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Optimising electroacupuncture parameters for post-stroke hand dysfunction: protocol for a multi-arm randomised

Aabha Sharma1,2, Lin Han3,4, Huimei Deng1,2

  • 1Tianjin University of Traditional Chinese Medicine, Tianjin, China.

BMJ Open
|February 23, 2026
PubMed
Summary
This summary is machine-generated.

This randomized controlled trial will determine optimal electroacupuncture (EA) parameters for post-stroke hand dysfunction. The study aims to standardize EA treatment for improved patient outcomes in stroke rehabilitation.

Keywords:
AcupunctureClinical TrialNEUROLOGYRandomized Controlled TrialStroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Traditional Chinese Medicine

Background:

  • Post-stroke hand dysfunction significantly impacts patient motor abilities and daily life.
  • Electroacupuncture (EA) is a common rehabilitation method, but lacks standardized parameters.
  • Inconsistent outcomes limit the broader adoption of EA for stroke recovery.

Purpose of the Study:

  • To determine optimal electroacupuncture parameters for treating post-stroke hand dysfunction.
  • To establish evidence-based standards for EA in stroke rehabilitation.
  • To improve the consistency and effectiveness of EA treatments.

Main Methods:

  • A single-center, 10-arm randomized controlled trial involving 110 patients.
  • Patients will be assigned to nine EA groups or one sham acupuncture group.
  • An orthogonal experimental design will evaluate acupoint selection, stimulation frequency, needle thickness, and treatment duration over 12 sessions.
  • Primary outcome: effective response rate based on Chinese Stroke Scale (CSS) score reduction at 2 weeks.

Main Results:

  • This is a study protocol; results are not yet available.
  • Data collection and analysis will occur after participant recruitment and follow-up.
  • Safety and adverse events will be monitored throughout the study.

Conclusions:

  • This trial addresses the need for standardized EA parameters in post-stroke hand dysfunction.
  • The orthogonal design systematically evaluates key treatment factors.
  • Findings will provide a methodological framework to enhance EA's clinical effectiveness and reproducibility in stroke rehabilitation.