Evidence map›Paper›PMID 25258037›Full record

Trial reportScientific reports2014

Acupuncture modulates cortical thickness and functional connectivity in knee osteoarthritis patients.

Xiaoyan Chen, Rosa B Spaeth, Kallirroi Retzepi, Daniel Ott, Jian Kong

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xiaoyan ChenDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA.
Rosa B SpaethDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA.
Kallirroi RetzepiDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA.
Daniel OttDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA.
Jian KongDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA.

Funding

The Role of Context Effect in Acupuncture Treatment of Low Back/J.KongP01AT006663 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, ROSEN, BRUCE R · 2011 to 2017
$10.0M
An fMRI study of expectancy on acupuncture treatment outcomes in knee OAR01AT005280 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, KAPTCHUK, TED · 2010 to 2014
$3.9M
The Neurobiology of Placebo and Nocebo Effects: A Brain Imaging StudyR01AT006364 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2011 to 2015
$3.6M
An acupuncture fMRI study on chronic pain: response reliability and dose effectR21AT004497 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2009 to 2010
$741k
NCCIH NIH HHS P01 AT006663NCCIH NIH HHS R01 AT005280NCCIH NIH HHS R01AT005280NCCIH NIH HHS R01 AT006364NCCIH NIH HHS R01AT006364NCCIH NIH HHS R03AT218317NCCIH NIH HHS R21 AT004497NCCIH NIH HHS R21AT004497
6 · The paper itself

Abstract

In this study, we investigated cortical thickness and functional connectivity across longitudinal acupuncture treatments in patients with knee osteoarthritis (OA). Over a period of four weeks (six treatments), we collected resting state functional magnetic resonance imaging (fMRI) scans from 30 patients before their first, third and sixth treatments. Clinical outcome showed a significantly greater Knee Injury and Osteoarthritis Outcome Score (KOOS) pain score (improvement) with verum acupuncture compared to the sham acupuncture. Longitudinal cortical thickness analysis showed that the cortical thickness at left posterior medial prefrontal cortex (pMPFC) decreased significantly in the sham group across treatment sessions as compared with verum group. Resting state functional connectivity (rsFC) analysis using the left pMPFC as a seed showed that after longitudinal treatments, the rsFC between the left pMPFC and the rostral anterior cingulate cortex (rACC), medial frontal pole (mFP) and periaquiduct grey (PAG) are significantly greater in the verum acupuncture group as compared with the sham group. Our results suggest that acupuncture may achieve its therapeutic effect on knee OA pain by preventing cortical thinning and decreases in functional connectivity in major pain related areas, therefore modulating pain in the descending pain modulatory pathway.

Indexed as

Acupuncture TherapyMagnetic Resonance ImagingAdultAgedFemaleHumansMaleMiddle AgedOsteoarthritis, KneeRadiography

Identifiers

PMID25258037
PMCPMC4175730

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.