Evidence map›Paper›PMID 29176684›Full record

Trial reportScientific reports2017

Acupuncture analgesia involves modulation of pain-induced gamma oscillations and cortical network connectivity.

Michael Hauck, Sven Schröder, Gesa Meyer-Hamme, Jürgen Lorenz, Sunja Friedrichs, Guido Nolte, Christian Gerloff, Andreas K Engel

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  10. Article
  11. C-Fiber Loss as a Possible Cause of Neuropathic Pain in Schwannomatosis.International journal of molecular sciences · 2020
    Article
  12. Article
  13. Review
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

8 authors.

Michael HauckDepartment of Neurophysiology and Pathophysiology, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Sven SchröderHanseMerkur Center for Traditional Chinese Medicine at the University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany. schroeder@tcm-am-uke.de.
Gesa Meyer-HammeHanseMerkur Center for Traditional Chinese Medicine at the University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Jürgen LorenzFaculty of Life Science, Laboratory of Human Biology and Physiology, Applied Science University, 21033, Hamburg, Germany.
Sunja FriedrichsDepartment of Neurophysiology and Pathophysiology, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Guido NolteDepartment of Neurophysiology and Pathophysiology, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Christian GerloffDepartment of Neurology, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Andreas K EngelDepartment of Neurophysiology and Pathophysiology, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies support the view that cortical sensory, limbic and executive networks and the autonomic nervous system might interact in distinct manners under the influence of acupuncture to modulate pain. We performed a double-blind crossover design study to investigate subjective ratings, EEG and ECG following experimental laser pain under the influence of sham and verum acupuncture in 26 healthy volunteers. We analyzed neuronal oscillations and inter-regional coherence in the gamma band of 128-channel-EEG recordings as well as heart rate variability (HRV) on two experimental days. Pain ratings and pain-induced gamma oscillations together with vagally-mediated power in the high-frequency bandwidth (vmHF) of HRV decreased significantly stronger during verum than sham acupuncture. Gamma oscillations were localized in the prefrontal cortex (PFC), mid-cingulate cortex (MCC), primary somatosensory cortex and insula. Reductions of pain ratings and vmHF-power were significantly correlated with increase of connectivity between the insula and MCC. In contrast, connectivity between left and right PFC and between PFC and insula correlated positively with vmHF-power without a relationship to acupuncture analgesia. Overall, these findings highlight the influence of the insula in integrating activity in limbic-saliency networks with vagally mediated homeostatic control to mediate antinociception under the influence of acupuncture.

Indexed as

Acupuncture AnalgesiaAdultAnalysis of VarianceCerebral CortexDouble-Blind MethodElectrocardiographyElectroencephalographyFemaleGyrus CinguliHealthy VolunteersHeart RateHumansMalePainPrefrontal CortexSomatosensory Cortex

Identifiers

PMID29176684
PMCPMC5701238

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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.