Journal Article

Effect of acupuncture for constipation after ischemic stroke: study protocol for a randomized controlled trial

Wang, Linpeng, Sun, Jingqing, Du, Xin, Hong, Qiuyang, Li, Bin, Liu, Cunzhi, Wang, Guiling, Hu, Junxia, Guo, Jing, Zhang, Tao

2018

Overview

Background Constipation is a common complication after stroke that can severely influence a patient’s quality of life and rehabilitation. Treatments for constipation after stroke vary. Acupuncture may improve spontaneous bowel movements, quality of life, and clinical symptoms. The study seeks to assess the preliminary effects of acupuncture on constipation after an ischemic stroke. Methods/design This is a prospective randomized controlled pilot trial design in which 120 eligible patients will be randomly allocated to one of three groups. The acupuncture group ( n  = 40) will receive acupuncture and routine care, the medication group ( n  = 40) will receive mosapride citrate and routine care, and the control group ( n  = 40) will receive only routine care for ischemic stroke. Patients will be recruited 2 weeks to 6 months after stroke onset and will receive the intervention continuously over 4 weeks, with a follow-up period of 4 additional weeks. Adverse events will be recorded to assess the safety and tolerability of acupuncture for constipation after an ischemic stroke. The primary outcome will be the change in the weekly mean number of complete spontaneous bowel movements. Secondary outcomes will include any change in the weekly mean number of spontaneous bowel movements, mean stool consistency scores, mean straining scores during defecation, and frequency of laxative use. All outcome measures will be assessed at inception, after the intervention (4 weeks), and at the follow-up (8 weeks). Discussion This study will provide evidence of the preliminary effects and inform future sample size calculations for studies of acupuncture for constipation following an ischemic stroke. These findings will inform subsequent large-scale randomized controlled trials. Trial registration ISRCTN, 22214747 . Registered on 17 August 2015.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Acupuncture / Acupuncture Therapy / Adult / Aged / Anticoagulants / Biomedicine / Brain Ischemia - complications / Brain Ischemia - diagnosis / Brain Ischemia - physiopathology / Care and treatment / China / Clinical trials / Consent / Constipation / Constipation - diagnosis / Constipation - etiology / Constipation - physiopathology / Constipation - therapy / Defecation / Development and progression / Drug dosages / Female / Gastrointestinal Motility / Glasgow Coma Scale / Health Sciences / Hospitals / Humans / Intervention / Ischemic stroke / Laxatives / Male / Medicine / Medicine & Public Health / Methods / Middle Aged / Patient outcomes / Patients / Pilot Projects / Prospective Studies / Quality of Life / Recovery of Function / Research Design / Statistics for Life Sciences / Stroke / Stroke - complications / Stroke - diagnosis / Stroke - physiopathology / Study Protocol / Time Factors / Traditional Chinese medicine / Treatment Outcome