A clinical study to assess the influence of acupuncturing “Wang’s Jiaji” acupoints on limb spasticity of patients in convalescent stage of ischemic stroke
| ISRCTN | ISRCTN31511176 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN31511176 |
| Secondary identifying numbers | N/A |
- Submission date
- 29/08/2017
- Registration date
- 21/09/2017
- Last edited
- 15/07/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Circulatory System
Plain English summary of protocol
Background and study aims
Spasticity is a condition in which certain muscles are continuously contracted, causing stiffness or tightness. It is one of the most common complications of stroke, usually occurring in the convalescent (recovery) stage 1-6 months after stroke. Spasticity harms the recovery of motor function and causes malformation, thus damaging the daily living abilities of patients and increasing the caring burden for family and society. The aim of this study is to assess the effect of acupuncturing “Wang’s Jiaji” acupoints on spasticity after stroke.
Who can participate?
Patients between 40 and 75 years old in the convalescent stage of ischemic stroke
What does the study involve?
Participants are randomly allocated to one of two groups. All of the participants are given basic treatment according to the guidelines. The treatment group receive acupuncture treatment once a day 5 times per week for two weeks. The control group take the drug baclofen 3 times a day for two weeks. Upper and lower limb motor function of the affected side is assessed at the start of the study and 2, 4 and 12 weeks later.
What are the possible benefits and risks of participating?
It is expected that participants will experience lower frequency and severity of limb spasticity as well as improved motor function and strength, thus improving quality of life and avoiding the side effects of drugs and operations. Furthermore, the evidence gained from this study will be helpful in future research projects. The risks of taking part are minimal. Acupuncture is a very safe treatment when given by properly trained clinicians. Occasionally acupuncture can make people feel nauseous or faint or experience a temporary increase in pain either during or after treatment. Participants are warned of these potential side effects before consenting to have acupuncture.
Where is the study run from?
Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University (China)
When is the study starting and how long is it expected to run for?
January 2017 to December 2018
Who is funding the study?
Beijing Municipal Health and Family Planning Commission (China)
Who is the main contact?
Ms Huanqin Li
Contact information
Scientific
Backstreet Gallery No. 23 in Dongcheng District
Beijing
100010
China
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use the contact details to request a patient information sheet |
| Scientific title | A clinical study to assess the influence of acupuncturing “Wang’s Jiaji” acupoints on limb spasticity of patients in convalescent stage of ischemic stroke |
| Study objectives | Compared with taking baclofen, acupuncturing “Wang’s Jiaji” acupoints can improve limb spasticity of patients in convalescent stage of ischemic stroke equally or better. |
| Ethics approval(s) | Research Ethics Committee of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, 27/01/2017, ref: 2016BL-090-02 |
| Health condition(s) or problem(s) studied | Ischemic stroke |
| Intervention | A total of 100 participants will be randomly assigned to two different groups. All of the patients will be given basic treatment according to the guideline for prevention and treatment of cerebrovascular diseases. Treatment group: “Wang’s Jiaji” acupoints including 16 acupoints 3 cun away from beneath the second, fourth, sixth, eighth, tenth, twelfth spinous process of thoracic vertebra and the second, fourth spinous process of lumbar vertebra. Operation: patients in lateral position, affected extremities up. Needles are inserted 25 mm in depth on these 16 acupoints until feeling tactile sensation then manually manipulated by rotation methods to produce a characteristic sensation known as "De Qi". Technique: mild reinforcing and attenuating,retaining the needle for 30 minutes. When all the needles inserted, needle handles need to be a line horizontally and vertically. The treatment will be given once a day and 5 times a week in weekdays, the course lasts two weeks. Control group: Participants will take baclofen 5mg per time and 3 times a day, the dose may increase to 10mg per time according to level of spasticity. The course lasts two weeks. |
| Intervention type | Other |
| Primary outcome measure | Upper and lower limb motor function of affected side, assessed using Simplified Fugl-Meyer (FMA) at baseline, 2 weeks, 4 weeks and 12 weeks after first acupuncture |
| Secondary outcome measures | 1. Muscular tension assessed using Modified Ashworth scale at baseline, 2 weeks, 4 weeks and 12 weeks after first acupuncture 2. The ability of daily living assessed using Modified Barthel scale at baseline,2 weeks,4 weeks and 12 weeks after first acupuncture 3. The level of spasticity assessed using electromyography at baseline and 12 weeks after first acupuncture |
| Overall study start date | 28/01/2017 |
| Completion date | 31/12/2018 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 100 |
| Key inclusion criteria | 1. Meet the western medicine diagnostic criterion: American Heart Association/American Stroke Association, AHA/ASA in 2013 2. Patients with cerebral infarction and the session is between 1 month and 6 months 3. Patients between 40 and 75 years old. Patients over 75 can also be accepted in the trial if the doctor approves the significance of rehabilitation therapy after assessment, but all the patients should not be over 80 years old 4. 4 points ≤ NIHSS ≤21 points 5. 2 grade ≤ MAS ≤4 grade 6. GCS ≥7 points without any consciousness trouble 7. First attack of stroke or not for the first time without any serious disabilities, mRS ≤3 points 8. Confirmed by head CT or MRI 9. Patients who agreed to participant in this trial and assigned the informed consent |
| Key exclusion criteria | 1. Patients with limb dystonia caused by cerebral or other diseases 2. Patients participated in other trials within 3 months 3. Patients with serious heart,liver,kidney and hematopoietic system diseases or mental disorders 4. Taking drugs for improving muscular tension apart from baclofen 5. Afraid of acupuncture or allergic to baclofen 6. Women in pregnant or lactating period 7. Patients with congenital disability |
| Date of first enrolment | 01/11/2017 |
| Date of final enrolment | 31/12/2018 |
Locations
Countries of recruitment
- China
Study participating centre
Beijing
100010
China
Sponsor information
Research organisation
North Latitude Road No. 59
Beijing
100050
China
Funders
Funder type
Research organisation
No information available
Results and Publications
| Intention to publish date | 31/12/2020 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | The trialists plan to publish the protocol about 6-8 months after registration and publish the results 2 years after the end of the trial. |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are/will be available upon request from Ms Huanqin Li. About two years after the end of this trial and open publication of the result, the primary data and type of analysis will be available for 5-10 years until the data is updated by a more specific study with a larger number of participants. Anyone interested in the trial can ask to share the primary data by sending a requirement through email. Collected primary data is provided without the private information of participants, all the data sequence will be numbered instead of real names. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 10/07/2019 | 15/07/2019 | Yes | No |
Editorial Notes
15/07/2019: Publication reference added.
