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SYSTEMATIC REVIEW article
Front. Neurol.
Sec. Neurorehabilitation
Volume 15 - 2024 |
doi: 10.3389/fneur.2024.1453935
Neural effects of Acupuncture on Stroke Patients with Motor Dysfunction: An activation likelihood estimation meta-analysis
Provisionally accepted- 黑龙江中医药大学, 哈尔滨, China
Background: Functional magnetic resonance imaging has been used in many studies to explore the neural mechanism of acupuncture in patients with post-stroke motor dysfunction. Inconsistent results have been found in these studies, however. This activation likelihood estimation (ALE) meta-analysis was designed to quantitatively integrate changes in brain activity and the neurological effects of acupuncture on patients with motor dysfunction after stroke. Methods: We searched PubMed, Embase, Web of Science, the Cochrane Library, China Science and Technology Journal Database, the China Biology Medicine, the China National Knowledge Infrastructure, and Wanfang Data Knowledge Service Platform for literature from the establishment of the database until March 21, 2024. Research papers were selected, data extracted, and quality assessment was done independently by two researchers. The GingerALE software was used for meta-analysis, and Jackknife sensitivity analysis was employed to assess result robustness. Results: We ended up analyzing 14 studies that included 235 patients and 100 healthy people. ALE meta-analysis showed that Compared with healthy people, the enhanced brain region in poststroke patients with motor dysfunction was located in the left posterior lobe of the cerebellum, the left inferior frontal gyrus, and the left precuneus (P < 0.001). After acupuncture, the activated regions were mainly located in the left posterior lobe of the cerebellum, the right lentiform nucleus putamen, the right medial frontal gyrus, the right inferior frontal gyrus, the left precuneus, the right middle temporal gyrus, the left claustrum, the left cerebellar tonsil, the right superior marginal gyrus, the inactivated area is located in the right medial frontal gyrus the left precentral gyrus and the right precuneus (P < 0.001). Conclusion: Acupuncture can reestablish motor function by causing extensive changes in the brain function of patients with stroke, which may be the neurological effect of acupuncture therapy on stroke patients.
Keywords: Motor dysfunction after stroke, activation likelihood estimation, functional magnetic resonance imaging, Meta-analysis, Acupuncture
Received: 25 Jun 2024; Accepted: 30 Aug 2024.
Copyright: © 2024 Li, Wang, Zhou, Yang, Zhang, Dong, Cai and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Dongyan Wang, 黑龙江中医药大学, 哈尔滨, China
Yuan Zhang, 黑龙江中医药大学, 哈尔滨, China
Xu Dong, 黑龙江中医药大学, 哈尔滨, China
Shaojie Cai, 黑龙江中医药大学, 哈尔滨, China
Ruiting Zhang, 黑龙江中医药大学, 哈尔滨, China
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