The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지
DOI QR코드

DOI QR Code

Review on the effect of acupuncture on Parkinson's disease over the last 5 years

파킨슨병의 침 치료 효과에 대한 최신 연구 동향 고찰 - 최근 5년간의 임상 연구를 중심으로 -

  • Received : 2021.07.16
  • Accepted : 2021.08.12
  • Published : 2022.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The objective of this study was to summarize clinical studies conducted over the last five years that investigated the effect of acupuncture on Parkinson's disease and to propose a better process of study. Methods: Research Information Sharing Service (RISS), Korea Studies Information Service (KISS), Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, and China National Knowledge Infrastructure (CNKI) were systemically searched for clinical trials that had investigated the effect of acupuncture on the course of Parkinson's disease from May 2016 to April 2021. Results: A total of 23 studies met all the inclusion criteria. In most reports, acupuncture had significant positive effects on the course of Parkinson's disease. Furthermore, there were no serious adverse events associated with acupuncture in any of the studies. In addition to the acupuncture methods that showed effectiveness in previous studies, various types of acupuncture have been used to treat sub-symptoms of Parkinson's disease. The outcome measures were subdivided through individual symptom evaluation and mechanical analysis. Follow-up assessments were also performed to analyze the continuous effect. Conclusion: In the clinical studies conducted over the last five years, many studies investigated the various types of acupuncture used to treat Parkinson's disease and the segmentation and diversification of outcome measures focusing on individual symptoms, and a new approach for excluding placebo effects through follow-up studies has been made. Further attempts like these are needed to overcome methodological flaws in studies on the effects of acupuncture on Parkinson's disease.

