Objective: To determine the safety and effectiveness of Tui Na as a treatment to spasticity in the muscles of stroke victims. Study design: This cross-sectional study examined the effects of Tui Na on spasticity of the muscles in patients suffering from stroke. A group of 14 stroke patients with normal neurological functions were randomly divided into two groups. They were treated with Tui Na (nontraditional therapy) or standard medical treatment combined with physiotherapy for four months after their stroke. The researchers performed a rating of physical function and muscle weakness at the end of the four-month period.

There was a significant effect of Tui Na on mean improvement in the mean disability score (MDS) however, there was no effect on improvement in the mean muscle function or muscle function at the end of the follow up. Conventional treatments included regular corticosteroids as well as Nitroglycerin injections, transcutaneous electric stimulation, radiofrequency ablations, laser beam therapy, and local anesthetics. Improvement was noted in six (range of improvements from slight to profound) of seven patients who received Tui Na and in eight of nine patients who received only conventional treatments. These results demonstrate the effectiveness 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 needed to investigate these areas in greater depth.

Safety and Effectiveness The study did not show any adverse effects in the acute phase of either group. One of the post-stroke trials gave patients oral drugs to treat cervical radiculopathy. Patients in both groups did not experience any adverse effects of the drugs. In one study patients who received the dose of loperamide showed no reduction in pain or decrease in fever and cough. However, the researchers believe that the drug could be effective in the short term treatment of neck pain that is acute in smokers.

Study by Chun et al. found that patients treated with acupuncture saw significant improvement in mean both the perception of pain and the ability to perform normal physical activities. The researchers emphasized the importance of conducting vast number of controlled trials that are randomised in order to establish the efficacy of acupuncture for the treatment of cervical radiculopathy. The researchers concluded that further research is required to confirm the results and determine if acupuncture can be effective in treating cervical radiculopathy. The data presented do not suggest the use of acupuncture to treat spinal cord injuries.

Chung et. al. conducted a meta-analysis. Chung et al. observed a decrease in nerve damage in patients who received Tui Na therapy. Although the effect was not statistically significant (odds –0.40) however, it was statistically significant (confidence interval: -0.15 to 0.2). This study is important due to the small number of studies in this field. It isn't yet known if the improvement observed in patients was due to acupuncture or because of the treatment of the nerves. However, Tui Na therapy appears to be an appropriate alternative to conservative treatments in patients suffering from chronic symptoms of neck pain, as evidenced by the increase in pain scores in the group that was treated.

Albers and his coworkers conducted an extensive review that proved that tui-na therapy has positive effects for patients suffering from 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 pooled effect was small (pooled effect size -0.15). These studies support the effectiveness of Chinese medicine for managing chronic disability and pain.

There are a number 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. Also, it is the characteristics of the treatment arm (whether active or placebo). Another possible source of variation is the use of various assessment tools. The main issue when using questionnaires in controlled studies that are randomised is that they are not able to provide reproducibility and don't allow researchers to assess potential outcomes with accuracy. Variability can also be caused by the number of people being treated. Some people are better treated within the arms than others.

To conclude, we believe that whilst there are some interesting distinctions between Chinese soft tissue acupuncture and tui-na massage, the evidence is too scarce to make a strong case either way. It is evident that both treatments can have a beneficial effect, especially when they are used in conjunction. Anyone suffering from neck pain or disability should consult their doctor. If your symptoms are not improving, we recommend that you continue to treat them. This will ensure that you get the most effective treatment possible without causing more injuries or aggravating your existing problem. If you are seeking more information about how to treat stiff necks as well as other soft tissue problems, you may want to visit our website.

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