A randomized controlled trial to evaluate the effectiveness and safety of electro acupuncture and transcranial direct current stimulation with computerized cognitive rehabilitation in patients with vascular cognitive impairment
Vascular cognitive impairment (VCI) refers to all cognitive disorders caused by cerebrovascular disorders. For the treatment, many types of pharmacologic and nonpharmacologic treatments are used but their underlying mechanisms and effects are unclear. Regarding nonpharmacologic treatment, electroacu...
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| Veröffentlicht in: | Medicine (Baltimore) 2020-07, Vol.99 (29), p.e21263-e21263 |
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| creator | Park, Hyeng Kyu Song, Min Keun Kim, Jae Hong Han, Jae Young |
| description | Vascular cognitive impairment (VCI) refers to all cognitive disorders caused by cerebrovascular disorders. For the treatment, many types of pharmacologic and nonpharmacologic treatments are used but their underlying mechanisms and effects are unclear. Regarding nonpharmacologic treatment, electroacupuncture (EA), transcranial direct current stimulation (tDCS), and computerized cognitive rehabilitation treatment (CCRT) are effective. Here, we report the protocol for a randomized controlled trial of the effect and safety of combination therapy of EA or tDCS and CCRT in patients with VCI.
This study will be a prospective, outcome assessor-blinded, parallel-arm, randomized controlled clinical trial. Participants with cognitive impairment caused by stroke after 3 months of onset (n = 45) will be randomly assigned to a CCRT, combination therapy with EA and computerized cognitive rehabilitation treatment, or combination therapy with tDCS and computerized cognitive rehabilitation treatment group. All groups will receive treatment 3 times per week for 8 weeks, giving a total of 24 treatments. The CCRT group will perform a training task like shopping, calculating, and others and involving computerized cognitive assessment and brain training system (RehaCom) for 30 minutes. The combination therapy with EA and computerized cognitive rehabilitation treatment group will receive EA using 8 acupuncture points - baekhoe, sinjeong, both sides of pungji, 4 sites of sishencong - and will be applied using an EA stimulator and receive CCRT for 30 minutes at the same time. The combination therapy with tDCS and computerized cognitive rehabilitation treatment group will receive tDCS treatment and receive CCRT for 30 minutes at the same time. The primary outcome will be evaluated using the Lowenstein occupational therapy cognitive assessment, while other scales assessing walking ability, activities of daily living, and quality of life are considered secondary outcome measures. Outcomes will be evaluated before intervention, at the end of intervention 8 weeks after the first intervention, and 4 weeks after completion of the intervention program.
This study aims to examine the effect and safety of combination therapy with EA or tDCS and CCRT in patients with VCI. This study can be useful in developing new treatment technologies using collaborative research with combined traditional Korean and conventional medicines.
This trial has been registered with cris.nih.go.kr (registration num |
| doi_str_mv | 10.1097/MD.0000000000021263 |
| format | Article |
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This study will be a prospective, outcome assessor-blinded, parallel-arm, randomized controlled clinical trial. Participants with cognitive impairment caused by stroke after 3 months of onset (n = 45) will be randomly assigned to a CCRT, combination therapy with EA and computerized cognitive rehabilitation treatment, or combination therapy with tDCS and computerized cognitive rehabilitation treatment group. All groups will receive treatment 3 times per week for 8 weeks, giving a total of 24 treatments. The CCRT group will perform a training task like shopping, calculating, and others and involving computerized cognitive assessment and brain training system (RehaCom) for 30 minutes. The combination therapy with EA and computerized cognitive rehabilitation treatment group will receive EA using 8 acupuncture points - baekhoe, sinjeong, both sides of pungji, 4 sites of sishencong - and will be applied using an EA stimulator and receive CCRT for 30 minutes at the same time. The combination therapy with tDCS and computerized cognitive rehabilitation treatment group will receive tDCS treatment and receive CCRT for 30 minutes at the same time. The primary outcome will be evaluated using the Lowenstein occupational therapy cognitive assessment, while other scales assessing walking ability, activities of daily living, and quality of life are considered secondary outcome measures. Outcomes will be evaluated before intervention, at the end of intervention 8 weeks after the first intervention, and 4 weeks after completion of the intervention program.
This study aims to examine the effect and safety of combination therapy with EA or tDCS and CCRT in patients with VCI. This study can be useful in developing new treatment technologies using collaborative research with combined traditional Korean and conventional medicines.