Keywords

References

  1. Davie C. A review of Parkinson's disease. Br Med Bull. 2008;86:109-27. https://doi.org/10.1093/bmb/ldn013
  2. Sveinbjornsdottir S. The clinical symptoms of Parkinson's disease. JNeurochem. 2016;139: 318-24. https://doi.org/10.1111/jnc.13691
  3. Ascherio A, Schwarzschild M. The epidemiology of Parkinson's disease: risk factors and prevention. Lancet Neurol. 2016;15:1257-72. https://doi.org/10.1016/S1474-4422(16)30230-7
  4. Gazewood J, Richards D, Clebak K. Parkinson disease: an update. Am Fam Physician. 2013; 87(4):267-73.
  5. Lee S, Lim S. Clinical effectiveness of acupuncture on Parkinson disease: A PRISMA -compliant systematic review and meta-analysis. Medicine (Baltimore). 2017;96(3):e5836. https://doi.org/10.1097/md.0000000000005836
  6. Liu H, Chen L, Zhang Z, Geng G, Chen W, Dong H, et al. Effectiveness and safety of acupuncture combined with Madopar for Parkinson's disease: a systematic review with meta-analysis. Acupunct Med. 2017;35(6): 404-412. https://doi.org/10.1136/acupmed-2016-011342
  7. Noh H, Kwon S, Cho S, Jung W, Moon S, Park JM, et al. Effectiveness and safety of acupuncture in the treatment of Parkinson's disease: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med. 2017 Oct;34:86-103. https://doi.org/10.1016/j.ctim.2017.08.005
  8. Liu Y, Bai Y. A randomized controlled trial on the treatment of PD with scalp acupuncture combined with needling Huatuo Jiaji points. Info Traditional Chinese Med. 2021;38(1):54-8. https://doi.org/10.4103/wjtcm.wjtcm_8_21
  9. Cai Y, Zhang R, Lin K, Yang L, Lai J. Effect of abdominal acupuncture combined with western medicine in the treatment of Parkinson's Disease complicated with nocturia on nocturia frequency and sleep quality. CJGMCM. 2020;35(22):3615-7.
  10. Kim J, Cho K, An S, Cui S, Kim S, Suh J, et al. Effects of acupuncture & qigong meditation on nonmotor symptoms of Parkinson's Disease. J Acupunct Res. 2020;37(4):247-253. https://doi.org/10.13045/jar.2020.00066
  11. Li K, Xu S, Li J, Cheng L, Li G, Dai M, et al. Clinical study of electroacupuncture combined with medication for Parkinson's Disease. Shanghai J Acu-mox. 2020;39(12):1564-9.
  12. Liang Z, Gu J, Huang X. Clinical Effect of tongue triple needles combined with vitalstim electrical stimulation for swallowing dysfunction in Parkinson Disease. J New Chinese Med. 2020;52(3):131-3.
  13. Liu J, Deng L, Zheng W, Liang L. Effect of "Seven Points of Skull Base" plus sling exercise training on balance function in Parkinson Disease patients. Shanghai J Acu-mox. 2020;39(9):1157-60.
  14. Wang X, Feng W, Tian S, Li T, Li P, Liu Z. Pharynx three-needle and tremor-ceasing eight-needle combined with rehabilitation training for dysphagia in Parkinson's Disease. Jilin J Chinese Med. 2020;40(10):1383-6.
  15. Wang L, Wang X, Zhang J, Li J, Hou X, Zhu L. Effect of nape acupuncture combined with swallowing training on dysphagia in patients with Parkinson's Disease. Rehabilit Med. 2020;30(3):202-5. https://doi.org/10.3724/SP.J.1329.2020.03007
  16. Xu Y, Cai X, Qu S, Zhang J, Zhang Z, Yao Z, et al. Madopar combined with acupuncture improves motor and non-motor symptoms in Parkinson's disease patients: A multicenter randomized controlled trial. Eur J Integr Med. 2020;34:e101049.
  17. Yu N, Ma L, Bi H, Liu P, Liu Z. Clinical study of superficial needling in treating PD wiith limbs pain. JCAM. 2020;36(1):37-40.
  18. Wu J. Clinical observation on the treatment of Parkinson's Disease with Gongshi cerebral needle combined with dopamine silk hydrazine. Clinical J Traditional Chinese Med. 2019;31(6): 1099-1100.
  19. Jiang H, Liang Z, Fan X. Observation of the effect of eye acupuncture on treating Parkinson's Disease. J Liaoning University TCM. 2018; 20(10):26-8.
  20. Li Z, Chen J, Cheng J, Huang S, Hu Y, Wu Y, et al. Acupuncture modulates the cerebello-thalamo-cortical circuit and cognitive brain regions in patients of Parkinson's Disease with tremor. Front Aging Neurosci. 2018;10:e206.
  21. Cho S, Lee Y, Doo K, Lee J, Jung W, Moon S, et al. Efficacy of combined treatment with acupuncture and Bee Venom Acupuncture as an adjunctive treatment for Parkinson's Disease. J Altern Complement Med. 2018;24(1):25-32. https://doi.org/10.1089/acm.2016.0250
  22. Aroxa F, Gondim I, Santos E, Coriolano M, Asano A, Asano N. Acupuncture as adjuvant therapy for sleep disorders in Parkinson's Disease. J Acupunct Meridian Stud. 2017;10(1):33-38. https://doi.org/10.1016/j.jams.2016.12.007
  23. Li Q. Observation on therapeutic effect of acupuncture and medicine on Parkinson's Disease. Shanxi J TCM. 2017;33(9):38-9.
  24. Li L, Zhang H, Chen S, Wang F, Qi L, Wang L. Evaluation on efficacy of press-needle in treating constipation Parkinson's disease. J Med Postgra. 2017;30(7):762-6.
  25. Liu C, Zheng W, Mo H, Zhang X, Huang G. Effect of Tung's acupuncture on walk and balance function in patients with Parkinson's Disease. Shanghai J Acu-mox. 2016;35(10):1187-9.
  26. Jang J, Park S, An J, Choi J, Seol I, Park G, et al. Gait disturbance improvement and cerebral cortex rearrangement by acupuncture in Parkinson's Disease: A pilot assessor-blinded, randomized, controlled, parallel-Group Trial. Neurorehabil Neural Repair. 2020;34(12):1111-1123. https://doi.org/10.1177/1545968320969942
  27. Kong K, Ng H, Li W, Ng D, Tan S, Tay K, et al. Acupuncture in the treatment of fatigue in Parkinson's disease: A pilot, randomized, controlled, study. Brain Behav. 2017;8(1):e00897.
  28. Lei H, Toosizadeh N, Schwenk M, Sherman S, Karp S, Sternberg E, et al. A pilot clinical trial to objectively assess the efficacy of electroacupuncture on gait in patients with Parkinson's Disease using body worn sensors. PLoS One. 2016;11(5):e0155613. https://doi.org/10.1371/journal.pone.0155613
  29. Ye Z, Wei Z, Luo X, Liu B, Chen Z. Functional magnetic resonance imaging study on the instant effect of Fang's scalp acupuncture in the treatment of early and mid-term Parkinson's Disease. Heilongjiang Traditional Chinese Med. 2020;4:394-5.
  30. Wang S. Clinical observation of acupressure in the treatment of Parkinson's Disease. Guide China Med. 2018;16(20):15.