Research Article

Neuromodulatory Effect of Sensorimotor Network Functional Connectivity of Temporal Three-Needle Therapy for Ischemic Stroke Patients with Motor Dysfunction: Study Protocol for a Randomized, Patient-Assessor Blind, Controlled, Neuroimaging Trial

Table 2

STRICTA checklist (details of intervention).

ItemsDetails

(1) Acupuncture rationale(1a) Style of acupunctureTemporal three-needle therapy based on the rationale system of the meridian acupoint theory in Chinese traditional medicine, modern neurological theory, and anatomical rationale [10, 11]
(1b) Reason for the treatment provided, based on the historical context, literature sources, and/or consensus methods, with references where appropriateAcupoints to be used in this study were temporal three-needle located at the projection area of the sensory area and the motor area on the temporal ear [11]. Based on many previous studies, temporal three-needle therapy is widely used for stroke treatment in China [11, 1418]
(1c) Extent to which treatment was variedOnly the experimental group will receive temporal three-needle therapy

(2) Details of needling(2a) Number of needle insertions per subject per session3
(2b) Names of points usedTemporal three-needle
(2c) Depth of insertion, based on a specified unit of measurement0.5 inches deep
(2d) Response sought“De Qi” sensation
(2e) Needle stimulationManual operation
(2f) Needle retention time30 minutes
(2g) Needle typeSterilized stainless-steel needle measuring 0.30 × 25 mm (Huanqiu, Suzhou Acupuncture & Moxibustion Appliance Co., Ltd, Jiangsu Province, China)

(3) Treatment regimen(3a) Numbers of treatment sessions10 sessions (2 consecutive weeks)
(3b) Frequency and duration of treatment sessions30 minutes per day, 5 days per week

(4) Other components of treatment(4a) Details of other interventions administered to the acupuncture groupAll patients will receive basic drugs treatment and conventional rehabilitative treatments (including PT and OT)
(4b) Setting and context of treatment, including instructions to practitioners and information and explanations to patientsThe study will be conducted in Shenzhen Nanshan district People’s Hospital, and all information will be provided to the patients

(5) Practitioner background(5) Description of participating acupuncturistsAcupuncturists after completing 5 years of Chinese medicine undergraduate course with more than 10 years of clinical experience will perform the temporal three-needle interventions

(6) Control or comparator interventions(6a) Rationale for the control or comparator in the context of the research question, with sources that justify this choiceMS6 will be selected as the comparator in the control group based on traditional Chinese medicine theory
(6b) Precise description of the control or comparator; if sham acupuncture or any other types of acupuncture-like control is used, provide details as for items 1 to 3 aboveBased on previous studies [19, 22], MS6 will be mainly selected as the comparator for temporal three-needle therapy in motor dysfunction with stroke patients; in addition to the basic drug treatments and conventional rehabilitative treatment, only the control group will receive MS6 therapy; item 2 (details of needling) and item 3 (treatment regimen) are the same as the experimental group