Effects of Acupuncture on Motor and Corticospinal Tract Impairment after Cerebral Infarction: Using Diffusion Tensor Imaging and Tractography
10.3969/j.issn.1006-9771.2021.11.011
- VernacularTitle:针灸治疗对脑梗死后运动功能和皮质脊髓束损伤效果的神经影像学观察
- Author:
Fu-xia YANG
1
;
Dong-mei HOU
2
;
Jin-yun GAO
1
;
Mei GU
3
;
Bo-feng ZHAO
1
;
Xu-mei ZENG
1
;
Min-min ZHAN
1
;
Min-jiao XIE
1
;
Yao-qin XIE
4
Author Information
1. Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong 518033, China
2. Ji'nan People's Hospital, Ji'nan, Shandong 271100, China
3. Shenzhen People's Hospital, Shenzhen, Guangdong 518001, China
4. Shenzhen Institute of Advanced Technology, Chinese Academy of Science, Shenzhen, Guangdong 518001, China
- Publication Type:Research Article
- Keywords:
cerebral infarction;
acupuncture;
diffusion tensor imaging;
diffusion tensor tractography;
motor;
corticospinal tract
- From:
Chinese Journal of Rehabilitation Theory and Practice
2021;27(11):1312-1317
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of Tiaoren Tongdu Acupuncture on motor function and corticospinal tract (CST) remodeling after cerebral infarction. Methods:From February, 2017 to December, 2020, 54 patients with cerebral infarction were randomly divided into control group (n = 27) and acupuncture group (n = 27), each group was divided into subgroups 1, 2 and 3 according to the impairment of corticospinal tract, with nine cases for each subgroup. All the patients received routine medicine, while the acupuncture group received Tiaoren Tongdu Acupuncture, for four weeks. They were assessed with Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) before and after treatment, and scanned with diffusion tensor imaging and diffusion tensor tractography, to obtain the fractional anisotropy (FA) and the bilateral FA ratio (rFA). Results:The scores of FMA and MBI, and FA and rFA increased in both groups (t > 2.841, P < 0.05) after treatment, and increased more in the acupuncture group than in the control group (t > 2.140, P < 0.05). Conclusion:Tiaoren Tongdu Acupuncture can promote the recovery of CST to improve motor function for patients with cerebral infarction.
