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Effect and cerebral mechanism of moxibustion at heat-sensitized Yaoyangguan (GV3) in patients with lumbar disc herniation and myofascial pain syndrome by resting-state functionality magnetic resonance imaging: protocol for an observational study
Received date: 2021-12-11
Accepted date: 2022-03-22
Online published: 2023-01-10
Supported by
To Explore the Analgesic Mechanism of Brain Functional Network Regulation of moxibustion on Heat-sensitive Acupoints Based on rfMRI and MRS(20192ACB21007);Brain Functional Network Regulation and Neurobiochemical Mechanism of Heat-sensitive Moxibustion Analgesia(jxsq2019201104)
We want to explore the analgesic brain effect of the moxibustion at heat-sensitized Yaoyangguan (GV3) in patients with lumbar disc herniation (LDH) and myofascial pain syndrome (MPS). In an assessor-blinded observational study, we will include 15 LDH and 15 MPS. They will accept same treatment of heat-sensitive moxibustion at Yaoyangguan (GV3). The resting-state functionality magnetic resonance imaging image data of brain activities before and after treatment will be analyzed by mean fractional amplitude of low-frequency fluctuation, regional homogeneity analysis and brain functional connection. We select seed of first sensory cortex, second sensory cortex, insula cortex, periaqueductal gray and anterior cingulate cortex as the regions of interest to analyse the relationship between brain functional connectivity of pain-related networks and clinical data. Our study could disclose key brain targets and central response characteristics of the analgesic brain effect and the brain functional connection of heat-sensitive moxibustion.
Jun YANG , Jun XIONG , Shaozhong XU , Hongwu XIE , Jie XIANG . Effect and cerebral mechanism of moxibustion at heat-sensitized Yaoyangguan (GV3) in patients with lumbar disc herniation and myofascial pain syndrome by resting-state functionality magnetic resonance imaging: protocol for an observational study[J]. Journal of Traditional Chinese Medicine, 2023 , 43(1) : 175 -180 . DOI: 10.19852/j.cnki.jtcm.20221006.002
| 1 | Yu XC, Zhu B, Gao JH, et al. Scientific basis of dynamic process of acupoints. Zhong Yi Za Zhi 2007; 48: 971-73. |
| 2 | Zhu B. The sensitization phenomenon of acupoint and biological significances. Zhong Guo Zhen Jiu 2019; 39: 115-21. |
| 3 | Henry H. On disturbances of sensation with especial reference to the pain of visceral disease. Brain 1893; 16: 1-133. |
| 4 | Xie DY. Professor Chen Rixin's views on moxibustion sensation. Zhong Guo Zhen Jiu 2016; 36: 789-92. |
| 5 | Xu YH, Zhang ZX, Zhang XQ. Meta-analysis of therapeutic effect of heat-sensitive moxibustion on lumbar intervertebral disc herniation. Zhong Hua Zhong Yi Yao Xue Kan 2020; 38: 138-43+270. |
| 6 | Liu FS, Jin YL, Zhou FY, et al. Systematic review and Meta-analysis of heat-sensitive moxibustion for pain syndromes. Zhong Yi Lin Chuang Yan Jiu 2018; 10: 115-23. |
| 7 | Lai XS, Huang Y. A cerebral functional definition on the specificity of acupoints, needling sensation and association of acupoints based on the “acupoints-brain relation hypothesis”. Zhong Guo Zhen Jiu 2007; 10: 777-80. |
| 8 | Peyron R, Laurent B, García-Larrea L. Functional imaging of brain responses to pain: a review and Meta-analysis (2000). Neurophysiol Clin 2000; 30: 263-88. |
| 9 | Dhond RP, Kettner N, Napadow V. Neuroimaging acupuncture effects in the human brain. J Altern Complement Med 2007; 13: 603-16. |
| 10 | Mouraux A, Diukova A, Lee MC, Wise RG, Iannetti GD. A multisensory investigation of the functional significance of the "pain matrix". Neuroimage 2011; 54: 2237-49. |
| 11 | Huang W, Pach D, Napadow V, et al. Characterizing acupuncture stimuli using brain imaging with FMRI--a systematic review and Meta-analysis of the literature. PLoS One 2012; 7: e32960. |
| 12 | Caeyenberghs K, Pijnenburg M, Goossens N, Janssens L, Brumagne S. Associations between measures of structural morphometry and sensorimotor performance in individuals with nonspecific low back pain. AJNR Am J Neuroradiol 2017; 38: 183-91. |
| 13 | Zhao X, Xu M, Jorgenson K, Kong J. Neurochemical changes in patients with chronic low back pain detected by proton magnetic resonance spectroscopy: a systematic review. Neuroimage Clin 2016; 13: 33-8. |
