Acupuncture Gb 34 For Healthy People And Patients With Hemiplegia Passive Movement With Immediate Effect The Functional Magnetic Resonance Imaging (mri) And Function Of Connection Degree Study

Objective:The research is to observe the degree of brain activation and function connection of the fingers movement of the6cases of healthy people and the6cases of patients with left limbs hetniplegia after cerebral infarction, before and after acupuncture gb34hole and false cavity.The objective of the research is to discuss the central mechanism of the acupuncture treatment on gb34hole.Methods:Firstly,the passive movement of thumb and index finger was executed.and then acupuncture the Yanglingquan or sham point,finally repeat passive finger moving.The whole operations were carried out when the patients were scaned.This study adopted the block design pattern.Using generalized linear models,repeated measures analysis of variance methods for data analysis.Result:Normal group:(1)The activity area of the passive movement on the left finger is the right precentral gyrus, the right posterior central gyrus,the right middle frontal gyrus, the right superior frontal gyrus, the right lobulus parietalis superior,the right inferior parietal lobuleand the left cerebellum.(2)The interaction effect is the right temporal lobe,the right occipital lobe.the right lobus insularis and the right cerebellum.(3)The main effect of the function connection degree is the right posterior central gyrus, the right superior temporal gyrus,the right lobus insularis, the right superior parietal lobule,the right middle frontal gyrus,the right superior frontal gyrus,the right precuneus,the right thalamus,the right posterior central gyrus,the right cingulate,the right superior frontal gyrus,the right medial frontal gyrus,the left cerebellum,the left lobus insularis,the left superior parietal lobule,the left inferior parietal lobule,the both precuneus and paracentral lobule.(4)The interaction effective of the function connection degree is the right precentral gyrus,the right middle frontal gyrus,the both posterior cingutate,the both cingutate,the both praecuneus,the both temporal lobe,the both occipital lobe,the both inferior parietal lobule and the left parahippocampal gyrus.The group of patients with hemiplegia:(1)The activity area of the passive movement on the left finger is the right precentral gyrus and posterior central gyrus.(2)The interaction effect is the left fusiform gyrus,the left parahippocampal gyrus,the left cerebellum,the left lobus insularis,the left precentral gyrus and the left frontal lobe.(3)The main effect of the function connection degree is the right precentral gyrus,the right middle frontal gyrus,the right posterior central gyrus and the right superior frontal gyrus.Conclusion:(1)Passive motion can active the brain areas which are similar with the active movement.The effect is through the deep feeling and shallow sensory stimulation which active the motor cortex.(2) The insula was linked with the sensory cortex with the passive movement.This can speculate that the insula relate to the somatosensory.(3)Acupuncture gb34can alleviate limb spasm and improve the movement coordination.this effective is by activating the premotor cortex, cerebellum and extrapyramidal.(4)Acupuncture gb34can active the default network.This effective speculate that acupuncture is effective through the default network and precuneus, cingulate and parahippocampal gyrus is the important node of the default network.(5) Acupuncture gb34can increase the attention of the affected side brain to reduce the compensation movement of the contralateral limb.The effective is beneficial to short the motor function recovery time.