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Objective: To assess the safety and effectiveness of Tui Na as treatment for spasticity in muscles of stroke patients. Design: This cross-sectional study assessed the effects of Tui Na on spasticity of the muscles in patients suffering from stroke. A sample of fourteen stroke patients with normal neurological functions were randomly divided into two groups. After stroke, they were treated with Tui Na (nontraditional treatment) or conventional medical therapy, paired with physiotherapy for four months. At the end of the four months the researchers conducted a rating of physical function, muscular weakness, and other ratings.

Tui Na was a significant effect on the mean improvement in disability score (MDS) however, it did not have any effect on the mean muscle function or muscle function at the end of. Conventional treatments included regular injections of corticosteroids, or nitroglycerin. Other treatments included transcutaneous electric stimulation, radiofrequency ablation, laser beam therapy, and application of local anesthetic. Improvement was noted 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 indicate the value of Tui Na in the treatment of stroke however no conclusive conclusion can be drawn about the effect on cognition, emotional well-being or sleep quality. These areas will be explored in greater detail by future studies.

Safety and effectiveness The trial was not a failure to detect adverse effects during the acute phase of the trial for either group. One of the post-stroke trials gave patients oral medication to treat cervical radiculopathy. The drugs did not affect patients in either group. Patients who took loperamide reported no pain relief or a decrease in fever. However, the researchers believe that the drug could be beneficial in the short-term management of acute neck pain for smokers.

Study by Chun et al. found that patients treated with acupuncture experienced significant improvement in both the perception of pain and the ability to perform regular physical activities. The researchers stressed the need for vast numbers of randomised controlled trials to determine the efficacy of acupuncture for the management of cervical radiculopathy. They concluded that further studies must be conducted to confirm these findings and to determine whether acupuncture is beneficial in the treatment of cervical radiculopathy. The present data don't suggest that acupuncture is a good option to treat spinal cord injuries.

Chung and. al. performed a meta-analysis. Chung et al. discovered an improvement in nerve damage in patients who received Tui Na therapy. Although the effect was not statistically significant (odds –0.40), it was statistically significant (confidence interval: -0.15 to 0.2). This study is significant because the number of studies conducted in this area is limited; furthermore, it is unclear if the improvement seen in patients was due to the treatment of acupuncture or the effect of the treatment on nerves. The higher pain score of those who received Tui Na treatment for chronic neck pain symptoms however, suggests it could be an alternative to conservative treatments.

A systematic review conducted by Albers and coworkers showed that tui na therapy had beneficial effects for patients suffering from cervical radiculopathy. The majority of these studies were conducted in the USA and Canada. There were many participants from different cities and the quality of the research was not high. The pooled effect was very small ( the pooled effect size was -0.15). These studies provide suggestive evidence for the efficacy of Chinese medicine in the treatment of chronic pain and disability.

There are many reasons as to why some studies are better or worse than others. This includes the design of the study as well as reporting bias and other bias factors. This also includes the characteristics of the treatment arm (whether active or placebo). The use of various assessment tools can result in a variation. The main issue with questionnaires used in controlled trials that are randomised is that they have a poor reproducibility, and they don't allow researchers to assess potential outcomes with precision. Another reason for variability is the number of participants being treated, as certain people 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 but the evidence is too thin to make a compelling case either way. It is clear that both therapies can have positive effects, particularly when used together. Anyone suffering from neck pain or disability should consult their physician. We also recommend following any advice that are given and do not stop treating your condition when the symptoms appear to be diminishing. This will ensure you get the best treatment, without causing further injury or aggravating your condition. If you are looking for more information on how to treat stiff necks as well as other soft tissue issues, you may be interested in visiting our website.

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