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Complementary Therapies in Parkinson Disease: a Review of Acupuncture, Tai Chi, Qi Gong, Yoga, and Cannabis.
Neurotherapeutics ( IF 5.7 ) Pub Date : 2020-08-12 , DOI: 10.1007/s13311-020-00900-y
Lisa M Deuel 1 , Lauren C Seeberger 1
Affiliation  

Parkinson disease (PD) is a progressive neurodegenerative condition characterized by bradykinesia, rigidity, resting tremor, and postural instability. Non-motor symptoms, including pain, fatigue, insomnia, anxiety, and depression to name a few, are increasingly recognized and often just as disabling at motor symptoms. The mainstay of treatment is dopamine replacement; however, the beneficial effects tend to wane over time with disease progression, and patients often experience motor fluctuations and medication side effects. The lack of a disease-modifying intervention and the shortcomings of traditional symptomatic medications have led many patients to pursue complementary therapies to alleviate motor and non-motor symptoms associated with PD. The term complementary implies that the therapy is used along with conventional medicine and may include supplements, manipulative treatments (chiropractic, massage), exercise-based programs, and mind–body practices. As these practices become more widespread in Western medicine, there is a growing interest in evaluating their effects on a number of medical conditions, PD included. In this review, we provide an update on clinical trials that have evaluated the effectiveness of complementary treatments for patients with PD, specifically focusing on acupuncture, Tai Chi, Qi Gong, yoga, and cannabis.



中文翻译:

帕金森病的补充疗法:针灸、太极、气功、瑜伽和大麻的回顾。

帕金森病 (PD) 是一种进行性神经退行性疾病,其特征是运动迟缓、僵硬、静止性震颤和姿势不稳定。非运动症状,包括疼痛、疲劳、失眠、焦虑和抑郁等,越来越多地得到认可,并且通常与运动症状一样致残。治疗的主要方法是多巴胺替代;然而,随着疾病的进展,有益效果往往会随着时间的推移而减弱,患者经常会出现运动波动和药物副作用。缺乏改善疾病的干预措施以及传统对症药物的缺点,导致许多患者寻求补充疗法来缓解与 PD 相关的运动和非运动症状。补充一词意味着该疗法与传统药物一起使用,可能包括补充剂、手法治疗(脊椎按摩疗法、按摩)、基于运动的计划和身心练习。随着这些做法在西方医学中变得越来越普遍,人们越来越有兴趣评估它们对包括 PD 在内的许多医疗条件的影响。在这篇综述中,我们提供了临床试验的最新进展,这些试验评估了 PD 患者补充治疗的有效性,特别是针灸、太极、气功、瑜伽和大麻。人们越来越有兴趣评估它们对包括 PD 在内的许多医疗条件的影响。在这篇综述中,我们提供了临床试验的最新进展,这些试验评估了 PD 患者补充治疗的有效性,特别是针灸、太极、气功、瑜伽和大麻。人们越来越有兴趣评估它们对包括 PD 在内的许多医疗条件的影响。在这篇综述中,我们提供了临床试验的最新进展,这些试验评估了 PD 患者补充治疗的有效性,特别是针灸、太极、气功、瑜伽和大麻。

更新日期:2020-08-12
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