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A Clinical Trail of Acupuncture and Liu-Zi-Jue Exercise for Dysphagia in Post-stroke

Primary Purpose

Stroke

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
acupuncture
Liu-Zi-Jue Gongfa
Sponsored by
The Third Affiliated hospital of Zhejiang Chinese Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stroke focused on measuring stroke, dysphagia, rehabilitation, traditional Chinese medicine

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Dysphagia

    • Meet the diagnostic criteria of stroke in traditional Chinese medicine;
    • Meet the diagnostic criteria of ischemic stroke in western medicine;
    • meet the diagnostic criteria of pseudobulbar palsy;
    • Age is 18-85, gender not limited;
    • The course of disease is 30 to 180 days;
    • Water test level 3 and level 3 above;
    • Meet the requirements for indications of acupuncture and moxibustion techniques; Volunteer to participate in this project, the patient has no serious complications, can accept acupuncture treatment and good compliance;
    • Sign informed consent
    • MOCA(Montreal Cognitive Assessment) score above 15.

Exclusion Criteria:

  • Dysphagia

    • Patients with true bulbar palsy caused by brainstem encephalitis, motor neurone disease, pontine tumor, multiple sclerosis, myasthenia gravis, medulla bulbar cavity;
    • Cerebral hemorrhage caused by cerebrovascular malformation, trauma, aneurysm and other causes;
    • Pregnant or lactating women;
    • Patients with severe primary chronic diseases, severe dementia and cognitive impairment, serious language understanding disorders, and mental illness, including heart, liver, kidney and other viscera, as well as the endocrine system and hematopoietic system;
    • Suffered from a variety of bleeding tendency diseases;
    • The patient to swallow contrast drug allergy;
    • Patients who do not meet the inclusion criteria, do not have poor treatment compliance as prescribed, cannot judge the efficacy or incomplete data affect the judgment of efficacy and are not suitable for clinical observation;

Sites / Locations

  • The Third Affiliated Hospital of Zhejiang Chinese Medical UniversityRecruiting
  • Hangzhou hospital of traditional Chinese medicineRecruiting
  • Jiaxing hospital of Chinese traditional medicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

No Intervention

Experimental

Experimental

Experimental

Arm Label

control

Combination treatment

Liu-Zi-Jue treatment

acupuncture treatment

Arm Description

basic treatment+Swallowing rehabilitation training

basic treatment+Swallowing rehabilitation training+Chinese traditional rehabilitation

basic treatment+Swallowing rehabilitation training+Liu-Zi-Jue

basic treatment+Swallowing rehabilitation training+acupuncture

Outcomes

Primary Outcome Measures

Standardized Swallowing Assessment
use Standardized Swallowing Assessment to evaluate the patient's conscious, lip closure control ability, the head and trunk control ability, the respiratory mode.

Secondary Outcome Measures

video fluoroscopic swallowing study score,VFSS score
Mainly includes oral stage, pharynx stage, the degree of pharynx three parts, oral stage for 0-2 points; The pharyngeal period was 0-3 points; The degree of pharynx error is 0-4 points, with a total score of 9 points for the sum of the three points. The higher the score, the better the swallowing function is.
The effective rate of swallowing function treatment
The effective rate was calculated according to the score of the standard swallowing function evaluation,scale, and the effective criterion was as follows: the patient's score increased by more than 30% > compared with that before treatment.
Time required for swallowing to improve
it will be assessed by Water Swallow Test (WST),this test divided into 1 ~ 5 levels. The higher level means less dysphagia

Full Information

First Posted
April 24, 2020
Last Updated
March 23, 2022
Sponsor
The Third Affiliated hospital of Zhejiang Chinese Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT04398355
Brief Title
A Clinical Trail of Acupuncture and Liu-Zi-Jue Exercise for Dysphagia in Post-stroke
Official Title
A Clinical Trail of Acupuncture and Liu-Zi-Jue Exercise for Dysphagia in Post-stroke
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 25, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The Third Affiliated hospital of Zhejiang Chinese Medical University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The traditional Chinese medicine rehabilitation for post-stroke dysphagia impairment will be intervened, which can promote the recovery of dysphagia function of stroke patients, reduce the disability rate and improve the quality of life.
Detailed Description
This study will collect inpatients from April 2020 to December 2022 who from the third affiliated hospital of Zhejiang university of traditional Chinese medicine, Jiaxing hospital of traditional Chinese medicine, Hangzhou hospital of traditional Chinese medicine.this study sets strict time window (stroke recovery, 30-180 days), use multi-center, large sample, randomized controlled study method and the objective recognition rehabilitation evaluation criteria and efficacy evaluation system to evaluate the clinical effect and analysis of health economics.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stroke
Keywords
stroke, dysphagia, rehabilitation, traditional Chinese medicine

