An interventional study of electroacupuncture in Neuromyelitis Optica Spectrum Disorders and Pain, sponsored by Yuanqi Zhao,MD. Completed at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-05-23.
Sponsored by Yuanqi Zhao,MD · Not applicable, Interventional, and Treatment
Abstract Background Neuropathic pain is a common complication in neuromyelitis optica spectrum disorder (NMOSD), which seriously affects the quality of life of NMOSD patients, with no satisfactory treatment. Through the previous literature study and clinical observation, we found that acupuncture has good curative effect in the treatment of pain, especially electric acupuncture, but thestudies on acupuncture intervention in pain of NMOSD are still scare.
Objective To evaluate the clinical efficacy of electroacupuncture on NMOSD patients with pain.
Materials and Methods In this exploratory randomized controlled study, NMOSD patients with pain were recruited from March 21, 2022 to February 21, 2023. Patients meeting the inclusion and exclusion criteria were randomly assigned to the electroacupuncture group (experimental group) and the sham electroacupuncture group (control group) by simple random method (envelope method) according to the inclusion order. Totally, there are 20 patients enrolled.
The experimental group received electroacupuncture therapy and the control group received sham electroacupuncture therapy. A total of 8 sessions were given twice a week for 30 minutes each. On the baseline, demographic information, medication history, specimens of routine blood, blood biochemistry, liver function, IL - 6, TNF-α were collected, the brain, cervical and thoracic MRI were perfected and collected, patients filled in the SF - MPQ, NRS, SF - 36, SAS, SDS, EDSS. After the treatment, specimens of routine blood, blood biochemistry, liver function, IL - 6, TNF-α were collected again, patients filled in the SF - MPQ, NRS, SF - 36, SAS, SD, EDSS. The main outcome indicators were SF-MPQ, and the secondary outcome indicators were EDSS, NRS, SAS, SDS, SF-36, IL-6, and TNF-α.
Conclusion This is the first exploratory randomized controlled study to evaluate the efficacy of electroacupuncture on pain in patients with NMOSD. The study will provide clincial evidence of the practice of electroacupuncture on NMOSD with pain.
Key Words neuromyelitis optica spectrum disorders; pain; electroacupuncture
162 studies on the registry are indexed under Neuromyelitis Optica; 72 are open to participants now.
This study's enrollment of 20 is below the median of 25 across 97 interventional studies indexed under Neuromyelitis Optica.
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Exclusion Criteria:
electroacupuncture were inserted into bilateral Zusanli (ST36), Sanyinjiao (SP6), Hegu (LI4) and Quchi (LI11), and Yintang (EX-HN3). Electroacupuncture parameters selected the sparse wave, the frequency was 4 Hz, the stimulation intensity was tolerated by the patient.
Behavioral: electroacupuncture
According to the previous trial,\[19\] sham acupoints were 1cm away from the level of the acupoints used in the EA group, which avoided the area corresponding to any of the 14 meridians of TCM. The insertion of the needle was shallower (less than 0.2cm) and had similar pain to that of normal needle insertion. The stimulation intensity was 0mA. However, the model of electroacupuncture, the frequency, and duration of treatment in the SEA group were identical in the TA group.
Behavioral: electroacupuncture
electroacupuncture were inserted into bilateral Zusanli (ST36), Sanyinjiao (SP6), Hegu (LI4) and Quchi (LI11), and Yintang (EX-HN3). Electroacupuncture parameters selected the sparse wave, the frequency was 4 Hz, the stimulation intensity was tolerated by the patient.
Short-Form of McGill Pain Questionnaire(SF - MPQ)
higher scores mean a worse outcome.
Time frame: on the baseline
Short-Form of McGill Pain Questionnaire(SF - MPQ)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
Expanded Disability Status Scale(EDSS)
higher scores mean a worse outcome.
Time frame: on the baseline
Expanded Disability Status Scale(EDSS)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
numerical rating scale(NRS)
higher scores mean a worse outcome.
Time frame: on the baseline
numerical rating scale(NRS)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
Self-Rating Anxiety Scale (SAS)
higher scores mean a worse outcome.
Time frame: on the baseline
Self-Rating Anxiety Scale (SAS)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
Self-rating Depression Scale (SDS)
higher scores mean a worse outcome.
Time frame: on the baseline
Self-rating Depression Scale (SDS)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
36-item Short-Form (SF-36)
higher scores mean a better outcome.
Time frame: on the baseline
36-item Short-Form (SF-36)
higher scores mean a better outcome.
Time frame: through study completion, an average of 1 month
Interleukin-6 (IL-6)
higher scores mean a worse outcome.
Time frame: on the baseline
Interleukin-6 (IL-6)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
tumor necrosis factor-α (TNF-α)
higher scores mean a worse outcome.
Time frame: on the baseline
tumor necrosis factor-α (TNF-α)
higher scores mean a worse outcome.
Time frame: through study completion, an average of 1 month
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