This trial has been registered with cris.nih.go.kr (registration number, KCT 0003644 Registered 01 April 2019, http://cris.nih.go.kr).</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000021263</identifier><identifier>PMID: 32702911</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cognitive Behavioral Therapy - methods ; Combined Modality Therapy ; Dementia, Vascular - rehabilitation ; Dementia, Vascular - therapy ; Electroacupuncture - adverse effects ; Electroacupuncture - methods ; Humans ; Middle Aged ; Prospective Studies ; Randomized Controlled Trials as Topic ; Study Protocol Clinical Trial ; Therapy, Computer-Assisted ; Transcranial Direct Current Stimulation - adverse effects ; Transcranial Direct Current Stimulation - methods ; Treatment Outcome ; Young Adult</subject><ispartof>Medicine (Baltimore), 2020-07, Vol.99 (29), p.e21263-e21263</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4506-7bc313f555905abd022f40fc788b598f2dcfb13dc5f10c305b692d528e33ddec3</citedby><cites>FETCH-LOGICAL-c4506-7bc313f555905abd022f40fc788b598f2dcfb13dc5f10c305b692d528e33ddec3</cites><orcidid>0000-0003-1672-8875</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373529/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373529/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32702911$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Hyeng Kyu</creatorcontrib><creatorcontrib>Song, Min Keun</creatorcontrib><creatorcontrib>Kim, Jae Hong</creatorcontrib><creatorcontrib>Han, Jae Young</creatorcontrib><title>A randomized controlled trial to evaluate the effectiveness and safety of electro acupuncture and transcranial direct current stimulation with computerized cognitive rehabilitation in patients with vascular cognitive impairment</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Vascular cognitive impairment (VCI) refers to all cognitive disorders caused by cerebrovascular disorders. For the treatment, many types of pharmacologic and nonpharmacologic treatments are used but their underlying mechanisms and effects are unclear. Regarding nonpharmacologic treatment, electroacupuncture (EA), transcranial direct current stimulation (tDCS), and computerized cognitive rehabilitation treatment (CCRT) are effective. Here, we report the protocol for a randomized controlled trial of the effect and safety of combination therapy of EA or tDCS and CCRT in patients with VCI.
This study will be a prospective, outcome assessor-blinded, parallel-arm, randomized controlled clinical trial. Participants with cognitive impairment caused by stroke after 3 months of onset (n = 45) will be randomly assigned to a CCRT, combination therapy with EA and computerized cognitive rehabilitation treatment, or combination therapy with tDCS and computerized cognitive rehabilitation treatment group. All groups will receive treatment 3 times per week for 8 weeks, giving a total of 24 treatments. The CCRT group will perform a training task like shopping, calculating, and others and involving computerized cognitive assessment and brain training system (RehaCom) for 30 minutes. The combination therapy with EA and computerized cognitive rehabilitation treatment group will receive EA using 8 acupuncture points - baekhoe, sinjeong, both sides of pungji, 4 sites of sishencong - and will be applied using an EA stimulator and receive CCRT for 30 minutes at the same time. The combination therapy with tDCS and computerized cognitive rehabilitation treatment group will receive tDCS treatment and receive CCRT for 30 minutes at the same time. The primary outcome will be evaluated using the Lowenstein occupational therapy cognitive assessment, while other scales assessing walking ability, activities of daily living, and quality of life are considered secondary outcome measures. Outcomes will be evaluated before intervention, at the end of intervention 8 weeks after the first intervention, and 4 weeks after completion of the intervention program.
This study aims to examine the effect and safety of combination therapy with EA or tDCS and CCRT in patients with VCI. This study can be useful in developing new treatment technologies using collaborative research with combined traditional Korean and conventional medicines.
This trial has been registered with cris.nih.go.kr (registration number, KCT 0003644 Registered 01 April 2019, http://cris.nih.go.kr).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Combined Modality Therapy</subject><subject>Dementia, Vascular - rehabilitation</subject><subject>Dementia, Vascular - therapy</subject><subject>Electroacupuncture - adverse effects</subject><subject>Electroacupuncture - methods</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Study Protocol Clinical Trial</subject><subject>Therapy, Computer-Assisted</subject><subject>Transcranial Direct Current Stimulation - adverse effects</subject><subject>Transcranial Direct Current Stimulation - methods</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkstu1DAUhiMEokPhCZCQl2xSfInjyQaparlJrdjA2nKc48bgxMGXGZXX5UXwNEMpeGEf2d__nyP5r6qXBJ8R3Ik315dn-O-ihLbsUbUhnLU179rmcbUpt7wWnWhOqmcxfsOYMEGbp9UJowLTjpBN9escBTUPfrI_YUDazyl450qZglUOJY9gp1xWCVAaAYExoJPdwQwxoiJEURlIt8gbBK48BY-UzkuedcoB7ohUGkRdtoPhYEOhkM4hwJxQTHbKTiXrZ7S3aSwTTEtOEI7j3Mz20A0FGFVvnU0rame0lKo4xFW2U1EXn_BAYqdF2TAV5nn1xCgX4cXxPK2-vn_35eJjffX5w6eL86taNxy3teg1I8xwzjvMVT9gSk2DjRbbbc-7raGDNj1hg-aGYM0w79uODpxugbFhAM1Oq7er75L7CQZdWgfl5BLspMKt9MrKf19mO8obv5OCCcZpVwxeHw2C_5EhJjnZqME5NYPPUdKGCoa7jouCshXVwccYwNy3IVge4iGvL-X_8SiqVw8nvNf8yUMBmhXYe1d-IX53eQ9BjqBcGu_8uOhoTTHFWBCB65Ip3LLfk6zPTg</recordid><startdate>20200717</startdate><enddate>20200717</enddate><creator>Park, Hyeng