The Effectiveness of Acupuncture Treatment for Post-Stroke Depression and Anxiety Disorder.
Condition: Post-stroke Depression; Anxiety Disorders
MeSH terms: Stroke; Depression; Depressive Disorder; Anxiety Disorders
Study type: Interventional

Summary: 
      Poststroke depression is seen with a frequency of up to 30%. Drug options for depression and
      accompanying sleep problems are limited; In addition, effective doses cannot be increased
      depending on the comorbidities of the patients and the side effect profiles and drug
      interactions of the drugs used. Acupuncture has been used in Chinese traditional medicine for
      more than 2000 years and there are findings that it has positive effects in post-stroke
      depression and anxiety disorders.

      The aim of this study is to examine the effectiveness and reliability of acupuncture
      treatment in depression and anxiety disorders developing after stroke and to reduce the need
      for multiple drugs and / or high-dose medication in the treatment of these complications.

      The hypothesis of the study: Acupuncture is an effective and reliable treatment method for
      depression and anxiety disorders in stroke patients.
    

Detailed description: 
      Patients who receive inpatient stroke rehabilitation at Istanbul Physical Medicine
      Rehabilitation Training and Research Hospital, Physical Medicine and Rehabilitation Clinic,
      will be included in the study by the inclusion and exclusion criteria. Their informed consent
      will be received. Initially, clinical and demographic data of all patients will be noted.
      Participants who volunteered for the study will be separated into the acupuncture treatment
      group and the control group by simple random sampling. Both the acupuncture treatment group
      and the control group will be included in the conventional rehabilitation program 2 hours a
      day, 7 days a week, for 8 weeks. In addition the acupuncture treatment group will get
      acupuncture treatment which will be applied to Baihui (DU20), Yintang (EX-HN3) points and
      bilateral Tai Chong (LR3), Hegu (LI4) points for 4 weeks, twice a week. During the
      application, the feeling of De Qi will be taken and the application will take 20 minutes.
      Measurements; Hamilton Depression Rating Scales, Hamilton Anxiety Rating Scales, Pittsburg
      Sleep Quality Index, Barthel Index, and change in psychiatric drug use will be assessed at
      baseline (week 0), 4th and 8th week post-treatment. The adverse events observed during the
      study will be noted and the compliance of patients in each application will be questioned by
      visual analog scale.
    

Intervention name(s): Acupuncture Treatment; Conventional Rehabilitation Programme
Intervention type(s): Procedure; Other
Intervention description(s): Acupuncture Treatment Group will get acupuncture treatment which will be applied to Baihui (DU20), Yintang (EX-HN3) points of the hemiplegic side and bilateral Tai Chong (LR3), Hegu (LI4) points for 4 weeks, twice a week.; They will continue to receive the conventional rehabilitation programme.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: stroke; acupuncture; depression; anxiety