The Effectiveness of Acupuncture Therapy on Pain in Parkinson's Disease
Condition: Parkinson Disease; Pain, Neck
MeSH terms: Parkinson Disease; Neck Pain
Study type: Interventional

Summary: 
      Parkinson's Disease (PD) is a chronic, progressive, degenerative movement disorder that is
      characterized by motor and nonmotor symptoms and its incidence increases with age. It has
      been reported that 40-90% of patients have pain symptoms in PD. Pain can be the result of
      motor fluctuations, dystonic muscle contractions, deep visceral pain, and musculoskeletal
      pain.
    

Detailed description: 
      Parkinson's Disease (PD) is a chronic, progressive, degenerative movement disorder that is
      characterized by motor and nonmotor symptoms and its incidence increases with age. It is the
      second most common neurodegenerative disease after Alzheimer's.Bradykinesia, which is
      characterized by rigidity, resting tremor, postural instability, gait disturbance and
      progressive decrease in the speed and amplitude of repetitive movements throughout the course
      of the disease, are the main cardinal motor findings.Sensory dysfunction such as non-motor
      findings in PD, disruption in the sleep-wake cycle, neuropsychiatric findings such as
      dementia, confusion, hallucinations, delirium, depression, gastrointestinal dysfunction,
      autonomic nervous system disorders such as bladder dysfunction, orthostatic hypotension, and
      pain perception may develop.Although dopaminergic therapies in PD are the gold standard in
      the treatment of disorders such as bradykinesia, rigidity and tremor, adequate response
      cannot be obtained in the treatment of non-motor symptoms. For this reason, rehabilitative
      applications, especially pain symptom, and complementary medicine methods are very
      important.It has been reported that 40-90% of patients have pain symptoms in PD. Pain can be
      the result of motor fluctuations, dystonic muscle contractions, deep visceral pain, and
      musculoskeletal pain.

      Acupuncture and dry needling therapy have been used clinically for a long time as pain
      relievers such as migraine pain, low back pain, chronic pain and cancer pain. On the other
      hand, there are very limited and very limited number of studies on the efficacy of dry needle
      therapy applied to acupuncture points in pain control in PD.In this study, our aim is to
      investigate the effectiveness of dry needling treatment applied to acupuncture points in neck
      pain due to PH on musculoskeletal pains.
    

Intervention name(s): Acupuncture; Exercises
Intervention type(s): Other; Other
Intervention description(s): Investigator will apply the acupuncture treatment to the first group to the neck area. BL-15, BL-18, BL-23, BL-25, KB-4, Du-20, GB-20, CV-14, KB-10, Ex-26, Yin Tang, Ah-shi points will be used. 0.25x25 mm, sterile, steel, disposable, acupuncture needle will be used for acupuncture points and painful trigger points. The treatment will be applied twice a week, on average 10 sessions. Dry needling treatment will be applied to the patients by a certified physician. All patient will be performed the neck exercises program; Patient will perform neck exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: We have two groups. First group will recieve acupuncture treatment and exercise group, second group will recieve only exercise treatment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment