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Not yet recruitingNCT07423715Updated Feb 20, 2026

Key Technical Research on the Treatment of Post-stroke Cognitive Impairment With Brain Electric Field Therapy Based on Acupoint Regulation

An interventional study of True Electroacupuncture and Sham Electroacupuncture in Post-Stroke Cognitive Impairment, sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University. Not yet recruiting. Open to participants aged 35 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-02-20.

Sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
35 Years to 80 Years
Sex
All
01

Study summary

This clinical study investigates whether electroacupuncture can improve thinking and memory in people with cognitive problems after a stroke (Post-Stroke Cognitive Impairment, or PSCI).

Participants will be randomly assigned to one of two groups: one group will receive real electroacupuncture, while the other will receive a sham treatment . Both groups will also receive standard medical care.The main goal is to see if the real electroacupuncture leads to greater improvement in cognitive function tests over 6 months compared to the sham treatment. The study will also use brain scans (MRI) and other assessments to understand how the treatment might work.

02

Conditions studied

  • Post-Stroke Cognitive Impairment

Keywords

  • Post-Stroke Cognitive Impairment
  • Acupoint Regulation
  • Brain Electric Field Therapy
03

In context

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University is the lead sponsor of 1,058 studies on the registry; 511 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Meets diagnostic criteria for Vascular Cognitive Impairment (VCI) per the 2024 Chinese VCI guidelines.
  2. Meets TCM diagnostic criteria per the 2024 Vascular Mild Cognitive Impairment guidelines.
  3. Cognitive scores: MMSE 12-24 and MoCA \<24; NIHSS ≤8; AD-8 \<2.
  4. Age 35-80 years.
  5. Basic communication ability (Mandarin) and has a stable caregiver.
  6. Provides written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Severe chronic systemic diseases (e.g., cardiac, hepatic, renal, hematologic) or unstable cardiovascular/cerebrovascular disease.
  2. Local skin conditions (e.g., herpes, ulceration, keloid) contraindicating acupuncture.
  3. Contraindications for repeated MRI (e.g., claustrophobia, post-aneurysm embolization).
  4. Pre-existing cognitive impairment or other major uncontrolled neurological/psychiatric disorders.
  5. Deemed unsuitable for the study by investigators.
  6. Participation in another clinical trial within the past 3 months.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
110 participants (estimated)

Study arms

  • Experimental
    True Electroacupuncture

    Procedure: True Electroacupuncture

  • Sham comparator
    Sham Electroacupuncture

    Procedure: Sham Electroacupuncture

Interventions

  • ProcedureTrue Electroacupuncture

    The true electroacupuncture group will receive electroacupuncture treatment for 7 days, once a day, each session lasting approximately 30 minutes. Acupoints include main points (e.g., bilateral forehead lines, Tianzhu BL10, Fengchi GB20) and syndrome-based points. After needle insertion and manual stimulation for deqi, true EA (100 Hz dense wave, tolerable intensity) is applied the SDZ-IIB device, connecting MS2 and BL10 on each side.

  • ProcedureSham Electroacupuncture

    The sham electroacupuncture group will receive electroacupuncture treatment for 7 days, once a day, each session lasting approximately 30 minutes.The same acupoints and needle insertion/manual stimulation are used. However, a modified SDZ-IIB device with severed leads (incapable of current output) is connected, simulating the appearance of true electroacupuncture without electrical stimulation. The treatment frequency and duration are identical to the electroacupuncture group.

06

What researchers measure

Primary outcomes

  1. Change in Mini-Mental State Examination (MMSE) Score

    The Mini-Mental State Examination (MMSE) is a standardized 30-point questionnaire used to screen for cognitive impairment. Total scores range from 0 to 30, with higher scores indicating better cognitive function.

    Time frame: baseline, 3 months and 6 months post-treatment.

  2. Change in MoCA (Montreal Cognitive Assessment) Scale Score

    The Montreal Cognitive Assessment (MoCA) is a 30-point screening tool designed to detect mild cognitive impairment. Total scores range from 0 to 30, with higher scores indicating better cognitive function.

