Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2012

Open Access 01-12-2012 | Study protocol

The effect of acupuncture on stroke recovery: study protocol for a randomized controlled trial

Authors: Huilin Liu, Dangsheng Zhang, Xiuge Tan, Daqing Yang, Guiling Wang, Yin Zhao, Yali Wen, Guangxia Shi, Linpeng Wang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2012

Login to get access

Abstract

Background

Stroke is one of the leading causes of death and disability in China. Current treatments for stroke are limited and achieve no optimal effect. Acupuncture is widely used in the treatment of stroke and in improving the quality of life for patients in China. In most previous clinical studies, the effects of acupuncture have been diverse, and few well-designed randomized controlled trials have been conducted to investigate the long-term effect of acupuncture on acute stroke recovery.

Method

Three hundred and twenty eight subjects with acute cerebral apoplexy will be recruited. The patients will be randomized into two different groups: the intervention group will receive acupuncture treatment together with Western standard treatment for 2 weeks plus the secondary prevention treatment for 22 weeks; the control group will receive only the Western standard treatment for 2 weeks and the secondary prevention treatment for 22 weeks. The primary outcome measures are Barthel Index and the Stroke-Specific Quality Of Life. The secondary outcome measures are the National Institutes of Health Stroke Scale and Modified Rankin Scale. All assessments will be conducted at the baseline and at weeks 4, 12 and 24 of follow-up.

Discussion

This study will evaluate the effects of acupuncture on the long-term recovery of acute stroke and on improving the quality of life of the patients. The results of this study will help establish optimal integrated therapeutic strategies for patients with stroke.

