Effect of acupuncture on episodic memory for amnesia-type mild cognitive impairment: study protocol of a multicenter, randomized, controlled trial.


Journal

BMC complementary medicine and therapies
ISSN: 2662-7671
Titre abrégé: BMC Complement Med Ther
Pays: England
ID NLM: 101761232

Informations de publication

Date de publication:
28 Jul 2023
Historique:
received: 23 08 2022
accepted: 26 06 2023
medline: 31 7 2023
pubmed: 29 7 2023
entrez: 28 7 2023
Statut: epublish

Résumé

Amnesic mild cognitive impairment (aMCI) is the main subtype of mild cognitive impairment (MCI) and has the highest risk of conversion to Alzheimer's disease (AD) among all MCI subtypes. Episodic memory impairment is the early cognitive impairment of aMCI, which has become an important target for AD prevention. Previous clinical evidence has shown that acupuncture can improve the cognitive ability of MCI patients. This experiment aimed to observe the efficacy and neural mechanism of TiaoshenYizhi acupuncture on the episodic memory of patients with aMCI. In this multicenter, parallel-group, double-blind, randomized controlled trial, 360 aMCI participants will be recruited from six subcenters and randomly assigned to the acupuncture group, sham acupuncture group, and control group. The acupuncture group will receive TiaoshenYizhi (TSYZ) acupuncture, the sham acupuncture group will use streitberger sham acupuncture, and the control group will only receive free health education. Participants in the two acupuncture groups will receive real acupuncture treatment or placebo acupuncture three times per week, 24 sessions over 8 consecutive weeks. The primary outcome will be global cognitive ability. Secondary outcomes will be a specific cognitive domain, including episodic memory and execution ability, electroencephalogram, and functional magnetic resonance imaging data. Outcomes will be measured at baseline and the fourth and eighth weeks after randomization. Repeated measurement analysis of variance and a mixed linear model will be used to observe the intervention effect. The protocol will give a detailed procedure to the multicenter clinical trial to further evaluate the efficacy and neural mechanism of TiaoshenYizhi acupuncture on episodic memory in patients with aMCI. From this research, we expect to provide clinical evidence for early aMCI management. http://www.chictr.org.cn/edit.aspx?pid=142612&htm=4 , identifier: ChiCTR2100054009.

Sections du résumé

BACKGROUND BACKGROUND
Amnesic mild cognitive impairment (aMCI) is the main subtype of mild cognitive impairment (MCI) and has the highest risk of conversion to Alzheimer's disease (AD) among all MCI subtypes. Episodic memory impairment is the early cognitive impairment of aMCI, which has become an important target for AD prevention. Previous clinical evidence has shown that acupuncture can improve the cognitive ability of MCI patients. This experiment aimed to observe the efficacy and neural mechanism of TiaoshenYizhi acupuncture on the episodic memory of patients with aMCI.
METHODS METHODS
In this multicenter, parallel-group, double-blind, randomized controlled trial, 360 aMCI participants will be recruited from six subcenters and randomly assigned to the acupuncture group, sham acupuncture group, and control group. The acupuncture group will receive TiaoshenYizhi (TSYZ) acupuncture, the sham acupuncture group will use streitberger sham acupuncture, and the control group will only receive free health education. Participants in the two acupuncture groups will receive real acupuncture treatment or placebo acupuncture three times per week, 24 sessions over 8 consecutive weeks. The primary outcome will be global cognitive ability. Secondary outcomes will be a specific cognitive domain, including episodic memory and execution ability, electroencephalogram, and functional magnetic resonance imaging data. Outcomes will be measured at baseline and the fourth and eighth weeks after randomization. Repeated measurement analysis of variance and a mixed linear model will be used to observe the intervention effect.
DISCUSSION CONCLUSIONS
The protocol will give a detailed procedure to the multicenter clinical trial to further evaluate the efficacy and neural mechanism of TiaoshenYizhi acupuncture on episodic memory in patients with aMCI. From this research, we expect to provide clinical evidence for early aMCI management.
TRIAL REGISTRATION BACKGROUND
http://www.chictr.org.cn/edit.aspx?pid=142612&htm=4 , identifier: ChiCTR2100054009.

Identifiants

pubmed: 37507779
doi: 10.1186/s12906-023-04059-9
pii: 10.1186/s12906-023-04059-9
pmc: PMC10375685
doi:

Types de publication

Clinical Trial Protocol Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

268

Subventions

Organisme : National Natural Science Foundation of China
ID : 81973922
Organisme : Science, Technology and Innovation Commission of Shenzhen Municipality
ID : No.JCYJ20190809151013581

Informations de copyright

© 2023. The Author(s).

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Auteurs

Yalan Dai (Y)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.

Rui Xia (R)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Dan Wang (D)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Shuqian Li (S)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Xu Yuan (X)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Xingjie Li (X)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Jun Liu (J)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Mengyang Wang (M)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Yuxing Kuang (Y)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

Shangjie Chen (S)

Department of Rehabilitation Medicine, The People's Hospital of Baoan Shenzhen, Shenzhen, China. csjmesz@sina.com.
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China. csjmesz@sina.com.

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