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Objective: To investigate the safety and efficacy of Tui Na as a treatment for spasticity of the muscles of stroke patients. Study design: This cross-sectional study evaluated the effects of Tui Na on spasticity of the muscles in patients suffering from stroke. Two groups were randomly chosen from a group of 14 stroke survivors who had intact neurological function. They were treated with Tui Na (nontraditional therapy) or regular medical treatment paired with physical therapy for four months following their stroke. Researchers conducted a test of physical function and muscle weakness at the end of the four month period.
There was a significant impact of Tui Na on mean improvement in the mean disability score (MDS) however, there was no effect on improvement in mean muscle function or muscular function at the end of the follow up. Conventional treatments included regular corticosteroids and nitroglycerin injections, transcutaneous electrical stimulation, 천안출장마사지 radiofrequency ablations, laser beam therapy, and local anesthetics. Six of seven patients who received Tui Na had improved (ranging from mild to profound), while eight of nine who received conventional treatments showed no improvement. These results show the value of Tui Na for stroke recovery however it isn't possible to draw definitive conclusions regarding the effects on cognition, sleep quality, and emotional well-being. Future studies are required to explore these areas more thoroughly.
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 its patients oral medications to treat cervical radiculopathy. The medications did not affect patients in either group. Patients who received loperamide had no pain relief or a decrease in fever. However, the researchers believe that the drug could be beneficial in the short-term treatment of neck pain among smokers.
Study by Chun et al. report that patients treated with acupuncture experienced significant improvement in both the perception of pain and the ability to perform standard physical activities. Researchers highlighted the importance of large-scale randomised controlled trials to demonstrate the efficacy of acupuncture for treating cervical radiculopathy. They concluded that further studies should be done to confirm these findings and determine whether acupuncture is beneficial in treating cervical radiculopathy. However, the data available do not support the use of acupuncture in the treatment of spinal injuries.
Chung et. al. conducted a meta-analysis. found a reduction in mean nerve damage in patients who underwent 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 small number of studies conducted in this area. It is not known if the improvement in patients was due to acupuncture or because of the treatment of the nerves. The higher score for pain in patients who received Tui Na treatment to treat neck pain that is chronic however, suggests it is a viable alternative to conservative treatments.
Albers and his coworkers conducted a systematic review that showed that tui-na therapy had positive effects on patients with cervical radiolucopathy. 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 low. The effect of pooling was extremely small (pooled effect size -0.15). These studies confirm the efficacy of Chinese medicine for managing chronic disabilities and pain.
There are a variety of reasons for why some studies are better or better than others. This includes the study's design as well as reporting bias and other bias factors. This also includes the characteristics of the treatment arm (whether active or placebo). Another reason for variability is the use of various assessment tools. The problem with questionnaires used in randomised controlled trials is their low reliability and inability to accurately gauge potential outcomes. Another possible source of variation is the amount of people treated, as some are treated better than others, both within the arms and between arms.
We conclude that, while there are interesting differences between Chinese soft-tissue Acupuncture and Tui Na massage but there isn't enough evidence to support either side. It is evident that both therapies can have beneficial effect, especially when combined. Anyone suffering from neck discomfort or disability should see their physician. If your symptoms aren't improving, we recommend that you continue to treat them. This will ensure you receive the best possible treatment without causing more injuries or aggravating your existing problem. If you're seeking more information about how to treat stiff necks as well as other soft tissue issues You may like to check out our website.
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