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Determining the Precise Cerebral Response to Acupuncture: An Improved fMRI Study
Authors:Hua Liu  Jianyang Xu  Baoci Shan  Yongzhong Li  Lin Li  Jingquan Xue  Binbin Nie
Institution:1. Institute of High Energy Physics, Chinese Academy of Sciences (CAS), Beijing, China.; 2. Graduate University of Chinese Academy of Sciences, Beijing, China.; 3. Key Laboratory of Nuclear Analysis Techniques (LNAT), CAS, Beijing, China.; 4. General Hospital of Armed Police Forces, Beijing, China.; 5. Xuanwu Hospital, Capital Medical University, Beijing, China.; University of Maryland, United States of America,
Abstract:

Background

In acupuncture brain imaging trials, there are many non-acupuncture factors confounding the neuronal mapping. The modality of the placebo, subjects’ psychological attitude to acupuncture and their physical state are the three most confounding factors.

Objective

To obtain more precise and accurate cerebral fMRI mapping of acupuncture.

Design and Setting

A 2×2 randomized, controlled, participant-blinded cross-over factorial acupuncture trial was conducted at Xuanwu Hospital in Beijing, China.

Participants

Forty-one college students with myopia were recruited to participate in our study and were allocated randomly to four groups, Group A, Group B, Group C and Group D.

Interventions

Group A received real acupuncture (RA) and treatment instruction (TI); Group B received RA and non-treatment instruction (NI); Group C received sham acupuncture (SA) and TI; Group D received SA and NI.

Results

Stimulation at LR3 activated some areas of the visual cortex, and the cerebral response to non-acupuncture factors was complex and occurred in multiple areas.

Conclusions

The results provide more evidence regarding the credibility of acupuncture therapy and suggest that more precise experimental designs are needed to eliminate sources of bias in acupuncture controlled trials and to obtain sound results.
Keywords:
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