Skip to main content
Top
Published in: Trials 1/2017

Open Access 01-12-2017 | Study protocol

Acupuncture treatment on the motor area of the scalp for motor dysfunction in patients with ischemic stroke: study protocol for a randomized controlled trial

Authors: Jun Wang, Jian Pei, Dhiaedin Khiati, Qinhui Fu, Xiao Cui, Yi Song, Minghang Yan, Lijun Shi, Yiwen Cai, Yuhong Ma

Published in: Trials | Issue 1/2017

Login to get access

Abstract

Background

Scalp acupuncture has shown a remarkable treatment efficacy on motor dysfunction in patients with stroke in China, especially the motor area of Jiao’s scalp acupuncture, which is the most widely used treatment. However, previous studies have summarized that the clinical curative effect of acupuncture treatment for stroke remains uncertain. Meanwhile, no randomized controlled trials on Jiao’s scalp acupuncture have been performed. The aim of this study is to evaluate the efficacy and safety of Jiao’s scalp acupuncture for motor dysfunction in ischemic stroke.

Methods/design

This is an assessor- and analyst-blinded, randomized controlled trial. One hundred and eight stroke patients with motor dysfunction meeting the inclusion criteria will be allocated by a 1:1 ratio into either an acupuncture treatment group or a control group. Stroke patients in the control group will receive conventional rehabilitation treatment, whereas a combination of Jiao’s scalp acupuncture and conventional rehabilitation treatment will be applied to the acupuncture group. Forty treatment sessions will be performed over an 8-week period. The Fugl-Meyer Assessment scale will be assessed as the primary outcome measure. The Modified Barthel Index, the Stroke-Specific Quality of Life, and the Stroke Syndrome of Traditional Chinese Medicine scales will be selected as secondary outcome measurements. All assessments will be conducted at baseline, week 4 (treatment 20), week 8 (treatment 40), week 12 (follow-up), and week 16 (follow-up).

Discussion

This is the first trial evaluating the efficacy and safety of Jiao’s scalp acupuncture for motor dysfunction in ischemic stroke. The results of this trial are expected to provide relevant evidence demonstrating that Jiao’s scalp acupuncture can be used as an effective rehabilitation treatment method for improving motor dysfunction in ischemic stroke.

