Non-Invasive Acupuncture-Like Stimulation to Improve Sleep, Cognition, and Movement in Older Adults With Chronic Stroke

What this Trial Is About

Researchers are evaluating the effects of a non-invasive acupuncture-like method called transcutaneous electrical nerve stimulation at acupoints Acu-TENS combined with a sleep hygiene program SHP on sleep quality, motor function, cognition, and quality of life in older adults who have had a stroke and suffer from chronic insomnia. This single-blind, randomized controlled trial includes participants aged 55 to 85 years with a diagnosis of stroke lasting more than one year and self-reported poor sleep quality. The study aims to provide high-quality data on the effectiveness of Acu-TENS for treating post-stroke sleep disorders and related dysfunctions. Participants will be randomly assigned to one of two groups the treatment group receiving Acu-TENS plus SHP or the placebo group receiving sham Acu-TENS plus SHP. The Acu-TENS treatment involves placing electrodes on six bilateral acupoints on the arms and lower limbs, delivering mild electrical stimulation twice a week for six weeks, with each session lasting 30 minutes. Both groups receive the sleep hygiene program, which includes guidance on healthy sleeping habits. The placebo group uses identical devices with the electrical circuit disconnected. Throughout the study, participants will undergo assessments at baseline, mid-treatment three weeks, post-treatment six weeks, and follow-up two weeks after treatment ends. These assessments measure sleep quality using both devices and self-reported surveys, motor function through physical performance tests, cognitive function via computer-based tests, and quality of life through surveys. Safety and treatment adherence will be monitored, with careful observation of participant progress during and after the treatment period, which lasts a total of eight weeks including follow-up.

Acu-TENS to Improve the Sleep Quality in People with Stroke