Neuroplasticity of Acupuncture for Stroke: An Evidence-Based Review of MRI

Zhang, Jinhuan; Lu, Chunjian; Wu, Xiaoxiong; Nie, Dehui; Yu, Haibo

doi:10.1155/2021/2662585

Cited by 49 publications

(38 citation statements)

References 97 publications

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“…Most scholars believe that similar to typical asthma, on the one hand, the patient's own congenital constitution, “genetic quality,” immune status, mental state, health status, and other subjective factors, in addition to allergens, bacterial and viral infections, changes in climate, excessive exercise, occupational environment, and food and drugs, may be factors that promote the occurrence, and the pathogenesis of CVA is complex and clinically unclear, and studies have found that CVA and typical asthma have similar pathological features [ 10 ], such as the presence of specific inflammatory patterns and airway remodeling [ 12 ]. CVA patients only cough without wheezing, and there are nowadays three explanations for this phenomenon: the degree of ASR is lower in CVA compared to asthma, the wheezing threshold of CVA causing wheezing, and the coughing receptor sensitivity is also increased [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Huang

et al. 2022

Computational and Mathematical Methods in Medicine

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Aims. To observe the clinical efficacy of self-made Lifei Dingchuan decoction combined with western medicine in the treatment of cough variant asthma (phlegm-heat accumulation in the lung syndrome). Materials and Methods. The clinical data of 90 patients with cough variant asthma who were hospitalized in the Department of Respiratory Medicine of our hospital from January 2020 to April 2022 were selected as the research objects, and they were equally divided into the observation group and the reference group according to different treatment methods, 45 cases in each group. The group was treated with traditional montelukast sodium chewable tablet and salmeterol fluticasone mixed powder inhalation, and the observation group was treated with self-made Lifei Dingchuan decoction on the basis of the control group, saturation, pH, partial pressure of oxygen in arterial blood, partial pressure of carbon dioxide, length of stay, and hospitalization costs. Results. After the patients underwent self-made Lifei Dingchuan decoction, there were significant differences between the observation group and the reference group in terms of heart rate, respiratory rate, blood oxygen saturation, pH value, arterial blood oxygen partial pressure, carbon dioxide partial pressure, and within the group. There was a statistical difference ( P < 0.05 ). The adverse reactions in patients with cough variant asthma after treatment showed that the red throat, shortness of breath, chest tightness, and dry mouth in the observation group were significantly different from those in the control group ( P < 0.05 ). After investigation, follow-up, and statistics, the hospitalization time, hospitalization cost, asthma exacerbation control time, effective rate, and recurrence rate were compared between the two groups, and the differences between the two groups were statistically significant ( P < 0.05 ). Conclusion. The study on the clinical efficacy and low hospitalization cost of the self-prepared lung and asthma-restorative soup in patients with cough variant asthma significantly improved the patients’ arterial oxygen saturation, acid-base value, arterial partial pressure of oxygen, and partial pressure of carbon dioxide and effectively controlled the heart rate and respiratory rate with high safety, which is worth further promotion.

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Section: Discussionmentioning

confidence: 99%

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Huang

et al. 2022

Computational and Mathematical Methods in Medicine

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“…The decreased FC in SMN-VAN after 24 h of total SD suggested abnormal performances during cognitive tasks. Previous neuroimaging studies confirmed that acupuncture could modulate SMN in low back pain and stroke patients, which represented the effects of acupuncture on diseases ( 50 , 51 ). Thus, the enhanced FC in SMN-VAN after acupuncture could be interpreted as the treatment effects on acute SD.…”

Section: Discussionmentioning

confidence: 78%

The altered intrinsic functional connectivity after acupuncture at shenmen (HT7) in acute sleep deprivation

Ning

Zheng²,

Feng³

et al. 2022

Front. Neurol.

