@@ -1,1 +1,1 @@ - +Objective: To determine the safety and effectiveness Tui Na as a treatment to spasticity in the muscles of stroke victims. Design: A cross-sectional study was conducted to determine the effects of Tui Na on muscle spasticity in patients with stroke. Two groups were randomly chosen from a group of 14 stroke patients with functioning neurologically. They were treated with Tui Na (nontraditional therapy) or conventional medical treatment, paired with physical therapy for four months following their stroke. At the end of the four months, the researchers conducted a rating of muscular weakness, and the related ratings.<br><br>Tui Na had significant effects 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 conclusion. Conventional treatments included regular injections of corticosteroids, or nitroglycerin, transcutaneous electric stimulation, radiofrequency ablation laser beam therapy, and application of local anesthetic. Improvement was noted in six (range of improvement from mild to profound) of seven patients who received Tui Na and in eight of nine patients who received only conventional treatments. These results show the value of Tui Na in the recovery of stroke, but it is not feasible to draw any definitive conclusions regarding the effects on sleep quality, cognition, and emotional well-being. These areas will be studied in more detail by future research studies.<br><br>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 medications to treat cervical radiculopathy. Patients in either group did not experience any adverse effects from the drugs. In one study patients who received a dose of loperamide had no reduction in pain or decrease in cough and fever. The investigators believe this drug may be effective in short-term management of acute neck pain in smokers.<br><br>Study by Chun et al. have found that patients who received acupuncture showed significant improvement in the mean of the perception of pain as well as the ability to perform normal physical activities. Researchers emphasized the importance of large-scale, randomised controlled trials to demonstrate the efficacy of acupuncture in treating cervical radiculopathy. They concluded that more research are required to confirm these results and determine if acupuncture is useful in treating cervical radiculopathy. However, the data available do not support the use of acupuncture for the management of spinal cord injuries.<br><br>Chung et. Chung et. conducted a meta-analysis. revealed an improvement in the mean of nerve damage among patients who had undergone 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 because the number of studies in this area is small; furthermore, it isn't known if the improvement seen in the patients was due to acupuncture, or by the effect of the treatment on nerves. Nevertheless, Tui Na therapy appears to be an appropriate alternative to conventional treatments for patients suffering from chronic symptoms of neck pain, as demonstrated by the higher pain score in the group that was treated.<br><br>A systematic review by Albers and coworkers showed that tui na therapy had beneficial effects in patients with 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 studies was low. The pooled effect was very small (pooled effect size -0.15). These studies prove the efficacy of Chinese medicine in managing chronic disabilities and pain.<br><br>There are a variety of reasons for why certain studies are superior or worse than others. This includes the choice of study design, reporting bias and other bias-related factors, as well as the characteristics of the treatment arm (whether it was placebo or active). The use of various assessment tools can result in a variation. The main problem with using questionnaires in controlled trials that are randomised is that they have a poor reproducibility and don't allow researchers to assess possible outcomes with precision. Another possible source of variation is the number of people being treated, as certain people are better treated than others, both within arms and between arms.<br><br>We conclude that, even though there are interesting differences between Chinese soft-tissue Acupuncture and Tui Na massage, there is not enough evidence to support either. Both interventions can have a beneficial effect particularly when combined. Anyone suffering from neck discomfort or disability should see their doctor. If your symptoms aren't improving, we suggest that you continue to treat them. This will ensure that you receive the best possible treatment, [https://singpowder31.werite.net/post/2022/03/26/Benefits-are-the-result-of-Trigger-Point-Massage massage web] without causing further injuries or aggravating the condition. 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