Neuroimaging Somatosensory and Therapeutic Alliance Mechanisms Supporting Acupuncture.
Neuroimaging Somatosensory and Therapeutic Alliance Mechanisms Supporting Acupuncture.
复制标题
支持针灸的神经影像体感和治疗联盟机制。
DOI：
10.1089/acu.2020.1497
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发表时间：
2020
影响因子：
1.1
通讯作者：
Napadow,Vitaly
中科院分区：
文献类型：
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作者：
Napadow,Vitaly
针灸由多个组成部分组成，神经成像研究开始梳理支持这种非药物干预的潜在大脑机制。患者群体的脑成像对于针灸神经成像领域很重要，最近的研究已经将神经成像纳入临床试验框架，以提高生态有效性，以扩展结果，使其与临床实践更相关。例如，对腕管综合征患者进行的功能磁共振成像(FMRI)研究表明，皮质可塑性是支持针灸止痛的机制之一。反过来，患者-针灸医生的关系是针灸止痛的另一个重要方面，最近的超扫描功能磁共振研究已经开始探索患者和临床医生之间治疗联盟的基于大脑的机制，以及这可能如何影响针灸止痛。归根结底，在过去的几十年里，神经成像在打开了解大脑功能的窗口以更好地了解支持针灸的机制方面显示出了巨大的前景。由于针灸可能通过多种不同的作用机制发挥作用，梳理出人类针灸疗法的组成方面将是当前和未来神经成像研究的重要目标。
Acupuncture consists of multiple components, and neuroimaging studies are beginning to tease apart potential brain-based mechanisms supporting this nonpharmacologic intervention. Brain imaging in patient populations is important for the acupuncture neuroimaging field, and recent studies have incorporated neuroimaging into a clinical trial framework for improved ecological validity in extending results to be more relevant for clinical practice. For instance, functional magnetic resonance imaging (fMRI) research with patients suffering from carpal tunnel syndrome has suggested cortical plasticity as a mechanism supporting acupuncture analgesia. In turn, the patient–acupuncturist relationship is another important aspect of acupuncture analgesia, and recent hyperscan fMRI research has begun to explore brain-based mechanisms underlying therapeutic alliance between patient and clinician, and how this might impact acupuncture analgesia. Ultimately, neuroimaging has shown great promise in the past several decades in opening a window into brain function to better appreciate the mechanisms supporting acupuncture. As acupuncture likely operates via multiple distinct mechanisms of action, teasing apart the constituent aspects of acupuncture therapy in humans will be an important goal for current and future neuroimaging research studies.