Evidence map›Paper›PMID 26511911›Full record

Trial reportMolecular pain2015

The modulation effect of longitudinal acupuncture on resting state functional connectivity in knee osteoarthritis patients.

Xiaoyan Chen, Rosa B Spaeth, Sonya G Freeman, Donna Moxley Scarborough, Javeria A Hashmi, Hsiao-Ying Wey, Natalia Egorova, Mark Vangel, Jianren Mao, Ajay D Wasan and 3 more

3 registry-linked trialsOpen access · goldAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Molecular pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 53 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 5 pooled it
19.3field-weighted citation impact, top 1% of its field
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.

NCT01079390 nacompletednot on this map

An Acupuncture fMRI Study on Chronic Pain: Response Reliability and Dose Effect

TypeinterventionalSponsorMassachusetts General HospitalRan2010 to 2014Enrolled44ConditionsOsteoarthritis, KneeArmsacupuncture
NCT03354585 nacompletednot on this mapstarted 2020, after this paper: background citation

Brain Mechanisms Supporting Mindfulness-based Chronic Pain Relief

TypeinterventionalSponsorUniversity of California, San DiegoRan2020 to 2024Enrolled120ConditionsChronic Low Back PainArmsmindfulness training, non-mindfulness training, book-listening
NCT04920097 nacompletednot on this mapstarted 2021, after this paper: background citation

Auricular Point Acupressure to Manage Chemotherapy Induced Neuropathy

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2021 to 2026Enrolled238ConditionsChemotherapy-induced NeuropathyArmsIn-person training for seed placement and APA, Virtual training for seed placement and APA, Usual Care, Post-training zoom session for seed placement and APA coaching
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  14. A review of descending pain modulation in humans.Frontiers in pain research (Lausanne, Switzerland) · 2026
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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

13 authors at 4 institutions in 1 country.

Xiaoyan ChenDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. peaceinheavenhelen@gmail.com.
Rosa B SpaethDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. rosa.babbitt.spaeth@gmail.com.
Sonya G FreemanDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. sgfreeman@gmail.com.
Donna Moxley ScarboroughMass General Orthopaedics Sports Performance Center, Massachusetts General Hospital, Foxborough, MA, USA. DSCARBOROUGH@mgh.harvard.edu.
Javeria A HashmiDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. Javeria.Hashmi@dal.ca.
Hsiao-Ying WeyDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. wey@nmr.mgh.harvard.edu.
Natalia EgorovaDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. NEGOROVA2@mgh.harvard.edu.
Mark VangelMGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, 120, 2nd Ave. Suite 101, Charlestown, MA, 02129, USA. vangel@nmr.mgh.harvard.edu.
Jianren MaoDepartments of Anesthesiology, Massachusetts General Hospital, Charlestown, MA, USA. JMAO@mgh.harvard.edu.
Ajay D WasanDepartments of Anesthesiology and Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. AWASAN@partners.org.
Robert R EdwardsDepartments of Anesthesiology, Perioperative, and Pain Medicine, and Psychiatry, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. RREDWARDS@partners.org.
Randy L GollubDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. RGOLLUB@partners.org.
Jian KongDepartment of Psychiatry, Massachusetts General Hospital, Charlestown, MA, USA. kongj@nmr.mgh.harvard.edu.
Massachusetts General Hospital · USAthinoula A. Martinos Center for Biomedical Imaging · USBrigham and Women's Hospital · USUniversity of Pittsburgh · US

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
Neuromodulation of placebo and nocebo effectsR01AT008563 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2015 to 2019
$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 R01 AT008563NCCIH NIH HHS R01AT008563NCCIH NIH HHS R03AT218317NCCIH NIH HHS R21 AT004497NCCIH NIH HHS R21AT004497
6 · The paper itself

Abstract

unlabelledRecent advances in brain imaging have contributed to our understanding of the neural activity associated with acupuncture treatment. In this study, we investigated functional connectivity across longitudinal acupuncture treatments in older patients with knee osteoarthritis (OA). Over a period of 4 weeks (six treatments), we collected resting state functional magnetic resonance imaging (fMRI) scans from 30 patients before and after their first, third and sixth treatments. Clinical outcome showed a significantly greater pain subscore on the Knee Injury and Osteoarthritis Outcome Score (KOOS) (indicative of improvement) with verum acupuncture than with sham acupuncture. Independent component analysis (ICA) of the resting state fMRI data showed that the right frontoparietal network (rFPN) and the executive control network (ECN) showed enhanced functional connectivity (FC) with the rostral anterior cingulate cortex/medial prefrontal cortex, a key region in the descending pain modulatory system, in the verum groups as compared to the sham group after treatments. We also found that the rFPN connectivity with the left insula is (1) significantly associated with changes in KOOS pain score after treatments, and (2) significantly enhanced after verum acupuncture treatments as compared to sham treatment. Analysis of the acupuncture needle stimulation scan showed that compared with sham treatment, verum acupuncture activated the left operculum/insula, which also overlaps with findings observed in resting state analysis. Our results suggest that acupuncture may achieve its therapeutic effect on knee OA pain by modulating functional connectivity between the rFPN, ECN and the descending pain modulatory pathway. CLINICAL TRIAL NUMBER: NCT01079390.

Indexed as

Acupuncture TherapyAdultAgedCerebral CortexFemaleGyrus CinguliHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritis, KneePainPain MeasurementParietal LobeTreatment Outcome

Identifiers

PMID26511911
PMCPMC4625557
OpenAlexW1822627911

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.