Deans' stroke musings: Electroacupuncture Combined with Cognitive Rehabilitation Outperforms Cognitive Rehabilitation Alone in Treating Post-Stroke Cognitive Impairment: A randomized controlled trial

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, January 14, 2025

Electroacupuncture Combined with Cognitive Rehabilitation Outperforms Cognitive Rehabilitation Alone in Treating Post-Stroke Cognitive Impairment: A randomized controlled trial

Really? You don't think that the placebo effect was the cause since energy meridians have never been proven to exist.

The latest here:

Electroacupuncture Combined with Cognitive Rehabilitation Outperforms Cognitive Rehabilitation Alone in Treating Post-Stroke Cognitive Impairment: A randomized controlled trial

Yisha Guo

Tingting Sun

Fengxi Qiu

Xueyi Li

Weiwei Cui

Jiajia Yao ^*

Shanghai Yangzhi Rehabilitation Hospital, Shanghai, China

The final, formatted version of the article will be published soon.

This study aimed to evaluate the effects of a 12-week intervention combining electroacupuncture (EA) with conventional cognitive rehabilitation (CR) on cognitive recovery and brain network topological properties in stroke patients. Thirty-four post-stroke cognitive impairment (PSCI) patients were randomly assigned to either an EA+CR group or a CR-only group, with both undergoing five weekly interventions for 12 weeks. Cognitive assessments and Diffusion Tensor Imaging tests were performed pre-and post-intervention. Primary outcomes included the Montreal Cognitive Assessment (MoCA), Digit Span Test (DST), Auditory Verbal Learning Test (AVLT-H), and Aphasia Screening Scale. Secondary outcomes measured brain network global and nodal properties. The EA+CR group showed significant improvements in MoCA (p<0.001), AVLT-H (p=0.004), and in areas like naming (p=0.022), attention (p<0.001), and delayed recall (p<0.001). Local brain network metrics, such as clustering coefficients (Cp) and local efficiency (Eloc), were significantly higher (p<0.05) in the EA+CR group, though global efficiency (Eglob) was unchanged. Improvements in Eloc were positively correlated with MoCA scores (r=0.0716, p=0.018). Specific brain regions, including the medial and paracentral cingulate gyrus, inferior temporal gyrus, and left supramarginal gyrus, exhibited significant nodal property differences, suggesting that EA may enhance cognitive recovery by targeting cognitively relevant regions. These findings indicate that EA, combined with CR, is a safe and effective treatment for cognitive impairment following stroke, potentially via structural brain network improvements. assess the impact of adjuvant electroacupuncture on vascular mild cognitive impairment (VaMCI). The findings indicated that electroacupuncture significantly improved clinical outcomes in patients with VaMCI(Shen et al., 2024). A lot of basic research in recent years has confirmed that the cognitive function of middle cerebral ischemia/reperfusion(MCAO/R) rats was significantly improved after EA treatment(

Keywords: Cognition, DTI, Electroacupuncture, Stroke, Network analysis, graph theory

Received: 11 Oct 2024; Accepted: 07 Jan 2025.

Copyright: © 2025 Guo, Sun, Qiu, Li, Cui and Yao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.