Acupuncture and sleep disorders in Parkinson's disease: A systematic evaluation with meta-analysis.
Medicine (Baltimore)
; 103(1): e36286, 2024 Jan 05.
Article
em En
| MEDLINE
| ID: mdl-38181255
ABSTRACT
BACKGROUND:
Parkinson's disease (PD) patients commonly suffer from sleep disorders, significantly impacting their quality of life. Western treatments often entail adverse effects, while acupuncture (ACU) presents a safe, nonaddictive alternative.METHODS:
A thorough literature search was performed across PubMed, Cochrane Library, and Embase databases. Eligible studies underwent statistical analysis via RevMan 5.4 software.RESULTS:
This study synthesized data from 19 randomized controlled trials involving 1300 patients. The ACU cohort showed notable improvement in Parkinson's disease sleep scale (PDSS) scores (mean difference [MD]â =â 10.81, 95% confidence interval [CI] 5.64, 15.98) relative to controls. Subgroup analysis revealed significance for ACU treatments beyond 6 weeks (MDâ =â 15.39, 95% CI 11.70, 19.09) but not for those 6 weeks or shorter (MDâ =â 3.51, 95% CI -1.20, 8.23). Notably, electroacupuncture resulted in significant PDSS score enhancements (MDâ =â 12.39, 95% CI 6.06, 18.71), with sensitivity analysis verifying result stability. However, without electroacupuncture, PDSS score differences were insignificant (MDâ =â 7.83, 95% CI -2.33, 17.99) and had lower result stability. Additionally, increased ACU session frequency may yield better improvements in PDSS scores. The ACU group also observed Improved Pittsburgh Sleep Quality Index scores (MDâ =â -4.52, 95% CI -6.36, -2.67). However, no significant variation was identified in Epworth Sleepiness Scale score improvement between groups (MDâ =â -0.90, 95% CI -3.67, 1.88).CONCLUSION:
ACU therapy effectively improves nighttime sleep quality in PD patients. A treatment duration extending beyond 6 weeks is highly recommended. Additionally, increasing the frequency of ACU sessions and incorporating electroacupuncture in the treatment regimen may be essential for optimal results.
Texto completo:
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Base de dados:
MEDLINE
Medicinas Tradicionais:
Medicinas_tradicionales_de_asia
/
Medicina_china
Métodos Terapêuticos e Terapias MTCI:
Terapias_energeticas
/
Terapias_manuales
Assunto principal:
Doença de Parkinson
/
Transtornos do Sono-Vigília
/
Terapia por Acupuntura
/
Eletroacupuntura
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
/
Systematic_reviews
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China