Trial registration

ClinicalTrials.gov, NCT02871453. Registered on 17 July 2016.
Appendix
Available only for authorised users
Literature
1.
go back to reference Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–128.CrossRefPubMed Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–128.CrossRefPubMed
2.
go back to reference Murray CJL, Vos T, Lozano R, et al. Disability-adjusted life-years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197–223.CrossRefPubMed Murray CJL, Vos T, Lozano R, et al. Disability-adjusted life-years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197–223.CrossRefPubMed
3.
go back to reference Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;383(9913):245–54.CrossRefPubMedPubMedCentral Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;383(9913):245–54.CrossRefPubMedPubMedCentral
4.
go back to reference Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, et al. Heart disease and stroke statistics—2011 update: a report from the American Heart Association. Circulation. 2011;123(4):e18–209.CrossRefPubMed Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, et al. Heart disease and stroke statistics—2011 update: a report from the American Heart Association. Circulation. 2011;123(4):e18–209.CrossRefPubMed
5.
go back to reference He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, et al. Major causes of death among men and women in China. N Engl J Med. 2005;353(11):1124–34.CrossRefPubMed He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, et al. Major causes of death among men and women in China. N Engl J Med. 2005;353(11):1124–34.CrossRefPubMed
6.
go back to reference Zhao D, Liu J, Wang W, Zeng Z, Cheng J, Sun J, et al. Epidemiological transition of stroke in China: twenty-one-year observational study from the Sino-MONICA-Beijing Project. Stroke. 2008;39(6):1668–74.CrossRefPubMed Zhao D, Liu J, Wang W, Zeng Z, Cheng J, Sun J, et al. Epidemiological transition of stroke in China: twenty-one-year observational study from the Sino-MONICA-Beijing Project. Stroke. 2008;39(6):1668–74.CrossRefPubMed
7.
go back to reference Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ. Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007;6(5):456–64.CrossRefPubMed Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ. Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007;6(5):456–64.CrossRefPubMed
9.
go back to reference Liu L, Wang D, Wong KS, et al. Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke. 2011;42(12):3651–4.CrossRefPubMed Liu L, Wang D, Wong KS, et al. Stroke and stroke care in China: huge burden, significant workload, and a national priority. Stroke. 2011;42(12):3651–4.CrossRefPubMed
10.
go back to reference NICE. Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). National Institute for Health and Clinical Excellence: NICE Clinical Guideline. 2008; 68:1–16. www.nice.org.uk. Accessed June 2016. NICE. Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). National Institute for Health and Clinical Excellence: NICE Clinical Guideline. 2008; 68:1–16. www.​nice.​org.​uk. Accessed June 2016.
11.
go back to reference SIGN. Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. Scottish Intercollegiate Guidelines Network. 2010;118:1–14. www.sign.ac.uk. SIGN. Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. Scottish Intercollegiate Guidelines Network. 2010;118:1–14. www.​sign.​ac.​uk.
12.
go back to reference Gu J, Wang Q, Wang XG, et al. Assessment of registration information on methodological design of acupuncture RCTs: a review of 453 registration records retrieved from WHO International Clinical Trials Registry Platform. Evid Based Complement Alternat Med. 2014;2014(8):614850.PubMedPubMedCentral Gu J, Wang Q, Wang XG, et al. Assessment of registration information on methodological design of acupuncture RCTs: a review of 453 registration records retrieved from WHO International Clinical Trials Registry Platform. Evid Based Complement Alternat Med. 2014;2014(8):614850.PubMedPubMedCentral
