Objective: To assess the safety and effectiveness Tui Na as treatment for spasticity in muscles of stroke patients. Study design: This cross-sectional study evaluated the effects of Tui Na on muscle spasticity in stroke patients. A sample of fourteen stroke patients with normal neurological functions were randomly assigned to two groups. Following stroke, they were treated with Tui Na (nontraditional treatment) or conventional medical therapy, paired with physiotherapy for four months. The researchers performed a rating of muscular and physical weakness at the end of the four month period.
Tui Na was a significant effect on the mean improvement in disability score (MDS), but it did not have an effect on the mean muscle function or the muscle function at the conclusion. Conventional treatments included regular injections of corticosteroids, or nitroglycerin. Other treatments included transcutaneous electric stimulation, radiofrequency ablation laser beam therapy, and the use of local anesthetic. Improvement was observed in six (range of improvements ranging from minor to profound) of seven patients who received Tui Na and in eight of nine patients who received conventional treatments. These results show the value of Tui Na for stroke recovery, but it is not possible to draw definitive conclusions about the effects on sleep quality, cognition and emotional well-being. These areas will be studied in more detail by future studies.
Safety and effectiveness Safety and Effectiveness: There were no adverse reactions in the acute phase of either group. In one post-stroke study, patients oral medication to treat cervical radiculopathy. The drugs did not affect patients in either group. In one study, patients who were given the dose of loperamide showed no reduction in pain or decrease in fever and cough. The researchers believe that this drug may be effective in short-term management of neck pain that is acute in smokers.
Study by Chun et al. Chun et al. reported that acupuncture treatments led to significant improvements in the perception of pain and ability to perform basic physical activities. Researchers highlighted the importance of large-scale randomised controlled trials to prove the efficacy of acupuncture in treating cervical radiculopathy. They concluded that more research should be done to confirm these findings and to determine whether acupuncture is useful in the treatment of cervical radiculopathy. The current data do not suggest that acupuncture is a good option to treat spinal cord injuries.
Chung and. Chung et. performed an analysis meta-analyse. found an improvement in the mean of nerve damage among patients who underwent Tui Na therapy. Although the result was not statistically significant (odds –0.40) however, it was statistically significant (confidence interval: -0.15 to 0.2). This study is significant due to the limited number of studies in this field. It isn’t certain if the improvement seen in patients was due to acupuncture or the effects of the treatment of nerves. The increased pain score in those who received Tui Na therapy for chronic neck pain symptoms However, it suggests that it is a viable alternative to conventional treatments.
Albers and his colleagues carried out systematic reviews that demonstrated that tui-na therapy has positive effects on patients with cervical radiolucopathy. However, the majority of these studies were taken from the USA and Canada in which large numbers of participants came from different cities , and the quality of the studies was poor. The pooled effect was very small (pooled effect size -0.15). 출장안마,출장마사지 These studies provide suggestive evidence for the effectiveness of Chinese medicine in the treatment of chronic pain and disability.
There are a variety of reasons why some studies are superior to others. This includes the design of the study as well as reporting bias and other bias factors. It also includes the characteristics of the treatment arm (whether active or placebo). Another reason for variability is the use of various assessment tools. The main issue with using questionnaires in controlled trials that are randomised is that they are not able to provide reproducibility and don’t allow researchers to assess possible outcomes with accuracy. Another reason for variability is the number of people treated, as some are treated better than others, both within arms and between arms.
To conclude we believe that, although there are some interesting distinctions between Chinese soft tissue acupuncture and tui na massage, the evidence is too scarce to make a strong argument either. Both therapies can have a beneficial effect, especially when combined. Anyone suffering from neck discomfort or disability should consult their physician. If your symptoms aren’t improving, we suggest that you continue to treat them. This will help to ensure you receive the most effective treatment, without causing further injury or aggravating your condition. If you’re seeking more information about how to treat stiff necks and other soft tissue issues You may be interested in visiting our website.