| Objective: To observe the clinical efficacy of TCM manoeuvres combined with exercises in the treatment of coronary deformity of the spine in patients with Parkinson’s disease,evaluate its safety,and explore the methods and ideas of TCM for the treatment of this disease.Methods: According to the inclusion criteria,27 patients with Parkinson’s disease and coronal deformity of spine(Pizza syndrome(PS))were recruited and randomly divided into two groups,13 cases in the control group and 14 cases in the observation group.The control group was routinely treated with western medicine and traditional Chinese medicine.The observation group was given acrobatic therapy on the basis of the control group.Western medicine treatment: the oral dose and frequency of western medicine are determined by neurologists after evaluating the patient’s condition(usually the oral dose is the dose when the patient’s symptoms are stable).If the oral dose is increased to 1.2times of the initial dose,the patient will be excluded,because the dose increase is often a serious aggravation,showing acute progressive progress,and it is not suitable for further participation.The control group was treated with traditional Chinese medicine manipulation,mainly selecting the bladder meridian of Foot Taiyang and Du meridian points.In prone position,the method of pressing,rubbing,holding and rolling is used,and the order is from Da Yi to Da Chang Shu,and Ganshu,Shenshu,Dan Shu and Da Chang Shu are rubbed,and the point rubbing method is the main method of du meridian.The four points of Fengfu,Jizhong and Mingmen Yangguan are re-taken four times a week for 35 minutes each time.Observation group: practice more,mainly practicing 24-style Tai Ji Chuan,which is coached by professional Tai Ji Chuan coach.Four times a week,35 minutes each time.After 8 weeks of treatment,UPDRS-Ⅲ score,Berg Balance Function Scale,Cobb’s Angle,ODI(Oswestry Disability Inde)scale and 39 comprehensive indexes of Parkinson’s disease quality of life were compared one by one.Use SPSS24.0 statistical data and analysis data.Results: Before treatment,13 patients were included in the control group,14 patients in the observation group,and 3 patients were excluded from the treatment.A total of 24 patients were completed,with 12 patients in the control group and 12 patients in the observation group.Before the experimental intervention,it was found that the patients in the control group and the observation group were highly comparable in general data such as age,sex,course of disease and medication time(P > 0.05).After8 weeks of intervention,the data of the two groups were as follows: UPDRS-ⅲ score: 14.26±3.76 in the control group and 11.38±3.42 in the observation group;Berg balance function scale: 48.54 ± 2.06 in the control group and 50.56±2.16 in the observation group;Cobb’s angle:12.38±2.42 in the control group and 9.26±2.76 in the observation group;ODI score: 15.28±2.68 in the control group and 12.38±2.46 in the observation group;The comprehensive quality of life index(PDQ-39SI)of39 items of Parkinson’s disease: 15.28±3.68 in the control group and12.42±3.27 in the observation group.Compared with the same observation index in the observation group before and after treatment,the difference was statistically significant(P < 0.05),and compared with the same observation index in the control group before and after treatment,the difference was statistically significant(P < 0.05).Before and after treatment,the difference between the observation group and the control group was statistically significant(P < 0.05).Conclusion:(1)TCM manipulation combined with acrobatics can improve the coronal deformity of spine in PS patients;(2)Traditional Chinese medicine combined with acrobatics can improve the balance ability of PS patients;(3)Traditional Chinese medicine combined with acrobatics can relieve the waist pain of PS patients and improve their quality of life. |
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