Effect of Acupuncture Therapy on Dysphagic Parkinson's Patients
NCT ID: NCT06255756
Last Updated: 2024-03-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2024-02-15
2024-06-30
Brief Summary
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Detailed Description
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The study lasted 42 days (6 weeks) for each participant. Specifically, our main focus is on the study of Lianquan, Shanglianquan (depression between the hyoid bone and the lower border of the mandible), Yifeng, Fengchi, Wangu, Fengfu, Yamen, Neidaying (depression of 1 inch below the anterior margin of the mandible), Jinjin, Yuye, posterior pharyngeal wall (both sides of the uvula).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
DOUBLE
Study Groups
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routine treatment+swallowing rehabilitation training+acupuncture therapy
The experimental group was given routine treatment and swallowing rehabilitation training. Moreover, the experimental group was given acupuncture therapy.
Routine rehabilitation training
Balance function training: Patients were instructed to achieve weight shift between the left and right sides of the balance bar in a standing position.
Walking function training: based on hip, knee, and ankle control training, patients were instructed to take steps training.
Core muscle strength training: Patients were instructed to maintain 3 minutes of training in Bridge-style movement.
Functional training of daily living: including training on dressing and undressing, independent eating, painting, and writing.
Routine rehabilitation training was performed 30-45 minutes/time, 1-2 times/day, 5-7 days/week.
Swallowing rehabilitation training
Swallowing-related organ training involves various exercises targeting the lip, mandibular muscle, cheek, tongue muscle, soft palate, as well as exercises for vocal cord closure, laryngeal lifting, and pharyngeal muscle training. These exercises are performed for 5-15 minutes each session, 1-2 times per day, and 5-7 days per week.
Sensory stimulation training is conducted using a self-made popsicle, where medical staff gently stimulate the patient's cheek, palatoquadrate, soft palate, posterior pharyngeal wall, tongue surface, and sublingual area repeatedly. Each session lasts 5-25 minutes, performed 1-3 times per day, and 3-7 days per week.
Once the patient's swallowing function improves to a certain extent, allowing for safe oral intake, direct training or oral feeding training can be gradually introduced.
Acupuncture therapy
The whole acupuncture therapy was performed once daily for 5 days per week, including acupuncture needle and tongue needle.
Acupuncture needle:
Main acupoints: Lianquan, Shanglianquan (depression between the hyoid bone and the lower border of the mandible), Yifeng; Auxiliary acupoints: Fengchi, Wangu, Fengfu, Yamen, Neidaying (depression of 1 inch below the anterior margin of the mandible).
Tongue needle (pricking):
Acupoints: Jinjin, Yuye, posterior pharyngeal wall (both sides of the uvula).
routine treatment+swallowing rehabilitation training
The control group was given routine treatment and swallowing rehabilitation training.
Routine rehabilitation training
Balance function training: Patients were instructed to achieve weight shift between the left and right sides of the balance bar in a standing position.
Walking function training: based on hip, knee, and ankle control training, patients were instructed to take steps training.
Core muscle strength training: Patients were instructed to maintain 3 minutes of training in Bridge-style movement.
Functional training of daily living: including training on dressing and undressing, independent eating, painting, and writing.
Routine rehabilitation training was performed 30-45 minutes/time, 1-2 times/day, 5-7 days/week.
Swallowing rehabilitation training
Swallowing-related organ training involves various exercises targeting the lip, mandibular muscle, cheek, tongue muscle, soft palate, as well as exercises for vocal cord closure, laryngeal lifting, and pharyngeal muscle training. These exercises are performed for 5-15 minutes each session, 1-2 times per day, and 5-7 days per week.
Sensory stimulation training is conducted using a self-made popsicle, where medical staff gently stimulate the patient's cheek, palatoquadrate, soft palate, posterior pharyngeal wall, tongue surface, and sublingual area repeatedly. Each session lasts 5-25 minutes, performed 1-3 times per day, and 3-7 days per week.
Once the patient's swallowing function improves to a certain extent, allowing for safe oral intake, direct training or oral feeding training can be gradually introduced.
Interventions
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Routine rehabilitation training
Balance function training: Patients were instructed to achieve weight shift between the left and right sides of the balance bar in a standing position.
Walking function training: based on hip, knee, and ankle control training, patients were instructed to take steps training.
Core muscle strength training: Patients were instructed to maintain 3 minutes of training in Bridge-style movement.
Functional training of daily living: including training on dressing and undressing, independent eating, painting, and writing.
Routine rehabilitation training was performed 30-45 minutes/time, 1-2 times/day, 5-7 days/week.
Swallowing rehabilitation training
Swallowing-related organ training involves various exercises targeting the lip, mandibular muscle, cheek, tongue muscle, soft palate, as well as exercises for vocal cord closure, laryngeal lifting, and pharyngeal muscle training. These exercises are performed for 5-15 minutes each session, 1-2 times per day, and 5-7 days per week.
Sensory stimulation training is conducted using a self-made popsicle, where medical staff gently stimulate the patient's cheek, palatoquadrate, soft palate, posterior pharyngeal wall, tongue surface, and sublingual area repeatedly. Each session lasts 5-25 minutes, performed 1-3 times per day, and 3-7 days per week.
Once the patient's swallowing function improves to a certain extent, allowing for safe oral intake, direct training or oral feeding training can be gradually introduced.
Acupuncture therapy
The whole acupuncture therapy was performed once daily for 5 days per week, including acupuncture needle and tongue needle.
Acupuncture needle:
Main acupoints: Lianquan, Shanglianquan (depression between the hyoid bone and the lower border of the mandible), Yifeng; Auxiliary acupoints: Fengchi, Wangu, Fengfu, Yamen, Neidaying (depression of 1 inch below the anterior margin of the mandible).
Tongue needle (pricking):
Acupoints: Jinjin, Yuye, posterior pharyngeal wall (both sides of the uvula).
Eligibility Criteria
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Inclusion Criteria
* Meeting the diagnostic criteria for Parkinson's disease.
* Diagnosed with dysphagia confirmed by the video fluoroscopic swallowing study.
* Water swallow test\> Level 3.
* Stable vital signs, conscious, able to cooperate with assessment and treatment.
Exclusion Criteria
* History of mental diseases or use of antipsychotics.
* Complicated with cognitive impairment or consciousness dysfunction.
* Simultaneously suffering from severe liver, kidney failure, tumors, or hematological diseases.
18 Years
ALL
No
Sponsors
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Zeng Changhao
OTHER
Responsible Party
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Zeng Changhao
Research Director
Principal Investigators
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Nieto Luis, Master
Role: STUDY_DIRECTOR
Site Coordinator of United Medical Group
Locations
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Zheng Da yi Yuan Hospital
Zhenzhou, Henan, China
Countries
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Other Identifiers
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Zhenjiu-Parkinson
Identifier Type: -
Identifier Source: org_study_id
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