Evidence map›Paper›PMID 34431612›Full record

Trial reportAnatomical record (Hoboken, N.J. : 2007)2021

Scalp acupuncture enhances local brain regions functional activities and functional connections between cerebral hemispheres in acute ischemic stroke patients.

Huacong Liu, Yijing Jiang, Ningning Wang, Han Yan, Lanpin Chen, Jingchun Gao, Jiping Zhang, Shanshan Qu, Songyan Liu, Gang Liu and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Anatomical record (Hoboken, N.J. : 2007), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 7 pooled it
4.2field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 7 syntheses or guidelines pooled it, 54 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

12 authors at 5 institutions in 2 countries.

Huacong LiuSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.ORCID 0000-0002-2673-1827
Yijing JiangDepartment of Rehabilitation Medicine, Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, China.ORCID 0000-0001-6964-0418
Ningning WangThe Community Health Service Center of Houjie Town, Dongguan, China.ORCID 0000-0003-3615-1145
Han YanSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.ORCID 0000-0002-4754-3390
Lanpin ChenSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.ORCID 0000-0002-6394-1970
Jingchun GaoDepartment of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.ORCID 0000-0001-9169-7525
Jiping ZhangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.ORCID 0000-0003-2734-2126
Shanshan QuSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.ORCID 0000-0002-9967-2450
Songyan LiuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.ORCID 0000-0003-0619-2755
Gang LiuDepartment of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.ORCID 0000-0002-6426-3155
Yong HuangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.ORCID 0000-0003-2652-8586
Junqi ChenDepartment of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.ORCID 0000-0001-6847-0891
Southern Medical University · CNThird Affiliated Hospital of Southern Medical University · CNCommunity Health Center · USFujian University of Traditional Chinese Medicine · CNUnion Hospital · CN

Funding

National Natural Science Foundation of China 81403455Program for College Students' Innovation and Entrepreneurship Training of Southern Medical University in 2019 S201912121172The Second Batch of Research and Study Programs for Outstanding Clinical Talents of Traditional Chinese Medicine in Guangdong province 2017-267
6 · The paper itself

Abstract

This study aimed to explore the changes in functional connections between cerebral hemispheres and local brain regions functional activities in patients with acute ischemic stroke (AIS) treated with International Standard Scalp Acupuncture (ISSA). Thirty patients with middle cerebral artery AIS in the dominant hemisphere were selected and randomly divided into two groups such as the control group and the scalp acupuncture group, with 15 patients in each group. Patients in the control group were treated with conventional Western medicine, while patients in the scalp acupuncture group received ISSA (acupuncture at the parietal midline [MS5], acupuncture at the left anterior parietotemporal oblique line [MS6] and acupuncture at the left posterior parietotemporal oblique line [MS7]) for one course of treatment. All patients were evaluated for treatment efficacy and received whole brain resting state functional magnetic resonance imaging (Rs-fMRI) scan before and after treatment. The observational indicators included: (a) the National Institutes of Health Stroke Scale (NIHSS) scores and the simplified Fugl-Meyer Assessment (SFMA) scores; (b) analyses of the amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo) and voxel-mirrored homotopic connectivity (VMHC). The results showed a significant difference in the NIHSS scores before and after treatment in the scalp acupuncture group compared with the control group (p < .05), indicating that patients improved better after scalp acupuncture treatment. Compared with the control group, the VMHC, ALFF and ReHo values in the scalp acupuncture group increased after treatment. The VMHC values increased in the brain regions dominated by bilateral BA6 and BA8; the ALFF values increased in the left BA39 and the adjacent superior temporal gyrus and middle temporal gyrus; and the ReHo values increased in the brain regions extending from left middle temporal gyrus (including BA21) to BA37, and the brain regions extending from the left BA40 and angular gyrus to BA7. The present study indicated that scalp acupuncture can specifically strengthen the functional activities of the brain regions related to sensory integration, language processing and motor coordination in the middle aged and elderly patients with AIS of the dominant cerebral hemisphere, and can strengthen bilateral frontal lobe motor control. This study may provide a scientific basis for the clinical application of ISSA treatment in patients with AIS, and may also provide a preliminary research basis for further animal experiments.

Indexed as

Acupuncture TherapyIschemic StrokeAgedBrainBrain MappingHumansMagnetic Resonance ImagingMiddle AgedScalpTemporal Lobeacute ischemic strokeamplitude of low-frequency fluctuation (ALFF)international standard scalp acupunctureregional homogeneity (ReHo)resting state functional magnetic resonance imaging (Rs-fMRI)voxel-mirrored homotopic connectivity (VMHC)低频震荡振幅体素-镜像同伦连接国际标准头针局部一致性急性缺血性脑卒中静息态脑功能成像技术

Identifiers

PMID34431612
PMCPMC9290874
OpenAlexW3196112025

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.