Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials

We aimed to compare the effectiveness of some different acupuncture modalities on motor function using the unified Parkinson disease rating scale (UPDRS)-III scores of idiopathic Parkinson’s disease (PD) via pairwise and network meta-analyses (NMA) of randomized controlled trials (RCTs). The Cochran...

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Autores principales:	Miri Kwon, Moon Joo Cheong, Jungtae Leem, Tae-hun Kim
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	network meta-analysis meta-analysis Parkinson’s disease motor symptom systematic review acupuncture Medicine R
Acceso en línea:	https://doaj.org/article/72795ca1bbc74e0e9f0bbbeb4fa7598e
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spelling	oai:doaj.org-article:72795ca1bbc74e0e9f0bbbeb4fa7598e2021-11-25T17:45:08ZEffect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials10.3390/healthcare91115022227-9032https://doaj.org/article/72795ca1bbc74e0e9f0bbbeb4fa7598e2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1502https://doaj.org/toc/2227-9032We aimed to compare the effectiveness of some different acupuncture modalities on motor function using the unified Parkinson disease rating scale (UPDRS)-III scores of idiopathic Parkinson’s disease (PD) via pairwise and network meta-analyses (NMA) of randomized controlled trials (RCTs). The Cochrane risk of bias assessment tool was used to assess the methodological quality of the included RCTs. A frequentist approach-based random effect model NMA was performed. Seventeen RCTs with 1071 participants were included. The five following modalities were identified: combination of conventional medication (levodopa) with (1) electroacupuncture (ELEC), (2) manual acupuncture (MANU), (3) bee venom acupuncture (BEEV), (4) sham acupuncture (SHAM), and (5) conventional medication alone (CONV). In NMA on UPDRS-III, BEEV was the best modality compared to CONV (mean difference [MD]) −7.37, 95% confidence interval [−11.97, −2.77]). The comparative ranking assessed through NMA was suggested to be BEEV, MANU, ELEC, SHAM, and CONV. Regarding daily activity assessment (UPDRS-II), the magnitude of effectiveness was in the order of BEEV, ELEC, MANU, SHAM, and CONV. Combination treatment with BEEV (MANU or ELEC) and CONV can be recommended to improve motor function in PD patients. Due to the limited number of included RCTs, further NMA with more rigorous RCTs are warranted.Miri KwonMoon Joo CheongJungtae LeemTae-hun KimMDPI AGarticlenetwork meta-analysismeta-analysisParkinson’s diseasemotor symptomsystematic reviewacupunctureMedicineRENHealthcare, Vol 9, Iss 1502, p 1502 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	network meta-analysis meta-analysis Parkinson’s disease motor symptom systematic review acupuncture Medicine R
spellingShingle	network meta-analysis meta-analysis Parkinson’s disease motor symptom systematic review acupuncture Medicine R Miri Kwon Moon Joo Cheong Jungtae Leem Tae-hun Kim Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials
description	We aimed to compare the effectiveness of some different acupuncture modalities on motor function using the unified Parkinson disease rating scale (UPDRS)-III scores of idiopathic Parkinson’s disease (PD) via pairwise and network meta-analyses (NMA) of randomized controlled trials (RCTs). The Cochrane risk of bias assessment tool was used to assess the methodological quality of the included RCTs. A frequentist approach-based random effect model NMA was performed. Seventeen RCTs with 1071 participants were included. The five following modalities were identified: combination of conventional medication (levodopa) with (1) electroacupuncture (ELEC), (2) manual acupuncture (MANU), (3) bee venom acupuncture (BEEV), (4) sham acupuncture (SHAM), and (5) conventional medication alone (CONV). In NMA on UPDRS-III, BEEV was the best modality compared to CONV (mean difference [MD]) −7.37, 95% confidence interval [−11.97, −2.77]). The comparative ranking assessed through NMA was suggested to be BEEV, MANU, ELEC, SHAM, and CONV. Regarding daily activity assessment (UPDRS-II), the magnitude of effectiveness was in the order of BEEV, ELEC, MANU, SHAM, and CONV. Combination treatment with BEEV (MANU or ELEC) and CONV can be recommended to improve motor function in PD patients. Due to the limited number of included RCTs, further NMA with more rigorous RCTs are warranted.
format	article
author	Miri Kwon Moon Joo Cheong Jungtae Leem Tae-hun Kim
author_facet	Miri Kwon Moon Joo Cheong Jungtae Leem Tae-hun Kim
author_sort	Miri Kwon
title	Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials
title_short	Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials
title_full	Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials
title_fullStr	Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed	Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials
title_sort	effect of acupuncture on movement function in patients with parkinson’s disease: network meta-analysis of randomized controlled trials
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/72795ca1bbc74e0e9f0bbbeb4fa7598e
work_keys_str_mv	AT mirikwon effectofacupunctureonmovementfunctioninpatientswithparkinsonsdiseasenetworkmetaanalysisofrandomizedcontrolledtrials AT moonjoocheong effectofacupunctureonmovementfunctioninpatientswithparkinsonsdiseasenetworkmetaanalysisofrandomizedcontrolledtrials AT jungtaeleem effectofacupunctureonmovementfunctioninpatientswithparkinsonsdiseasenetworkmetaanalysisofrandomizedcontrolledtrials AT taehunkim effectofacupunctureonmovementfunctioninpatientswithparkinsonsdiseasenetworkmetaanalysisofrandomizedcontrolledtrials
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Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials

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