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Effect of Auricular Acupuncture on neuroplasticity of stroke patients with motor dysfunction: A fNIRS study

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收录情况： ◇ SCIE

作者：
Zhang Jin[1,2] * ; Huang Wenhao[2] * ; Chen Zhihong[3] ; Jiang Haoxiang[2] ; Su Minzhi[2] ; Wang Cong[1,4] ;
机构： [1]Guangzhou University of Chinese Medicine, Guangzhou, China. [2]Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [3]Institute of health, Guangdong Pharmaceutical University, Guangzhou, China. [4]Center of Traditional Remedies, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, China.
出处：
DOI： 10.1016/j.neulet.2023.137398
ISSN：

关键词： Auricular Acupuncture Neuroplasticity Stroke Motor dysfunction fNIRS

摘要：
Cerebral Stroke is an acute cerebrovascular disease, a disease of brain tissue damage caused by the sudden rupture or blockage of blood vessels in the brain that prevents blood flow to the brain. Acupuncture has become a popular treatment for stroke, with auricular acupuncture providing a new idea for stroke treatment. However, the neuromodulatory mechanism of auricular acupuncture in the brain is still unclear. The aim of this study was to investigate the effect of auricular acupuncture in the treatment of upper limb dysfunction and the activation of specific brain regions in stroke patients. Forty patients with stroke hemiplegia who met the nerf criteria were included in the experiment and randomly assigned into two groups (20 patients in each group): the auricular acupuncture group and the control group. Fugl-Meyer score (FMA) assessment of upper limb motor function, motor evoked potential (MEP) measurement, and functional near-infrared brain function imaging (fNIRS) data acquisition in the primary motor M1 area of the brain at rest were performed before and after treatment, respectively. It was found that: 1) after auricular acupuncture treatment, the patients in the auricular acupuncture group showed significantly greater peak MEP and significantly higher oxyhemoglobin content in the M1 region of the brain compared with the control group, with a significant activation effect (MEP: P-value = 0.032, t= -2.22; HbO2; f= 4.225, p= 0.046); 2) in the clinical efficacy assessment, the FMA score in the auricular acupuncture group after treatment (p = 0.0122, t = 2.769). The results suggest that auricular acupuncture has an ameliorative effect on upper limb motor deficits after stroke and that activation of the M1 region of the brain may be a key node in auricular acupuncture for treating upper limb dysfunction in stroke patients, a finding that emphasizes the potential for clinical application of auricular acupuncture therapy for stroke patients with potential mechanisms influencing the outcome.Copyright © 2023. Published by Elsevier B.V.

基金：
Mechanisms of synaptic plasticity mediated by Glu/GABA balance in prefrontal cortex in electroacupuncture to improve perimenopausal depression (No. 2021A515011464) and Introduction of Overseas Experts to Conduct Research on Improvement of Synaptic Plasticity in Mice by Combining Acupuncture with Active Nano Hydrogel and Exchange and Cooperation (No. 2020A414010231).
语种：
外文
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2025]版：
大类 | 4 区 医学
小类 | 4 区 神经科学
JCR分区：
出版当年[2021]版：
Q3 NEUROSCIENCES
最新[2023]版：
Q3 NEUROSCIENCES

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]Guangzhou University of Chinese Medicine, Guangzhou, China. [2]Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
共同第一作者：
通讯作者：
通讯机构： [1]Guangzhou University of Chinese Medicine, Guangzhou, China. [4]Center of Traditional Remedies, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, China.
推荐引用方式(GB/T 7714)：
Zhang Jin,Huang Wenhao,Chen Zhihong,et al.Effect of Auricular Acupuncture on neuroplasticity of stroke patients with motor dysfunction: A fNIRS study[J].NEUROSCIENCE LETTERS.2023,812:doi:10.1016/j.neulet.2023.137398.
APA：
Zhang Jin,Huang Wenhao,Chen Zhihong,Jiang Haoxiang,Su Minzhi&Wang Cong.(2023).Effect of Auricular Acupuncture on neuroplasticity of stroke patients with motor dysfunction: A fNIRS study.NEUROSCIENCE LETTERS,812,
MLA：
Zhang Jin,et al."Effect of Auricular Acupuncture on neuroplasticity of stroke patients with motor dysfunction: A fNIRS study".NEUROSCIENCE LETTERS 812.(2023)

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