Exploring the mechanism of acupuncture improving cognitive functions for post-COVID-19 myalgic encephalomyelitis/chronic fatigue syndrome: study protocol of a randomized controlled trial with multimodal MRI - Report - MDSpire

Exploring the mechanism of acupuncture improving cognitive functions for post-COVID-19 myalgic encephalomyelitis/chronic fatigue syndrome: study protocol of a randomized controlled trial with multimodal MRI

  • By

  • Luo, Tingting

  • Luo, Yang

  • Huang, Liang

  • Jin, Hongjiao

  • An, Yi

  • Huang, Jingwei

  • Luo, Kun

  • Guo, Yan

  • Wang, Dan

  • Liu, Dafeng

  • Wu, Xi

  • May 15, 2026

  • 0 min

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Clinical Report: Investigating Acupuncture for Cognitive Abilities in PCME/CFS

Overview

This report outlines a randomized controlled trial designed to evaluate the efficacy of acupuncture in enhancing cognitive function in patients with post-COVID-19 myalgic encephalomyelitis/chronic fatigue syndrome (PCME/CFS). The study will also explore the underlying neural mechanisms through multimodal MRI techniques.

Background

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a significant health concern, particularly as a sequelae of COVID-19, with cognitive dysfunction being a prevalent and debilitating symptom. Current treatment options are limited, making the exploration of complementary therapies like acupuncture critical. Understanding the mechanisms by which acupuncture may improve cognitive function could lead to more effective management strategies for affected patients.

Data Highlights

MeasureDetails
Participants129 patients with PCME/CFS and 30 healthy controls
GroupsVerum acupuncture, sham acupuncture, waitlist control
Treatment DurationThree sessions per week for eight weeks
Primary MeasureChange in SDMT score from baseline to week 8
Secondary MeasuresMultiple cognitive tests and assessments including DST, TMT, RAVLT, and more

Key Findings

  • The trial will assess the efficacy of acupuncture on cognitive function in PCME/CFS patients.
  • Multimodal MRI techniques will be utilized to investigate the neural mechanisms of acupuncture.
  • Participants will be randomly assigned to one of three groups: verum acupuncture, sham acupuncture, or waitlist control.
  • Primary outcome will be measured using the Symbol Digit Modality Test (SDMT).
  • Secondary outcomes will include various cognitive assessments and measures of fatigue and sleep quality.

Clinical Implications

The findings from this trial could provide insights into the potential role of acupuncture as a therapeutic intervention for cognitive dysfunction in PCME/CFS. If effective, acupuncture may offer a new avenue for treatment in a patient population with limited options.

Conclusion

This study aims to clarify the efficacy and mechanisms of acupuncture in improving cognitive function in patients with PCME/CFS, potentially contributing to better management strategies for this condition.

Related Resources & Content

  1. The ASCO Post, 2025 -- Acupuncture May Improve Perceived Cognitive Difficulties in Breast Cancer Survivors
  2. Frontiers in Neurology, 2026 -- Advances in understanding the mitochondrial mechanisms underlying acupuncture therapy for post-stroke cognitive impairment
  3. Frontiers in Neurology, 2026 -- Effectiveness and safety of skull base-peripheral acupuncture for post-stroke cognitive impairment: a systematic review and meta-analysis of randomized controlled trials
  4. World Health Organization (WHO), 2025 -- Clinical management of COVID-19: living guideline, June 2025
  5. JAMA Neurology, 2025 -- Evaluation of Interventions for Cognitive Symptoms in Long COVID: A Randomized Clinical Trial
  6. Frontiers in Neurology — Acupuncture for post-stroke recovery: a retrospective cohort study on motor function and quality of life
  7. Clinical management of COVID-19: living guideline, June 2025 - World Health Organization (WHO)
  8. Evaluation of Interventions for Cognitive Symptoms in Long COVID: A Randomized Clinical Trial | Trials | JAMA Neurology | JAMA Network
  9. Functional connectivity changes in long-Covid patients with and without cognitive impairment - ScienceDirect

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