Evidence map›Paper›PMID 27548054›Full record

Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2016

Evidence of a Synergistic Effect of Acupoint Combination: A Resting-State Functional Magnetic Resonance Imaging Study.

Jiping Zhang, Yu Zheng, Yanjie Wang, Shanshan Qu, Shaoqun Zhang, Chunxiao Wu, Junqi Chen, Huailiang Ouyang, Chunzhi Tang, Yong Huang

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 6% 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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Jiping Zhang1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Yu Zheng1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Yanjie Wang1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Shanshan Qu1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Shaoqun Zhang1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Chunxiao Wu1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Junqi Chen2 Department of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University , Guangzhou, China .
Huailiang Ouyang3 Department of Traditional Chinese Medicine, Zhujiang Hospital of Southern Medical University , Guangdong, China .
Chunzhi Tang4 Clinical Medical College of Acupuncture, Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine , Guangzhou, China .
Yong Huang1 School of Traditional Chinese Medicine, Southern Medical University , Guangzhou, China .
Southern Medical University · CNGuangzhou University of Chinese Medicine · CNThird Affiliated Hospital of Southern Medical University · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to find evidence of a synergistic effect of acupoint combinations by analyzing different brain regions activated after acupuncture at different acupoint combinations.

methodsA total of 57 healthy subjects were randomly distributed into three groups: LR3 plus KI3 acupoints, LR3 plus sham acupoint, or LR3 alone. They underwent a magnetic resonance imaging scan before and after acupuncture. The amplitude of low-frequency fluctuation (ALFF) and regional homogeneity (ReHo) values of different brain regions were analyzed to observe changes in brain function.

resultsALFF and ReHo produced an activated area in the cerebellum posterior lobe after acupuncture at LR3 plus KI3 acupoints versus LR3 alone. ALFF and ReHo revealed altered activity in Brodmann area 10 (BA10), BA18, and brainstem pons after acupuncture at LR3 plus sham acupoint compared with at LR3 alone. A comparison of acupuncture at LR3 plus KI3 acupoints with LR3 plus sham acupoint demonstrated an increase in BA6 of ALFF and a downregulation of ReHo.

conclusionsThe increased number of brain regions with altered brain activity after acupuncture at acupoint combinations versus a single acupoint are evidence of the synergistic effect of acupoint combinations. BA6 was significantly activated after acupuncture at LR3 plus KI3 acupoints compared with at LR3 plus sham acupoint, suggesting that BA6 is the specific region of synergistic effect of acupoint combinations of LR3 plus KI3 acupoints. Affected brain regions were different between acupuncture at LR3 plus sham acupoint and LR3 alone, which indicates that the sham acupoint may have some psychological effect. However, the specific mechanism of acupoint combinations requires further research.

Indexed as

Acupuncture PointsAdultBrainFemaleFootHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleYoung Adultacupoints combinationacupunctureMRIsynergistic effect

Identifiers

PMID27548054
PMCPMC5067799
OpenAlexW2515420462

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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.