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기능적 뇌 자기공명영상을 활용한 인지장애 침 치료의 기전과 효과 연구에 대한 주제범위 문헌고찰

The Mechanisms and Therapeutic Effects of Acupuncture for Cognitive Impairment Assessed Through Functional Magnetic Resonance Imaging (fMRI): Scoping Review

임정태|강형원|오영주|탁성호
대한한방신경정신과학회 (The Korean Society Of Oriental Neuropsychiatry)|2024.12|동의신경정신과학회지 (The Korean Society of Oriental Neuropsychiatry)|제35권 제4호|pp. 479-491|DOI 10.7231/jon.2024.35.4.479

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키워드

Alzheimer’s diseaseAcupunctureFunctional magnetic resonance imaging
주제분류한의학

초록

Objectives: This study presents a scoping review of fMRI research on acupuncture for Alzheimer’s disease. It examines commonly used techniques, outcome measures, and identifies research gaps. The review aims to evaluate acupuncture treatment for cognitive impairment through fMRI, highlight methodological issues, and provide recommendations for future research. Methods: Controlled clinical trials utilizing fMRI in acupuncture treatment for human subjects were selected. A five-stage scoping review framework, based on Arksey and O’Malley’s methodology, was employed. Studies were assessed for their general characteristics, acupuncture methods, and compliance with STRICTA (Standards for Reporting Interventions in Clinical Trials of Acupuncture) guidelines. Results were systematically organized into tables for clarity and reproducibility. Results: Ninety studies were identified, with 12 meeting the inclusion criteria. Participants included patients with Alzheimer’s, those with mild cognitive impairment, and healthy controls. Cognitive impairment was assessed using tools such as the MMSE and CDR. Common acupuncture points included LR3 and LI4. Electroacupuncture was utilized in five studies, while manual acupuncture was used in seven. The STRICTA evaluation indicated consistent reporting on acupuncture type and rationale, but limited detail regarding practitioner qualifications. Conclusions: This review reveals significant limitations in fMRI-based acupuncture studies for Alzheimer’s, including insufficient treatment sessions, a lack of disease-specific acupuncture points, few randomized controlled trials, unclear participant selection criteria, and inadequate adherence to STRICTA guidelines. Addressing these gaps with robust study designs is crucial for advancing the field and enabling high-quality reviews.

Abstract

Objectives: This study presents a scoping review of fMRI research on acupuncture for Alzheimer’s disease. It examines commonly used techniques, outcome measures, and identifies research gaps. The review aims to evaluate acupuncture treatment for cognitive impairment through fMRI, highlight methodological issues, and provide recommendations for future research. Methods: Controlled clinical trials utilizing fMRI in acupuncture treatment for human subjects were selected. A five-stage scoping review framework, based on Arksey and O’Malley’s methodology, was employed. Studies were assessed for their general characteristics, acupuncture methods, and compliance with STRICTA (Standards for Reporting Interventions in Clinical Trials of Acupuncture) guidelines. Results were systematically organized into tables for clarity and reproducibility. Results: Ninety studies were identified, with 12 meeting the inclusion criteria. Participants included patients with Alzheimer’s, those with mild cognitive impairment, and healthy controls. Cognitive impairment was assessed using tools such as the MMSE and CDR. Common acupuncture points included LR3 and LI4. Electroacupuncture was utilized in five studies, while manual acupuncture was used in seven. The STRICTA evaluation indicated consistent reporting on acupuncture type and rationale, but limited detail regarding practitioner qualifications. Conclusions: This review reveals significant limitations in fMRI-based acupuncture studies for Alzheimer’s, including insufficient treatment sessions, a lack of disease-specific acupuncture points, few randomized controlled trials, unclear participant selection criteria, and inadequate adherence to STRICTA guidelines. Addressing these gaps with robust study designs is crucial for advancing the field and enabling high-quality reviews.

참고문헌 (38)

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