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Objective: To determine the safety and efficacy of Tui Na as a treatment to spasticity in the muscles of stroke victims. Study design: This cross-sectional study assessed the effects of Tui Na on spasticity of the muscles in patients suffering from stroke. A sample of 14 stroke survivors with healthy neurological functions were randomly divided into two groups. Following stroke, they were treated with Tui Na (nontraditional treatment) or standard medical therapy combined with physiotherapy for four months. At the end of the four-month period, the researchers conducted a test of muscular weakness, and related ratings.

Tui Na had a significant effect on the mean improvement in disability score (MDS) however it did not have an effect on the mean muscle function or muscle function at the end. Conventional treatments included regular corticosteroids, Nitroglycerin injections, transcutaneous electric stimulation, radiofrequency ablations, laser beam therapy and local anesthetics. Six of seven patients who received Tui Na had improved (ranging from mild to severe), while eight of nine who received conventional treatments showed no improvement. These results show the value of Tui Na in the recovery of stroke patients however no conclusive conclusions can be drawn regarding the effect on mental health, emotional well-being or sleep quality. These areas will be studied in greater detail by future studies.

Safety and effectiveness The study did not show any adverse reactions during the acute phase of either group. One post stroke trial gave patients oral medication to treat cervical radiculopathy. The drugs had no effect on patients in either group. In one trial patients who received the dose of loperamide showed no pain reduction or any decrease in cough and fever. The researchers believe that this drug may be effective in short-term treatment of acute neck pain in smokers.

Study by Chun et al. Chun et al. reported that acupuncture treatment led to significant improvements in the perception of pain and ability to perform basic physical tasks. The researchers stressed the need for vast numbers of randomised controlled trials to determine the value of acupuncture in the treatment of cervical radiculopathy. They concluded that more research are required to confirm these results and to determine whether it is effective in the treatment of cervical radiculopathy. However, the current data do not support the use of acupuncture in the management of spinal cord injuries.

Chung et. al. performed a meta-analysis. showed that there was a decrease in the mean nerve damage in patients who had received Tui Na therapy. This effect was not significant (odds -0.40), but the effect was statistically significant (confidence interval -0.15 to -0.2). This study is important due to the number of studies in this area is limited; furthermore, it isn't known if the improvement seen in the patients was caused by the treatment of acupuncture or the effects of the treatment on the nerves. The increased pain score in those who received Tui Na treatment to treat neck pain that is chronic, however, suggests that it is an alternative to conventional treatments.

Albers and his coworkers conducted a systematic review that showed that tui-na therapy had positive effects on patients with cervical radiolucopathy. However the majority of these studies came from USA and Canada, where large numbers of participants came from various cities and the quality of the research was low. The pooled effect was not significant ( pooled effect size -0.15). 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 for why certain studies are superior to others. This is due to the study design, reporting bias and other bias factors, as well as the characteristics of the treatment arm (whether it was placebo or active). The use of different assessment tools can also cause a variance. The issue with questionnaires in randomised controlled trials is their low reproducibility and inability to accurately assess potential outcomes. Variability can also be caused by the number of participants being treated. Certain individuals are treated better within the treatment groups than others.

To conclude we believe that, although there are some interesting differences between Chinese soft tissue acupuncture and tui-na massage but the evidence is too thin to make a compelling argument in either direction. It is evident that both treatments can have a positive effects, particularly when used together. Anyone suffering from neck pain or disability should consult their doctor. If your symptoms aren't improving, we recommend you continue to treat them. This will ensure that you get the best treatment possible without causing more injury or aggravating your problem. If you are seeking more information about how to treat stiff necks as well as other soft tissue issues You may be interested in visiting our website.

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