WANG Shaosong, GUO Jing, FENG Qingyin, et al. Treatment of Different Types of Pain in Parkinson′s Disease by Tendon-softening and Pain-relieving Acupuncture[J]. Journal of Traditional Chinese Medicine2021, 62(7): 609-614.
WANG Shaosong, GUO Jing, FENG Qingyin, et al. Treatment of Different Types of Pain in Parkinson′s Disease by Tendon-softening and Pain-relieving Acupuncture[J]. Journal of Traditional Chinese Medicine2021, 62(7): 609-614.DOI: 10.13288/j.11-2166/r.2021.07.012.
Treatment of Different Types of Pain in Parkinson′s Disease by Tendon-softening and Pain-relieving Acupuncture
Objective To explore the effect of tendon-softening and pain-relieving acupuncture on different types of pain in Parkinson′s disease. Methods Eighty-four patients with Parkinson′s disease and pain were included. According to Chandhur pain classification standards
patients were classified into five pain groups
which were skeletal muscle pain(22 cases)
radicular pain(10 cases)
dyskinesia pain(34 cases)
pain caused by inability to sit still or fidget(14 cases)
and others(4 cases). All patients continued to be treated with conventional oral western medicine for Parkinson′s disease
stopped taking painkillers
and received tendon-softening and pain-relieving acupuncture. Even supplementation and drainage needling method was used
with needle retention for 30 minutes
once daily
5 times as a course for two courses. Traditional Chinese medicine(TCM) symptoms scores
visual analogue scale(VAS) score
King′s Parkinson′s disease pain scale(KPPS) score
unified Parkinson′s disease rating scale(UPDRS) score were assessed before and after treatment for different types of pain group. Results Of the 84 patients
no cases were clinically cured; 21 cases were significantly improved; 48 cases were moderately improved; five cases were slightly improved; and 10 cases were ineffective; the number of effective cases were 74
and the total effective rate was 88.1%. After treatment
the TCM symptoms score
VAS score
KPPS pain frequency score and total score
and UPDRS score all significantly decreased(P<0.05 or P<0.01). Due to the small number of patients with other types of pain
they were not included for subgroup analyses. After treatment
TCM symptoms score
VAS score
KPPS total score
and UPDRS score in skeletal muscle pain group significantly decreased(P<0.05 or P<0.01); in pain group caused by inability to sit still or fidget
the VAS score
KPPS total score and pain frequency score decreased(P<0.05 or P<0.01)
while no significant change was seen in UPDRS score(P>0.05); there were no significant differences in the VAS score
KPPS score and UPDRS score of radicular pain and dyskinesia pain group after treatment(P>0.05)
while TCM symptoms score in both significantly decreased after treatment(P<0.05). Conclusion Tendon-softening and pain-relieving acupuncture has certain effects on improving pain in patients with Parkinson′s disease; the effect is obvious for skeletal muscle pain and pain caused by inability to sit still or fidget
but is not significant for radicular pain and dyskinesia pain.