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IntroductionAccumulating evidence has shown that acupuncture could significantly improve the sleep quality and cognitive function of individuals suffering from insufficient sleep. Numerous animal studies have confirmed the effects and mechanisms of acupuncture on acute sleep deprivation (SD). However, the role of acupuncture on individuals after acute SD remains unclear.MethodsIn the current study, we recruited 30 healthy subjects with regular sleep. All subjects received resting-state fMRI scans during the rested wakefulness (RW) state and after 24 h of total SD. The scan after 24 h of total SD included two resting-state fMRI sessions before and after needling at Shenmen (HT7). Both edge-based and large-scale network FCs were calculated.ResultsThe edge-based results showed the suprathreshold edges with abnormal between-network FC involving all paired networks except somatosensory motor network (SMN)-SCN between the SD and RW state, while both decreased and increased between-network FC of edges involving all paired networks except frontoparietal network (FPN)-subcortical network (SCN) between before and after acupuncture at HT7. Compared with the RW state, the large-scale brain network results showed decreased between-network FC in SMN-Default Mode Network (DMN), SMN-FPN, and SMN-ventral attention network (VAN), and increased between-network FC in Dorsal Attention Network (DAN)-VAN, DAN-SMN between the RW state and after 24 h of total SD. After acupuncture at HT7, the large-scale brain network results showed decreased between-network FC in DAN-VAN and increased between-network FC in SMN-VAN.ConclusionAcupuncture could widely modulate extensive brain networks and reverse the specific between-network FC. The altered FC after acupuncture at HT7 may provide new evidence to interpret neuroimaging mechanisms of the acupuncture effect on acute SD.

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“…Acupuncture initiates nerve impulses and enhances nerve reflexes, repairs or rebuilds the swallowing reflex arc, and promotes swallowing functions [ 57 , 58 ]. Since acupuncture is extensively used in stroke rehabilitation, multiple studies have focused on interconnections between acupuncture therapy and brain functions as well as on poststroke structural plasticity [ 59 ]. For instance, one study applied functional magnetic resonance imaging (fMRI) based on graph theory analysis.…”

Section: Discussionmentioning

confidence: 99%

Manual Acupuncture or Combination of Rehabilitation Therapy to Treat Poststroke Dysphagia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Jiang

Zhang

Zhao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Backgroundand Objective. Poststroke dysphagia is one of the most common stroke complications with high morbidity and long course, while acupuncture treatment is easily accepted by patients due to its reliability, feasibility, simple operation, low price, and quick effect. Our objective was to evaluate the efficacy of manual acupuncture in poststroke dysphagia patients. Methods. Databases including Medline, Web of Science, PubMed, Cochrane Library databases, EMBASE, CNKI (China National Knowledge Infrastructure), WanFang (WanFang Database), and VIP (Chongqing VIP) were searched from inception until Aug 19, 2022. Data were analyzed using Revman 5.3, Stata 14.0, and TSA 0.9.5.10 Beta software. Evidence quality evaluation was performed by using GRADE profiler 3.6. Results. A total of 33 randomized control trials (RCTs) enrolled 2680 patients. Meta-analysis results revealed that compared to rehabilitation, acupuncture decreased water swallow test (WST) and standard swallowing assessment (SSA) scores. Meanwhile, in contrast to rehabilitation alone, integration of acupuncture with rehabilitation effectively decreased WST and SSA scores; improved swallowing scores of videofluoroscopic swallowing study (VFSS), swallowing scores of Fujishima Ichiro, Barthel index (BI), and swallowing quality of life questionnaire (SWAL-QOL); reduced the aspiration rates as well as aspiration pneumonia; and shortened the duration of empty swallowing and the duration of 5 mL water swallowing. Pooled analysis did not reveal any significant differences in dysphagia outcome severity scores (DOSS) ( p = 0.15 > 0.05 p) between the acupuncture group combined with rehabilitation group and the rehabilitation group alone. After the risk-of-bias assessment, these studies were not of low quality, except in terms of allocation concealment and blindness. Evidence quality evaluation showed that allocation concealment and blindness led to a downgrade and primary outcomes’ evaluation of acupuncture combined with rehabilitation were ranked as moderate-quality evidence while acupuncture alone was ranked as low-quality. Conclusion. This meta-analysis provided positive pieces of evidences that acupuncture and acupuncture combined with rehabilitation were better than using rehabilitation alone in the treatment of poststroke dysphagia.

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Neuroplasticity of Acupuncture for Stroke: An Evidence-Based Review of MRI

Cited by 49 publications

References 97 publications

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

The altered intrinsic functional connectivity after acupuncture at shenmen (HT7) in acute sleep deprivation

Manual Acupuncture or Combination of Rehabilitation Therapy to Treat Poststroke Dysphagia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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