(A) Comparison of main interventions |
(a) MA versus EA |
MA increased DMN connectivity and EA showed DMN deactivation [58] |
|
(B) Verum versus sham |
EA versus sham |
|
(a) Streitberger needling |
EA increased functional connectivity of PAG [60] |
(b) Patch/tape |
No difference of AEP after EA or sham [31] |
Decrease of late SEP amplitude after EA [32] |
MA versus sham |
|
(a) Painful tactile stimulation |
More areas activated by MA (ST36 > LI11) than painful stimulus [46] |
(b) Blunt overt sham |
More activation by (1st > 2nd) MA than blunt overt sham [56] |
(c) Von Frey filament |
More areas activated after MA than von Frey filaments + delayed, sustained in/decreases after MA [54] |
Stronger ANS responses (HR, skin conductance resistance) and DMN changes after ST36 and SP9 than sham [55] |
(d) Streitberger needling |
More areas with PET opioid agonist binding decrease after MA than Streitberger needle [35] |
MA influences qEEG power bands changes in linear relation with HRV changes [42] |
Verum versus combined sham |
|
(a) EA |
Correlation of SEP F-waves with increasing EA stimulation [30] |
(b) MA |
BIS decrease for acupressure, laser and pressure at NAP, not MA [41] |
More areas activated for MA in comparison with blunt and MA in comparison with Streitberger [36] |
|
(C) Point specificity |
GB37 versus NAP |
|
MA |
Different temporal activities for GB37, BL60 and NAP [47] |
ICA but not GLM showed more affected areas by GB37 than NAP [49] |
Wider spatial distribution, long-lasting responses for GB37 than NAP [53] |
LI4 versus NAP |
|
(a) MA |
More rCBF activation for LI4 (with deqi > without) than NAP [17] |
CBF decreases in more areas for LI4 than NAP [37] |
(b) EA |
Correlation of SEP F-waves with increasing EA stimulation [30] |
No difference in SEP for LI4 and NAP [33] |
LI4 but not NAP produced later latency SEP and attenuation of n. medianus amplitude [34] |
ST36 versus NAP |
|
MA |
Wider and sustained activation effects after ST36 than NAP [44] |
Higher network efficiency after ST36 than NAP [45] |
Different network correlations after ST36 and NAP [48] |
Manipulation-related and longer-lasting effects for ST36 than NAP [50] |
Immediate activation of larger areas and sustained, stronger functional connectivity for ST36 in comparison to NAP [59] |
Different nodal and point-related effects, but similar efficiency after ST36 and NAP [51] |
Changes of PCC action as DMN hub after ST36 but not NAP [57] |