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Article: Acupuncture of motor-implicated acupoints on subacute stroke patients: An fMRI evaluation study

TitleAcupuncture of motor-implicated acupoints on subacute stroke patients: An fMRI evaluation study
Authors
KeywordsAcupuncture
FMRI
Motor Recovery
Subacute Stroke
Issue Date2009
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/publication.aspx?pub_id=233
Citation
Medical Acupuncture, 2009, v. 21 n. 4, p. 233-241 How to Cite?
AbstractBackground: Motor impairment is common after stroke. Along with classic integrated physical and occupational therapy, acupuncture is also suggested as an adjunctive therapy. Objective: To evaluate the effectiveness of acupuncture on upper limb motor recovery of patients with subacute stroke. Design, Setting, and Patients: Eighteen subacute stroke patients, transferred from a regional acute hospital to a convalescent hospital for rehabilitation in Hong Kong, from March 2005 to November 2007. Two clinical and behavioral evaluations for motor function were given to each participant along with 2 functional magnetic resonance imaging (fMRI) scans. Intervention: Patients were treated with acupuncture 3 times a week over 8 weeks. The intervention set of 3 acupoints is known to influence the motor system, while a second control set does not. Physical and occupational therapy were also used as treatment (parallel to the interventions with acupuncture). Main Outcome Measures: The primary outcome measure was fMRI, and the secondary measures were clinical and behavioral parameters, concentrating on motor function and disability using reliable and validated scales. Results: Data on hand grip demonstrated reappearance of brain activations in the motor-related areas of the lesioned hemisphere in both groups after intervention. As with clinical and behavioral evaluations, the fMRI data on hand grip demonstrated no statistically significant differences between the groups. Conclusions: These preliminary results suggest that acupuncture may be beneficial to motor recovery in subacute stroke patients. However, the application of control acupuncture points did not result in a different recovery. The supplemental effect of acupuncture to physical and occupational therapy needs to be explored in further studies. © Copyright 2009, Mary Ann Liebert, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/66428
ISSN
2015 SCImago Journal Rankings: 0.188
References

 

DC FieldValueLanguage
dc.contributor.authorChau, ACMen_HK
dc.contributor.authorCheung, RTFen_HK
dc.contributor.authorJiang, Xen_HK
dc.contributor.authorAuYeung, Pen_HK
dc.contributor.authorLi, LSWen_HK
dc.date.accessioned2010-09-06T05:46:16Z-
dc.date.available2010-09-06T05:46:16Z-
dc.date.issued2009en_HK
dc.identifier.citationMedical Acupuncture, 2009, v. 21 n. 4, p. 233-241en_HK
dc.identifier.issn1933-6586en_HK
dc.identifier.urihttp://hdl.handle.net/10722/66428-
dc.description.abstractBackground: Motor impairment is common after stroke. Along with classic integrated physical and occupational therapy, acupuncture is also suggested as an adjunctive therapy. Objective: To evaluate the effectiveness of acupuncture on upper limb motor recovery of patients with subacute stroke. Design, Setting, and Patients: Eighteen subacute stroke patients, transferred from a regional acute hospital to a convalescent hospital for rehabilitation in Hong Kong, from March 2005 to November 2007. Two clinical and behavioral evaluations for motor function were given to each participant along with 2 functional magnetic resonance imaging (fMRI) scans. Intervention: Patients were treated with acupuncture 3 times a week over 8 weeks. The intervention set of 3 acupoints is known to influence the motor system, while a second control set does not. Physical and occupational therapy were also used as treatment (parallel to the interventions with acupuncture). Main Outcome Measures: The primary outcome measure was fMRI, and the secondary measures were clinical and behavioral parameters, concentrating on motor function and disability using reliable and validated scales. Results: Data on hand grip demonstrated reappearance of brain activations in the motor-related areas of the lesioned hemisphere in both groups after intervention. As with clinical and behavioral evaluations, the fMRI data on hand grip demonstrated no statistically significant differences between the groups. Conclusions: These preliminary results suggest that acupuncture may be beneficial to motor recovery in subacute stroke patients. However, the application of control acupuncture points did not result in a different recovery. The supplemental effect of acupuncture to physical and occupational therapy needs to be explored in further studies. © Copyright 2009, Mary Ann Liebert, Inc.en_HK
dc.languageengen_HK
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/publication.aspx?pub_id=233en_HK
dc.relation.ispartofMedical Acupunctureen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThis is a copy of an article published in the [Medical Acupuncture] © [2009] [copyright Mary Ann Liebert, Inc.]; [Medical Acupuncture] is available online at: http://www.liebertonline.com.-
dc.subjectAcupunctureen_HK
dc.subjectFMRIen_HK
dc.subjectMotor Recoveryen_HK
dc.subjectSubacute Strokeen_HK
dc.titleAcupuncture of motor-implicated acupoints on subacute stroke patients: An fMRI evaluation studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1933-6586&volume=21&issue=4&spage=233&epage=241&date=2009&atitle=Acupuncture+of+motor-implicated+acupoints+on+subacute+stroke+patients:+an+fMRI+evaluation+studyen_HK
dc.identifier.emailChau, ACM:ansonc@hkucc.hku.hken_HK
dc.identifier.emailCheung, RTF:rtcheung@hku.hken_HK
dc.identifier.authorityChau, ACM=rp00044en_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1089/acu.2009.0709en_HK
dc.identifier.scopuseid_2-s2.0-77953419945en_HK
dc.identifier.hkuros168200en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77953419945&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issue4en_HK
dc.identifier.spage233en_HK
dc.identifier.epage241en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChau, ACM=9633648600en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK
dc.identifier.scopusauthoridJiang, X=36097997500en_HK
dc.identifier.scopusauthoridAuYeung, P=6602956911en_HK
dc.identifier.scopusauthoridLi, LSW=7501450364en_HK

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