Evidence map›Paper›PMID 41179904›Full record

SynthesisFrontiers in medicine2025

Neuroimaging evidence for central mechanisms of acupuncture in non-specific low back pain: a systematic review and meta-analysis.

Frank Fan Huang, Jiajun Liu, Manqi Lu, Yixun Wu, Shanshan Zhen, Yihui Cai, Zhaoxue Liu, Mingwang Qiu, Wenwu Xiao, Yuxi Huang and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

13 authors.

Frank Fan Huang *Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Jiajun Liu *Tianjin Hospital, Tianjin University, Tianjin, China.
Manqi LuDepartment of Rehabilitation Medicine, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
Yixun WuThe Second School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Shanshan ZhenSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Yihui CaiDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Zhaoxue LiuDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Mingwang QiuThe Second School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Wenwu XiaoDepartment of Rehabilitation Medicine, Affiliated Renhe Hospital of China Three Gorges University, Yichang, China.
Yuxi HuangThe Fourth School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Junquan LiangShenzhen Bao'an Chinese Medicine Hospital, The Seventh Clinical Medical School of Guangzhou University of Chinese Medicine, Shenzhen, China.
Min LiFifth School of Clinic Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Zaigao LiuThe Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen & Longgang District People's Hospital of Shenzhen, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Non-specific low back pain (NSLBP) is a prevalent disorder with significant global health impacts. This systematic review and meta-analysis assessed acupuncture's clinical effectiveness for NSLBP and explored its brain mechanisms using fMRI. Methods: A comprehensive search of multiple databases (PubMed, Embase, Cochrane Library, Web of Science, Science Direct, China National Knowledge Infrastructure, Wanfang Data, Chinese Technical Periodicals Database, and Chinese Biomedical Literature Database) was conducted from inception to July 11th, 2024. We included randomized controlled trials (RCTs) or non-RCTs resting-state functional magnetic resonance imaging to observe the effect of acupuncture on NSLBP. GingerALE 3.0.2 was used as the meta-analysis tool, and meta-analysis was performed in the Montreal Neurological Institute coordinate space. Results: The review synthesized evidence from ten studies involving 358 participants. Subgroup analyses indicated that acupuncture significantly reduced pain scores compared to sham acupuncture in both acute NSLBP (WMD = -1.04, 95% CI: -1.72 to -0.36, Conclusion: Acupuncture shows significant efficacy for NSLBP, modulating pain processing through the insula and limbic system. While these results suggest therapeutic potential for both acute and chronic NSLBP, higher-quality research is needed to validate these mechanisms. Systematic review registration: Prospero registration number: CRD42022342438, URL: https://www.crd.york.ac.uk/PROSPERO/view/CRD42022342438.

Indexed as

acupuncturefunctional magnetic resonance imagingmeta-analysisnon-specific low back painsystematic reviews

Identifiers

PMID41179904
PMCPMC12575243

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.