Effect of acupuncture plus conventional treatment on brain activity in ischemic stroke patients: a regional homogeneity analysis

Wu, Ping; Zeng, Fang; Li, Yongxin; Li, Ji; Qiu, Lihua; Qin, Wei; Luo, Lei; Yin, Changhao; Xiong, Yan; Bai, Yu; Wang, Dan; Zhou, Yumei; Liang, Fanrong

doi:10.1016/s0254-6272(17)30319-9

Cited by 19 publications

(6 citation statements)

References 43 publications

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“…The quality assessment was based on Cochrane Risk of Bias Tool. Among 7 RCTs, all the studies reported the methods of random sequence generation but only three studies of two articles employed allocation concealment [ 31 , 36 ]. Only two studies reported the methods of patient blinding [ 32 , 35 ], while Zhou et al [ 34 ] admitted that it was at high risk.…”

Section: Resultsmentioning

confidence: 99%

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Effect of Acupuncture on Neuroplasticity of Stroke Patients with Motor Dysfunction: A Meta-Analysis of fMRI Studies

Pan

et al. 2021

Neural Plasticity

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Importance. Acupuncture is an effective treatment for stroke, especially in the aspect of motor deficit. Many brain imaging studies of acupuncture have found significant changes in brain function after acupuncture treatment in order to reveal its underlying mechanisms in regulating neural plasticity. However, no definite consensus has been reached. Objective. To analyze the pattern of intrinsic brain activity variability that is altered by acupuncture compared with conventional treatment in stroke patients with motor dysfunction, thus providing the mechanism of stroke treatment by acupuncture. Methods. Chinese and English articles published up to May 2020 were searched in the PubMed, Web of Science, EMBASE, and Cochrane Library databases, China National Knowledge Infrastructure, Chongqing VIP, and Wanfang Database. We only included randomized controlled trials (RCTs) using resting-state fMRI to observe the effect of acupuncture on stroke patients with motor dysfunction. R software was used to analyze the continuous variables, and Seed-based d Mapping with Permutation of Subject Images (SDM-PSI) was used to perform an analysis of fMRI data. Findings. A total of 7 studies comprising 143 patients in the treatment group and 138 in the control group were included in the meta-analysis. The results suggest that acupuncture treatment helps the healing process of motor dysfunction in stroke patients and exhibits hyperactivation in the bilateral basal ganglia and insula and hypoactivation in motor-related areas (especially bilateral BA6 and left BA4). Conclusion. Acupuncture plays a role in promoting neuroplasticity in subcortical regions that are commonly affected by stroke and cortical motor areas that may compensate for motor deficits, which may provide a possible mechanism underlying the therapeutic effect of acupuncture.

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Section: Resultsmentioning

confidence: 99%

“…272 duplicates were removed, and 883 articles were excluded after screening titles and abstracted. Of the 40 potentially relevant reports, 6 articles [31][32][33][34][35][36] and 7 studies (Chen et al [35] conducted two trials at the same time) proved eligible after full-text screening (Figure 1).…”

Section: Included Studiesmentioning

confidence: 99%

Effect of Acupuncture on Neuroplasticity of Stroke Patients with Motor Dysfunction: A Meta-Analysis of fMRI Studies

Pan

et al. 2021

Neural Plasticity

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“…As there is some research evidence 1–12,20,21,24–29 underpinning the use of acupuncture for the treatment of stroke, and given that both acupuncturists and healthcare professionals surveyed in this study had some level of enthusiasm about the use of acupuncture, further research should be carried out in different clinical environments, and patients’ views regarding acceptability and effectiveness assessed. Acupuncture may have additional benefits for patients by providing a more personalised intervention.…”

