Evidence map›Paper›PMID 39367391›Full record

ArticleBMC complementary medicine and therapies2024

The neural plasticity and efficacy of acupuncture for post-stroke dysphagia: protocol for a randomized controlled trial with fMRI and DTI.

Wei Liu, Wenyi Ge, Qi Zhao, Xiaonong Fan, Yibing Li, Hongbo Jia, Kangchen Lei, Songjiao Li, Li Li, Yuzheng Du and 7 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC complementary medicine and therapies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
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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

17 authors.

Wei Liu *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Wenyi Ge *Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.
Qi Zhao *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xiaonong FanFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China. fanxiaonong@163.com.
Yibing LiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Hongbo JiaFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Kangchen LeiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Songjiao LiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Li LiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yuzheng DuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jian LiuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yan ShenFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Sha YangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Shu WangTianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.
Xize JiaSchool of Psychology, Zhejiang Normal University, Jinhua, China.
Lei RenFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jihua LiuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Funding

National Key R & D Program of China No. 2018YFC1705004Tianjin Science and Technology Plan Projects 21JCZDJC00890
6 · The paper itself

Abstract

backgroundDysphagia, a common complication of acute stroke, is associated with increased mortality and morbidity. Acupuncture, a widely used swallowing therapy in China, has been suggested as an effective therapy for treating Post-Stroke Dysphagia (PSD) by recent meta-analyses and guidelines. The use of resting-state functional Magnetic Resonance Imaging (rs-fMRI) and Diffusion Tensor Imaging (DTI) could explore the change of regional spontaneous neural activity, functional relationships between brain regions, and white matter connectivity patterns after acupuncture intervention for PSD. This trial aims to evaluate the efficacy of acupuncture treatment for PSD and explore its central mechanism by neuroimaging. METHODS/

designThis randomized controlled trial will recruit 40 PSD patients. All patients will be randomized to either the Real Acupuncture (RA) or Sham Acupuncture (SA) group by a ratio of 1:1. All patients will receive immediate acupuncture treatment in the MRI scanning room, followed by four weeks of long-term acupuncture treatment. The primary outcomes are the rs-fMRI and DTI indicators, which will be evaluated after the immediate and long-term acupuncture treatment. The secondary outcomes are the scales that assess the efficacy, including the Functional Oral Intake Scale (FOIS), Water Swallowing Test (WST), Swallowing Quality Of Life Questionnaire (SWAL-QOL), and National Institute of Health Stroke Scale (NIHSS). The modified version of the Massachusetts General Hospital Acupuncture Sensation Scale (M-MASS) and fMRI sensation record table will also be evaluated. DISCUSSION: This protocol presents the design of a randomized, single-blind trial that will evaluate the efficacy and explore the neural plasticity of acupuncture treatment for PSD. This trial will deepen our insight into the clinical value of acupuncture for PSD and initially probe into the time-dosage-effect mechanism of acupuncture. TRIAL REGISTRATION NUMBERS: Chinese Clinical Trial Registry ( www.chictr.org.cn ) ChiCTR2300067480. This study was registered on 9th January 2023.

Indexed as

Acupuncture TherapyDeglutition DisordersDiffusion Tensor ImagingMagnetic Resonance ImagingNeuronal PlasticityStrokeAdultAgedFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicAcupunctureDiffusion tensor imagingDysphagiaResting-state functional magnetic resonance imaging

Identifiers

PMID39367391
PMCPMC11451215

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.