Objective: To compare the clinical efficacy between Jiao's scalp acupuncture combined with virtual reality (VR) rehabilitation training and VR rehabilitation training alone for motor dysfunction in patients with Parkinson's disease (PD).
Methods: A total of 52 patients with PD were randomly divided into an observation group and a control group, 26 cases in each group. The patients in both groups were treated with routine basic treatment, and the patients in the control group were treated with VR rehabilitation training. The patients in the observation group were treated with Jiao's scalp acupuncture on the basis of the control group. The scalp points included the movement area, balance area and dance tremor control area. Both groups were treated once a day, 5 times a week for a total of 8 weeks. Before treatment and 4 and 8 weeks into treatment, the gait parameters (step distance, step width, step speed and step frequency), timed "up and go" test (TUGT) time and unified Parkinson's disease rating scale part Ⅲ (UPDRS-Ⅲ) score were compared between the two groups, and the clinical efficacy was evaluated.
Results: Four weeks into treatment, except for the step width in the control group, the gait parameters of the two groups were improved, the TUGT time was shortened, and the UPDRS-Ⅲ scores were reduced (P<0.01, P<0.05); the step distance in the observation group was better than that in the control group, and the UPDRS-Ⅲ score in the observation group was lower than that in the control group (P<0.05). Eight weeks into treatment, the gait parameters of the two groups were improved, the TUGT time was shortened, and the UPDRS-Ⅲ scores were reduced (P<0.01); the step distance and step speed in the observation group were better than those in the control group, the TUGT time in the observation group was shorter than that in the control group, and the UPDRS-Ⅲ score in the observation group was lower than that in the control group (P<0.05, P<0.01). The total effective rate was 92.3% (24/26) in the observation group, which was higher than 69.2% (18/26) in the control group (P<0.05).
Conclusion: Jiao's scalp acupuncture combined with VR rehabilitation training could improve the gait parameters, walking ability and motor function in patients with PD. The clinical effect is better than VR rehabilitation training alone.
目的：比较焦氏头针联合虚拟现实（VR）技术康复训练与单纯VR技术康复训练治疗帕金森病运动功能障碍的临床疗效。方法：将52例帕金森病患者随机分为观察组和对照组，每组26例。两组均予常规基础治疗，对照组予VR技术康复训练；观察组在对照组的基础上予焦氏头针治疗，穴取运动区、平衡区、舞蹈震颤控制区，两组均每日治疗1次，每周5次，共治疗8周。分别于治疗前及治疗4、8周后比较两组患者步态参数（步距、步宽、步速、步频）、“起立-行走”计时测试（TUGT）时间和统一帕金森病评分量表第三部分（UPDRS-Ⅲ）评分，并评定临床疗效。结果：治疗4周后，除对照组步宽外，两组患者各项步态参数均较治疗前改善、TUGT时间均较治疗前缩短、UPDRS-Ⅲ评分均较治疗前降低（P<0.01，P<0.05），且观察组步距优于对照组、UPDRS-Ⅲ评分低于对照组（P<0.05）；治疗8周后，两组患者各项步态参数均较治疗前改善、TUGT时间均较治疗前缩短、UPDRS-Ⅲ评分均较治疗前降低（P<0.01），且观察组步距和步速优于对照组、TUGT时间短于对照组、UPDRS-Ⅲ评分低于对照组（P<0.05，P<0.01）。观察组总有效率为92.3%（24/26），高于对照组的69.2%（18/26，P<0.05）。结论：焦氏头针联合VR技术康复训练可以改善帕金森病患者步态参数，提高患者步行能力及运动功能，临床疗效优于单纯VR技术康复训练。.
Keywords: Jiao's scalp acupuncture; Parkinson's disease (PD); motor dysfunction; rehabilitation training; virtual reality (VR).