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Objective <p>To observe the improving effect of acupuncture and Tuina (Chinese therapeutic massage) combined with Ba Duan Jin (Eight-brocade Exercise) on motor function in patients with Parkinson disease (PD) in the early and middle stages.</p> Methods <p>Seventy patients with early- or middle-stage PD were randomly divided into a control group and an observation group, with 35 patients in each group. The control group was given conventional treatment such as oral levodopa hydrochloride tablets; the observation group was treated with acupuncture, Tuina, and Ba Duan Jin in addition to the control group’s treatment. Acupuncture and Tuina were administered twice a week, and Ba Duan Jin was performed five times a week. Each course of treatment lasted 4 weeks, and a total of 3 courses were completed. The changes in the unified Parkinson disease rating scale III (UPDRS III) score, Berg balance scale (BBS) score, 15-meter walking speed, and 6-minute walk distance were compared between the two groups.</p> Results <p>The total effective rate in the observation group was 93.6%, which was significantly higher than 45.7% in the control group (<i>P</i>&lt;0.01). After 4, 8, and 12 weeks of treatment, the UPDRS III score in the observation group was significantly lower than the previous score (<i>P</i>&lt;0.05); the BBS score was significantly higher than the previous score (<i>P</i>&lt;0.05), and the 6-minute walk distance also significantly increased compared to the previous result (<i>P</i>&lt;0.05). After 8 and 12 weeks of treatment, the 15-meter walking speed in the observation group was significantly higher than that before treatment and the previous measurement (<i>P</i>&lt;0.05). In comparison with the control group, the observation group showed significantly lower UPDRS III scores after 8 and 12 weeks of treatment (<i>P</i>&lt;0.05). Additionally, after 4, 8, and 12 weeks of treatment, the observation group had significantly higher BBS scores, 15-meter walking speed, and the 6-minute walk distance than the control group (<i>P</i>&lt;0.05). There were no significant differences in the above indicators before and after treatment in the control group (<i>P</i>&gt;0.05).</p> Conclusion <p>The addition of acupuncture, Tuina, and Ba Duan Jin to Western medication treatment can effectively improve motor function, balance ability, and walking ability in patients with early- or middle-stage PD.</p>

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Clinical observation of acupuncture and Tuina combined with Ba Duan Jin in improving motor function in patients with Parkinson disease in the early and middle stages

  • 期刊论文

  • 发表日期：

    2025年4月23日

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  • Liang Zeng,
  • You Gu,
  • Jiawei Hu,
  • Hualan Yang,
  • Xiaowei Dong,
  • Guoliang Pan,
  • Fei Zhou

摘要

Objective

To observe the improving effect of acupuncture and Tuina (Chinese therapeutic massage) combined with Ba Duan Jin (Eight-brocade Exercise) on motor function in patients with Parkinson disease (PD) in the early and middle stages.

Methods

Seventy patients with early- or middle-stage PD were randomly divided into a control group and an observation group, with 35 patients in each group. The control group was given conventional treatment such as oral levodopa hydrochloride tablets; the observation group was treated with acupuncture, Tuina, and Ba Duan Jin in addition to the control group’s treatment. Acupuncture and Tuina were administered twice a week, and Ba Duan Jin was performed five times a week. Each course of treatment lasted 4 weeks, and a total of 3 courses were completed. The changes in the unified Parkinson disease rating scale III (UPDRS III) score, Berg balance scale (BBS) score, 15-meter walking speed, and 6-minute walk distance were compared between the two groups.

Results

The total effective rate in the observation group was 93.6%, which was significantly higher than 45.7% in the control group (P<0.01). After 4, 8, and 12 weeks of treatment, the UPDRS III score in the observation group was significantly lower than the previous score (P<0.05); the BBS score was significantly higher than the previous score (P<0.05), and the 6-minute walk distance also significantly increased compared to the previous result (P<0.05). After 8 and 12 weeks of treatment, the 15-meter walking speed in the observation group was significantly higher than that before treatment and the previous measurement (P<0.05). In comparison with the control group, the observation group showed significantly lower UPDRS III scores after 8 and 12 weeks of treatment (P<0.05). Additionally, after 4, 8, and 12 weeks of treatment, the observation group had significantly higher BBS scores, 15-meter walking speed, and the 6-minute walk distance than the control group (P<0.05). There were no significant differences in the above indicators before and after treatment in the control group (P>0.05).

Conclusion

The addition of acupuncture, Tuina, and Ba Duan Jin to Western medication treatment can effectively improve motor function, balance ability, and walking ability in patients with early- or middle-stage PD.