    Time frame: baseline, 3 months and 6 months post-treatment.

  3. Change in Clinical Dementia Rating (CDR) scale Score

    The Clinical Dementia Rating (CDR) is a clinician-rated scale that assesses the severity of dementia across six domains. The global CDR score ranges from 0 (no impairment) to 3 (severe dementia), with higher scores indicating greater severity of dementia.

    Time frame: baseline, 3 months and 6 months post-treatment.

  4. Change in NTB (Neuropsychological Test Battery) Score

    The Neuropsychological Test Battery (NTB) is a composite measure designed to assess cognitive function across multiple domains. It evaluates key areas including memory (e.g., verbal/visual recall), attention, executive function, and processing speed. A composite Z-score is derived by averaging the standardized scores of the individual cognitive tests. The composite score is interpreted such that higher scores indicate better overall cognitive performance.

    Time frame: baseline, 3 months and 6 months post-treatment.

Secondary outcomes

  1. Multimodal functional Near-Infrared Spectroscopy - Electroencephalogram (fNIRS-EEG) Assessment

    Functional Near-Infrared Spectroscopy (fNIRS) and Electroencephalogram (EEG) are used to non-invasively record cerebral hemodynamic changes (blood oxygen levels and blood flow) and electrophysiological brain activity, respectively, to explore neural correlates of treatment response.

    Time frame: baseline, 3 months, and 6 month

  2. Quality of Life as assessed by the Stroke-Specific Quality of Life Scale (SS-QOL)

    The Stroke-Specific Quality of Life Scale (SS-QOL) is a patient-reported outcome measure designed to evaluate health-related quality of life specifically for stroke survivors. It assesses multiple domains relevant to life after stroke. Scores are calculated for each domain and a total score can be derived, with higher scores indicating better perceived quality of life.

    Time frame: baseline, 3 months, and 6 months.

  3. Depressive Symptoms as assessed by the Hamilton Depression Rating Scale (HRSD-24)

    The Hamilton Depression Rating Scale (HRSD-24) is a clinician-administered scale used to rate the severity of depressive symptoms. Higher total scores indicate greater severity of depression.

    Time frame: baseline, 3 months, and 6 months

  4. Traditional Chinese Medicine (TCM) Syndrome Score

    A diagnostic scale based on the TCM Diagnostic and Treatment Guidelines for Vascular Mild Cognitive Impairment (2024). It evaluates TCM symptoms, tongue, and pulse features to diagnose syndrome patterns (e.g., Kidney Deficiency with Blood Stasis). A total score ≥12 confirms the diagnosis of a specific syndrome pattern.

    Time frame: baseline, 3 months, and 6 months

  5. MRI Examination

    MRI scans are used to comprehensively assess the impact of electroacupuncture on brain structure and function.

    Time frame: baseline, 3 months, and 6 months

  6. Sleep Quality as assessed by the Pittsburgh Sleep Quality Index (PSQI)

    The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire assessing sleep quality and disturbances over a 1-month interval. The global score ranges from 0 to 21, with higher scores indicating worse sleep quality.

    Time frame: baseline, 3 months, and 6 months

  7. Independence in Activities of Daily Living as assessed by the modified Barthel Index (MBI)

    The modified Barthel Index (MBI) is an observer-rated scale used to measure a person's performance in basic activities of daily living (ADL), such as feeding, bathing, and mobility. The total score ranges from 0 to 100, with higher scores indicating greater independence.

    Time frame: Baseline, 3 months, 6 months

  8. Functional Disability as assessed by the modified Rankin Scale (mRS)

    The modified Rankin Scale (mRS) is a clinician-reported measure of global disability after a stroke. Scores range from 0 (no symptoms) to 6 (death), with higher scores indicating greater disability.

    Time frame: Baseline, 3 months, 6 months

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Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07423715
Lead sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborators
The Third Affiliated hospital of Zhejiang Chinese Medical University
Responsible party
Sponsor
First posted
Feb 20, 2026
Start date
Feb 10, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Feb 20, 2026

Study contacts

Lusha Tong, MD
Contact
2310040@zju.edu.cn
086+15868171218

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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