13.
go back to reference Bai L, Tian J, Zhong C, et al. Acupuncture modulates temporal neural responses in wide brain networks: evidence from fMRI study. Mol Pain. 2010;61:73. Bai L, Tian J, Zhong C, et al. Acupuncture modulates temporal neural responses in wide brain networks: evidence from fMRI study. Mol Pain. 2010;61:73.
14.
go back to reference Li L, Zhang H, Meng SQ, et al. An updated meta-analysis of the efficacy and safety of acupuncture treatment for cerebral infarction. PLoS ONE. 2014;9(12):e114057.CrossRefPubMedPubMedCentral Li L, Zhang H, Meng SQ, et al. An updated meta-analysis of the efficacy and safety of acupuncture treatment for cerebral infarction. PLoS ONE. 2014;9(12):e114057.CrossRefPubMedPubMedCentral
15.
go back to reference NIH Consensus Development Panel. NIH Consensus Conference. Acupuncture. JAMA. 1998;280:1518–24.CrossRef NIH Consensus Development Panel. NIH Consensus Conference. Acupuncture. JAMA. 1998;280:1518–24.CrossRef
16.
go back to reference World Health Organization. Acupuncture: Review and analysis reports on controlled clinical trials. Geneva: WHO; 2002. World Health Organization. Acupuncture: Review and analysis reports on controlled clinical trials. Geneva: WHO; 2002.
17.
go back to reference Wang HQ, Wang F, Liu JH, Dong GR. Introduction on the schools of the scalp acupuncture for treatment of the stroke hemiplegia. Chinese Acupuncture & Moxibustion. 2010;30(9):783–6. Wang HQ, Wang F, Liu JH, Dong GR. Introduction on the schools of the scalp acupuncture for treatment of the stroke hemiplegia. Chinese Acupuncture & Moxibustion. 2010;30(9):783–6.
18.
go back to reference Xu XH, Zheng P, Wang FC. The comparison and analysis of curative effect for three scalp acupuncture school. Jilin J Tradit Chin Med. 2007;4(27):47–8. Xu XH, Zheng P, Wang FC. The comparison and analysis of curative effect for three scalp acupuncture school. Jilin J Tradit Chin Med. 2007;4(27):47–8.
19.
go back to reference Jiao SF. Head Acupuncture. Beijing: Foreign Languages Press; 1993. p. 17–22. Jiao SF. Head Acupuncture. Beijing: Foreign Languages Press; 1993. p. 17–22.
20.
go back to reference Sze FK-H, Wong E, Kevin KH, et al. Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke. 2002;33(11):2604–19.CrossRefPubMed Sze FK-H, Wong E, Kevin KH, et al. Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke. 2002;33(11):2604–19.CrossRefPubMed
21.
go back to reference Wu HM, Tang JL, Lin XP, et al. Acupuncture for stroke rehabilitation. Stroke. 2008;39:517–8.CrossRef Wu HM, Tang JL, Lin XP, et al. Acupuncture for stroke rehabilitation. Stroke. 2008;39:517–8.CrossRef
22.
go back to reference Park S-W, Yi S-H, Lee JA, et al. Acupuncture for the treatment of spasticity after stroke: a meta-analysis of randomized controlled trials. J Alternat Complement Med. 2014;20(9):672–82.CrossRef Park S-W, Yi S-H, Lee JA, et al. Acupuncture for the treatment of spasticity after stroke: a meta-analysis of randomized controlled trials. J Alternat Complement Med. 2014;20(9):672–82.CrossRef
23.
go back to reference Kong JC, Lee MS, Shin BC, et al. Acupuncture for function recovery after stroke: a systematic review of sham-controlled randomized clinical trials. CMAJ. 2010;82(16):1723–9.CrossRef Kong JC, Lee MS, Shin BC, et al. Acupuncture for function recovery after stroke: a systematic review of sham-controlled randomized clinical trials. CMAJ. 2010;82(16):1723–9.CrossRef
24.
go back to reference Park J, White AR, James MA, et al. Acupuncture for subacute stroke rehabilitation: a sham-controlled, subject- and assessor-blind, randomized trial. Arch Intern Med. 2005;165(17):2026–31.CrossRefPubMed Park J, White AR, James MA, et al. Acupuncture for subacute stroke rehabilitation: a sham-controlled, subject- and assessor-blind, randomized trial. Arch Intern Med. 2005;165(17):2026–31.CrossRefPubMed
25.
go back to reference Wu P, Mills E, Moher D. Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke. 2010;41(4):e171–9.CrossRefPubMed Wu P, Mills E, Moher D. Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke. 2010;41(4):e171–9.CrossRefPubMed
