Evidence map›Paper›PMID 39453561›Full record

ArticleNeurology and therapy2024

Effects of Manual Acupuncture Versus Sham Acupuncture in patients with Post-Stroke Depression: A Randomized Clinical Trial.

Conghui Wei, Jinling Chen, Qu Yang, Jingjing Xu, Qingsong Li, Fulin Li, Yu Liu, Jun Luo

Abstract read
In one paragraph

Article in Neurology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Conghui Wei *Department of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Jinling Chen *Department of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Qu YangDepartment of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Jingjing XuDepartment of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Qingsong LiDepartment of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Fulin LiDepartment of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Yu LiuDepartment of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China. ndefy22053@ncu.edu.cn.
Jun LuoDepartment of Rehabilitation Medicine, Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China. luojun1786@163.com.

Funding

National Key Research and Development Program of China 2020YFC2005800
6 · The paper itself

Abstract

backgroundPost-stroke depression (PSD) is a prevalent psychiatric complication in stroke patients, severely reducing quality of life and delaying social recovery in stroke survivors. Clinical studies have shown that acupuncture can be used as an alternative approach for PSD. The aim of this study was to examine the safety, efficacy, and electroencephalogram (EEG) mechanism of acupuncture in treating PSD patients.

methodsFrom October 28, 2022 to May 16, 2023, this single-center, single-blind, randomized clinical trial was conducted at the Second Affiliated Hospital of Nanchang University. A total of 56 eligible subjects were assigned in a random manner, with an equal distribution between two groups: the manual acupuncture (MA) group and the sham acupuncture (SA) group. The primary outcome was the Hamilton Depression Scale-24 (HAMD-24); the secondary outcomes included the Pittsburgh Sleep Quality Index (PSQI), the National Institutes of Health Stroke Scale (NIHSS), the Barthel index, EEG power spectrum, and EEG imaginary coherent (iCOH).

resultsCompared to the SA group, the MA group exhibited significant improvements in HAMD-24, NIHSS, PSIQ, and Barthel index at week 6. The total improvement rate was 85.71% in the MA group and 28.57% in the SA group. After 6 weeks of treatment, the alpha and beta bands power spectrum increased significantly, while the delta and theta bands power spectrum decreased significantly in the MA group compared to the SA group. The iCOH analysis showed that the MA group had significantly higher functional connectivity in the four bands than the SA group.

conclusionsAcupuncture might be regarded as an adjunctive treatment for PSD patients with improvements in their neurological deficits, sleep quality, and depression. Meanwhile, the mechanism of acupuncture in treating PSD patients may be through decreasing the slow wave power spectrum and increasing the fast wave power spectrum, and enhancing brain functional connectivity.

trial registrationChinese Clinical Trial Registry (ChiCTR2200065112/2022-10-28).

Indexed as

AcupunctureEEGPost-stroke depressionRandomized clinical trial

Identifiers

PMID39453561
PMCPMC11541975

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.