Kyu</creator><creator>Song, Min Keun</creator><creator>Kim, Jae Hong</creator><creator>Han, Jae Young</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1672-8875</orcidid></search><sort><creationdate>20200717</creationdate><title>A randomized controlled trial to evaluate the effectiveness and safety of electro acupuncture and transcranial direct current stimulation with computerized cognitive rehabilitation in patients with vascular cognitive impairment</title><author>Park, Hyeng Kyu ; Song, Min Keun ; Kim, Jae Hong ; Han, Jae Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4506-7bc313f555905abd022f40fc788b598f2dcfb13dc5f10c305b692d528e33ddec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cognitive Behavioral Therapy - methods</topic><topic>Combined Modality Therapy</topic><topic>Dementia, Vascular - rehabilitation</topic><topic>Dementia, Vascular - therapy</topic><topic>Electroacupuncture - adverse effects</topic><topic>Electroacupuncture - methods</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Study Protocol Clinical Trial</topic><topic>Therapy, Computer-Assisted</topic><topic>Transcranial Direct Current Stimulation - adverse effects</topic><topic>Transcranial Direct Current Stimulation - methods</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Hyeng Kyu</creatorcontrib><creatorcontrib>Song, Min Keun</creatorcontrib><creatorcontrib>Kim, Jae Hong</creatorcontrib><creatorcontrib>Han, Jae Young</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Hyeng Kyu</au><au>Song, Min Keun</au><au>Kim, Jae Hong</au><au>Han, Jae Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized controlled trial to evaluate the effectiveness and safety of electro acupuncture and transcranial direct current stimulation with computerized cognitive rehabilitation in patients with vascular cognitive impairment</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2020-07-17</date><risdate>2020</risdate><volume>99</volume><issue>29</issue><spage>e21263</spage><epage>e21263</epage><pages>e21263-e21263</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Vascular cognitive impairment (VCI) refers to all cognitive disorders caused by cerebrovascular disorders. For the treatment, many types of pharmacologic and nonpharmacologic treatments are used but their underlying mechanisms and effects are unclear. Regarding nonpharmacologic treatment, electroacupuncture (EA), transcranial direct current stimulation (tDCS), and computerized cognitive rehabilitation treatment (CCRT) are effective. Here, we report the protocol for a randomized controlled trial of the effect and safety of combination therapy of EA or tDCS and CCRT in patients with VCI.
This study will be a prospective, outcome assessor-blinded, parallel-arm, randomized controlled clinical trial. Participants with cognitive impairment caused by stroke after 3 months of onset (n = 45) will be randomly assigned to a CCRT, combination therapy with EA and computerized cognitive rehabilitation treatment, or combination therapy with tDCS and computerized cognitive rehabilitation treatment group. All groups will receive treatment 3 times per week for 8 weeks, giving a total of 24 treatments. The CCRT group will perform a training task like shopping, calculating, and others and involving computerized cognitive assessment and brain training system (RehaCom) for 30 minutes. The combination therapy with EA and computerized cognitive rehabilitation treatment group will receive EA using 8 acupuncture points - baekhoe, sinjeong, both sides of pungji, 4 sites of sishencong - and will be applied using an EA stimulator and receive CCRT for 30 minutes at the same time. The combination therapy with tDCS and computerized cognitive rehabilitation treatment group will receive tDCS treatment and receive CCRT for 30 minutes at the same time. The primary outcome will be evaluated using the Lowenstein occupational therapy cognitive assessment, while other scales assessing walking ability, activities of daily living, and quality of life are considered secondary outcome measures. Outcomes will be evaluated before intervention, at the end of intervention 8 weeks after the first intervention, and 4 weeks after completion of the intervention program.
This study aims to examine the effect and safety of combination therapy with EA or tDCS and CCRT in patients with VCI. This study can be useful in developing new treatment technologies using collaborative research with combined traditional Korean and conventional medicines.
This trial has been registered with cris.nih.go.kr (registration number, KCT 0003644 Registered 01 April 2019, http://cris.nih.go.kr).</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>32702911</pmid><doi>10.1097/MD.0000000000021263</doi><orcidid>https://orcid.org/0000-0003-1672-8875</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Cognitive Behavioral Therapy - methods Combined Modality Therapy Dementia, Vascular - rehabilitation Dementia, Vascular - therapy Electroacupuncture - adverse effects Electroacupuncture - methods Humans Middle Aged Prospective Studies Randomized Controlled Trials as Topic Study Protocol Clinical Trial Therapy, Computer-Assisted Transcranial Direct Current Stimulation - adverse effects Transcranial Direct Current Stimulation - methods Treatment Outcome Young Adult |
| title | A randomized controlled trial to evaluate the effectiveness and safety of electro acupuncture and transcranial direct current stimulation with computerized cognitive rehabilitation in patients with vascular cognitive impairment |
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