TY -的A2 Fornaro米歇尔盟——燕Chao-Qun AU -霍Jian-Wei AU -王,徐盟——周,平盟——张Ya-Nan AU -李,金玲盟——金正日——美林盟,邵Jia-Kai AU -胡,Shang-Qing AU -王,李琼女士盟——刘Cun-Zhi PY - 2020 DA - 2020/04/25 TI -不同程度中心大脑的变化在侧或侧穴位针灸后慢性肩痛患者:一项静息状态fMRI研究SP - 5701042 VL - 2020 AB -慢性肩痛(CSP)是第三大最常见的肌肉骨骼问题。为了获得最大的治疗效果，大多数针灸师通常选择非疼痛侧的穴位，以减轻疼痛或改善肩部功能。这种方法叫做对针，也就是用右边的穴位来治疗左边的病，反之亦然。然而，与治疗相关的潜在神经机制目前尚不清楚。本研究的目的是为了确定针刺对侧和同侧在单侧CSP患者中是否观察到不同的机制。24例患者随机分为对侧针刺组(对侧针刺组)和同侧针刺组(ipsi组)。患者分别在疼痛侧和非疼痛侧接受了一次针灸治疗。在针灸治疗前后，他们都接受了功能性磁共振扫描。比较两组治疗相关的度中心性(DC)图的变化。 We found alleviated pain and improved shoulder function in both groups, but better shoulder functional improvement was observed in the contra-group. Increased DC in the anterior/paracingulate cortex and decreased DC in bilateral postcentral gyri were found in the contra-group, while decreased DC in the bilateral cerebellum and right thalamus was observed in the ipsi-group. Furthermore, the DC value in the bilateral anterior/paracingulate cortex was positively correlated with the treatment-related change in the Constant–Murley score. The current study reveals different changes of DC patterns after acupuncture at contralateral or ipsilateral ST 38 in patients with CSP. Our findings support the hypothesis of acupoint specificity and provide the evidence for acupuncturists to select acupoints for CSP. SN - 2090-5904 UR - https://doi.org/10.1155/2020/5701042 DO - 10.1155/2020/5701042 JF - Neural Plasticity PB - Hindawi KW - ER -