Parsing brain activity associated with acupuncture treatment in Parkinson's diseases
Identifieur interne : 002142 ( Main/Exploration ); précédent : 002141; suivant : 002143Parsing brain activity associated with acupuncture treatment in Parkinson's diseases
Auteurs : Younbyoung Chae [Corée du Sud] ; Hyejung Lee [Corée du Sud] ; Hackjin Kim [Corée du Sud] ; Chang-Hwan Kim [Corée du Sud] ; Dae-Il Chang [Corée du Sud] ; Kyung-Mi Kim [Corée du Sud] ; Hi-Joon Park [Corée du Sud]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-09-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Acupuncture, Acupuncture Therapy (methods), Adult, Aged, Brain (blood supply), Brain (physiopathology), Brain Mapping, Double-Blind Method, Encephalon, Female, Humans, Image Processing, Computer-Assisted (methods), Magnetic Resonance Imaging (methods), Male, Middle Aged, Nervous system diseases, Nuclear magnetic resonance imaging, Oxygen (blood), Parkinson Disease (pathology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Placebo, Psychomotor Performance (physiology), Putamen, Severity of Illness Index, Treatment, acupuncture, fMRI, placebo, putamen.
- MESH :
- chemical , blood : Oxygen.
- blood supply : Brain.
- methods : Acupuncture Therapy, Image Processing, Computer-Assisted, Magnetic Resonance Imaging.
- pathology : Parkinson Disease.
- physiology : Psychomotor Performance.
- physiopathology : Brain.
- therapy : Parkinson Disease.
- Adult, Aged, Brain Mapping, Double-Blind Method, Female, Humans, Male, Middle Aged, Severity of Illness Index.
Abstract
Acupuncture, a common treatment modality within complementary and alternative medicine, has been widely used for Parkinson's disease (PD). Using functional magnetic resonance imaging (fMRI), we explored the neural mechanisms underlying the effect of specific and genuine acupuncture treatment on the motor function in patients with PD. Three fMRI scans were performed in random order in a block design, one for verum acupuncture (VA) treatment, another one for a covert placebo (CP), and the third one for an overt placebo (OP) at the motor function implicated acupoint GB34 on the left foot of 10 patients with PD. We calculated the contrast that subtracts the blood‐oxygen‐level dependent (BOLD) response for the acupuncture effect (VA vs. CP) and the placebo effect (CP vs. OP). We found a significant improvement in the motor function of the affected hand after acupuncture treatment. The putamen and the primary motor cortex were activated when patients with PD received the acupuncture treatment (VA vs. CP) and these activations correlated with individual enhanced motor function. Expectation towards acupuncture modality (CP vs. OP) elicited activation over the anterior cingulate gyrus, the superior frontal gyrus, and the superior temporal gyrus. These findings suggest that acupuncture treatment might facilitate improvement in the motor functioning of patients with PD via the basal ganglia‐thalamocortical circuit. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22673
Affiliations:
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<term>Brain (physiopathology)</term>
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<front><div type="abstract" xml:lang="en">Acupuncture, a common treatment modality within complementary and alternative medicine, has been widely used for Parkinson's disease (PD). Using functional magnetic resonance imaging (fMRI), we explored the neural mechanisms underlying the effect of specific and genuine acupuncture treatment on the motor function in patients with PD. Three fMRI scans were performed in random order in a block design, one for verum acupuncture (VA) treatment, another one for a covert placebo (CP), and the third one for an overt placebo (OP) at the motor function implicated acupoint GB34 on the left foot of 10 patients with PD. We calculated the contrast that subtracts the blood‐oxygen‐level dependent (BOLD) response for the acupuncture effect (VA vs. CP) and the placebo effect (CP vs. OP). We found a significant improvement in the motor function of the affected hand after acupuncture treatment. The putamen and the primary motor cortex were activated when patients with PD received the acupuncture treatment (VA vs. CP) and these activations correlated with individual enhanced motor function. Expectation towards acupuncture modality (CP vs. OP) elicited activation over the anterior cingulate gyrus, the superior frontal gyrus, and the superior temporal gyrus. These findings suggest that acupuncture treatment might facilitate improvement in the motor functioning of patients with PD via the basal ganglia‐thalamocortical circuit. © 2009 Movement Disorder Society</div>
</front>
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<name sortKey="Kim, Kyung I" sort="Kim, Kyung I" uniqKey="Kim K" first="Kyung-Mi" last="Kim">Kyung-Mi Kim</name>
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