26.
go back to reference Lee SJ, Shin BC, Lee MS, et al. Scalp acupuncture for stroke recovery: a systematic review and meta-analysis of randomized controlled trials. Eur J Integr Med. 2013;2(5):87–99.CrossRef Lee SJ, Shin BC, Lee MS, et al. Scalp acupuncture for stroke recovery: a systematic review and meta-analysis of randomized controlled trials. Eur J Integr Med. 2013;2(5):87–99.CrossRef
27.
go back to reference Wang Y, Shen JG, Wang XM, et al. Scalp acupuncture for acute ischemic stroke: a meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2012;2012(2):480950.PubMedPubMedCentral Wang Y, Shen JG, Wang XM, et al. Scalp acupuncture for acute ischemic stroke: a meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2012;2012(2):480950.PubMedPubMedCentral
28.
go back to reference Zhang T. Chinese stroke rehabilitation treatment guidelines 2011. Chin J Rehabil Theory Pract. 2012;18(4):301–18. Zhang T. Chinese stroke rehabilitation treatment guidelines 2011. Chin J Rehabil Theory Pract. 2012;18(4):301–18.
29.
go back to reference MacPherson H, Altman DG, Hammerschlag R, et al. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010;7:e1000261.CrossRefPubMedPubMedCentral MacPherson H, Altman DG, Hammerschlag R, et al. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010;7:e1000261.CrossRefPubMedPubMedCentral
30.
go back to reference Boutron I, Moher D, Altman DG. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148(4):295–309.CrossRefPubMed Boutron I, Moher D, Altman DG. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148(4):295–309.CrossRefPubMed
31.
go back to reference Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The poststroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13–31.PubMed Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The poststroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13–31.PubMed
32.
go back to reference Sullivan KJ, Tilson JK, Cen SY, Rose DK, Hershberg J. Fugl-Meyer assessment of sensorimotor function after stroke: standardized training procedure for clinical practice and clinical trials. Stroke. 2011;42:427–32.CrossRefPubMed Sullivan KJ, Tilson JK, Cen SY, Rose DK, Hershberg J. Fugl-Meyer assessment of sensorimotor function after stroke: standardized training procedure for clinical practice and clinical trials. Stroke. 2011;42:427–32.CrossRefPubMed
33.
go back to reference Duncan PW, Propst M, Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Phys Ther. 1983;63:1606–10.CrossRefPubMed Duncan PW, Propst M, Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Phys Ther. 1983;63:1606–10.CrossRefPubMed
34.
go back to reference Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair. 2002;16:232–40.CrossRefPubMed Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair. 2002;16:232–40.CrossRefPubMed
35.
go back to reference Hsieh YW, Hsueh IP, Chou YT, et al. Development and validation of a short form of the Fugl-Meyer motor scale in patients with stroke. Stroke. 2007;38(11):3052–4.CrossRefPubMed Hsieh YW, Hsueh IP, Chou YT, et al. Development and validation of a short form of the Fugl-Meyer motor scale in patients with stroke. Stroke. 2007;38(11):3052–4.CrossRefPubMed
36.
go back to reference Page SJ, Levine P, Hade E. Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer assessment in minimally impaired upper extremity hemiparesis in stroke. Arch Phys Med Rehabil. 2012;93(12):2373–6.CrossRefPubMedPubMedCentral Page SJ, Levine P, Hade E. Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer assessment in minimally impaired upper extremity hemiparesis in stroke. Arch Phys Med Rehabil. 2012;93(12):2373–6.CrossRefPubMedPubMedCentral
37.
go back to reference Wright A, Hannon J, Hegedus EJ, et al. Clinimetrics corner: a closer look at the minimal clinically important difference (MCID). J Man Manip Ther. 2012;20(3):160–6.CrossRefPubMedPubMedCentral Wright A, Hannon J, Hegedus EJ, et al. Clinimetrics corner: a closer look at the minimal clinically important difference (MCID). J Man Manip Ther. 2012;20(3):160–6.CrossRefPubMedPubMedCentral
