Clinical Observation Of Scalp Acupuncture Combined With Augmented Reality Rehabilitation Technology In Treating The Motor Disorder In Parkinson’s Disease

[Objective]To evaluate the effectiveness and safety of scalp acupuncture combined with augmented reality rehabilitation technology in treating the motor disorder of patients with Parkinson’s disease.[Methods]Patients with Parkinson’s disease who met the inclusion and exclusion criteria from January 2021 to February 2022 in the Department of Acupuncture,Encephalopathy and Rehabilitation of the Third Affiliated Hospital of Zhejiang Chinese Medicine University were randomly divided into the rehabilitation group and acupuncture-rehabilitation group.The rehabilitation group was treated with augmented reality rehabilitation training.The acupuncture-rehabilitation group was treated with scalp acupuncture based on the rehabilitation group（Anterior oblique line of vertex-temporal,Lower-lateral line of occiput,Chorea Trembling Control area）.Both groups were treated 30 minutes daily,5 times a week for 8 weeks.Gait parameters（step length,step width,walking steep,step frequency and double support phase）,Unified Parkinson’s disease Rating Scale part Ⅲ and Timed "Up＆Go"Test were used to evaluate the motor function of the patients before training,4 weeks and 8 weeks after training.The patients were followed up for 3 months.The subjects were treated on the 90th day after the treatment.Gait parameters,Unified Parkinson’s disease Rating Scale part Ⅲ,and Timed "Up＆go" Test evaluation.[Results]1.General data and baseline comprise:Fifty-two patients were enrolled in the study,with 5 patients final loss and 47 patients completing the study.There were no statistically significant differences in gender,age,course of the disease,and Hoehn-Yahr scale（P>0.05）,and they were comparable.There was no significant difference between the two groups in gait parameters（step length,step width,walking steep,step frequency and double support phase）,the Unified Parkinson’s disease Rating Scale Ⅲ and the Timed "Up＆Go" Test before treatment（P>0.05）,and they were comparable.2.Comparison of main outcome measures:Gait parameters:After 4 weeks of treatment,the difference in walking speed between the two groups was statistically significant（p<0.05）.There were signifi cant differences between the two groups in terms of step length,step speed and double support phase ratio after 8 weeks of treatment and at follow-up（P<0.05）,with better results in the acupuncturerehabilitation group than in the rehabilitation group.3.Comparison of secondary outcome measures:（1）Unified Parkinson’s disease Rating Scale part III:8 weeks after treatment,the acupuncture-rehabilitation group was better than the rehabilitation group,and the difference was statistically significant（P<0.05）.There was a statistically significant difference between the two groups in the 3 months follow-up（P<0.05）.（2）Timed "Up＆Go" Test:8 weeks after treatment,the acupuncture-rehabilitation group was better than the rehabilitation group,and the difference was statistically significant（P<0.05）.There was a statistically significant difference between the two groups in the 3 months follow-up（P<0.05）.[Conclusion]1.Both scalp acupuncture combined with augmented reality rehabilitation technology and augmented reality rehabilitation technology can improve motor function in people with Parkinson’s disease with some long-term benefits,and scalp acupuncture combined with augmented reality rehabilitation is better than that of augmented reality rehabilitation treatment alone.2.Scalp acupuncture combined with augmented reality rehabilitation technology can improve the patient’s walking ability,and the combined therapy can better improve the patient’s stride length,stride speed and dual support phase compared to augmented reality rehabilitation therapy alone.