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Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease
Non-motor symptoms of Parkinson's disease (PD) have been receiving increasing attention. Approximately half of patients with PD have experience PD-related pain. We investigated the effect and mechanism of acupuncture in patients with PD who have pain. PD patients with pain were divided into acu...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817566/ https://www.ncbi.nlm.nih.gov/pubmed/31695670 http://dx.doi.org/10.3389/fneur.2019.01114 |
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author | Yu, Shao-Wen Lin, Sung-Han Tsai, Chih-Chien Chaudhuri, Kallol Ray Huang, Yu-Chieh Chen, Yu-Sheng Yeh, Bo-Yan Wu, Yih-Ru Wang, Jiun-Jie |
author_facet | Yu, Shao-Wen Lin, Sung-Han Tsai, Chih-Chien Chaudhuri, Kallol Ray Huang, Yu-Chieh Chen, Yu-Sheng Yeh, Bo-Yan Wu, Yih-Ru Wang, Jiun-Jie |
author_sort | Yu, Shao-Wen |
collection | PubMed |
description | Non-motor symptoms of Parkinson's disease (PD) have been receiving increasing attention. Approximately half of patients with PD have experience PD-related pain. We investigated the effect and mechanism of acupuncture in patients with PD who have pain. PD patients with pain were divided into acupuncture group and control group. Nine patients completed acupuncture treatment; seven patients who received only an analgesic agent underwent resting-state functional magnetic resonance imaging (rs-fMRI) twice. fMRI was performed to evaluate the functional connectivity of the brain regions. After treatment, a decrease in total scores on the King's Parkinson's Disease Pain Scale (KPPS) and Unified Parkinson's Disease Rating Scale was observed in the acupuncture group (−46.2 and −21.6%, respectively). In the acupuncture group, increased connectivity was observed in four connections, one in the left hemisphere between the middle temporal gyrus (MTG) and precentral gyrus, and three in the right hemisphere between the postcentral gyrus and precentral gyrus, supramarginal gyrus and precentral gyrus, and MTG and insular cortex. A significant correlation was noted between the changes in functional connectivity and KPPS. The involved connection was between the left middle frontal gyrus and the right precentral gyrus (R = −0.698, P = 0.037). Acupuncture could relieve pain in PD patients by modulating brain regions related to both sensory-discriminative and emotional aspects. The present study might increase the confidence of users that acupuncture is an effective and safe analgesic tool that can relieve PD-related pain. |
format | Online Article Text |
id | pubmed-6817566 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68175662019-11-06 Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease Yu, Shao-Wen Lin, Sung-Han Tsai, Chih-Chien Chaudhuri, Kallol Ray Huang, Yu-Chieh Chen, Yu-Sheng Yeh, Bo-Yan Wu, Yih-Ru Wang, Jiun-Jie Front Neurol Neurology Non-motor symptoms of Parkinson's disease (PD) have been receiving increasing attention. Approximately half of patients with PD have experience PD-related pain. We investigated the effect and mechanism of acupuncture in patients with PD who have pain. PD patients with pain were divided into acupuncture group and control group. Nine patients completed acupuncture treatment; seven patients who received only an analgesic agent underwent resting-state functional magnetic resonance imaging (rs-fMRI) twice. fMRI was performed to evaluate the functional connectivity of the brain regions. After treatment, a decrease in total scores on the King's Parkinson's Disease Pain Scale (KPPS) and Unified Parkinson's Disease Rating Scale was observed in the acupuncture group (−46.2 and −21.6%, respectively). In the acupuncture group, increased connectivity was observed in four connections, one in the left hemisphere between the middle temporal gyrus (MTG) and precentral gyrus, and three in the right hemisphere between the postcentral gyrus and precentral gyrus, supramarginal gyrus and precentral gyrus, and MTG and insular cortex. A significant correlation was noted between the changes in functional connectivity and KPPS. The involved connection was between the left middle frontal gyrus and the right precentral gyrus (R = −0.698, P = 0.037). Acupuncture could relieve pain in PD patients by modulating brain regions related to both sensory-discriminative and emotional aspects. The present study might increase the confidence of users that acupuncture is an effective and safe analgesic tool that can relieve PD-related pain. Frontiers Media S.A. 2019-10-22 /pmc/articles/PMC6817566/ /pubmed/31695670 http://dx.doi.org/10.3389/fneur.2019.01114 Text en Copyright © 2019 Yu, Lin, Tsai, Chaudhuri, Huang, Chen, Yeh, Wu and Wang. http://creativecommons.org/licenses/by/4.0/ 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) and the copyright owner(s) 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. |
spellingShingle | Neurology Yu, Shao-Wen Lin, Sung-Han Tsai, Chih-Chien Chaudhuri, Kallol Ray Huang, Yu-Chieh Chen, Yu-Sheng Yeh, Bo-Yan Wu, Yih-Ru Wang, Jiun-Jie Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease |
title | Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease |
title_full | Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease |
title_fullStr | Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease |
title_full_unstemmed | Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease |
title_short | Acupuncture Effect and Mechanism for Treating Pain in Patients With Parkinson's Disease |
title_sort | acupuncture effect and mechanism for treating pain in patients with parkinson's disease |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817566/ https://www.ncbi.nlm.nih.gov/pubmed/31695670 http://dx.doi.org/10.3389/fneur.2019.01114 |
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