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Effect of Interactive Dynamic Scalp Acupuncture on Post-Stroke Cognitive Function, Depression, and Anxiety: A
Shao-Hua Zhang1, Yu-Long Wang2, Chun-Xia Zhang1
1Department of Rehabilitation Medicine, Dapeng New District Nan'ao People's Hospital, Shenzhen, Guangdong Province, 518121, China.
Chinese Journal of Integrative Medicine
|December 7, 2021
Summary
Interactive dynamic scalp acupuncture (IDSA) significantly improved cognitive function and reduced depression and anxiety in post-stroke patients compared to other methods. IDSA also enhanced self-care abilities, demonstrating superior clinical effects.
Area of Science:
- Neuroscience
- Integrative Medicine
- Rehabilitation Medicine
Background:
- Post-stroke cognitive impairment affects millions globally, leading to significant disability.
- Current treatments offer limited efficacy, necessitating exploration of novel therapeutic approaches.
- Scalp acupuncture is a recognized modality in traditional Chinese medicine for neurological conditions.
Purpose of the Study:
- To compare the clinical effectiveness of interactive dynamic scalp acupuncture (IDSA) against simple combination therapy (SCT) and traditional scalp acupuncture (TSA).
- To evaluate the impact of these therapies on cognitive function, depression, anxiety, and self-care abilities in post-stroke patients.
- To assess the safety and efficacy of IDSA in managing post-stroke cognitive impairment.
Main Methods:
- A randomized controlled trial involving 660 patients with post-stroke cognitive impairment.
- Patients were assigned to IDSA (simultaneous scalp acupuncture and computer-based cognitive training), SCT (separate scalp acupuncture and CBCT), or TSA (scalp acupuncture only) groups.
- Cognitive function, depression, anxiety, sleep quality, and self-care ability were assessed using standardized scales over 8 weeks with follow-up.
Main Results:
- No significant baseline differences were observed among the groups.
- IDSA demonstrated significantly higher improvements in cognitive function (MMSE, MoCA) and self-care (MBI) from 2 to 4 months post-treatment.
- IDSA led to significant reductions in depression (HAMD), anxiety (HAMA), and improved sleep quality (PSQI) compared to SCT and TSA.
- No serious adverse events were reported during the trial.
Conclusions:
- Interactive dynamic scalp acupuncture is a superior treatment for post-stroke cognitive impairment.
- IDSA effectively enhances cognitive function, alleviates depression and anxiety, and improves patient self-care abilities.
- The findings support IDSA as a safe and effective therapeutic option for post-stroke recovery.
