7
Acute effects of acupuncture in balance and gait of Parkinson disease patients - A preliminary study.针刺对帕金森病患者平衡和步态的急性影响——一项初步研究。
Complement Ther Clin Pract. 2021 Nov;45:101479. doi: 10.1016/j.ctcp.2021.101479. Epub 2021 Sep 8.
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Acupuncture for Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis.针刺疗法治疗痴呆的行为和心理症状:系统评价与Meta分析
J Clin Med. 2021 Jul 13;10(14):3087. doi: 10.3390/jcm10143087.
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