https://scholars.lib.ntu.edu.tw/handle/123456789/390288
標題: | The Effects of Acupuncture on Cerebral and Muscular Microcirculation: A Systematic Review of Near-Infrared Spectroscopy Studies. | 作者: | WEI-ZEN SUN | 公開日期: | 2015 | 摘要: | Acupuncture produces physiological effects via stimulating acupoints, proximal or distal to the region of effect. Near-infrared spectroscopy (NIRS) noninvasively measures tissue-level hemodynamics in real time. We review the literature investigating the effect of acupuncture on muscular and/or cerebral microcirculation. As the basis, we queried PubMed in June 2014 for articles mentioning both acupuncture and NIRS in title/abstract. The reviewed papers investigated either cerebral (n = 11) or muscular hemodynamics (n = 5) and, based on STRICTA for reporting acupuncture methodology, were overall poor in quality. Acupuncture was found to influence regional oxygen saturation in cerebral and muscular tissue. The cortical response in healthy subjects varied across studies. For subjects with stroke or cerebrovascular dementia, findings suggest that acupuncture may modulate dysfunction in cerebral autoregulation. The muscular response to pressure techniques was more intense than that to needling or laser. Probe proximity could impact measurement sensitivity. No one study simultaneously investigated the direct and remote responses. Research utilizing NIRS to investigate the hemodynamics of acupuncture presently lacks in scope and quality. Improved designs, for example, placebo-controlled, randomized trials, and standardized intervention reporting will raise study quality. Exploiting NIRS in clinical settings, such as stroke, migraine, or other pain conditions, is worthwhile. ? 2015 Ming-Yu Lo et al. |
URI: | http://europepmc.org/abstract/med/26221180 http://scholars.lib.ntu.edu.tw/handle/123456789/390288 |
DOI: | 10.1155/2015/839470 | SDG/關鍵字: | acupuncture; autoregulation; brain microcirculation; brain tissue; cerebrovascular accident; dementia; evoked cortical response; hemodynamics; human; measurement; muscle blood flow; muscle tissue; near infrared spectroscopy; neuromuscular function; oxygen saturation; priority journal; quality control; Review; systematic review; tissue level |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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