Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial

Abstract Background Parkinson’s disease (PD) is the second most common neurodegenerative disorder and seriously affects quality of life globally. Moxibustion is widely used to treat neurodegenerative diseases in the clinic and has achieved a beneficial clinical effect. However, strict control and hi...

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Main Authors: Chunxiao Wu, Lijun Zhao, Yuelin Guo, Xiaoqian Hao, Yaohua Fan, Peipei Wu, Jiajun Han, Qinglian Li, Xiaoling Wang, Qizhang Wang, Xiaodong Luo, Meiling Zhu
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12906-023-03995-w
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author Chunxiao Wu
Lijun Zhao
Yuelin Guo
Xiaoqian Hao
Yaohua Fan
Peipei Wu
Jiajun Han
Qinglian Li
Xiaoling Wang
Qizhang Wang
Xiaodong Luo
Meiling Zhu
author_facet Chunxiao Wu
Lijun Zhao
Yuelin Guo
Xiaoqian Hao
Yaohua Fan
Peipei Wu
Jiajun Han
Qinglian Li
Xiaoling Wang
Qizhang Wang
Xiaodong Luo
Meiling Zhu
author_sort Chunxiao Wu
collection DOAJ
description Abstract Background Parkinson’s disease (PD) is the second most common neurodegenerative disorder and seriously affects quality of life globally. Moxibustion is widely used to treat neurodegenerative diseases in the clinic and has achieved a beneficial clinical effect. However, strict control and high-quality randomized controlled trials are still lacking. Therefore, this trial aims to evaluate the clinical efficacy and safety of moxibustion in patients with PD and preliminarily explore the underlying mechanism. Methods This is a randomized, single-blind and placebo-controlled trial design in which 70 eligible participants will be randomly divided into a moxibustion group and a sham moxibustion group. Baihui (DU20) and Sishenchong (EX-HN1) are selected for both groups. The treatment will be performed for 30 min per session, two sessions a week for 8 weeks. The mean change in MDS-UPDRS scores (including MDS-UPDRS II, III subscale scores and total scores) from baseline to the observation points will be the primary outcome. The secondary outcomes will include scores on the Parkinson’s Disease Questionnaire-39 (PDQ-39), Fatigue Severity Scale (FSS), Parkinson Disease Sleep Scale (PDSS), Montreal Cognitive Assessment (MoCA), and Self-Rating Depression Scale (SDS) as well as the Wexner constipation score. All the above outcomes will be assessed at 4 and 8 weeks. Laboratory blood biochemical analysis and functional magnetic resonance imaging (fMRI) will be conducted at baseline and at the end of treatment to explore the potential mechanisms of moxibustion in regulating PD. Discussion In conclusion, the results of this trial will reveal whether moxibustion is effective for treating motor and nonmotor symptoms in PD. This trial will also preliminarily explore the underlying mechanism of the regulatory effect of moxibustion in PD, which will contribute to providing a theoretical basis for the treatment of PD. Trial registration ClinicalTrials.gov ChiCTR2000029745. Registered on 9 August 2021.
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spelling doaj.art-7b0669c018504e77aab8beb005c32d7b2023-06-18T11:06:24ZengBMCBMC Complementary Medicine and Therapies2662-76712023-06-012311710.1186/s12906-023-03995-wMoxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trialChunxiao Wu0Lijun Zhao1Yuelin Guo2Xiaoqian Hao3Yaohua Fan4Peipei Wu5Jiajun Han6Qinglian Li7Xiaoling Wang8Qizhang Wang9Xiaodong Luo10Meiling Zhu11Shenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineDepartment of Neurology, The Second Affiliated Hospital, Guangzhou University of Chinese MedicineShenzhen Hospital of Integrated Traditional Chinese and Western MedicineAbstract Background Parkinson’s disease (PD) is the second most common neurodegenerative disorder and seriously affects quality of life globally. Moxibustion is widely used to treat neurodegenerative diseases in the clinic and has achieved a beneficial clinical effect. However, strict control and high-quality randomized controlled trials are still lacking. Therefore, this trial aims to evaluate the clinical efficacy and safety of moxibustion in patients with PD and preliminarily explore the underlying mechanism. Methods This is a randomized, single-blind and placebo-controlled trial design in which 70 eligible participants will be randomly divided into a moxibustion group and a sham moxibustion group. Baihui (DU20) and Sishenchong (EX-HN1) are selected for both groups. The treatment will be performed for 30 min per session, two sessions a week for 8 weeks. The mean change in MDS-UPDRS scores (including MDS-UPDRS II, III subscale scores and total scores) from baseline to the observation points will be the primary outcome. The secondary outcomes will include scores on the Parkinson’s Disease Questionnaire-39 (PDQ-39), Fatigue Severity Scale (FSS), Parkinson Disease Sleep Scale (PDSS), Montreal Cognitive Assessment (MoCA), and Self-Rating Depression Scale (SDS) as well as the Wexner constipation score. All the above outcomes will be assessed at 4 and 8 weeks. Laboratory blood biochemical analysis and functional magnetic resonance imaging (fMRI) will be conducted at baseline and at the end of treatment to explore the potential mechanisms of moxibustion in regulating PD. Discussion In conclusion, the results of this trial will reveal whether moxibustion is effective for treating motor and nonmotor symptoms in PD. This trial will also preliminarily explore the underlying mechanism of the regulatory effect of moxibustion in PD, which will contribute to providing a theoretical basis for the treatment of PD. Trial registration ClinicalTrials.gov ChiCTR2000029745. Registered on 9 August 2021.https://doi.org/10.1186/s12906-023-03995-wMoxibustionParkinson’s diseaseProtocolRandomized controlled trial
spellingShingle Chunxiao Wu
Lijun Zhao
Yuelin Guo
Xiaoqian Hao
Yaohua Fan
Peipei Wu
Jiajun Han
Qinglian Li
Xiaoling Wang
Qizhang Wang
Xiaodong Luo
Meiling Zhu
Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial
BMC Complementary Medicine and Therapies
Moxibustion
Parkinson’s disease
Protocol
Randomized controlled trial
title Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial
title_full Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial
title_fullStr Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial
title_full_unstemmed Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial
title_short Moxibustion treatment for Parkinson’s disease: study protocol for a randomized controlled trial
title_sort moxibustion treatment for parkinson s disease study protocol for a randomized controlled trial
topic Moxibustion
Parkinson’s disease
Protocol
Randomized controlled trial
url https://doi.org/10.1186/s12906-023-03995-w
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