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针刺刺激对左侧偏瘫中风患者静息态网络有效连接性的影响：多变量格兰杰分析

Altered effective connectivity of resting state networks by acupuncture stimulation in stroke patients with left hemiplegia: A multivariate granger analysis.

作者信息

Fu Cai-Hong, Li Kuang-Shi, Ning Yan-Zhe, Tan Zhong-Jian, Zhang Yong, Liu Hong-Wei, Han Xiao, Zou Yi-Huai

机构信息

Department of Neurology and Stroke Center, Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China Shunyi Hospital Affiliated to Beijing Hospital of Traditional Chinese Medicine Department of Emergency, Beijing GuLou Hospital of Traditional Chinese Medicine The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University Department of Radiology, Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.

出版信息

Medicine (Baltimore). 2017 Nov;96(47):e8897. doi: 10.1097/MD.0000000000008897.

DOI:10.1097/MD.0000000000008897
PMID:29382021
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5709020/
Abstract

The aim of this study was to explore the response feature of resting-state networks (RSNs) of stroke patients with left hemiplegia by acupuncture stimulation.Nineteen stroke patients with left hemiplegia and 17 controls were recruited in this study. Resting-state functional magnetic resonance imaging data before and after acupuncture were acquired using magnetic scanning. The independent component analysis (ICA) was employed to extract RSNs related to motion, sensation, cognition, and execution, including sensorimotor network (SMN), left and right frontoparietal network (LFPN and RFPN), anterior and posterior default mode network (aDMN, pDMN), visual network (VN), and salience network (SN). Granger causality method was used to explore how acupuncture stimulation affects the causality between intrinsic RSNs in stroke patients. Compared with healthy subjects, stroke patients presented the more complex effective connectivity. Before acupuncture stimulation, LFPN inputted most information from other networks while DMN outputted most information to other networks; however, the above results were reversal by acupuncture. In addition, we found aDMN reside in between SMN and LFPN after acupuncture.The finding suggested that acupuncture probably integrated the effective connectivity internetwork by modulating multiple networks and transferring information between LFPN and SMN by DMN as the relay station.

摘要

本研究旨在通过针刺刺激探讨左侧偏瘫中风患者静息态网络（RSNs）的反应特征。本研究招募了19例左侧偏瘫中风患者和17名对照者。针刺前后的静息态功能磁共振成像数据通过磁共振扫描获取。采用独立成分分析（ICA）提取与运动、感觉、认知和执行相关的RSNs，包括感觉运动网络（SMN）、左右额顶叶网络（LFPN和RFPN）、前后默认模式网络（aDMN、pDMN）、视觉网络（VN）和突显网络（SN）。采用格兰杰因果关系方法探讨针刺刺激如何影响中风患者内在RSNs之间的因果关系。与健康受试者相比，中风患者呈现出更复杂的有效连接。针刺刺激前，LFPN从其他网络输入的信息最多，而DMN向其他网络输出的信息最多；然而，针刺后上述结果发生了逆转。此外，我们发现针刺后aDMN位于SMN和LFPN之间。该发现表明，针刺可能通过调节多个网络并以DMN作为中继站在LFPN和SMN之间传递信息来整合有效连接网络间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/1cc040ec9908/medi-96-e8897-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/57f4ca7edf42/medi-96-e8897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/6312cf0b5dd8/medi-96-e8897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/d1ed263eee58/medi-96-e8897-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/1cc040ec9908/medi-96-e8897-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/57f4ca7edf42/medi-96-e8897-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/6312cf0b5dd8/medi-96-e8897-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/d1ed263eee58/medi-96-e8897-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adeb/5709020/1cc040ec9908/medi-96-e8897-g007.jpg

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[1]
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引用本文的文献

[1]
Acupuncture versus rehabilitation for post-stroke shoulder-hand syndrome: a systematic review and meta-analysis of randomized controlled trials.

Front Neurol. 2025-4-2

[2]
Acupuncture Alters Brain's Dynamic Functional Network Connectivity in Stroke Patients with Motor Dysfunction: A Randomised Controlled Neuroimaging Trial.

Neural Plast. 2023

[3]
Effectiveness on post-stroke hemiplegia in patients: electroacupuncture plus cycling electroacupuncture alone.

J Tradit Chin Med. 2023-4

[4]
Alteration of brain functional networks induced by electroacupuncture stimulation in rats with ischemia-reperfusion: An independent component analysis.

Front Neurosci. 2022-8-3

[5]
Neuroimaging Studies of Acupuncture on Low Back Pain: A Systematic Review.

Front Neurosci. 2021-9-20

[6]
Progress of Acupuncture Therapy in Diseases Based on Magnetic Resonance Image Studies: A Literature Review.

Front Hum Neurosci. 2021-8-20

[7]
Neuroplasticity of Acupuncture for Stroke: An Evidence-Based Review of MRI.

Neural Plast. 2021

[8]
Effect of 'hand and foot acupuncture with twelve needles' on hemiplegia patients with 'qi deficiency and blood stasis' syndrome in the convalescent stage of Ischaemic stroke: study protocol for a randomised controlled trial.

Trials. 2021-3-18

[9]
Neuromodulatory Effect of Sensorimotor Network Functional Connectivity of Temporal Three-Needle Therapy for Ischemic Stroke Patients with Motor Dysfunction: Study Protocol for a Randomized, Patient-Assessor Blind, Controlled, Neuroimaging Trial.

Evid Based Complement Alternat Med. 2021-1-4

[10]
The effect and biomechanical mechanisms of intradermal needle for post-stroke hemiplegia recovery: Study protocol for a randomized controlled pilot trial.

Medicine (Baltimore). 2018-4

本文引用的文献

[1]
Altered structural and functional connectivity between the bilateral primary motor cortex in unilateral subcortical stroke: A multimodal magnetic resonance imaging study.

Medicine (Baltimore). 2016-8

[2]
Altered Intrinsic Regional Activity and Interregional Functional Connectivity in Post-stroke Aphasia.

Sci Rep. 2016-4-19

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A ventral salience network in the macaque brain.

Neuroimage. 2016-2-17

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Changes of Brain Connectivity in the Primary Motor Cortex After Subcortical Stroke: A Multimodal Magnetic Resonance Imaging Study.

Medicine (Baltimore). 2016-2

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Functional versus Nonfunctional Rehabilitation in Chronic Ischemic Stroke: Evidences from a Randomized Functional MRI Study.

Neural Plast. 2016

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The plasticity of intrinsic functional connectivity patterns associated with rehabilitation intervention in chronic stroke patients.

Neuroradiology. 2016-4

[7]
Neuroplastic changes in resting-state functional connectivity after stroke rehabilitation.

Front Hum Neurosci. 2015-10-5

[8]
A Thalamic-Fronto-Parietal Structural Covariance Network Emerging in the Course of Recovery from Hand Paresis after Ischemic Stroke.

Front Neurol. 2015-10-13

[9]
Near-Critical Dynamics in Stimulus-Evoked Activity of the Human Brain and Its Relation to Spontaneous Resting-State Activity.

J Neurosci. 2015-10-14

[10]
Cognitive correlates of frontoparietal network connectivity 'at rest' in individuals with differential risk for psychotic disorder.

Eur Neuropsychopharmacol. 2015-11

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