The central-peripheral coupling eﬀect of ocular acupuncture kinesitherapy in post-stroke dyskinesia: A functional neuroimaging and neurotic electrophysiology study protocol

Frontiers in Neurology, 2022 · DOI: 10.3389/fneur.2022.977112 · Published: September 1, 2022

Alternative Medicine Neurology Rehabilitation

Simple Explanation

This study aims to investigate the effects of Ocular Acupuncture Kinesitherapy (OAKT) on post-stroke dyskinesia (PSD) by examining the central and peripheral nervous system coupling. The study will use fMRI and TMS-MEP to assess brain function and motor neural pathways in PSD patients undergoing OAKT, ocular acupuncture alone, or kinesitherapy alone. The findings will help explain how OAKT affects the neural pathways from the peripheral to the central nervous system, potentially improving post-stroke rehabilitation strategies.

Study Duration

Aug 31, 2022, to Dec 31, 2023

Participants

90 participants (45 PSD and 45 HC subjects)

Evidence Level

Not specified

Key Findings

1
The study aims to clarify the neurological processing of acupuncture kinesitherapy covering the entire pathway from peripheral to central nervous system.
2
The study anticipates identifying the central-peripheral coupling effect of OAKT on PSD through functional neuroimaging and neurotic electrophysiology.
3
The research intends to provide insights into the potential mechanism of OAKT in PSD rehabilitation using fMRI and TMS-MEP techniques.

Research Summary

This study protocol outlines a prospective functional neuroimaging and electrophysiological study to investigate the central-peripheral coupling effect of OAKT on post-stroke dyskinesia. The research will enroll 90 participants, including PSD patients and healthy controls, and assess the effects of OAKT, ocular acupuncture, and kinesitherapy on neural function using fMRI and TMS-MEP. The expected findings will contribute to understanding the neural mechanisms underlying OAKT's therapeutic effects and potentially improve rehabilitation strategies for stroke patients.

Practical Implications

Enhanced Rehabilitation Strategies

Understanding the neural mechanisms of OAKT could lead to more effective and targeted rehabilitation strategies for post-stroke dyskinesia.

Integration of TCM and Western Medicine

The study promotes the integration of traditional Chinese medicine techniques with modern neuroimaging to explore therapeutic effects.

Improved Patient Outcomes

By optimizing OAKT protocols based on neural coupling effects, patient outcomes in motor recovery and daily living ability can be improved.

Study Limitations

1
The relatively short application period of OAKT limits the understanding of its long-term effects on PSD recovery.
2
The study relies on a specific population within a single center, potentially limiting the generalizability of the findings.
3
Potential drop-out rates and excessive head movement during fMRI scanning may impact the statistical analysis and reliability of the results.

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