Analysis means that acupuncture could possibly clinically cut back anxiousness signs on this affected person inhabitants.
Actual acupuncture (RA) could assist deal with anxiousness in Parkinson’s illness (PD) sufferers, in keeping with analysis revealed in JAMA Open Community. Research information confirmed that RA had the next medical enchancment for anxiousness than sham acupuncture (SA). RA sufferers even have a big enchancment in high quality of life (QOL), together with a optimistic impact on their general situation.
“The outcomes of this research present that acupuncture with medical monitoring can cut back anxiousness in sufferers with Parkinson’s illness,” wrote the research authors.
Anxiousness impacts almost a 3rd of all PD sufferers. It’s related to worse well-being and might have an effect on different sufferers with motion issues.
The target of the research was to discover an efficient anxiousness remedy for PD with minimal antagonistic results (AEs). The researchers determined to check the effectiveness of acupuncture remedy specifically, which had beforehand been recognized as efficient as sure behavioral therapies. This research is the primary randomized medical trial to guage acupuncture for the remedy of hysteria in PD sufferers.
The workforce carried out an 8-week randomized (1:1) and double-blind medical trial to match the effectiveness of RA and SA in 70 sufferers—they have been enrolled from the Parkinson’s clinic of a hospital in China. The research was carried out between 20 June 2021 and 26 February 2022, with 64 sufferers efficiently adopted up on 15 April 2022.
The first final result was scored on the Hamilton Anxiousness Scale (HAM-A), which assesses the extent of hysteria. From baseline, the imply HAM-A rating discount additionally decreased by 4.38 factors amongst RA sufferers. The imply discount in HAM-A rating was higher at follow-up at 7.03 factors decrease than in SA sufferers.
Secondary outcomes have been primarily based on scores on the Unified Parkinson’s Illness Ranking Scale (UPDRS) and the 39-item Parkinson’s Illness Questionnaire (PDQ-39). This take a look at measures QOL, which may be worsened by anxiousness.
“After follow-up, the lower within the UPDRS I rating and the PDQ-39-EW rating of the RA group was considerably higher than the lower within the rating of the SA group,” the research authors wrote.
Extra secondary outcomes measured serum ranges of adrenocorticotropic hormone (ACTH) and cortisol (CORT). The workforce noticed that serum ACTH ranges have been decrease within the RA group, suggesting that RA remedy could enhance anxiousness signs in PD sufferers.
Limitations of the research embrace the potential for bias in utilizing the HAM-A scoring technique and the shortage of participant range as all members have been Chinese language sufferers. As a result of latter limitation, the outcomes of the research could not precisely mirror the outcomes amongst different ethnic teams. Additional, no sufferers skilled extreme AEs with this remedy.
“This research discovered acupuncture to be an efficient remedy for anxiousness in sufferers with PD,” the research authors wrote. “These findings counsel that acupuncture can enhance the well-being of sufferers with Parkinson’s illness and anxiousness.”
Fan, Jing-qi, Lu Wei-jing, Tan Wei-qiang, et al. The Effectiveness of Acupuncture for Anxiousness in Parkinson’s Sufferers. September 21, 2022. JAMA Open Netw. 2022;5(9):e2232133. doi:10.1001/jamanetworkopen.2022.32133