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The Journal of Internal Korean Medicine > Volume 35(1); 2014 > Article
The Journal of Internal Korean Medicine 2014;35(1): 12-23.
파킨슨병의 침구치료 동향에 대한 고찰
이은1, 강기완1, 김락형2, 강세영3, 선승호4, 한창호5, 장인수3
1우석대학교 한의과대학 한의학과
2우석대학교 한의과대학 한방신경정신과학교실
3우석대학교 한의과대학 한방내과학교실
4상지대학교 한의과대학 한방내과학교실
5동국대학교 한의과대학 한방내과학교실
A Review of Acupuncture and Moxibustion for the Treatment of Parkinson’s Disease
Eun Lee1, Ki-wan Kang1, Lak-hyung Kim2, Sei-young Kang3, Seung-ho Sun4, Chang-ho Han5, In-soo Jang3
1Dept. of Korean medicine, College of Korean medicine, Woo-Suk University
2Dept. of Neuropsychiatry, College of Korean medicine, Woo-Suk University
3Dept. of Internal medicine, College of Korean medicine, Woo-Suk University
4Dept. of Internal Medicine, College of Korean Medicine, Sang-Ji University
5Dept. of Internal Medicine, College of Korean Medicine, Dong-Guk University
Correspondence  In-soo Jang ,Tel: 063-220-8608, Fax: 063-220-8616, Email: mackayj@naver.com
  Published online: March 30, 2014.
ABSTRACT
Objectives:
The purpose of this study was to report possibility of acupuncture or moxibustion for the treatment of Parkinson's disease (PD) by reviewing literature about its effectiveness.

Methods :
In this review, PubMed, SCOPUS, Science Direct and CINAHL of EBSCOhost were used to search medical journals, using keywords “Parkinson's disease and acupuncture” and “Parkinson's disease and moxibustion". The search range included randomized controlled trials (RCT) about Parkinson’s disease combined with another disease and other treatments with acupuncture or moxibustion. Non-randomized controlled trial (nRCT), case study, animal experiment, human experiment, review, survey, essay, letter, and protocol for review were excluded.

Results:
From 311 studies, 111 were selected during the title and the abstract screening. Finally, 16 RCTs (15 for acupuncture research and one for moxibustion) were included in this review, after scanning and matching the inclusion and exclusion criteria. The number of patients varied between 5 and 88. A total of 12 studies using electroacupuncture (EA) were classified into acupuncture studies. The body acupuncture studies numbered 4, scalp acupuncture 4, body and scarp acupuncture mixed studies 4, and bee venom, ear and abdomen acupuncture were each one study. In evaluation methods, total effective rate method was used in 9 studies, the Unified Parkinson's Disease Rating Scale (UPDRS) was used in 8, and the Webster score in 2. In addition, the Berg balance scale (BBS), 30 m walking time, steps to walk 30 m, PD motor function score, and Motor Performance Series by Schoppe (MLS) method were used for evaluation. In 15 of the 16 studies, the verum acupuncture group showed significant improvement compared with the control. In 9 studies using total effective rate method, the effective rate was reported as 80.0-97.3% in verum acupuncture groups and 52.6-86.4% in controls.

Conclusions:
Acupuncture may be a plausible alternative method to care for the long term symptoms and treat movement impairment of Parkinson’s disease. However, to confirm this result, high quality studies including randomized, placebo-controlled double-blind trials are warranted.
Key words: Parkinson's disease, acupuncture, moxibustion, Korean medicine, review
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