38.
go back to reference Ingram M, Choi YH, Chiu CY, et al. Use of the minimal clinically important difference (MCID) for evaluating treatment outcomes with TMJMD patients: a preliminary study. J Appl Biobehav Res. 2011;16(3-4):148–66.CrossRefPubMed Ingram M, Choi YH, Chiu CY, et al. Use of the minimal clinically important difference (MCID) for evaluating treatment outcomes with TMJMD patients: a preliminary study. J Appl Biobehav Res. 2011;16(3-4):148–66.CrossRefPubMed
39.
go back to reference Hsieh YW, Wang CH, Wu SC, et al. Establishing the minimal clinically important difference of the Barthel Index in stroke patients. Neurorehabil Neural Repair. 2007;21(3):233–8.CrossRefPubMed Hsieh YW, Wang CH, Wu SC, et al. Establishing the minimal clinically important difference of the Barthel Index in stroke patients. Neurorehabil Neural Repair. 2007;21(3):233–8.CrossRefPubMed
40.
go back to reference Chen RQ, Wu JX, Shen XS. A research on the minimal clinically important differences of Chinese version of the Fugl-Meyer motor scale. Acta Universitatis Medicinalis Anhui. 2015;50(4):519–22. Chen RQ, Wu JX, Shen XS. A research on the minimal clinically important differences of Chinese version of the Fugl-Meyer motor scale. Acta Universitatis Medicinalis Anhui. 2015;50(4):519–22.
41.
go back to reference Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14(14):61–5.PubMed Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14(14):61–5.PubMed
42.
go back to reference Williams LS, Weinberger M, Harris LE, Clark DO, et al. Development of a stroke-specific quality of life scale. Stroke. 1999;30(7):1362–9.CrossRefPubMed Williams LS, Weinberger M, Harris LE, Clark DO, et al. Development of a stroke-specific quality of life scale. Stroke. 1999;30(7):1362–9.CrossRefPubMed
43.
go back to reference Zhang HZ, Zhang QJ, Bao CL, Zhang YY. Clinical efficacy of integrative medicine stroke unit for the life quality of stroke patients by the Stroke Scale of Traditional Chinese Medicine. Liaoning J Tradit Chin Med. 2011;38(11):2126–9. Zhang HZ, Zhang QJ, Bao CL, Zhang YY. Clinical efficacy of integrative medicine stroke unit for the life quality of stroke patients by the Stroke Scale of Traditional Chinese Medicine. Liaoning J Tradit Chin Med. 2011;38(11):2126–9.
44.
go back to reference Zhao QY, Wen LL, Cai YF. Stroke syndrome of TCM scale multicenter assessment. Henan Tradit Chin Med. 2008;28(7):38–40. Zhao QY, Wen LL, Cai YF. Stroke syndrome of TCM scale multicenter assessment. Henan Tradit Chin Med. 2008;28(7):38–40.
45.
go back to reference Wang J, Cui X, Ni HH, et al. Effect of complementary dynamic scalp acupuncture on motor function in stroke. Chin J Rehabil Med. 2012;27(10):941–3. Wang J, Cui X, Ni HH, et al. Effect of complementary dynamic scalp acupuncture on motor function in stroke. Chin J Rehabil Med. 2012;27(10):941–3.
46.
go back to reference Wang J, Cui X, Ni HH, et al. Effect of Complementary Dynamic Scalp Acupuncture on Motor Function in Stroke. Chin J Rehabil Theory Pract. 2014;7(20):671–4. Wang J, Cui X, Ni HH, et al. Effect of Complementary Dynamic Scalp Acupuncture on Motor Function in Stroke. Chin J Rehabil Theory Pract. 2014;7(20):671–4.
47.
go back to reference Wang J, Pei J, Cui X, et al. Timeliness of the analgesic effect of superficial needling on shoulder-hand syndrome after stroke. World J Acupunct Moxibustion (WJAM). 2015;25(4):5–10.CrossRef Wang J, Pei J, Cui X, et al. Timeliness of the analgesic effect of superficial needling on shoulder-hand syndrome after stroke. World J Acupunct Moxibustion (WJAM). 2015;25(4):5–10.CrossRef
49.
go back to reference Zhang SH, Liu M, Asplund K, Li L. Acupuncture for acute stroke. Stroke. 2005;36:2327–8.CrossRef Zhang SH, Liu M, Asplund K, Li L. Acupuncture for acute stroke. Stroke. 2005;36:2327–8.CrossRef
50.
