Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Li, Boxuan; Zhao, Qi; Du, Yu; Li, Xiayu; Li, Zefang; Meng, Xiangzhao; Li, Chen; Meng, Zhihong; Chen, Junjie; Liu, Chaoda; Cao, Beidi; Chi, Shihao

doi:10.1155/2022/3740856

Cited by 2 publications

(3 citation statements)

References 75 publications

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“…Different SA points or areas from various parts of the scalp may produce different effects on rCBF, as such, the duration or intensity of acupuncture may also affect these effects. In a meta-analysis study, the effect of acupuncture was measured on the posterior circulation infarction vertigo (PCIV) that included 20 RCTs (1,541 participants) ( Li et al, 2022 ). This study showed that acupuncture improved the vertebrobasilar blood flow velocity and achieved good efficacy for patients with PCIV.…”

Section: Effects Of Scalp Acupuncture On Cerebral Blood Flowmentioning

confidence: 99%

“…Although it has been reported that needling the scalp could improve CBF even without repeatedly manipulation of the needles, for example, when the needles were inserted at Fengchi (GB20) and Dazhui (GV14) clockwise to a depth of 15–20 mm, twirled at a angle, and retained for 30 min, an improvement in CBF in ICA and MCA could be observed ( Yang et al, 2021 ), traditionally, SA usually emphasizes the need for repeated rapid rotation or lifting-thrusting of needles during treatment ( Wang, 2019 ). It was reported that when SA was used to treat patients with PCIV, a longer treatment course (sessions) and stronger stimulation (intensity) are more effective in improving vertebrobasilar blood flow velocity and clinical efficacy ( Li et al, 2022 ).…”

Section: The Relative Specificity Of Scalp Acupuncture In Regulating ...mentioning

confidence: 99%

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Neural control of cerebral blood flow: scientific basis of scalp acupuncture in treating brain diseases

Jin¹,

Jin²,

Jin

et al. 2023

Front. Neurosci.

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Scalp acupuncture (SA), as a modern acupuncture therapy in the treatment of brain diseases, especially for acute ischemic strokes, has accumulated a wealth of experience and tons of success cases, but the current hypothesized mechanisms of SA therapy still seem to lack significant scientific validity, which may not be conducive to its ultimate integration into mainstream medicine. This review explores a novel perspective about the mechanisms of SA in treating brain diseases based on its effects on cerebral blood flow (CBF). To date, abundant evidence has shown that CBF is significantly increased by stimulating specific SA points, areas or nerves innervating the scalp, which parallels the instant or long-term improvement of symptoms of brain diseases. Over time, the neural pathways that improve CBF by stimulating the trigeminal, the facial, and the cervical nerves have also been gradually revealed. In addition, the presence of the core SA points or areas frequently used for brain diseases can be rationally explained by the characteristics of nerve distribution, including nerve overlap or convergence in certain parts of the scalp. But such characteristics also suggest that the role of these SA points or areas is relatively specific and not due to a direct correspondence between the current hypothesized SA points, areas and the functional zones of the cerebral cortex. The above evidence chain indicates that the efficacy of SA in treating brain diseases, especially ischemic strokes, is mostly achieved by stimulating the scalp nerves, especially the trigeminal nerve to improve CBF. Of course, the mechanisms of SA in treating various brain diseases might be multifaceted. However, the authors believe that understanding the neural regulation of SA on CBF not only captures the main aspects of the mechanisms of SA therapy, but also facilitates the elucidation of other mechanisms, which may be of greater significance to further its clinical applications.

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Section: Effects Of Scalp Acupuncture On Cerebral Blood Flowmentioning

confidence: 99%

Section: The Relative Specificity Of Scalp Acupuncture In Regulating ...mentioning

confidence: 99%

Neural control of cerebral blood flow: scientific basis of scalp acupuncture in treating brain diseases

Jin¹,

Jin²,

Jin

et al. 2023

Front. Neurosci.

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show abstract

“…[1] In many previous clinical studies and trials, Chinese medicine has effectively treated vertigo. [9][10][11][12] Based on this evidence, we hypothesized that acupuncture might effectively treat HSC-BPPV. Here, we report the case of a 70-year-old patient diagnosed with HSC-BPPV.…”

Section: Introductionmentioning

confidence: 99%

Horizontal semicircular canal benign paroxysmal positional vertigo treated by acupuncture and moxibustion: A case report

Cai,

Zhang,

et al. 2023

Medicine

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Rationale: Horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) is a second common canal of Benign Paroxysmal Positional Vertigo (BPPV); its actual incidence may have been underestimated because of its complex pathogenesis. Although the canalith repositioning maneuver is the treatment of choice, it has a high recurrence rate, affecting some patients’ lives and psychology. We submit a case report describing acupuncture and wheat grain moxibustion treatment for HSC-BPPV. Patient concerns: A 70-year-old patient with HSC-BPPV had low acceptability of the otolith repositioning treatment strategy and reported intolerance during the procedure. He turned to acupuncture as a result of recurrent attacks of vertigo. Diagnoses: Horizontal semicircular canal benign paroxysmal positional vertigo. Interventions: The intervention project was acupuncture followed by wheat grain moxibustion treatment, administered once every 2 days, 3 times a week. The whole treatment period lasted for 2 months. Outcomes: The patient’s clinical symptoms of vertigo improved significantly after 8 weeks of acupuncture and wheat grain moxibustion treatment. The Dizziness Handicap Inventory (DHI) and Visual Vertigo Analogue Scale (VVAS) scores decreased, thus verifying that the severity of vertigo was reduced. Lessons: This brief clinical report suggests that acupuncture therapy may be a complementary option for treating HSC-BPPV.

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Cerebral Blood Flow Velocity Modulation and Clinical Efficacy of Acupuncture for Posterior Circulation Infarction Vertigo: A Systematic Review and Meta-Analysis

Cited by 2 publications

References 75 publications

Neural control of cerebral blood flow: scientific basis of scalp acupuncture in treating brain diseases

Neural control of cerebral blood flow: scientific basis of scalp acupuncture in treating brain diseases

Horizontal semicircular canal benign paroxysmal positional vertigo treated by acupuncture and moxibustion: A case report

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