| 14 | Zare A, Jahanshahi A, Meriaux C, Steinbusch HW, van Koeveringe GA. Glutamatergic cells in the periaqueductal gray matter mediate sensory inputs after bladder stimulation in freely moving rats. Int J Urol 2018; 25: 621-26. |
| 15 | Glover GH. Overview of functional magnetic resonance imaging. Neurosurg Clin N Am 2011; 22: 133-39. |
| 16 | Stewart JC, Dewanjee P, Shariff U, Cramer SC. Dorsal premotor activity and connectivity relate to action selection performance after stroke. Hum Brain Mapp 2016; 37: 1816-30. |
| 17 | Xiong J. A fMRI study of heat-sensitized acupoint DuBi in the patients of knee osteoarthritis. Guangzhou: Guangzhou University of Chinese Medicine, 2014: 1-137. |
| 18 | Patrzck DW, Ronald M. Pain. Shenyang: Liaoning Education Press, 2000: 2. |
| 19 | Guidelines for clinical research on the treatment of lumbar intervertebral disc herniation with New Chinese medicine (draft). Zhong Guo Zhong Yi Gu Shang Ke 1995; 52-3. |
| 20 | Friston K. Ten ironic rules for non-statistical reviewers. Neuroimage 2012; 61: 1300-10. |
| 21 | Oares JM, Magalh?es R, Moreira PS, et al. A Hitchhiker's guide to functional magnetic resonance imaging. Front Neurosci 2016; 10: 515. |
| 22 | Pei XH, Qin Y Li ZQ, Tian YX, Zhao JX. Visual analysis of common acupoints for moxibustion in the treatment of lumbar disc herniation. Zhong Yi Yao Xian Dai Hua 2018; 20: 1860-66. |
| 23 | Chen RX, Chen MM, Kang MF. Heat-sensitive moxibustion practical reader. Beijing: People's Medical Publishing House, 2009; 50-52. |
| 24 | Melzack R. The short-form McGill Pain Questionnaire. Pain 1987; 30: 191-7. |
| 25 | Clinical Outcomes Committee of the Japanese Orthopaedic Asso-ciation, Subcommittee on Evaluation of Back Pain and Cervical Myelopathy; Subcommittee on Low Back Pain and Cervical Mye-lopathy Evaluation of the Clinical Outcome Committe of the Japa-nese Orthopaedic Association, Fukui M, et al. JOA back pain eval-uation questionnaire: initial report. J Orthop Sci 2007; 12: 443-50. |
| 26 | Pei LB, Xia JJ, Yan JL. Cross-cultural adaptation, reliability and validity of the Chinese version of the fear avoidance beliefs questionnaire. J Int Med Res 2010; 38: 1985-96. |
| 27 | Song X, Dong Z, Long X, et al. REST: a toolkit for resting-state functional magnetic resonance imaging data processing. PLoS One 2011; 6: e25031. |
| 28 | Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the international association for the study of pain, subcommittee on taxonomy. Pain Suppl 1986; 3: S1-226. |
| 29 | Rice AS, Smith BH, Blyth FM. Pain and the global burden of disease. Pain 2016; 157: 791-6. |
| 30 | Alschuler KN, Theisen-Goodvich ME, Haig AJ, Geisser ME. A comparison of the relationship between depression, perceived disability, and physical performance in persons with chronic pain. Eur J Pain 2008; 12: 757-64. |
| 31 | Chen RX, Kang MF. Clinical application of acupoint thermal sensitivity. Zhong Guo Zhen Jiu 2007; 27: 199. |
| 32 | Xie HW. Heat-sensitive moxibustion therapy in DuBi acupoint with knee osteoarthritis patients functional brain imaging study. Chongqing: Chongqing Medical University, 2012: 1-46. |
| 33 | Hoptman MJ, Zuo XN, Butler PD, et al. Amplitude of low-frequency oscillations in schizophrenia: a resting state fMRI study. Schizophr Res 2010; 117: 13-20. |
| 34 | Bai L B, Qin W, Tian J, et al. Detection of dynamic brain networks modulated by acupuncture using a graph theory model. Progress in Natural Science 2009; 19: 827-35. |
| 35 | Mouraux A, Diukova A, Lee MC, Wise RG, Iannetti GD. A multisensory investigation of the functional significance of the "pain matrix". Neuroimage 2011; 54: 2237-49. |
| 36 | Moseley GL. A pain neuromatrix approach to patients with chronic pain. Man Ther 2003; 8: 130-40. |
| 37 | Chung G, Shim HG, Kim CY, et al. Persistent activity of metabotropic glutamate receptor 5 in the periaqueductal gray constrains emergence of chronic neuropathic pain. Curr Biol 2020; 30: 4631-42. |
| 38 | Fenske SJ, Bierer D, Chelimsky G, et al. Sensitivity of functional connectivity to periaqueductal gray localization, with implications for identifying disease-related changes in chronic visceral pain: a MAPP research network neuroimaging study. Neuroimage Clin 2020; 28: 102443. |
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