Can Acupuncture Benefit Surgical Patients With Haemorrhagic Stroke?

Study Overview
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Brief Summary
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The purpose is to establish whether acupuncture in addition to conventional rehabilitation programme can improve the functional outcome and quality of life of surgical patients with haemorrhagic stroke, as compared to conventional rehabilitation programme alone.

Detailed Description
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The investigators aim to recruit 60 patients over a 30 month period. Each patient will have six week of acupuncture treatment (either early within the first six week, or delayed after the first six week of observation and assessment of primary outcome). Primary outcome measures: Clinical outcome at the end of week 6 acupuncture treatment: Glasgow Outcome Score extended. Secondary outcome measures: Modified Rankin Score, Functional Independence Measure (FIM) score, Modified Aschoff Score, Neurocognitive State Examination (NCSE) score, Barthel index, Modified Rivermead Mobility Index (MRMI), Modified Functional Ambulation Category (MFAC) and motor scores of upper limb and lower limb with Fugl-Meyer Scale at the end of week six acupuncture treatment.

Official Title
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Can Acupuncture Benefit Surgical Patients With Haemorrhagic Stroke?

Conditions
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Stroke

Intervention / Treatment
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* Procedure: Acupuncture
* Procedure: Conventional rehabilitation


Participation Criteria
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Eligibility Criteria
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Patient inclusion Criteria: Patients after acute hemorrhagic stroke; Within the first month after acute presentation; Premorbid mobility level: Independent Indoor or Outdoor Walker; Co-operative and willing to comply with the rehabilitation program; Patient exclusion Criteria: Cardiac Pacemaker; Patient who is apprehensive to acupuncture; Clotting abnormality; Poor local skin conditions.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acupuncture<br>Acupuncture and conventional rehabilitation | Procedure: Acupuncture<br>* Acupuncture from physiotherapist (with accredited training in acupuncture) in Shatin Hospital, three sessions per week for six weeks, and each session 30 minutes.<br>|
| Active Comparator: Control<br>Conventional rehabilitation only | Procedure: Conventional rehabilitation<br>* In-patient physiotherapy, occupational therapy and speech therapy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Glasgow Outcome Scale Extended |  | Six week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Independence Measure (FIM) score |  | Six week | 
| Modified Aschoff Score |  | Six week | 
| Neurocognitive State Examination(NCSE)score |  | Six week | 
| Motor scores of upper limb and lower limb with Fugl-Meyer Scale |  | six week | 
| Modified Functional Ambulation Category (MFAC) |  | Six week | 
| Modified Rivermead Mobility Index (MRMI) |  | Six week | 
| Barthel Index |  | Six week | 
| Modified Rankin Scale |  | Six week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Acupuncture,Intracerebral hemorrhage, Stroke