go back to reference Salter KL, Teasell RW, Foley NC, et al. Outcome assessment in randomized controlled trials of stroke rehabilitation. Am J Phys Med Rehabil. 2007;86:1007–12.CrossRefPubMed Salter KL, Teasell RW, Foley NC, et al. Outcome assessment in randomized controlled trials of stroke rehabilitation. Am J Phys Med Rehabil. 2007;86:1007–12.CrossRefPubMed
51.
go back to reference Chen D, Wang P, Qiu ZY. Identifying the concepts contained in outcome measures of clinical trials on stroke using the Intermational Classification of Functioning, Disability and Health as a reference. Chin J Rehabi Theory Pract. 2008;14(12):1119–20. Chen D, Wang P, Qiu ZY. Identifying the concepts contained in outcome measures of clinical trials on stroke using the Intermational Classification of Functioning, Disability and Health as a reference. Chin J Rehabi Theory Pract. 2008;14(12):1119–20.
52.
go back to reference MacPherson H, Sherman K, Hammerschlag R, et al. The clinical evaluation of traditional east Asian systems of medicine. Clin Acupunct Oriental Med. 2002;3(1):16–9.CrossRef MacPherson H, Sherman K, Hammerschlag R, et al. The clinical evaluation of traditional east Asian systems of medicine. Clin Acupunct Oriental Med. 2002;3(1):16–9.CrossRef
53.
go back to reference Hui JR, Pei J, Wang YC, Hui JR, Fu QH, et al. Rasch analysis on stroke-specific quality of life (SS-QOL) scale of acupuncture intervention on stroke. Zhongguo Zhen Jiu. 2013;33(4):363–6.PubMed Hui JR, Pei J, Wang YC, Hui JR, Fu QH, et al. Rasch analysis on stroke-specific quality of life (SS-QOL) scale of acupuncture intervention on stroke. Zhongguo Zhen Jiu. 2013;33(4):363–6.PubMed
54.
go back to reference Fu QH, Pei J, Hui JR, Song Y. Studies on dynamic change in traditional Chinese medicine syndrome patterns for stroke using data-driven and model-driven approaches: a review. J Chin Integr Med. 2011;9(12):1292–300.CrossRef Fu QH, Pei J, Hui JR, Song Y. Studies on dynamic change in traditional Chinese medicine syndrome patterns for stroke using data-driven and model-driven approaches: a review. J Chin Integr Med. 2011;9(12):1292–300.CrossRef
55.
go back to reference Song Y, Pei J, Liu ZD, Cai YF, Guo JW, Huang Y, et al. Dynamic changes in traditional Chinese medicine syndromes in patients with ischemic stroke treated by acupuncture. J Chin Integr Med. 2009;7(4):334–41.CrossRef Song Y, Pei J, Liu ZD, Cai YF, Guo JW, Huang Y, et al. Dynamic changes in traditional Chinese medicine syndromes in patients with ischemic stroke treated by acupuncture. J Chin Integr Med. 2009;7(4):334–41.CrossRef
56.
go back to reference Zhuang L, He J, Zhuang X, Lu L. Quality of reporting on randomized controlled trials of acupuncture for stroke rehabilitation. BMC Complement Altern Med. 2014;14(1):1–8.CrossRef Zhuang L, He J, Zhuang X, Lu L. Quality of reporting on randomized controlled trials of acupuncture for stroke rehabilitation. BMC Complement Altern Med. 2014;14(1):1–8.CrossRef
57.
go back to reference Zhang JH, Wang D, Liu M. Overview of systematic reviews and meta analyses of acupuncture for stroke. Neuro Epidemiol. 2014;42:50–8. Zhang JH, Wang D, Liu M. Overview of systematic reviews and meta analyses of acupuncture for stroke. Neuro Epidemiol. 2014;42:50–8.
58.
go back to reference Wu HM, Tang JL, Lin XP, Lau J, Leung PC, Woo J, Li YP. Acupuncture for stroke rehabilitation. Cochrane Database Syst Rev. 2006;39(3):CD004131. Wu HM, Tang JL, Lin XP, Lau J, Leung PC, Woo J, Li YP. Acupuncture for stroke rehabilitation. Cochrane Database Syst Rev. 2006;39(3):CD004131.
Metadata
Title
Acupuncture treatment on the motor area of the scalp for motor dysfunction in patients with ischemic stroke: study protocol for a randomized controlled trial
Authors
Jun Wang
Jian Pei
Dhiaedin Khiati
Qinhui Fu
Xiao Cui
Yi Song
Minghang Yan
Lijun Shi
Yiwen Cai
Yuhong Ma
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Trials / Issue 1/2017
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-017-2000-x

Other articles of this Issue 1/2017

Trials 1/2017 Go to the issue