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
240 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
control
Arm Type
No Intervention
Arm Description
basic treatment+Swallowing rehabilitation training
Arm Title
Combination treatment
Arm Type
Experimental
Arm Description
basic treatment+Swallowing rehabilitation training+Chinese traditional rehabilitation
Arm Title
Liu-Zi-Jue treatment
Arm Type
Experimental
Arm Description
basic treatment+Swallowing rehabilitation training+Liu-Zi-Jue
Arm Title
acupuncture treatment
Arm Type
Experimental
Arm Description
basic treatment+Swallowing rehabilitation training+acupuncture
Intervention Type
Combination Product
Intervention Name(s)
acupuncture
Intervention Description
acupuncture
Intervention Type
Combination Product
Intervention Name(s)
Liu-Zi-Jue Gongfa
Intervention Description
Liu-Zi-Jue Gongfa
Primary Outcome Measure Information:
Title
Standardized Swallowing Assessment
Description
use Standardized Swallowing Assessment to evaluate the patient's conscious, lip closure control ability, the head and trunk control ability, the respiratory mode.
Time Frame
Change from Baseline Standardized Swallowing Assessment at 4 weeks
Secondary Outcome Measure Information:
Title
video fluoroscopic swallowing study score,VFSS score
Description
Mainly includes oral stage, pharynx stage, the degree of pharynx three parts, oral stage for 0-2 points; The pharyngeal period was 0-3 points; The degree of pharynx error is 0-4 points, with a total score of 9 points for the sum of the three points. The higher the score, the better the swallowing function is.
Time Frame
0 week;4 weeks
Title
The effective rate of swallowing function treatment
Description
The effective rate was calculated according to the score of the standard swallowing function evaluation,scale, and the effective criterion was as follows: the patient's score increased by more than 30% > compared with that before treatment.
Time Frame
at baseline, 0 week, 4 weeks, 8 weeks and 16 weeks
Title
Time required for swallowing to improve
Description
it will be assessed by Water Swallow Test (WST),this test divided into 1 ~ 5 levels. The higher level means less dysphagia
Time Frame
at 0 week, 4 weeks, 8 weeks, 16 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Dysphagia Meet the diagnostic criteria of stroke in traditional Chinese medicine; Meet the diagnostic criteria of ischemic stroke in western medicine; meet the diagnostic criteria of pseudobulbar palsy; Age is 18-85, gender not limited; The course of disease is 30 to 180 days; Water test level 3 and level 3 above; Meet the requirements for indications of acupuncture and moxibustion techniques; Volunteer to participate in this project, the patient has no serious complications, can accept acupuncture treatment and good compliance; Sign informed consent MOCA(Montreal Cognitive Assessment) score above 15. Exclusion Criteria: Dysphagia Patients with true bulbar palsy caused by brainstem encephalitis, motor neurone disease, pontine tumor, multiple sclerosis, myasthenia gravis, medulla bulbar cavity; Cerebral hemorrhage caused by cerebrovascular malformation, trauma, aneurysm and other causes; Pregnant or lactating women; Patients with severe primary chronic diseases, severe dementia and cognitive impairment, serious language understanding disorders, and mental illness, including heart, liver, kidney and other viscera, as well as the endocrine system and hematopoietic system; Suffered from a variety of bleeding tendency diseases; The patient to swallow contrast drug allergy; Patients who do not meet the inclusion criteria, do not have poor treatment compliance as prescribed, cannot judge the efficacy or incomplete data affect the judgment of efficacy and are not suitable for clinical observation;
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
XINYUN LI, Doctor
Phone
+8618069783240
Email
lxyjasmine2010@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
RUIJIE MA, Doctor
Organizational Affiliation
The Third Affiliated hospital of Zhejiang Chinese Medical University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
XINYUN LI, Master
Organizational Affiliation
Zhejiang Chinese Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Third Affiliated Hospital of Zhejiang Chinese Medical University
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruijie Ma, Doctor
Phone
+86 18057102851
Email
maria7878@sina.com
First Name & Middle Initial & Last Name & Degree
Xinyun Li, Master
Phone
+86 18069783240
First Name & Middle Initial & Last Name & Degree
Kelin He, Master
First Name & Middle Initial & Last Name & Degree
Siwen Li, Master
Facility Name
Hangzhou hospital of traditional Chinese medicine
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310002
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liping LI, Doctor
Phone
+86 13857161334
First Name & Middle Initial & Last Name & Degree
Liping LI, Doctor
Facility Name
Jiaxing hospital of Chinese traditional medicine
City
Jiaxing
State/Province
Zhejiang
ZIP/Postal Code
314000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kaitao LUO, Master
Phone
+86 13758395805
First Name & Middle Initial & Last Name & Degree
Kaitao LUO, Master

12. IPD Sharing Statement

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A Clinical Trail of Acupuncture and Liu-Zi-Jue Exercise for Dysphagia in Post-stroke

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