Section: Resultsmentioning

confidence: 99%

“…25 In a randomised study comparing cerebral activity in stroke patients receiving acupuncture compared with those receiving conventional treatment, using resting-state functional magnetic resonance imaging (fMRI), acupuncture elicited different brain responses and appeared to significantly improve symptoms with changes in sensory, emotional and motor areas. 26 A 2017 literature review suggested that five mechanisms may be operating in ischaemic stroke rehabilitation 27 and, as stroke patients may exhibit a cluster of symptoms, acupuncture may be a useful intervention as part of an integrated approach to care.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for stroke: perceptions and possibilities

et al. 2020

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Objective: To investigate perceptions and acceptability of, and attitudes towards, acupuncture for post-acute stroke and rehabilitation care by exploring the views of different stakeholders. Methods: Three electronic surveys were conducted to gauge the breadth of knowledge and acceptance of acupuncture in post-acute stroke and rehabilitation care among three stakeholder groups: (1) traditional acupuncturists registered with the British Acupuncture Council (BAcC); (2) National Health Service (NHS) professionals attending the 2017 UK Stroke Forum conference; and (3) the UK network of Stroke Club co-ordinators. Results: Of 278 NHS respondents, 31% were doctors. Over half (52%) of all NHS respondents reported they had insufficient knowledge about acupuncture, its effectiveness (23%) or how to refer (21%). Only 12% had previously referred stroke patients for acupuncture but 46% thought that there was role for acupuncture in post-acute stroke care (50% were unsure). Two thirds of BAcC acupuncturist respondents had treated at least one stroke patient, with 70.1% having treated 1–5 stroke patients and 71% having provided treatment in the last year, most commonly for motor impairment (88.2%). Of 99 Stroke Club coordinators who responded, only seven had ever been asked about acupuncture by patients, but most felt there would be interest. Conclusion: Interest in the provision of acupuncture for post-acute stroke care was expressed by both NHS practitioners and acupuncturists. Further research is required on the acceptability of acupuncture to patients as well as evidence of its clinical and cost effectiveness.

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“…One study found increased brain activity in the anterior insula of individuals with compassion and empathy training experience ( Klimecki et al, 2014 ). Another study described improved emotional symptoms and increased ReHo values for the anterior insula in ischemic stroke patients that received acupuncture treatment ( Ping et al, 2017 ). Meanwhile, several studies demonstrated increased left anterior insula activation in individuals experiencing the emotions of others ( Singer et al, 2004 ; Caria et al, 2010 ; Duerden et al, 2013 ; Kann et al, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Altered Spontaneous Regional Brain Activity in the Insula and Visual Areas of Professional Traditional Chinese Pingju Opera Actors

Zhang¹,

Zhao

Qin

et al. 2018

Front. Neurosci.

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Recent resting-state fMRI studies have revealed neuroplastic alterations after long-term training. However, the neuroplastic changes that occur in professional traditional Chinese Pingju opera actors remain unclear. Twenty professional traditional Chinese Pingju opera actors and 20 age-, sex-, and handedness-matched laymen were recruited. Resting-state fMRI was obtained by using an echo-planar imaging sequence, and two metrics, amplitude of low frequency fluctuation (ALFF) and regional homogeneity (ReHo), were utilized to assess spontaneous neural activity during resting state. Our results demonstrated that compared with laymen, professional traditional Chinese Pingju actors exhibited significantly decreased ALFF in the bilateral calcarine gyrus and cuneus; decreased ReHo in the bilateral superior occipital and calcarine gyri, cuneus, and right middle occipital gyrus; and increased ReHo in the left anterior insula. In addition, no significant association was found between spontaneous neural activity and Pingju opera training duration. Overall, the changes observed in spontaneous brain activity in professional traditional Chinese Pingju opera actors may indicate their superior performance of multidimensional professional skills, such as music and face perception, dancing, and emotional representation.

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Effect of acupuncture plus conventional treatment on brain activity in ischemic stroke patients: a regional homogeneity analysis

Cited by 19 publications

References 43 publications

Effect of Acupuncture on Neuroplasticity of Stroke Patients with Motor Dysfunction: A Meta-Analysis of fMRI Studies

Effect of Acupuncture on Neuroplasticity of Stroke Patients with Motor Dysfunction: A Meta-Analysis of fMRI Studies

Acupuncture for stroke: perceptions and possibilities

Altered Spontaneous Regional Brain Activity in the Insula and Visual Areas of Professional Traditional Chinese Pingju Opera Actors

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