Trial registration

Current Controlled Trials ISRCTN29932220
Appendix
Available only for authorised users
Literature
1.
go back to reference Liu L: Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke. 2011, 42 (12): 3651-3654. 10.1161/STROKEAHA.111.635755.CrossRefPubMed Liu L: Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke. 2011, 42 (12): 3651-3654. 10.1161/STROKEAHA.111.635755.CrossRefPubMed
2.
go back to reference Feigin VL: Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol. 2009, 8 (4): 355-369. 10.1016/S1474-4422(09)70025-0.CrossRefPubMed Feigin VL: Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol. 2009, 8 (4): 355-369. 10.1016/S1474-4422(09)70025-0.CrossRefPubMed
3.
go back to reference Liu M: Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007, 6 (5): 456-464. 10.1016/S1474-4422(07)70004-2.CrossRefPubMed Liu M: Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007, 6 (5): 456-464. 10.1016/S1474-4422(07)70004-2.CrossRefPubMed
4.
go back to reference Mukherjee D, Patil CG: Epidemiology and the global burden of stroke. World Neurosurg. 2011, 76 (6 Suppl): S85-S90.CrossRefPubMed Mukherjee D, Patil CG: Epidemiology and the global burden of stroke. World Neurosurg. 2011, 76 (6 Suppl): S85-S90.CrossRefPubMed
5.
go back to reference Christoforidis GA: Hemorrhage rates and outcomes when using up to 100 mg intra-arterial t-PA for thrombolysis in acute ischemic stroke. Interv Neuroradiol. 2010, 16 (3): 297-305.PubMedPubMedCentral Christoforidis GA: Hemorrhage rates and outcomes when using up to 100 mg intra-arterial t-PA for thrombolysis in acute ischemic stroke. Interv Neuroradiol. 2010, 16 (3): 297-305.PubMedPubMedCentral
6.
go back to reference Dhand A: Cardiac rupture after intravenous t-PA administration in acute ischemic stroke. Neurocrit Care. 2010, 13 (2): 261-262. 10.1007/s12028-010-9384-8.CrossRefPubMed Dhand A: Cardiac rupture after intravenous t-PA administration in acute ischemic stroke. Neurocrit Care. 2010, 13 (2): 261-262. 10.1007/s12028-010-9384-8.CrossRefPubMed
7.
go back to reference Saposnik G, Schneiderman J, Bayer N: Multifocal simultaneous remote intracerebral hemorrhage after t-PA for ischemic stroke. Can J Neurol Sci. 2008, 35 (4): 519-521.CrossRefPubMed Saposnik G, Schneiderman J, Bayer N: Multifocal simultaneous remote intracerebral hemorrhage after t-PA for ischemic stroke. Can J Neurol Sci. 2008, 35 (4): 519-521.CrossRefPubMed
8.
go back to reference Wang YS: Ancient understanding and the method analysis of combined acupuncture and medication]. Zhongguo Zhen Jiu. 2009, 29 (3): 235-238.PubMed Wang YS: Ancient understanding and the method analysis of combined acupuncture and medication]. Zhongguo Zhen Jiu. 2009, 29 (3): 235-238.PubMed
9.
go back to reference Sze FK: Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke. 2002, 33 (11): 2604-2619. 10.1161/01.STR.0000035908.74261.C9.CrossRefPubMed Sze FK: Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke. 2002, 33 (11): 2604-2619. 10.1161/01.STR.0000035908.74261.C9.CrossRefPubMed
10.
go back to reference Zhang SH: Acupuncture for acute stroke. Cochrane Database Syst Rev. 2005, 2: CD003317-PubMed Zhang SH: Acupuncture for acute stroke. Cochrane Database Syst Rev. 2005, 2: CD003317-PubMed
11.
go back to reference Wu HM: Acupuncture for stroke rehabilitation. Cochrane Database Syst Rev. 2006, 3: CD004131-PubMed Wu HM: Acupuncture for stroke rehabilitation. Cochrane Database Syst Rev. 2006, 3: CD004131-PubMed
12.
go back to reference Shiflett SC: Does acupuncture work for stroke rehabilitation: what do recent clinical trials really show?. Top Stroke Rehabil. 2007, 14 (4): 40-58. 10.1310/tsr1404-40.CrossRefPubMed Shiflett SC: Does acupuncture work for stroke rehabilitation: what do recent clinical trials really show?. Top Stroke Rehabil. 2007, 14 (4): 40-58. 10.1310/tsr1404-40.CrossRefPubMed
13.
go back to reference Mahoney FI, Barthel DW: Functional Evaluation: the Barthel Index. Md State Med J. 1965, 14: 61-65.PubMed Mahoney FI, Barthel DW: Functional Evaluation: the Barthel Index. Md State Med J. 1965, 14: 61-65.PubMed
14.
go back to reference Williams LS: Development of a stroke-specific quality of life scale. Stroke. 1999, 30 (7): 1362-1369. 10.1161/01.STR.30.7.1362.CrossRefPubMed Williams LS: Development of a stroke-specific quality of life scale. Stroke. 1999, 30 (7): 1362-1369. 10.1161/01.STR.30.7.1362.CrossRefPubMed
15.
go back to reference Adams HP: Baseline NIH Stroke Scale score strongly predicts outcome after stroke: A report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST). Neurology. 1999, 53 (1): 126-131. 10.1212/WNL.53.1.126.CrossRefPubMed Adams HP: Baseline NIH Stroke Scale score strongly predicts outcome after stroke: A report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST). Neurology. 1999, 53 (1): 126-131. 10.1212/WNL.53.1.126.CrossRefPubMed
16.
go back to reference Zhao H: The modified Rankin Scale in acute stroke has good inter-rater-reliability but questionable validity. Cerebrovasc Dis. 2010, 29 (2): 188-193. 10.1159/000267278.CrossRefPubMed Zhao H: The modified Rankin Scale in acute stroke has good inter-rater-reliability but questionable validity. Cerebrovasc Dis. 2010, 29 (2): 188-193. 10.1159/000267278.CrossRefPubMed
17.
go back to reference Hopwood V: Evaluating the efficacy of acupuncture in defined aspects of stroke recovery: a randomised, placebo controlled single blind study. J Neurol. 2008, 255 (6): 858-866. 10.1007/s00415-008-0790-1.CrossRefPubMed Hopwood V: Evaluating the efficacy of acupuncture in defined aspects of stroke recovery: a randomised, placebo controlled single blind study. J Neurol. 2008, 255 (6): 858-866. 10.1007/s00415-008-0790-1.CrossRefPubMed
18.
go back to reference Kong JC: Acupuncture for functional recovery after stroke: a systematic review of sham-controlled randomized clinical trials. Cmaj. 2010, 182 ((16): 1723-1729.CrossRefPubMedPubMedCentral Kong JC: Acupuncture for functional recovery after stroke: a systematic review of sham-controlled randomized clinical trials. Cmaj. 2010, 182 ((16): 1723-1729.CrossRefPubMedPubMedCentral
19.
go back to reference Wang YY, Lin F, Jiang ZL: Pattern of acupoint selection based on complex network analysis technique. Zhongguo Zhen Jiu. 2011, 31 (1): 85-88.PubMed Wang YY, Lin F, Jiang ZL: Pattern of acupoint selection based on complex network analysis technique. Zhongguo Zhen Jiu. 2011, 31 (1): 85-88.PubMed
20.
go back to reference She YF, Qi CH, Zhu J: History and progress of study on electrical properties of acupoints at home and abroad. Zhongguo Zhen Jiu. 2010, 30 (12): 1047-1050.PubMed She YF, Qi CH, Zhu J: History and progress of study on electrical properties of acupoints at home and abroad. Zhongguo Zhen Jiu. 2010, 30 (12): 1047-1050.PubMed
21.
go back to reference Gosman-Hedstrom G: Effects of acupuncture treatment on daily life activities and quality of life: a controlled, prospective, and randomized study of acute stroke patients. Stroke. 1998, 29 (10): 2100-2108. 10.1161/01.STR.29.10.2100.CrossRefPubMed Gosman-Hedstrom G: Effects of acupuncture treatment on daily life activities and quality of life: a controlled, prospective, and randomized study of acute stroke patients. Stroke. 1998, 29 (10): 2100-2108. 10.1161/01.STR.29.10.2100.CrossRefPubMed
22.
go back to reference Alexander DN: Effects of acupuncture treatment on poststroke motor recovery and physical function: a pilot study. Neurorehabil Neural Repair. 2004, 18 (4): 259-267. 10.1177/1545968304271568.CrossRefPubMed Alexander DN: Effects of acupuncture treatment on poststroke motor recovery and physical function: a pilot study. Neurorehabil Neural Repair. 2004, 18 (4): 259-267. 10.1177/1545968304271568.CrossRefPubMed
23.
go back to reference Park J: Acupuncture for subacute stroke rehabilitation: a Sham-controlled, subject- and assessor-blind, randomized trial. Arch Intern Med. 2005, 165 (17): 2026-2031. 10.1001/archinte.165.17.2026.CrossRefPubMed Park J: Acupuncture for subacute stroke rehabilitation: a Sham-controlled, subject- and assessor-blind, randomized trial. Arch Intern Med. 2005, 165 (17): 2026-2031. 10.1001/archinte.165.17.2026.CrossRefPubMed
Metadata
Title
The effect of acupuncture on stroke recovery: study protocol for a randomized controlled trial
Authors
Huilin Liu
Dangsheng Zhang
Xiuge Tan
Daqing Yang
Guiling Wang
Yin Zhao
Yali Wen
Guangxia Shi
Linpeng Wang
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2012
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-12-216

Other articles of this Issue 1/2012

BMC Complementary Medicine and Therapies 1/2012 Go to the issue